Advanced Beneficiary Notice (ABN)
An ABN is a written document used to notify a Medicare patient of the likelihood
that Medicare will deny payment for the ordered test(s). The ABN indicates
the patient’s agreement to accept responsibility for payment in
the event Medicare does, in fact, deny payment. Meadville Medical Center
Laboratory will only have ABNs signed if there is a reason to believe
that Medicare will not pay for the ordered procedure. In order for the
ABN to be valid, the ABN must be presented before the specimen is collected.
Presenting the ABN to the patient and getting it signed is the responsibility
of the personnel collecting the specimen. This could include phlebotomists,
laboratory technicians, nurses or physician office personnel.
Meadville Medical Center Laboratory does not charge for test results that
are determined by calculation. These results are automatically provided
by laboratory analyzers that perform the underlying and prerequisite tests
and require no additional inputs or expenditures.
Cancellation of Tests
Request for cancellation of tests will be honored only if received prior
to completion of test. Meadville Medical Center Laboratory will not charge
for cancelled tests.
CPT codes are listed in the Test Menu in an effort to provide some guidance
for billing purposes. However, the CPT codes listed only reflect our interpretation
of CPT code requirements and are subject to change. Meadville Medical
Center Laboratory assumes no responsibility of other office’s billing
errors due to reliance on the CPT codes listed. CPT codes for reference
tests are provided to Meadville Medical Center Laboratory by the testing
The ICD-10CM diagnostic codes are required with all lab tests ordered.
This requirement is in compliance with Health and Human Services (HHS)
regulations. For your convenience, we have provided a list of most commonly
used ICD-10 codes on our test request forms. This list is a guide only.
It is the ordering physician’s responsibility to assure the assignment
of correct ICD-10 codes. We also provide the
Medical Necessity Guidelines. This is a comprehensive guide for ICD-10 coding that relates to specific
laboratory tests according to the Medicare requirements.
NOTE: If diagnostic information is not provided with the test order, we
are required to obtain this information from the ordering physician.
For your convenience, the orders may be faxed to the following numbers:
Centralized Fax #
Terrace Street Phlebotomy Room
Occasionally we receive a request for additional tests to be added to
a specimen that has recently been collected. In compliance with Medicare
Specimen Add-On Order form is to be used for all add-on orders. After this form is faxed to
the lab at 814-333-5469 the order will be processed.
The test order must be submitted on an order form provided by Meadville
Medical Center Laboratory. The order must include the patient name, date,
test(s) ordered and the relevant diagnosis(es) with corresponding ICD-10 codes.
It is vital that we receive complete registration information with all
referred specimens. In the event of missed information, we will fax a
Registration Alert form to your office notifying you of the missing required information.
The specimen will be held until we receive the needed data. Every effort
will be made to retain the integrity of the specimen until it is registered.
The specimen will then be processed as soon as registered.
Standing orders are used as part of an extended course of treatment. The
original test order must be submitted on an order form provided by Meadville
Medical Center Laboratory. The standing order must include the patient
name, date, test(s) ordered and the relevant diagnosis(es) with corresponding
ICD-10 codes. Meadville Medical Center Laboratory will consider the standing
order valid for up to six months. At the end of the six-month period,
the standing order is discontinued. If a patient’s condition changes,
requiring a revision to the existing standing order, a written update
must be sent to our laboratory.
NOTE: For the convenience of our patients, recurring registration numbers
are assigned to patients with standing orders by the Registration Department
of Meadville Medical Center. These numbers are valid for one month from
the date of registration.
All verbal orders for laboratory tests are to be followed by a written
order. Diagnostic codes must accompany the verbal order. The follow-up
written order must be received within five days.
Order Forms / Information Sheets
NOTE: It is required that all MMC staff physicians submit laboratory orders
on MMC Laboratory forms. This is an effort to continue the compliance
of MMC Laboratory with Health and Human Services (HHS) regulations.
Below is a list of order forms and diagnostic history information sheets
(sent to performing lab with patient’s specimen) available from
Meadville Medical Center Laboratory:
Laboratory Order Forms:
Lab Request Form
Laboratory Standing Order Form
Specimen “Add-On” Order
Supply Order Form
Laboratory Patient History / Information:
* Heavy Metal Information Form
* Maternal Serum Screen Form is required for test processing.
Advanced Beneficiary Notice (ABN)
Associated Clinical/Quest Laboratories provided all reference test information.
Meadville Medical Center Laboratory has attempted to provide comprehensive
information for your guidance.
Reflexed Tests/Additional Cost
Reflexed testing is the automatic inclusion of certain laboratory tests
if considered medically appropriate. These reflexed tests are performed
only if certain conditions are met and always supply added useful information.
Additional charges will be incurred under these circumstances.
Release of Results to Patients
Lab results are normally reported to the patient’s physician. However,
following federal HIPPA regulations, patients may receive copies of their
own results. The “Consent for Release of Information“(Form #60070) must be signed by the patient. This form may be acquired
at MMC Medical Records. A separate form is required for each occasion.
Patient Portal: Patients now have the ability to view their LAB results
online. The Patient Portal is a free service that allows our patients
to have convenient online access to vital components of their medical
record, including LAB results. Inquire in person at the Registration department
to enroll in this service.
According to the “Stark” Medicare regulations, it is unlawful
for Meadville Medical Center Laboratory to provide laboratory supplies
if they are not used for testing by Meadville Medical Center Laboratory.
All specimen collection supplies are available at no cost providing they
are used for testing by Meadville Medical Center Laboratory. Supplies
include: specimen vials, special specimen collection containers and kits,
stool containers and request forms.
This site contains most of the tests performed at Meadville Medical Center
Laboratory, but is not all inclusive. However, only a portion of our reference
tests are included due to space considerations. Please call Meadville
Medical Center Laboratory at
814-333-5511 if you are questioning availability of a test not listed.
Test Turnaround Time
This site lists the days on which the test is set up as a guide to expected
turnaround times. Repeated tests take additional time. Reference testing
is performed at various laboratories. Due to this geographical difference,
the actual turnaround time will vary.
Community Health Services (CHS) Transportation provides courier service
for laboratory specimens. This service is available to physician offices
7 days a week, 24 hours per day for scheduled, random and STAT specimens.
For the convenience of the physician office and transport service, scheduled
pick-up times can be established. Call
814-333-7091 for courier service.
Some specimens cannot be analyzed because of improper collection or degradation
in transit. Other specimens may have prolonged turnaround times due to
lack of necessary specimen or patient information. The physician office
will be notified of rejected or problem specimens upon receipt. If a specimen
is rejected, the patient will not be billed. Meadville Medical Center
Laboratory reserves the right to reject any specimen that does not meet
our requirements. Please refer to the Test Menu for collection requirements.
The following elements must be correct for an acceptable specimen.
- Current expiration date for all specimen containers or devices
- Entire 24 hour specimen for timed urine collection
- Hemolysis-free specimen
- Correct pH of urine
- Required patient information
- Specimen container (sterile, metal-free, separation gel, etc.)
- Specimen properly identified and legible
- Specimen type (serum, whole blood, plasma, etc.)
- Specimen volume
- Temperature (ambient, refrigerated, frozen)
- Transport medium/collection kit
NOTE: Any unlabeled specimen will be immediately discarded.
Unsatisfactory Anayltic Results
If Meadville Medical Center Laboratory is unable to obtain a satisfactory
analytic result, the ordering physician will be notified. The patient
will not be billed.