Check Medical Necessity for Laboratory and Diagnostic Order Items

Medical necessity includes a defined list of tests that are linked to medical problems. Government insurances such as Medicare Part B require approval of a test's necessity before it can be ordered and paid for. CPOE automatically checks for medical necessity when you assign a diagnosis to a laboratory and diagnostic order item. You can view the medical necessity check results and print the Advance Beneficiary Notice (ABN) for order items with tests that fail the medical necessity check.