How should the hospital address orders from physicians for diagnostic tests or other outpatient care when the physician is not otherwise affiliated with the hospital?
When state laws, regulations and medical staff bylaws require that outpatient tests, outpatient treatments, or medications (e.g., laboratory tests or physical therapy), may only be ordered by a licensed independent practitioner there must be a process in place to determine the individual ordering the service has the qualifications to place the order. The facility should develop a process to verify the practitioner has a current license, current DEA number and that the service being ordered is within the scope of practice for that license. In the case of an out of state practitioner, the facility must verify that state law would permit the out of state practitioner to order the service requested, the practitioner has a current license, current DEA number and that the service being ordered is within the scope of practice for that license. Source: The Compliance Guide to Medical Staff Standards, Kathy Mataka, CPMSM, CPCS August 2007.
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