RE: [Histonet] POL labs
http://content.healthaffairs.org/content/31/4/741.full?ijkey=2zuxtnRPMwVpA&ke ytype=ref&siteid=healthaff -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kim Donadio Sent: Wednesday, October 31, 2012 6:36 PM To: Blazek, Linda; 'Nicole Tatum'; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] POL labs I for one refuse to get into politics here, but I am glad this information was posted. Its valuable information and it should be posted. Thank you Nicole for such a well put response. Happy Haloween as well all From: "Blazek, Linda" To: 'Nicole Tatum' ; "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 3:58 PM Subject: RE: [Histonet] POL labs Thanks Nicole. Well said! When a local hospital has a CEO hauling in 4+ million annually and they are "nonprofit" it makes me question -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum Sent: Wednesday, October 31, 2012 3:40 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] POL labs Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This electronic message is intended to be for the use only of the named recipient and may contain information that is confidential or privileged. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or use of the contents of this message is strictly prohibited. If you have received this message in error or are not the named recipient, please notify us immediately by contacting the sender at the electronic mail address noted above, and delete and destroy all copies of this message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] request for a little bit of Zinc Formalin
Hi everybody- We're testing a way to improve some of our IHC staining by inserting a Zinc Formalin post-fix step but we can't find just a little bit! Does anyone have ZN formalin where they could send us a little bit--even just 10 ml so I don't have to buy a huge bottle we may never use? Thank you! Cheryl Kerry for Pathology Group of Louisiana cke...@pathologygroupla.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] POL labs
I for one refuse to get into politics here, but I am glad this information was posted. Its valuable information and it should be posted. Thank you Nicole for such a well put response. Happy Haloween as well all From: "Blazek, Linda" To: 'Nicole Tatum' ; "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 3:58 PM Subject: RE: [Histonet] POL labs Thanks Nicole. Well said! When a local hospital has a CEO hauling in 4+ million annually and they are "nonprofit" it makes me question -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum Sent: Wednesday, October 31, 2012 3:40 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] POL labs Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] POL labs
Thanks Nicole Kate Mendell Histopathology/Lab Manager HOWARD S. GOLDBERG, M.D., INC 990 Paradise Road Swampscott, MA 01907 TEL: 781.595.0151 FAX: 781.592.6780 kmend...@goldbergmd.net www.cosmesticdermcenter.com PRIVACY NOTICE: This e-mail message may contain confidential patient or other information belonging to the sender that is legally privileged. This information is intended only for the use of the individual or authorized entity named above. The authorized recipient of this patient or other confidential information is prohibited from disclosing the information to any other party. If you have received this message in error, please notify the sender immediately and delete. Please keep any information you may have viewed confidential. From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] on behalf of Blazek, Linda [lbla...@digestivespecialists.com] Sent: Wednesday, October 31, 2012 3:58 PM To: 'Nicole Tatum'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] POL labs Thanks Nicole. Well said! When a local hospital has a CEO hauling in 4+ million annually and they are "nonprofit" it makes me question -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum Sent: Wednesday, October 31, 2012 3:40 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] POL labs Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] POL labs
Thanks Nicole. Well said! When a local hospital has a CEO hauling in 4+ million annually and they are "nonprofit" it makes me question -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum Sent: Wednesday, October 31, 2012 3:40 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] POL labs Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] POL labs
Hooray Nicole! Very well stated. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum [nic...@dlcjax.com] Sent: Wednesday, October 31, 2012 12:39 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] POL labs Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] POL labs
Let me start by sharing this: Definition of FREE ENTERPRISE : freedom of private business to organize and operate for profit in a competitive system without interference by government beyond regulation necessary to protect public interest and keep the national economy in balance. Key Word being For Profit. Health care is a commodity that is bought and sold and the medical industry is big bucks for our economy. So what if a POL is for profit, so are some hospitals, pharmaceutical companies, pharmacies, and the local gas station. My point being is, just because a POL is for profit does not mean that the facility does not offer the same quality of care as a national laboratory who is also seeking profit. So, as far as Im concerned the Doctor, owner, or medical director is able to bill for any test he performs in his facility that is currently licensed and regulated. I really dont think the setting should be a factor. We all will see changes and cuts. I do not believe this thread has any thing to do specifically with the election. Besides it doesnt really matter what side of the fence your on. Cuts are comming, dare I say "rationing". Even if socialized medicine does not get passed and Romney wins, Medicare will have to decrease its allowable payouts each year. I personally am more worried about what that will mean for our payscale. For those of you who dont know me, I DO work in a POL lab. Im not bias, but I don't think the location of my lab is relative to the fact that it shouldn't be allowed to exist because its for profit. Just my thought. Happy Halloween to all. Nicole Tatum, HT ASCP ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Tritium whole body autoradiography
Hi, I am interested in doing whole body cryosections (10-50 um thick) of adult mice (~9x3 cm) for whole body autoradiography studies. We own a Leica CM1850 cryostat but unfortunately the knife clearance is not long enough for these large samples. Can anyone tell me what kind of cryostat we need for these sections? Does anyone know any histology lab in Chicago or elsewhere that could help us cutting these specimens? These would be tritium injected 14 week old fresh frozen (unfixed) mice. Thank you, Pedro Brugarolas The University of Chicago ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: POL
> My eyelids and brain, more specifically my visual cortex hurts from trying to > process that last response! :) > > -M > > Quality Results and Reliable Histology Staffing > > HistoCare.com > ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
Great observation Rene'. Thank you -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:03 AM To: Kaye Ryan Cc: Histonet Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please destroy all copies of > the original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __
[Histonet] Re: Peptide needed for peptide competition
Does anyone have any suggestions? On Wed, Oct 24, 2012 at 8:26 AM, Eva Permaul wrote: > Good morning, > I need to do a peptide competition for one of the antibodies we are using > for IHC on FFPE. The company does not offer the peptide but the datasheet > does have the sequence. Who do you use to generate peptides? Can you > recommend any particular company? > Thank you in advance for all of your valuable advice, > Eva Permaul > Georgetown University > ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] HT/HTL opening near Phoenix, AZ
Hi All, There is a lab opening for an experienced HT/HTL near Phoenix, AZ. Please submit your resumes to kbl...@reagan.com or the fax number below. Regards, Konni Black 253-503-2560 office 253-682-2433 fx ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
Mrs. Buesa, I sincerely hope you are not pointing = to me as trying to foment some kind of fear to drive voting in one = direction or another. I did state in my original post that I = hoped we could avoid the political vitriol, but I guess because the future = is somewhat foggy as to what is going to happen, I should have just left = out mention of political parties/presidents in my original post. = We're mere days away from the final reconning, so if people haven't done = their due diligence and research on each candidate and the issues we're = facing, basing your decision on some comments on a forum might be a poor = way to base such an important decision. The trending in POL's is = currently having a DIRECT effect on my employment situation, so that was = the motivation for my original post.I would like to = understand the landscape and ecosystem of private labs, POL's, large = references labs and the like, and I am only just starting to understand = the labrynth that is the medicaire billing system.How this = all plays out is going to effect us all directly, so it is I guess = understandable that opinions and emotions almost can't be filtered out of = the discussion. Our livelihoods are on the line. My sincere = appologies though if I have ruffled too many feathers here. I was merely looking for deeper insight and = knowledge into the topic.One topic that seems to have been = raised though, and wich I tend to agree, is there is some bloat, or = overinflation of procedures going on, which cuts to the heart of the issue = -- monetary incentives to inflate charges and thus revenue, especially if = Pathologists are now able to get an extra cut of the lab-fees involved.Personally I don't think it's a bad idea at all to scrutinize very closely what is going on with this, even if it upsets the = balance and flows of money... if it leads to a more efficient and just = system. _ [1]3D"Smileys Get Free Smileys for Your IM = & Email - Learn more at [2]www.crawler.com/smileys Works with AIM®, = MSN® Messenger, Yahoo!^® Messenger, ICQ®, Google Talk(TM) and most webmails References 1. 3D"http://www.inbox.com/smileys"; 2. 3D"http://www.crawler.com/smileys"; ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Block/Slide placeholders
Index cards work also. Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: "Joe W. Walker, Jr." joewal...@rrmc.org Date: Wed, 31 Oct 2012 11:20:57 -0500 To: Elizabeth Cameron elizabeth.came...@jax.org, "histonet@lists.utsouthwestern.edu" histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: Block/Slide placeholders We use old business cards cut in half. The back works great to write all on the information you need when slides or blocks are removed. Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 NEW 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: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Elizabeth Cameron Sent: Wednesday, October 31, 2012 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Block/Slide placeholders Does anyone know where I can get the little cardboard tabs that you use as placeholders when a block or slide is pulled from the file? Thanks! -Liz Elizabeth M. Cameron, HT, QIHC (ASCP) Histology Supervisor The Jackson Laboratory Bar Harbor, Maine 207-288-6326 The information in this email, including attachments, may be confidential and is intended solely for the addressee(s). If you believe you received this email by mistake, please notify the sender by returnemail as soon as possible. ___ 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 ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Block/Slide placeholders
We use old business cards cut in half. The back works great to write all on the information you need when slides or blocks are removed. Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 NEW 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: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Elizabeth Cameron Sent: Wednesday, October 31, 2012 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Block/Slide placeholders Does anyone know where I can get the little cardboard tabs that you use as placeholders when a block or slide is pulled from the file? Thanks! -Liz Elizabeth M. Cameron, HT, QIHC (ASCP) Histology Supervisor The Jackson Laboratory Bar Harbor, Maine 207-288-6326 The information in this email, including attachments, may be confidential and is intended solely for the addressee(s). If you believe you received this email by mistake, please notify the sender by return email as soon as possible. ___ 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
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
I'm going back to Facebook now. Let me know when this thread poops out. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Hermina Borgerink Sent: Wednesday, October 31, 2012 11:33 AM To: Rene J Buesa; Kaye Ryan Cc: Histonet Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Thank you!!! I couldn't agree with you more. Those were my exact thoughts when I read the initial e-mail. Hermina Hermina M. Borgerink, MA, HT(ASCP)HTL, QIHC Wake Forest University Primate Center Department of Pathology Medical Center Blvd. Winston-Salem, N C 27157 Tel. (336) 716-1538 Fax (336) 716-1515 Email: hborg...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 11:03 AM To: Kaye Ryan Cc: Histonet Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please de
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
I don't think that the urologist would agree with you. There were several studies that have shown that not sampling adequately from the various areas of the prostate misses cancers. Not to mention that some urologists now treat their patients different. I am not aware of a cost analysis or a benefit to patient but below are just a few examples of why it would be important to sample at least 12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2845759/ Canadian Urologic Association recommendations for prostate biopsies (2010). Can Urol Assoc J. 2010 April; 4(2): 89-94. Sextant biopsy scheme The original systematic biopsy method is the sextant biopsy scheme (1 core from the base, mid, and apex bilaterally).38 With this scheme, the cores were taken through the parasagittal plane, which resulted in some false-negative results39 (Level 2 evidence). Up to 30% of cancers were missed by the standard sextant biopsy40,41 (Level 2 evidence). Presti JC, Jr, Chang JJ, Bhargava V, et al. The optimal systematic prostate biopsy scheme should include 8 rather than 6 biopsies: results of a prospective clinical trial. J Urol. 2000;163:163-6. [PubMed] Norberg M, Egevad L, Holmberg L, et al. The sextant protocol for ultrasound-guided core biopsies of the prostate underestimates the presence of cancer. Urology. 1997;50:562-6. [PubMed] Recommendation: An extended biopsy scheme of 10 to 12 cores is recommended to optimize the ratio of cancer detection to adverse post-biopsy events. Lesion-guided biopsy can be added to further optimize cancer detection (Grade A recommendation). Joe W. Walker, Jr. MS, SCT(ASCP)CM Anatomical Pathology Manager Rutland Regional Medical Center 160 Allen Street, Rutland, VT 05701 P: 802.747.1790 F: 802.747.6525 NEW 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: Davide Costanzo [mailto:pathloc...@gmail.com] Sent: Tuesday, October 30, 2012 3:40 PM To: Joe W. Walker, Jr. Cc: Webster, Thomas S.; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends Because going from 2 parts (left and right only) to 6, and now to 12,18 or even 24 does not seem to have had any effect on quality of care, nor changed outcomes much at all. Do you have any data to demonstrate justification for a six-fold increase in pathology fees? I'm curious. I was going to do my second masters thesis on cost-benefit analysis of multipart prostate biopsies, when I was told if I did I would lose my job. Sent from my iPhone On Oct 30, 2012, at 12:24 PM, "Joe W. Walker, Jr." wrote: > Davide, > > I'm curious as to why you would characterize a 12 part prostate biopsy > billing 88305x12 abuse? > > Joe W. Walker, Jr. MS, SCT(ASCP)CM > Anatomical Pathology Manager > Rutland Regional Medical Center > 160 Allen Street, Rutland, VT 05701 > P: 802.747.1790 F: 802.747.6525 > NEW 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: histonet-boun...@lists.utsouthwestern.edu > [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Davide > Costanzo > Sent: Tuesday, October 30, 2012 2:56 PM > To: Webster, Thomas S. > Cc: histonet@lists.utsouthwestern.edu > Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs > (POLs) and future trends > > We still bill 88305 x 12 on prostates. It is common to do that, despite the > obvious abuse this represents. > > Sent from my iPhone > > On Oct 30, 2012, at 10:38 AM, "Webster, Thomas S." wrote: > >> The technical component of the 88305 CPT code is about to get slashed next >> month by CMS. This will likely have an impact on the growth of in-office >> labs I am sure. Other codes are scheduled to be cut in 2014, including >> immunos and cytology 88112. It wont be nearly as profitable to have an in >> office lab. Plus Urologists aren't allowed to bill 88305x12 any longer. Some >> were putting cores in 12 different containers. >> >> Just look for more client billing to replace the in office labs. >> >> >> CONFIDENTIALITY NOTICE: >> This e-mail message, including all attachments, is for the sole use >> of the intended recipient(s) and may contain confidential and >> privileged information. You may NOT use, disclose, copy or >> disseminate this information. If you are not the intended recipient, >> please contact the sender by reply e-mail immediately. Please >> destroy all copies of the original message and all attachments. Your >> cooperation is greatly appreciated. >> Columbus Regional Hospital >> 2400 East 17th Stre
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
Thank you!!! I couldn't agree with you more. Those were my exact thoughts when I read the initial e-mail. Hermina Hermina M. Borgerink, MA, HT(ASCP)HTL, QIHC Wake Forest University Primate Center Department of Pathology Medical Center Blvd. Winston-Salem, N C 27157 Tel. (336) 716-1538 Fax (336) 716-1515 Email: hborg...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 11:03 AM To: Kaye Ryan Cc: Histonet Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please destroy all copies of > the original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histo
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
Let's face it POL's were established to make more money for the groups, which takes money from the big reference labs who have large lobbyist groups. HUM, I wonder who maybe driving these efforts. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bitting, Angela K. Sent: Wednesday, October 31, 2012 10:07 AM To: Rene J Buesa; Kaye Ryan Cc: Histonet Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Here we go with the political opinions again. They have no place on this forum. It's bad enough that Facebook is polluted with them. Have a nice day! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 11:03 AM To: Kaye Ryan Cc: Histonet Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please destroy all copies of > the original message and all attachments
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
Here we go with the political opinions again. They have no place on this forum. It's bad enough that Facebook is polluted with them. Have a nice day! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 11:03 AM To: Kaye Ryan Cc: Histonet Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please destroy all copies of > the original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@li
Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends
Kaye: Sure! The "odd" thing that struck me is that this "fictitious scenario" was "planted" on Histonet just a few day before the presidential election and I am suspicious of the final intent of the posting. Is it to "link" a frightening scenario with the so called "Obama care"? Is it the "possible" solution of this imaginary scenario to "eliminate Obama care" as has been "promised" by Romney? Is this a way to get a few additinal votes for Romney? I would not be surprised at all! I am always very suspicious of "coincidences" because "coincidences do not exist". René J. From: Kaye Ryan To: Rene J Buesa Sent: Wednesday, October 31, 2012 10:55 AM Subject: RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends THANK YOU SO MUCH, RENEE! Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Wednesday, October 31, 2012 10:51 AM To: Brendal Finlay; Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) andfuture trends To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of the > intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact the > sender by reply e-mail immediately. Please destroy all copies of the > original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
To everybody worrying for something that has NOT happen yet and that NOBODY knows if will happen. These are pure speculations. Do not put the cart before the horses. I do not think that this scary scenario is in the near future. René J. From: Brendal Finlay To: "Webster, Thomas S." Cc: "histonet@lists.utsouthwestern.edu" Sent: Wednesday, October 31, 2012 9:39 AM Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of the > intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact the > sender by reply e-mail immediately. Please destroy all copies of the > original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Block/Slide placeholders
Thank you to all who replied! Lab Storage Systems also has them. -Original Message- From: Kaye Ryan [mailto:kr...@nfderm.com] Sent: Wednesday, October 31, 2012 10:15 AM To: Elizabeth Cameron Subject: RE: [Histonet] Block/Slide placeholders Mercedes Medical sells them Kaye -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Elizabeth Cameron Sent: Wednesday, October 31, 2012 9:58 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Block/Slide placeholders Does anyone know where I can get the little cardboard tabs that you use as placeholders when a block or slide is pulled from the file? Thanks! -Liz Elizabeth M. Cameron, HT, QIHC (ASCP) Histology Supervisor The Jackson Laboratory Bar Harbor, Maine 207-288-6326 The information in this email, including attachments, may be confidential and is intended solely for the addressee(s). If you believe you received this email by mistake, please notify the sender by return email as soon as possible. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information in this email, including attachments, may be confidential and is intended solely for the addressee(s). If you believe you received this email by mistake, please notify the sender by return email as soon as possible. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Block/Slide placeholders
Th product comes unassembled from any vendor, office supply store, paper store, or side of box. Just apply scissors as appropriate. Sent from my iPhone On Oct 31, 2012, at 6:58 AM, Elizabeth Cameron wrote: > Does anyone know where I can get the little cardboard tabs that you use as > placeholders when a block or slide is pulled from the file? > Thanks! > -Liz > > Elizabeth M. Cameron, HT, QIHC (ASCP) > Histology Supervisor > The Jackson Laboratory > Bar Harbor, Maine > 207-288-6326 > > > The information in this email, including attachments, may be confidential and > is intended solely for the addressee(s). If you believe you received this > email by mistake, please notify the sender by return email as soon as > possible. > ___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Block/Slide placeholders
Does anyone know where I can get the little cardboard tabs that you use as placeholders when a block or slide is pulled from the file? Thanks! -Liz Elizabeth M. Cameron, HT, QIHC (ASCP) Histology Supervisor The Jackson Laboratory Bar Harbor, Maine 207-288-6326 The information in this email, including attachments, may be confidential and is intended solely for the addressee(s). If you believe you received this email by mistake, please notify the sender by return email as soon as possible. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
This is disturbing news. As an employee of an "in-house" lab (which started in 1996/1997) that does mostly skins, GI biopsies, and outpatient surgery specimens I'm pretty disheartened to hear about the 88305 issue. Melanoma excisions, prostates (even lower block # cases, we don't always get 12), breast biopsies, and other more difficult cases can be a lot of work on both the professional & technical end of things. As for prostate biopsies, CMS has already lowered reimbursement with the G codes. This is despite the wording that they are for saturation biopsies. We rarely have saturation biopsies, but Medicare denies us the 88305 charge if more than 5 specimens. Other insurance companies tend to follow their lead after a little time. I believe reimbursement is 50-75% less for 5-20 biopsies, but don't quote me on that. I expect we may see the end of saturation and multi-container prostate biopsies in the near future. Another issue for many outpatient labs in my area is that larger insurances are requiring their patients to go to large multinational labs. We cannot accept many PPOs or Medicare replacement plans because of this. I feel it can be a disservice to the patient because they do not get the same personal, local service with good turn around times. Even my insurance requires me to go to one of these labs where I feel inconvenienced and frustrated at the wait time required to submit my sample and get results to my physician. On Oct 31, 2012, at 8:17 AM, "Webster, Thomas S." wrote: > Here is what CAP has on their website about the issue. > Only the TC of 88305 is being discussed for 2013. We should know fairly soon > the decision. > More codes have been flagged as overvalued as well that could be cut for 2014 > (PC and TC at this point). > > http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of the > intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact the > sender by reply e-mail immediately. Please destroy all copies of the > original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
Here is what CAP has on their website about the issue. Only the TC of 88305 is being discussed for 2013. We should know fairly soon the decision. More codes have been flagged as overvalued as well that could be cut for 2014 (PC and TC at this point). http://www.cap.org/apps/docs/advocacy/advocacy_issues/revaluation.pdf CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
Please share with all. I'd like to know too. Thanks, Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Daniel Schneider Sent: Wednesday, October 31, 2012 8:34 AM To: Webster, Thomas S. Cc: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends I don't doubt what you're saying, but can you source this info more specifically than "a consultant?" I'm going to discuss this with my colleagues and they're going to ask me. Needless to say, a 10-20% cut in the TC of 88305, coming down the pipe in a month or two, is a big deal. Dan Schneider, MD Sent from my iPhone On Oct 31, 2012, at 6:49 AM, "Webster, Thomas S." wrote: > I am scared to see what is going to happen to the technical component of > 88305 next month. A consultant is telling people to prepare for a 10 to 20 > percent cut. Immunos and cytology enhancement 88112 are going to be slashed > for 2014. It's going to be very difficult for smaller AP labs to survive. The > medicare business helps keep the doors open for some labs with low client > pricing and the other payers will reduce payments as well. > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of > the intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact > the sender by reply e-mail immediately. Please destroy all copies of > the original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
I don't doubt what you're saying, but can you source this info more specifically than "a consultant?" I'm going to discuss this with my colleagues and they're going to ask me. Needless to say, a 10-20% cut in the TC of 88305, coming down the pipe in a month or two, is a big deal. Dan Schneider, MD Sent from my iPhone On Oct 31, 2012, at 6:49 AM, "Webster, Thomas S." wrote: > I am scared to see what is going to happen to the technical component of > 88305 next month. A consultant is telling people to prepare for a 10 to 20 > percent cut. Immunos and cytology enhancement 88112 are going to be slashed > for 2014. It's going to be very difficult for smaller AP labs to survive. The > medicare business helps keep the doors open for some labs with low client > pricing and the other payers will reduce payments as well. > > > CONFIDENTIALITY NOTICE: > This e-mail message, including all attachments, is for the sole use of the > intended recipient(s) and may contain confidential and privileged > information. You may NOT use, disclose, copy or disseminate this > information. If you are not the intended recipient, please contact the > sender by reply e-mail immediately. Please destroy all copies of the > original message and all attachments. Your cooperation is greatly > appreciated. > Columbus Regional Hospital > 2400 East 17th Street > Columbus, Indiana 47201___ > Histonet mailing list > Histonet@lists.utsouthwestern.edu > http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
I am scared to see what is going to happen to the technical component of 88305 next month. A consultant is telling people to prepare for a 10 to 20 percent cut. Immunos and cytology enhancement 88112 are going to be slashed for 2014. It's going to be very difficult for smaller AP labs to survive. The medicare business helps keep the doors open for some labs with low client pricing and the other payers will reduce payments as well. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
