Documentation and test release from Medicare Compliance for Clinical Laboratories, presented by MediaLab

Test and Orders: Tests

Documentation and test release

Documentation of compliance activities is the responsibility of all employees.
- All forms must be completed and properly filed.
- All procedures must be followed and properly documented.
- If documentation of compliance activities cannot be established during an audit or investigation, the government will assume that the compliance program is not being followed.
Release of test results by phone, fax and other non-routine methods:
- Employees should release test results only to the person who ordered the test.
- Never release test results to another physician or entity unless authorized by the ordering physician in writing.
- Never release the results of a test to a patient unless authorized in writing by the ordering physician.

Earn ASCLS P.A.C.E.® credits for your state clinical laboratory personnel license. Visit LabCE.com for laboratory continuing education.

Learn more about laboratory continuing education for ASCP, AMT, NCA, and state renewal and recertification requirements »

Get information on laboratory safety and compliance courses for clinical and medical laboratories »