RE: [Histonet] RE: Billing 88342

2012-07-05 Thread White, Marcia
Sue is correct you can only bill once even if you perform the same stain on 
multiple blocks.

Marcia M White
Pathology Department
Memorial Hospital West
954-844-4197
954-967-7627(fax)

-Original Message-
From: Sue Hunter [mailto:shun...@beaumont.edu] 
Sent: Tuesday, July 03, 2012 1:52 PM
To: Victor A. Tobias; 'HISTONET'
Subject: [Histonet] RE: Billing 88342

It is my understanding that you can only bill for one 88342 on a specimen - 
technical or professional, even if you perform the same stain on multiple 
blocks of that specimen.  For A1, A2, A3 etc you can only charge once.  For A1, 
B1, C1, etc you may charge a 88342 per specimen.

Sue

Sue Hunter, Supervisor
Advanced Diagnostics
Beaumont Health System
Royal Oak MI
248-898-5146
shun...@beaumont.edu

Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Victor A. Tobias
Sent: Tuesday, July 03, 2012 12:43 PM
To: 'HISTONET'
Subject: [Histonet] Billing 88342

Looking for other opinions from those who do consult/referral work.

If a client sends in a request for a single antibody done on multiple blocks on 
a single specimen, do you bill the client for each tech component ? The client 
will do the interpretation.

What happens in the above scenario if the request is to bill the patient? 
Knowing you get reimbursed for one, do you eat the other charges are make the 
client select the one block?

We have run numbers on potential lost revenue and the number is significant.

Victor


Victor Tobias HT(ASCP)
Clinical Applications Analyst
Harborview Medical Center
Dept of Pathology Room NJB244
Seattle, WA 98104
vtob...@u.washington.edumailto:vtob...@u.washington.edu
206-744-2735
206-744-8240 Fax
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[Histonet] 88342 billing

2012-07-05 Thread Amy Farnan
Hi Victor,
 
I am coming in late on this conversation regarding billing of 88342.  You can 
only bill a single specimen once for an antibody. If you were performing 
multiple antibodies then you can charge 88342 x the number of antibodies.  If 
you charge more it can be considered fraud so be careful. A great publication 
for these types of questions is called Coding Alert.  It talks about all these 
types of issues and new cpt's etc.   One other suggestion that I noted in a 
response is if its a self bill or I should say a client bill is to bill them 
the number of times you stained it  as long as its not insurance. This is also 
fraud. You can not change your billing depending on if a patient's insurance is 
being billed or not. 
 
Amy

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[Histonet] Grandfather TC Change

2012-07-05 Thread Martin, Gary
I'm interested if anyone is dealing with the expired Grandfather TC
rule.  I'm mainly interested in how you may be negotiating with your
hospital concerning the reimbursement difference. Any thoughts would be
helpful. 

 

Gary Martin

Director of Operations

El Dorado Pathology Med. Grp.

Marshall Med. Ctr. Pathology Dept.

530-626-2608

gmar...@marshallhospital.org mailto:gmar...@marshallhospital.org 

 

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[Histonet] Nerve tease specimen holding

2012-07-05 Thread Morken, Timothy
For all you doing nerve teasing, do you hold the specimen in buffer (after 
fixation) until teasing is requested or go ahead and process through osmium and 
glycerol and then hold?

Thanks!

Tim Morken
Supervisor, Electron Microscopy/Neuromuscular Special Studies
Department of Pathology
UC San Francisco Medical Center
505 Parnassus Ave, Box 1656
Room S570
San Francisco, CA 94143

(415) 353-1266 (ph)
(415) 514-3403 (fax)
tim.mor...@ucsfmedctr.org


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[Histonet] RE: Grandfather TC Change

2012-07-05 Thread Weems, Joyce K.
There's no negotiation that I know of.. we will probably just lose money 
because the DRG will not include those costs. We have good client pricing with 
our reference labs, but we won't know how this will affect us all until the 
dust settles. Maybe the DRG fairies will adjust the reimbursement to include 
those tests!!???

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

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-Original Message-
From: histonet-boun...@lists.utsouthwestern.edu 
[mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Martin, Gary
Sent: Thursday, July 05, 2012 11:41 AM
To: histonet@lists.utsouthwestern.edu
Subject: [Histonet] Grandfather TC Change

I'm interested if anyone is dealing with the expired Grandfather TC rule.  I'm 
mainly interested in how you may be negotiating with your hospital concerning 
the reimbursement difference. Any thoughts would be helpful.



Gary Martin

Director of Operations

El Dorado Pathology Med. Grp.

Marshall Med. Ctr. Pathology Dept.

530-626-2608

gmar...@marshallhospital.org mailto:gmar...@marshallhospital.org



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[Histonet] Histology Openings in NY

2012-07-05 Thread Brian-Prometheus
Good Morning!
 
My name is Brian Feldman with Prometheus Healthcare and I specialize in the
recruitment of lab professionals nationwide. I just wanted to reach out to
you about a few histology openings I have in the NY area.
 
 
-Histotechs needed at a reference lab in Port Chester NY, night shift
histotechs and mid shift grosser*
 
-Grosser and histotechs needed at a private lab in Westchester county NY,
overnight position*
 
-Histotech needed at a hospital in NYC, must have ASCP*
 
-Histotechs needed at a private lab in Suffern, NY - all shifts* 
  
*need state license
 
All positions are full time and permanent and offer competitive salaries and
full benefits. If you know anyone that would be interested in these
positions, please feel free to pass along this information. I would
appreciate any help and we do offer a referral bonus. Or, for immediate
consideration, they can reply back with their most up to date resume. Thank
you so much for your time!

 
 
Brian Feldman
Principal
Prometheus Healthcare
Office 301-693-9057
Fax 301-368-2478
 
http://us.mc538.mail.yahoo.com/mc/compose?to=br...@prometheushealthcare.com
 br...@prometheushealthcare.com
 http://www.prometheushealthcare.com/ www.prometheushealthcare.com
*** Stay up to date on the newest positions and healthcare trends nationwide
on Twitter!***
  http://twitter.com/PrometheusBlog http://twitter.com/PrometheusBlog
 
 

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Re: [Histonet] Nerve tease specimen holding

2012-07-05 Thread Stella Mireles
When I was doing nerve teasing, we would hold in glycerol in the refrig.

On Thu, Jul 5, 2012 at 10:58 AM, Morken, Timothy 
timothy.mor...@ucsfmedctr.org wrote:

 For all you doing nerve teasing, do you hold the specimen in buffer (after
 fixation) until teasing is requested or go ahead and process through osmium
 and glycerol and then hold?

 Thanks!

 Tim Morken
 Supervisor, Electron Microscopy/Neuromuscular Special Studies
 Department of Pathology
 UC San Francisco Medical Center
 505 Parnassus Ave, Box 1656
 Room S570
 San Francisco, CA 94143

 (415) 353-1266 (ph)
 (415) 514-3403 (fax)
 tim.mor...@ucsfmedctr.org


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[Histonet] Eyewash Requirements

2012-07-05 Thread Nancy Schmitt
Laurie-
Our safety office also states 3 minutes for eyewash - we test and document 
weekly.
We test our shower spring and fall for time and amount (50 liters in 1 minute)
Nancy

--
Message: 14
Date: Tue, 03 Jul 2012 12:24:47 -0700
From: lau...@blufrogpath.com
Subject: [Histonet] Eyewash Requirements
To: Histonet post histonet@lists.utsouthwestern.edu
Message-ID:

20120703122447.295dc6182df7e5cbb4f32bc101c30dcc.e345099a2e@email15.secureserver.net

Content-Type: text/plain; charset=utf-8


   What  is  the time requirement for flushing the eyewash?  We u   flush  for 
30 seconds and then I was told by our safety officer thatit should be 3 
minutes.  How often do you test your shower?

   
 


   Laurie Colbert


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Re: [Histonet] Frozens and antigen retrieval

2012-07-05 Thread Kim Donadio
You should not have to use retreival. Retrieval either by heat/solution or 
enzyme digestion is usually needed when the antigen/antibody site has been 
blocked/masked by the fixation process.
 
Kim D 



From: Daniela Bodemer daniela.bode...@mcri.edu.au
To: histonet@lists.utsouthwestern.edu 
Sent: Wednesday, July 4, 2012 7:02 AM
Subject: [Histonet] Frozens and antigen retrieval

Hi all,

A question from my student: antigen retrieval when using frozens for 
immunofluorescence -yes or no?

The protocol suggested by the antibody company lists the retrieval as an 
option. I am used to do retrieval on paraffin sections, but not on cryo 
sections. 

Hit me with your opinions on this :-)

Thanks in advance,

Daniela

Sent from my iPad

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[Histonet] what is this item called

2012-07-05 Thread Perry, Margaret
I found something at tedpella.com.  It's a glass bottom dish, catalog number 
14026. There are several sizes.   It looks similar to the one you posted.


Margaret Perry HT(ASCP)
Dept of Veterinary and  Biomedical services
Box 2175
South Dakota State University
Brookings SD 57007
605-688-5638

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[Histonet] Opening lab, need consultation.

2012-07-05 Thread Jade Ryan
Hello Everyone,

Our dermatologists wants to pursue in opening a derm lab in Roseville, Ca area. 
 We need someone to be the point person for this position as a consult.  Since 
the position is a consult, you dont need to be in our facility all throughtout 
the process.  However, we do need you for the initial, middle, and final phase 
of project specially the training of the employee for the equipments.  The 
duties include applying for clia license, ca lab license, equipment consult, 
lab layout  design, writing the procedural manual, etc.  About our company, we 
do about 8k cases a year and all derm tissues.  So right now, we only need the 
lab to be routine H/E with a couple of special stains for fungus and bacteria.  
Email me with your bids  what I can expect from you.

Jade Ryan, MHA, BSN
Sent from my iPad


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