Prior to genetic testing being performed the Physician’s office must contact the scheduling department at 724-357-7075. The scheduling staff will require the office to obtain the proper authorization if needed prior to calling. The authorization and ordering script must be faxed at the time of scheduling. The ordering script and authorization form will be scanned into Meditech for other departments to prepare for the patient arrival by the scheduling staff. Appointments will have a two-day lead time and will only be scheduled Monday 0630 to 1600 at the IRMC OP Lab at 835 Hospital Road location. Laboratory staff will have ample time to determine specimen requirements based on the test ordered and provide specimen integrity for shipping to the appropriate reference lab. Meditech Scheduling Software is programmed to flag the scheduling staff with the following message: THIS PROCEDURE WILL MORE THAN LIKELY REQUIRE A PRE-AUTHORIZATION. OFFICES MUST CALL INSURANCE TO VERIFY PATIENT PLAN REQUIREMENTS PER CPT. Physician’s office will be required to provide one of the following upon scheduling: Authorization number No authorization needed as per insurance Name of the representative giving information from insurance provider Info provided by representative Who called (from Physician’s office) Date and time called No authorization and meeting medical necessity as per policy/procedure The scheduler will place either the AUTHORIZATION # or NONE in the authorization field. Patient presents with authorization or verification: Testing can be ordered, collected and referred to the proper reference laboratory.
Prior to genetic testing being performed the Physician’s office must contact the scheduling department at 724-357-7075. The scheduling staff will require the office to obtain the proper authorization if needed prior to calling. The authorization and ordering script must be faxed at the time of scheduling. The ordering script and authorization form will be scanned into Meditech for other departments to prepare for the patient arrival by the scheduling staff. Appointments will have a two-day lead time and will only be scheduled Monday 0630 to 1600 at the IRMC OP Lab at 835 Hospital Road location. Laboratory staff will have ample time to determine specimen requirements based on the test ordered and provide specimen integrity for shipping to the appropriate reference lab. Meditech Scheduling Software is programmed to flag the scheduling staff with the following message: THIS PROCEDURE WILL MORE THAN LIKELY REQUIRE A PRE-AUTHORIZATION. OFFICES MUST CALL INSURANCE TO VERIFY PATIENT PLAN REQUIREMENTS PER CPT. Physician’s office will be required to provide one of the following upon scheduling: Authorization number No authorization needed as per insurance Name of the representative giving information from insurance provider Info provided by representative Who called (from Physician’s office) Date and time called No authorization and meeting medical necessity as per policy/procedure The scheduler will place either the AUTHORIZATION # or NONE in the authorization field. Patient presents with authorization or verification: Testing can be ordered, collected and referred to the proper reference laboratory.
eb215b8-gl-100-1-genetic-testing-requirements.docx