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Pathologist Signature

Apurva Posted Fri 20th of September, 2019 02:53:16 AM
Can ICDS be considered from MEDICAL RECORD without the pathologist or an cyto tech signature
SuperCoder Answered Mon 23rd of September, 2019 03:51:17 AM

Hi Apurva,

ICDs from medical records cannot be taken as definitive. However, pathology report provides greater specificity. Also, pathologist is a physician and the PATHOLOGY REPORT serves as the Pathologist’s interpretation and a microscopic confirmatory report. Feel free to ask for any further query.

Apurva Posted Mon 23rd of September, 2019 23:48:15 PM
if the pathologist report has not been signed or attested by the pathologist can we go ahead and consider ICDs?
SuperCoder Answered Tue 24th of September, 2019 09:46:11 AM

Hi Apurva,

It is important to have the signatures of pathologist to make ICDs more authentic. You should tell your pathologists that when they provide a medical service for a patient, they must include either a handwritten or electronic signature in order to authenticate that fact.

Note: If we submit claims without a signature that passes muster with the payer, we could be in for denials. If payers detect a consistent pattern of signature-deficient claims, we could be in for much worse penalties.

CMS encourages providers to check with attorneys and malpractice insurers to be sure their electronic signatures meet all of the standards and regulations insurers have put forth.

Hope it helps.

Apurva Posted Wed 25th of September, 2019 06:18:50 AM
Thank You. Can we consider ICD from Pathologist report if we have a cyto-tech signature and can we bill the claim under the LAB medical director NPI
Apurva Posted Thu 26th of September, 2019 04:43:11 AM
Can you please share link for supporting CMS document for below guideline mentioned . Note: If we submit claims without a signature that passes muster with the payer, we could be in for denials. If payers detect a consistent pattern of signature-deficient claims, we could be in for much worse penalties. CMS encourages providers to check with attorneys and malpractice insurers to be sure their electronic signatures meet all of the standards and regulations insurers have put forth.
SuperCoder Answered Thu 26th of September, 2019 10:03:03 AM
Apurva Posted Fri 27th of September, 2019 02:16:05 AM
Can we consider ICD from Pathologist report if we have a cyto-tech signature and can we bill the claim under the LAB medical director NPI
SuperCoder Answered Mon 30th of September, 2019 09:23:56 AM

Hi Apurva,

It is important to have the signatures of pathologist to make ICDs more authentic. Handwritten signature is a mark or sign by an individual on a document to signify knowledge, approval, acceptance or obligation. However, if it is signed by pathologist than only claim can be billed under LAB director NPI. Also, check with the payer policy.

Otherwise, you may simply code the symptoms.

Thank you.

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