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Comprehensive Error Rate Testing

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Prothrombin Time

We have experienced an increasing number of CERT errors due to documentation requirements not being met. Below is a list of the most common reasons CERT determined there was insufficient documentation that caused improper payments for prothrombin time services.

  • Authenticated physician order or intent to order prothrombin time, including frequency parameters and anticoagulation clinic if applicable.
  • Authenticated documentation from the treating physician that supports the medical need for the PT.
  • Referral to Anticoagulation Clinic if applicable.
  • The lab results for the prothrombin time testing.

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