5H161: No Physician's Orders

Published 11/07/2019

This claim was fully or partially denied because there were no physician’s orders submitted for review for all or some of the services billed.

To Prevent This Denial

  • A physician’s order should be submitted for review with the request for copies of medical records
  • A legible signature is required on all documentation necessary to support orders and medical necessity
  • The copy of the order should be legible and dated
  • Make sure any orders submitted for review are for the dates of service billed


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