The OIG compliance guidelines require that laboratories send a variety of annual notices to physicians. Two of those notices are included in this edition of UPMC Presbyterian Physician. OIG compliance guidelines suggest that physicians be notified of the name and phone number of the laboratory's clinical consultant. The clinical consultant is a position required under the Clinical Laboratory Improvement Amendment of 1998 to answer questions from test-ordering physicians about the appropriate use and interpretations of clinical laboratory testing. A listing of all clinical consultants for all UPMC Health System hospital laboratories follows.
Clinical consultants are responsible for all areas of the laboratory unless otherwise noted.
The OIG requires that this schedule be published and that physicians be advised that the Medicaid reimbursement amount will be equal to or less than the Medicare reimbursement amount. The OIG compliance plan guidelines also require that laboratories notify physicians about both the Medicare national and the Medicare contractors' local medical review policies on medical necessity of laboratory testing. Watch UPMC Presbyterian Physician for more information about these medical review policies.