[Histonet] RE: Billing question (imhype...@aol.com)
They may be referring to a separate CDM (Charge Description Master) each of which would then have the same CPT code attached. This would make it possible to put the stain name on a bill rather than the more generic CPT description. We don't go to the length of creating a CDM for each stain. However, we do create separate CDM's based on price. For all stains done in house we have one code and charge the same price for each. For stains sent to various labs we will create codes which have the appropriate price attached. To take that a step further, those codes are tied to a different cost centers so that cost analysis, pricing decisions and budgeting can be broken down between Histology and Send Outs. Hope this helps, Ed Ed Gray | Clinical Application Coordinator | Phone: 304-293-2945 | Fax: 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -- Message: 14 Date: Fri, 27 Mar 2015 10:11:37 -0400 From: imhype...@aol.com Subject: [Histonet] Billing question To: histonet@lists.utsouthwestern.edu. Message-ID: 14c5b92eb21-ec0-6...@webprd-a63.mail.aol.com Content-Type: text/plain; charset=utf-8 I have a question about billing practices for special stains and IHC. We have a single billing code for all of our group 1 special stains. (88312). For example, if you order an AFB, GMS and PASF, it would bill as 88312 x 3. How does everyone else bill in this scenario? We are being told that EACH stain in the group 1 needs it's own billing code. Does anyone else do this? Thanks -- ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Re: Flames at embedding centers
Ah, such an appropriate time of year for this thread. Once a year we gave our trash autoclave a good cleaning and pressure cooked turkeys for our Thanksgiving party. Ed Gray | Clinical Application Coordinator | Phone: 304-293-2945 | Fax: 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Bob Richmond Sent: Wednesday, November 19, 2014 10:36 AM To: Histonet@lists.utsouthwestern.edu Subject: [Histonet] Re: Flames at embedding centers Remembering histotechnologists at Johns Hopkins in the 1960s smoking cigarettes while hand-staining slides in rows of large Stender dishes, including a dish with 20% picric acid in acetone, used to remove formalin pigment (since buffering formalin wasn't permitted way back then). Bob Richmond Samurai Pathologist Maryville TN ___ 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] 2014 CPT Changes
So elegant in its simplicity, I think I'll borrow it. Looks right to me. Ed Gray | Clinical Application Coordinator | Phone: 304-293-2945 | Fax: 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Message: 4 Date: Wed, 15 Jan 2014 19:02:46 + From: Susie Hargrove shargr...@unitedregional.org Subject: [Histonet] 2014 CPT Changes To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Message-ID: A35DA58C5D75BB41A6877BC03166AFEA4371ECDD@UREXCHGP01.urhcs.local Content-Type: text/plain; charset=iso-8859-1 Hello, I know this subject had been looked at many times. I just want to see if I am correct before I start doing anything different. 1. 88342 , not much change . We can still just bill once per site, per case. This is per single antibody per Specimen. If I have a case with two parts and each part has 3 immuno's ordered I will bill them all 88342, Even if I do it on multiple blocks of the same specimen, I will still charge once. If one of these antibodies is a cocktail, I will bill 88342 for the first and 88343 for subsequent parts of that cocktail, and I can do this per specimen. So the only change I see here is the breakdown of the cocktail charges into 88343. 2. Medicare codes, GO461 is ordered for the first antibody , per specimen site per case, all additional antibodies, including cocktails , if any, are billed GO462. As before only 1 antibody can be billed by site/source. Now just to work out how the billing will flip over once the charges go across. Is anybody doing it differently? Susie Hargrove HT (ASCP) Histology Technical Specialist United Regional Health Care Wichita Falls, Texas 76301 Ph 940-764-3881 Fax-940-764-3129 CONFIDENTIALITY NOTICE: This e-mail, and any attachment, may contain identifiable health information that is subject to protection under state and federal law. This information is intended only for the person or entity to which it is addressed. If you are not the intended recipient, be aware that any review, re-transmission, copying, dissemination or other use of this information by persons or entities other than the intended recipient is prohibited and may be punishable by law. If you received this in error, please return it to the sender by electronic mail (reply) and delete the material from any computer or server on which it resides due to your receipt. -- Message: 5 Date: Wed, 15 Jan 2014 19:51:13 + From: Abbott, Tanya tanyaabb...@catholichealth.net Subject: [Histonet] Cryostat To: Histonet@lists.utsouthwestern.edu Histonet@lists.utsouthwestern.edu Message-ID: 852f7d2c14fb464d80e182b15db138af1fe72...@chiex005.chi.catholichealth.net Content-Type: text/plain; charset=us-ascii Need to decon my cryostat Tanya G. Abbott RT (CSMLS) Manager Technologist, Histology/Cytology St. Joseph Medical Center Reading, PA 19603-0316 ph 610-378-2635 fax 610-898-5871 email: tanyaabb...@catholichealth.net This electronic mail and any attached documents are intended solely for the named addressee(s) and contain confidential information. If you are not an addressee, or responsible for delivering this email to an addressee, you have received this email in error and are notified that reading, copying, or disclosing this email is prohibited. If you received this email in error, immediately reply to the sender and delete the message completely from your computer system. -- Message: 6 Date: Wed, 15 Jan 2014 23:02:18 -0500 From: abt...@gmail.com Subject: [Histonet] Do I have to destabilize MMA? To: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Message-ID: 275d41a2-62a7-4b73-a627-a2a9de530...@gmail.com Content-Type: text/plain; charset=us-ascii I am new to MMA plastic bone technique. Some one gave me his protocol, in which has NaOH and d-water to wash MMA mixture before drying it in CaCl2. But others told me I don't need to do the destabilization step. Could any expert in this area to tell me if this step is necessary? And why have to do? Sent from my iPad -- Message: 7 Date: Thu, 16 Jan 2014 04:50:21 -0600 From: Jack Ratliff ratliffj...@hotmail.com Subject: Re: [Histonet] Do I have to destabilize MMA? To: abt...@gmail.com abt...@gmail.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu Message-ID: blu0-smtp1759356a8873b92e3df8f4eae...@phx.gbl Content-Type: text/plain; charset=us-ascii Dorothy, There are some that completely believe that it is necessary to destabilize MMA prior to use and they are not necessarily wrong as the protocol has worked for them without issue..so I assume. I personally have NEVER had to or tried this destabilization method, quite frankly because I have NEVER had a problem creating an acrylic resin
[Histonet] RE: Histonet Digest, Vol 120, Issue 6
You actually need the performing lab's disclaimer. We've sent stains and other procedures to several other labs. We refer to the disclaimers as ASR's (analyte specific reagents) and build templates for each lab's specific comments in our APLIS. Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Message: 9 Date: Tue, 5 Nov 2013 05:47:53 -0500 From: Hannen, Valerie valerie.han...@parrishmed.com Subject: [Histonet] FDA Disclaimer To: Histonet Post (histonet@lists.utsouthwestern.edu) histonet@lists.utsouthwestern.edu Message-ID: 450B7A81EDA0C54E97C53D60F00776C3232B4BB696@isexstore03 Content-Type: text/plain; charset=us-ascii Good Morning... I have a question about the FDA disclaimer for Immuno's. If we are not doing the staining of Immuno's in our lab, but our Pathologists are interpreting those that are stained at our reference lab, are we still required to put the FDA disclaimer on our Path reports for those antibodies that require the disclaimer? Thanks so much!! Valerie Valerie A. Hannen, MLT(ASCP),HTL,SU(FL) Histology Section Chief Parrish Medical Center 951 N. Washington Ave. Titusville, Florida 32976 Phone:(321) 268-6333 ext. 7506 Fax: (321) 268-6149 valerie.han...@parrishmed.com === This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you === ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing question
Professional only Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Braud Sent: Friday, November 01, 2013 3:05 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question I have a billing question that I would sure like to hear what others are doing, please. In AP billing, when billing for CPT #88321 Consultation and report on referred slides prepared elsewhere do you bill both a technical and professional component, or professional only? Any input would be appreciated. Sincerely, Terri Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Holy Redeemer Hospital Laboratory 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3676 Fax: 215-938-3874 - CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Cytology processing staffing
We have two people processing approximately 8000 PAPs, 2200 Non-Gyns and 600 FNAs. In addition to the duties you mentioned our folks also pickup specimens twice a day in various locations (roughly 30 min per run); file slides and paperwork for cytology; assist with filing surgical pathology; merge patients in our APLIS; and of course the ever-present other duties as assigned. Not a great benchmark but maybe it will help. Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.commailto:eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -- Message: 1 Date: Wed, 25 Sep 2013 20:27:59 + From: Donna Millard donna.mill...@prlnet.commailto:donna.mill...@prlnet.com Subject: [Histonet] Cytology processing staffing To: histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu Message-ID: 64d11cd058311340a1966c234c6b0b890fa31...@prlexch02.prlnet.commailto:64d11cd058311340a1966c234c6b0b890fa31...@prlexch02.prlnet.com Content-Type: text/plain; charset=us-ascii For those of you also over cytology, how do you staff for cytology processors? I can't find a benchmark for # of PAPs and nongyns / processor. Our processors accession, process, answer phone calls, call on requisition discrepancies, send specimens for molecular testing... Feedback is appreciated. Donna Millard Director of Anatomic Pathology Physicians Reference Laboratory, LLC 7800 W. 110th Street,Overland Park, KS 66210 Direct: 913-339-0485 Fax: 913-319-4156 CONFIDENTIALITY NOTICE This message and any included attachments are from Physicians Reference Laboratory, LLC and are intended only for the addressee.The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call PRL's corporate offices in Overland Park, Kansas, U.S.A at (913)338-4070 -- ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: Billing ???
Hospital bills technical and pathologist bills technical. That's an interesting alternative though. I'm just an IT Analyst which means I know way more about billing than I want to but nowhere near enough to be a revenue cycle manager or even biller. I am interested in hearing from anyone that does both and then pays the hospital. It seems like that would be a significant benefit to everyone: The insurer/patient would only get one bill -- at least for those services; any denials would be processed together reducing work for hospital billing; and the practice plan could charge the hospital a nickel for doing it. Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -- Message: 12 Date: Fri, 21 Jun 2013 09:49:13 -0600 From: jmasla...@stpetes.org Subject: [Histonet] Billing ??? To: histonet@lists.utsouthwestern.edu Message-ID: of40233e09.340e861b-on87257b91.00534bc6-87257b91.0056e...@stpetes.org Content-Type: text/plain; charset=US-ASCII Happy Friday This is a question to those who work at a hospital that have contracted pathologists. Does your hospital bill the technical component and the pathologist bill the profession component or does the pathologist bill everything and pay the hospital for technical component? Joe Maslanka BS, CT,HT (ASCP) Anatomical Pathology Technical Supervisor Give thanks for ALL things. Kindness is the language the blind can see the deaf can hear- Mark Twain This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, distribution or use of the contents of the received information is prohibited. If you have received this e-mail in error, please reply to the sender immediately and permanently delete this message and all copies of it. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet