Q2. What is the impact on states that allow patients to order their own lab tests?
Since this affect only Medicare and Medicaid patients and neither of these programs reimburses for test not ordered by a physician or on physician practitioner (PA, NPP etc.), there is no impact f self ordered tests.
Q3. It was mentioned that a verbal order can simply be documented in
the chart. We had a situation where the verbal order was documented and
sent to the physician for signature. Because the physician signed it
beyond 48-hours after the original order date, the order was deemed to
be invalid. Would we have fared better not to have sought the physician
signature and merely documented the verbal order in the chart as having
been confirmed with the physician?
Yes, for the purposes of this rule, you were only required to document the verbal order in your records. CLIA or state requirements may involves seeking a written order but that would not need to be signed and does not realte to this rule's requirements.
Christopher Young, CHC