[Histonet] RE: Billing question (imhype...@aol.com)

2015-03-27 Thread Gray, Ed
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
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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


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[Histonet] Re: Flames at embedding centers

2014-11-20 Thread Gray, Ed
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
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[Histonet] 2014 CPT Changes

2014-01-16 Thread Gray, Ed
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




















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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

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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

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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


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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
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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

2013-11-05 Thread Gray, Ed
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

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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
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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


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RE: [Histonet] Billing question

2013-11-04 Thread Gray, Ed
Professional only 


Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU 
Healthcare l eg...@wvuhealthcare.com
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-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
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[Histonet] RE: Cytology processing staffing

2013-09-26 Thread Gray, Ed
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
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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

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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



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[Histonet] RE: Billing ???

2013-06-21 Thread Gray, Ed
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
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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

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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



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