Hi Dana, We utilize Cerner as our LIS and hospital EMR. In our world, the IHC charge drops automatically. With that said, the "charge" that drops in our LIS module is actually a charge/task. This task is associated to an actual IHC charge in our billing/coding system. The billing system places the actual charge automatically based on what we send out of our LIS module. Our billing system has a "rule" set up that looks for Medicare patients and it then automatically transforms the IHC charge to the appropriate code for Medicare. In our LIS module, every IHC is associated with the 88342 charge, regardless if it is the first, second, third, etc, antibody on a specimen. The billing systems converts the second, third, etc to the 88141 automatically. The one catch to the rule is that we have to keep close track on specimens with multiple parts that also have multiple IHC's. In those instances, we have to manually adjust the IHC charge in order to ensure the correct numbers of 88342's and 88341's are being charged. It is a complicated process for us but it works for us.
Success in your setting will obviously depend on the capabilities of your IT systems. Joe W. Walker, Jr. MS, SCT(ASCP)CM Manager of Anatomical Pathology, Microbiology and Reference Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 Email joewal...@rrmc.org www.rrmc.org Our Vision: To be the Best Community Healthcare System in New England Rutland Regional...Vermont's 1st Hospital to Achieve Both ANCC Magnet Recognition® and the Governor's Award for Performance Excellence -----Original Message----- From: Spencer, Dana [mailto:dana.spen...@vidanthealth.com] Sent: Thursday, June 04, 2015 9:20 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] IHC Billing Does anyone have their IHC stain charges automatically dropping? We are currently manually entering the 88342 and 88341. The desire to automatically drop these charges has been mentioned by the pathologists. We have concerns that incorrect billing will be dropped based on the medicare rules. If you are automatically dropping these charges, how are you doing this? Thanks for your help! Dana ------------------------------------------------------------------------------ The contents of this e-mail (and any attachments) are confidential, may be privileged and may contain copyright material. You may only reproduce or distribute material if you are expressly authorized by us to do so. If you are not the intended recipient, any use, disclosure or copying of this email (and any attachments) is unauthorized. If you have received this e-mail in error, please notify the sender and immediately delete this e-mail and any copies of it from your system. ============================================================================== _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This message (and any included attachments) is from Rutland Regional Health Services and is intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited and may be unlawful. If you received this message in error, or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by e-mail. Thank You _______________________________________________ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
