RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
I know many certified techs in independent labs and I know for a fact that at least two of them are CAP certified. I can see where an insurance company would want a lab that is doing work that will determine a patient treatment to be on the up and up. I work in cancer research and as the lab for ECOG (Eastern Cooperative Oncology Group)of which many of you submit blocks to for patients on clinical trials. We are in our CAP window right now (so the bosses are stressed). We are all registered techs. And our work can determine chemo arm, future treatments (archival blocks are used for new therapies). Don't mess with us techs not in a hospital. I did it for 20 years. Bernice Bernice Frederick HTL (ASCP) Senior Research Tech Pathology Core Facility ECOGPCO-RL Robert. H. Lurie Cancer Center Northwestern University 710 N Fairbanks Court Olson 8-421 Chicago,IL 60611 312-503-3723 b-freder...@northwestern.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nicole Tatum Sent: Monday, April 09, 2012 7:29 AM To: Davide Costanzo; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Bravo Nicole! Yet another pompous post from D. Paula K. Pierce, HTL(ASCP)HT President Excalibur Pathology, Inc. 8901 S. Santa Fe, Suite G Oklahoma City, OK 73139 405-759-3953 Lab 405-759-7513 Fax www.excaliburpathology.com From: Nicole Tatum nic...@dlcjax.com To: Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu Sent: Monday, April 9, 2012 7:29 AM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital
RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
The problem here seems to be that there are those who are upset that independent labs seem to take work away from hospitals. This in fact is probably true, but I for one have more than enough work for the 4 of us. All independent labs are inspected and have regulations to follow. We are all professionals. The days of hiring folks off the street to perform semi complex testing are over. Not everyone can work in a hospital setting. There is enough work out there for all of us regardless of where the work is performed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce Sent: Monday, April 09, 2012 9:20 AM To: Nicole Tatum; Histonet Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Bravo Nicole! Yet another pompous post from D. Paula K. Pierce, HTL(ASCP)HT President Excalibur Pathology, Inc. 8901 S. Santa Fe, Suite G Oklahoma City, OK 73139 405-759-3953 Lab 405-759-7513 Fax www.excaliburpathology.com From: Nicole Tatum nic...@dlcjax.com To: Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu Sent: Monday, April 9, 2012 7:29 AM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes
RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Ditto Paula! Lee Ann Baldridge IUSM Indpls., IN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce Sent: Monday, April 09, 2012 9:20 AM To: Nicole Tatum; Histonet Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Bravo Nicole! Yet another pompous post from D. Paula K. Pierce, HTL(ASCP)HT President Excalibur Pathology, Inc. 8901 S. Santa Fe, Suite G Oklahoma City, OK 73139 405-759-3953 Lab 405-759-7513 Fax www.excaliburpathology.com From: Nicole Tatum nic...@dlcjax.com To: Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu Sent: Monday, April 9, 2012 7:29 AM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
I agree with Nicole. Davide, personally I think you went over the line. Many Histotechs out here are just as qualified and thier work is just as important as anyone elses. As a person who has worked in both situations, I think this date line is a bit unfair and your comment uncalled for. I spoke with CAP this morning and they agree the time frame is too short. I am told they have contacted Aetna to try and get some kind of leeway for people who have at least applied as they tell me there is no way we can get accreditation by that deadline.They are bombed with calls/applications. With all this said, and my ego now put back in my pocket. We need to support each other as professionals of our feild. These are hard times for healthcare professionals all around with many new regualtions around the bend. So lets try to stick together as a group of professionals and I suggest we all contact Aetna, and any governmental agency's we can regarding this. Because what starts here with one can certainly get out of hand rapidly; and dont always think you'll be on the side thats not getting the hit. Situations change. Best Regards Kim D From: Nicole Tatum nic...@dlcjax.com To: Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu Sent: Monday, April 9, 2012 8:29 AM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Kim, I agree that there must be broad based support for all the histotech's working in those offices. Again, several read something into my post that was not in it. Nowhere did I mention the techs, nor express any concern over the quality of those techs. I am quite sure some of the best histotechs in America work in those settings. I would think that the majority of the techs working in those offices would find new jobs popping up all over if those labs were forced to close. The work still needs to get done, so I think assuming there would be hundreds of techs out of work is not realistic. Hopefully someone out there knows the answer to this question - I have heard (cannot confirm) that these types of labs in physician offices are banned in some states already. Pennsylvania was mentioned once at a conference as being one of those states. Does anyone out there know of this, and if it is true? I cannot find info in print, which I prefer to do before commenting. One Medical Director local to me at a major University stated that there is a push now to spread law through some Congressional hearings currently under way to force the closure of physician owned labs of that sort on a Federal level. I cannot confirm this either, however it does seem logical to think that the powers in Pathology would be fighting hard behind closed doors to figure out a way to shut these places down. There are problems in healthcare in this country on so many levels, this is just another example of one of many. The Aetna issue is not entirely related to this scenario, but in the end it still may have the desired effect by those that are pushing for office lab closure if it catches on with other insurance providers. I do think there is a lot going on behind the scenes here that none of us are aware of. Where did this Aetna letter come from? What sparked it? It shouldn't be any surprise to find out that physicians in larger pathology departments, or pathology organizations are behind this in some capacity. I share the opinion of my former medical director that these labs are short-lived, that the government will eventually shut them down. This is kick-back, no matter how you slice it. Loopholes that exist today, are likely to be removed tomorrow. The lucrative business they experience today is enough to keep them in the game, but I think they know the risks, and are aware of the fact that this party will end at some point. It is not pompous, and I resent that allegation. How would dermatologists feel if we decided to do punch biopsies in pathology labs? If a pathologist is not allowed to do colonoscpoy, why is a GI doc allowed to do histology? My comment is simple - they should not be allowed to. Practice of medicine should be limited to what you are trained in, not what makes you the most cash. Greed is a big part of what is destroying healthcare in this country. As for histotechs, I fully support the profession. To suggest otherwise is a tainted opinion, and not factual at all. I have worked alongside techs for 24 years, and clearly value every aspect of what they do. It is not an easy job, it is often thankless and that is unfortunate. This subject has nothing to do with the techs, and for those that love their job in these physician office labs I do feel sorry for, as that is not a job that will be around forever by all indications. On Mon, Apr 9, 2012 at 8:40 AM, Kim Donadio one_angel_sec...@yahoo.comwrote: I agree with Nicole. Davide, personally I think you went over the line. Many Histotechs out here are just as qualified and thier work is just as important as anyone elses. As a person who has worked in both situations, I think this date line is a bit unfair and your comment uncalled for. I spoke with CAP this morning and they agree the time frame is too short. I am told they have contacted Aetna to try and get some kind of leeway for people who have at least applied as they tell me there is no way we can get accreditation by that deadline.They are bombed with calls/applications. With all this said, and my ego now put back in my pocket. We need to support each other as professionals of our feild. These are hard times for healthcare professionals all around with many new regualtions around the bend. So lets try to stick together as a group of professionals and I suggest we all contact Aetna, and any governmental agency's we can regarding this. Because what starts here with one can certainly get out of hand rapidly; and dont always think you'll be on the side thats not getting the hit. Situations change. Best Regards Kim D *From:* Nicole Tatum nic...@dlcjax.com *To:* Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu *Sent:* Monday, April 9, 2012 8:29 AM *Subject:* Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
regarding this. Because what starts here with one can certainly get out of hand rapidly; and dont always think you'll be on the side thats not getting the hit. Situations change. Best Regards Kim D From: Nicole Tatum nic...@dlcjax.com To: Davide Costanzo pathloc...@gmail.com; histonet@lists.utsouthwestern.edu Sent: Monday, April 9, 2012 8:29 AM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs Wow David, I strongly disagree with you. I happen to work and run at Dermatopathology lab and I am a licensed Histotechnologist. I have worked in the field for twelve years and I produce the same quality of work that I would if I was in a hospital. I also have to comply with the same state and CLIA rules you do. If not we woundlt be treading on thim ice we would be closed down. CLIA would not let my facility remain open if I was not producing the quality of work expected from all histology laboratories. Also, I cannt believe you would want our labs closed down. Do you know how many of YOUR FELLOW histologist you would put out of work. David is such a team player In reguards to stark laws. Maybe you should read what it actually means We only process specimens within our our facility and our slides ARE read by a licensed dermatopathologist. So, please tell me how my work is any less important than ur hospital job? And let me tell you this about my mediocker job. I work M-F 9-5. no weekends and no on-call. I also have full benefits and 401K. So, Im sorry that you feel our labs are some how underqualified, but I would not go back to hospital work, to save my life. Thanks for having my back, your fellow histologist. Nicole Tatum, HT ASCP This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
We are a small GI lab. While we have not yet received this notice, we have heard the rumors and found a letter via Google. We are State compliant as we cannot solicit other practices for work. The idea we have to be CAP accredited seems a little much. As stated by someone else, CLIA has granted the privilege of certifying labs to many other governing bodies. i believe our State inspector is just as competent and demanding of a quality product for quality patient care as any CAP inspector would be. Also, the time constraint is completely unreasonable. We just passed our State inspection with no deficiencies last month and have no intentions of making any changes until otherwise forced! In speaking with my director, I believe it is our plan to appeal and protest if we receive do receive this notice. Thanks Cristi From: Katelin Lester katelin09...@gmail.com To: Carol Torrence ctorre...@kmcpa.com Cc: histonet@lists.utsouthwestern.edu Sent: Thu, April 5, 2012 4:00:44 PM Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
I agree it's to short of a time frame. I wonder if it has some to do with the affordable care act ? http://publications.milliman.com/publications/healthreform/pdfs/rating-underwriting-under-new.pdf Sent from my iPhone On Apr 6, 2012, at 4:40 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer.We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
This is a fascinating thread!! So what are your thoughts on this - It would appear that, if other insurers follow suit, this could pose a huge burden on dermatologists that do their own tissue processing, and all the GI labs across the country that are popping up doing their own in-house histology. It may be hard, and in some cases not possible for those labs to become CAP accredited. In my opinion, that would be a great thing, to see all those physician offices doing histology close their lab doors, and focus on thier own specialty rather than invade the pathology world from which they were not trained. It would seem, to the average witness, that these facilities are treading on very thin ice as it is. It certainly does appear to be a violation of Stark laws that were created for a very good reason. In addition, these offices have stolen the bread and butter from large labs, and hospital pathology departments and left behind the far less profitable work. It would be nice to see that work return to the place it belongs - in Pathology laboratories. It may be a pipe dream at this point, but who knows - maybe this is the start of a very, very good thing. On Fri, Apr 6, 2012 at 2:56 PM, Kim Donadio one_angel_sec...@yahoo.comwrote: Yikes I just 2 sec ago said that lol Sent from my iPhone On Apr 6, 2012, at 4:51 PM, Jesus Ellin jel...@yumaregional.org wrote: There are several frame of minds here, but most closely this aligns with the affordable care act and quality outcomes for patients. I to agree with the statement that other agencies can provide good quality outcomes, but Anatomic pathology is changing so rapidly. From all aspects, but if you look at who bills for most of the CMS testing it falls under hospital based laboratories, yet the government decides reimbursement based on what the large labs make.. In the end we are seeing consolidation,, but I hope someone comes to the forefront to speak for us all. Sent from my iPad On Apr 6, 2012, at 1:41 PM, Carol Torrence ctorre...@kmcpa.com wrote: I too have been through many CAP inspections in the past. Passing is not my concern - how about expense, prep time, time away to inspect a peer. We are a small private lab also so this a bit of a pain. There is no way that CAP will be able to accommodate the workload that will ensue if this becomes a trend. Which I think it will and there will be more insurance companies aligning themselves with the larger labs as preferred. My fear is that local healthcare will be so undercut that it will become more difficult if not impossible for even hospital labs to compete. I will never be convinced that big is better. I believe Aetna will hear from CAP on this issue due to the increased workload to them...deadlines may have to be extended. We are hearing from a CAP member that they will not be able to be accredited in such a short time, according to CAP. -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Thursday, April 05, 2012 6:31 PM To: Katelin Lester Cc: Carol Torrence; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http
RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Actually, I called the contact person on the letter and received a call back within 24 hours. I asked her if TJC and COLA would be acceptable in lieu of CAP and she is going to get an answer to me by next week. I am hoping the goal of this is simply to ensure and support high quality patient care, but I agree that the letter should not read as an advertisement for preferred laboratories. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol Torrence Sent: Thursday, April 05, 2012 3:17 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Aetna requiring CAP accreditation for non-hospital labs We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If the reader of this message is not the intended recipient or an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and that any review, dissemination, distribution, or copying of this message is strictly prohibited. If you have received this communication in error, please notify us immediately by e-mail, and delete the original message. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
Was the notification in the form of a letter (snail mail) or another form such as email? Dean Troyer From: histonet-boun...@lists.utsouthwestern.edu on behalf of Carol Torrence Sent: Thu 4/5/2012 3:16 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Aetna requiring CAP accreditation for non-hospital labs We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
Hmm I found a letter regarding this. mohscollege.org/president/AETNAletter I must say the time restraint seems short but I am not surprised they are wanting it. With today's reimbursement rates and the economy we are in ins companies want to insure they get the highest quality of service for their dollars. I'm a little surprised they specifically want CAP though but nit that much. CLIA has deemed CAP authority to guide in the area of quality accreditation. No need to panic though. Remember. Times are changing and prosperity favors the ones who act upon knowledge :) Kim D Sent from my iPhone. On Apr 5, 2012, at 3:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
http://www.mohscollege.org/president/AETNAletter.pdf Sent from my iPhone On Apr 5, 2012, at 5:09 PM, Kim Donadio one_angel_sec...@yahoo.com wrote: Hmm I found a letter regarding this. mohscollege.org/president/AETNAletter I must say the time restraint seems short but I am not surprised they are wanting it. With today's reimbursement rates and the economy we are in ins companies want to insure they get the highest quality of service for their dollars. I'm a little surprised they specifically want CAP though but nit that much. CLIA has deemed CAP authority to guide in the area of quality accreditation. No need to panic though. Remember. Times are changing and prosperity favors the ones who act upon knowledge :) Kim D Sent from my iPhone. On Apr 5, 2012, at 3:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
I think this is just the beginning,, hold on to your pants Sent from my iPad On Apr 5, 2012, at 2:16 PM, Kim Donadio one_angel_sec...@yahoo.com wrote: http://www.mohscollege.org/president/AETNAletter.pdf Sent from my iPhone On Apr 5, 2012, at 5:09 PM, Kim Donadio one_angel_sec...@yahoo.com wrote: Hmm I found a letter regarding this. mohscollege.org/president/AETNAletter I must say the time restraint seems short but I am not surprised they are wanting it. With today's reimbursement rates and the economy we are in ins companies want to insure they get the highest quality of service for their dollars. I'm a little surprised they specifically want CAP though but nit that much. CLIA has deemed CAP authority to guide in the area of quality accreditation. No need to panic though. Remember. Times are changing and prosperity favors the ones who act upon knowledge :) Kim D Sent from my iPhone. On Apr 5, 2012, at 3:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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 message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited. If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. Thank You. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Aetna requiring CAP accreditation for non-hospital labs
We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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] Aetna requiring CAP accreditation for non-hospital labs
My lab can pass any inspection I have no fear Bring it on utube.com/index?desktop_uri=%2Fgl=US#/watch?v=gAQCbczCt8s Sent from my iPhone On Apr 5, 2012, at 7:00 PM, Katelin Lester katelin09...@gmail.com wrote: We also received this notice. We contacted our local CLIA office who had heard of it this week as well. We are a small lab, so we are not sure yet how this change will impact us. I'd also be curious to know what smaller, private labs are planning on doing. -- Katelin Lester, HTL Gastroenterology Specialists of Oregon, P.C. Pathology Laboratory (971) 224-2408 On Thu, Apr 5, 2012 at 12:16 PM, Carol Torrence ctorre...@kmcpa.com wrote: We have received notification from AETNA that they now require non-hospital labs to be accredited by CLIA and CAP. The letter makes it obvious that by making such a request that they are not aware that CLIA assigned deemed status to CAP and CLIA is actually the gatekeeper. Secondly we are told to be registered by May 1st and accredited by August 1st (which CAP says is impossible) or we will have to send our lab to either Quest or Ameripath which includes Dermpath Diagnostics division. It fails to mention that there are other CAP accredited non hospital labs in our state. The Aetna contact number is either 'mailbox full or even after leaving a message, no return call. Me thinks me smells a rat. If you are a non-hospital lab, have you heard of this? Does your dematopathologist or pathologist know this is coming? I am interested in your comments. Carol M. Torrence, HT(ASCP)CM ___ 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
