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Michel, This could potentially lead to dangerous territory.. such as instead of letting the physician give you the "real" diagnosis code, having him/her try to fit the diagnosis to one of the codes on the list.... Just a thought. There was an article about that either in espectrum or JVU, which talked about how "designer" requisition could lead to fraud. Nathalie NSU Quoting Michel Comeaux <[log in to unmask]>: > Ann Marie, > > > > I have created an order form with the appropriate tests and appropriate > diagnosis for the doctors and nurses to use in our clinic. In the past, the > physicians used to write what they wanted on the super bill. However, I > didn't always have the appropriate diagnosis or I would have to dig through > the office notes, etc to make sure that I was doing the appropriate test. I > decided to have everyone comply as if I was an IDTF. I require a written > order with an appropriate diagnosis from everyone. I attach the order to the > final report. It will save time in the long run if there is ever a Medicare > audit. > > > > Michel Comeaux > > > > _____ > > From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Ann Marie > Kupinski > Sent: Monday, June 18, 2007 6:44 PM > To: [log in to unmask] > Subject: requisitions > > > > HI, > > > > Does any one know the requirements for requisitions for in-office ancillary > testing? I know that an IDTF needs an order from a referring physician and > that a hospital based lab also needs a written order. Does a physician in > his/her own practice need to complete an separate order form or requisition > to get an ultrasound in his/her office-based ultrasound lab on one of > his/her own patients. In place of a separate order form or requisition > would a comment within the office notes such as "Mr. Smith presents with a > carotid bruit therefore I am getting a carotid ultrasound" suffice? I have > also been asked if a standard post-op or post-procedure note can be placed > in an office chart such as "Mr. Smith underwent a PTA and stent and per our > follow-up protocol will receive an ultrasound at 1, 6 and 12 months > post-procedure". Any thoughts or suggestions? > > > > Thanks for any advice, > > > > Ann Marie Kupinski > > Albany, NY > > To unsubscribe or search other topics on UVM Flownet link to: > http://list.uvm.edu/archives/uvmflownet.html > > To unsubscribe or search other topics on UVM Flownet link to: > http://list.uvm.edu/archives/uvmflownet.html > To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html