Health Information Technologies and Processes

outside lab--attach another provider results to our order. Medical Records Question.

  • 1.  outside lab--attach another provider results to our order. Medical Records Question.

    Posted 6 days ago

    All -

    I have a situation I need help with as I'm getting questions from Medical Records.

    Sometimes our provider orders a limited lab test, like hemoglobin, which gets sent to an outside lab.  The same lab performs the whole CBC for another provider, and sends the results with a CC to our physician rather than performing the whole test again.  So our provider signs the hardcopy that was CC to him, and then it goes to medical records.  Our medical records team refuses to attach that signed CC copy to our doctors order since it's a CBC from an outside provider.  Our COO is telling medical records they must do this.  I want to know what best practice is?

    Technically, our provider ordered the hemoglobin, and is reviewing the resulting hemoglobin.  



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    Sarah Jackson
    Compliance Manager
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