If I understand correctly....(and this is how we do it)

A case is considered "archived" after 30 days. Within that 30 days, you bill 
the same account, which adds late charges.

IF the case is pulled for a review to perform MOLECULAR testing, you can charge 
an 88363 for that review at any time for that review. (Our pathologists add an 
addendum stating Dr. So and So requested KRAS, EGFR - etc. which documents the 
charge.)

After 30 days we have the case registered and the case is billed on the new 
registration if stains are done inhouse.

Hope this makes sense... j

Joyce Weems
Pathology Manager
678-843-7376 Phone
678-843-7831 Fax
joyce.we...@emoryhealthcare.org



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Atlanta, GA 30342

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-----Original Message-----
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Richard Cartun
Sent: Wednesday, August 29, 2012 12:05 PM
To: Histonet
Subject: [Histonet] Question regarding retrospective testing

I know that this had been discussed before, but I believe regulations have 
changed and I need to find out what other laboratories are currently doing when 
it comes to retrospective testing (histochemical stains, IHC, molecular 
testing, etc.) on cytology and surgical pathology specimens that have already 
been "signed-out".

When can you add the result(s) and bill the test(s) to the original pathology 
report versus re-accessioning the specimen (with a new date-of-service) and 
reporting and billing under the new accession number?

Thanks,

Richard

Richard W. Cartun, MS, PhD
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic 
Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax




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