YNHH Laboratory Manual

Medicare will only pay for laboratory services it determines to be reasonable and necessary under Medicare Law. If Medicare determines that any of the ordered services, although they would be otherwise covered, are not reasonable and necessary under Medicare program standards, Medicare will likely deny payment for these services. If a physician orders a test which may not be a covered service, the Hospital may not be reimbursed for the test, unless the patient signs, in advance, a specific waiver, stating that he/she understands that he/she may be financially responsible for such testing if ordered.

Updated: Sep-2007