RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from
Does anyone have a link to this article? Joelle Weaver MAOM, HTL (ASCP) QIHC Date: Tue, 6 Nov 2012 13:19:46 -0600 From: lr...@uropartners.com To: histonet@lists.utsouthwestern.edu Subject: FW: [Histonet] Devasting news on 88305TC component--Where the $18 came from Sent: Tuesday, November 06, 2012 12:35 PM To: 'histonet-boun...@lists.utsouthwestern.edu' Subject: RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from The $18.00 figure came from an article published in Archives of Pathology and Lab Medicine: Pathology Economic Model Tool A Novel Approach to Workflow and Budget Cost Analysis in an Anatomic Pathology Laboratory David Muirhead, BSc; Patricia Aoun, MD, MPH; Michael Powell, MS, FASHP; Flemming Juncker, MBA; Jens Mollerup, MSc, PhD (Arch Pathol Lab Med. 2010;134:1164-1169) Thanks to Joe Plandowski of IOL for providing me with the reference. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.492.0203 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 3:01 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20p roposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Devasting news on 88305TC component--Where the $18 came from
Thanks for telling us about this article Dr Raff. Here is a link http://www.archivesofpathology.org/doi/pdf/10.1043/2000-0401-OA.1 CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from
Thanks for the link, I am curious to read this article. Joelle Weaver MAOM, HTL (ASCP) QIHC From: twebs...@crh.org To: histonet@lists.utsouthwestern.edu Date: Wed, 7 Nov 2012 14:09:26 + Subject: [Histonet] Devasting news on 88305TC component--Where the $18 camefrom Thanks for telling us about this article Dr Raff. Here is a link http://www.archivesofpathology.org/doi/pdf/10.1043/2000-0401-OA.1 CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component--Where the $18came from
Anyone who is willing to share how they calculate their cost per slide, can you please email it to caroline.pr...@uphs.upenn.edu? Thanks! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Lester Raff MD Sent: Tuesday, November 06, 2012 2:20 PM To: histonet@lists.utsouthwestern.edu Subject: FW: [Histonet] Devasting news on 88305TC component--Where the $18came from Sent: Tuesday, November 06, 2012 12:35 PM To: 'histonet-boun...@lists.utsouthwestern.edu' Subject: RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from The $18.00 figure came from an article published in Archives of Pathology and Lab Medicine: Pathology Economic Model Tool A Novel Approach to Workflow and Budget Cost Analysis in an Anatomic Pathology Laboratory David Muirhead, BSc; Patricia Aoun, MD, MPH; Michael Powell, MS, FASHP; Flemming Juncker, MBA; Jens Mollerup, MSc, PhD (Arch Pathol Lab Med. 2010;134:1164-1169) Thanks to Joe Plandowski of IOL for providing me with the reference. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.492.0203 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 3:01 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20p roposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet 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
FW: [Histonet] Devasting news on 88305TC component--Where the $18 came from
Sent: Tuesday, November 06, 2012 12:35 PM To: 'histonet-boun...@lists.utsouthwestern.edu' Subject: RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from The $18.00 figure came from an article published in Archives of Pathology and Lab Medicine: Pathology Economic Model Tool A Novel Approach to Workflow and Budget Cost Analysis in an Anatomic Pathology Laboratory David Muirhead, BSc; Patricia Aoun, MD, MPH; Michael Powell, MS, FASHP; Flemming Juncker, MBA; Jens Mollerup, MSc, PhD (Arch Pathol Lab Med. 2010;134:1164-1169) Thanks to Joe Plandowski of IOL for providing me with the reference. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.492.0203 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 3:01 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20p roposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component--Where the $18 came from
Well in this article it does have differences, especially when talking about usage of technology,, but non the less it does expose our state of being within Anatomic Pathology,, ,, what are peoples thought on this Sent from my iPad On Nov 6, 2012, at 12:21 PM, Lester Raff MD lr...@uropartners.com wrote: Sent: Tuesday, November 06, 2012 12:35 PM To: 'histonet-boun...@lists.utsouthwestern.edu' Subject: RE: [Histonet] Devasting news on 88305TC component--Where the $18 came from The $18.00 figure came from an article published in Archives of Pathology and Lab Medicine: Pathology Economic Model Tool A Novel Approach to Workflow and Budget Cost Analysis in an Anatomic Pathology Laboratory David Muirhead, BSc; Patricia Aoun, MD, MPH; Michael Powell, MS, FASHP; Flemming Juncker, MBA; Jens Mollerup, MSc, PhD (Arch Pathol Lab Med. 2010;134:1164-1169) Thanks to Joe Plandowski of IOL for providing me with the reference. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.492.0203 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Webster, Thomas S. Sent: Monday, November 05, 2012 3:01 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20p roposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ This 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] Devasting news on 88305TC component
Hi Histonetters. I was curious as to what measures or thoughts anyone had regarding the news from CAP about CMS cutting the 88305 TC by 52%. This is a devastating thought and from the news letter it is supposed to start 1/1/13 and I dont see anywhere in here where it says specifically POL's. This loks to effect all of us. Here’s the news letter. Your thoughts are appreciated. Thanks Kim D CMS Cuts 88305 TC by 52%, Molecular Codes Go On CLFS November 1—Advancing its commitment to contain health care delivery costs, CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS) released today. Most notably, the agency lowered the technical component (TC) of the surgical pathology code 88305 by 52%, although it raised the professional component (PC) by 2%, beginning Jan. 1. This change alters the global payment for this code, which will decrease by 33% as a result of this revaluation. The agency also announced that the newly developed molecular pathology CPT codes would be placed on the Medicare Clinical Laboratory Fee Schedule (CLFS). A new CMS HCPCS II G-code was created for situations requiring physician interpretation and reporting of these tests for Medicare beneficiaries. The revaluation of the 88305 code—as well as other codes in this surgical pathology family—is not surprising. As directed by the health care reform law, CMS has been focused on scrutinizing high volume codes from all specialties as potentially overvalued services. Indeed, the 88305 code is not only high volume, but its TC has not been reviewed since valued in 2000 http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr From: Kienitz, Kari kkien...@orclinic.com To: Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:10 PM Subject: RE: [Histonet] Devasting news on 88305TC component Actually, the global payment for this code is being reduced by 33% according to the announcement. Regardless of the establishment, small lab; large volume lab; POL lab everyone will be taking a hit on this. Even if the POL labs all dried up and went away, the remaining labs may get the work but they will be doing it for a lot less reimbursement. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton [flna...@texaschildrens.org] Sent: Friday, November 02, 2012 10:01 AM To: 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com
Re: [Histonet] Devasting news on 88305TC component
Yes, it is a general reeduction. René J. From: Kim Donadio one_angel_sec...@yahoo.com To: Kienitz, Kari kkien...@orclinic.com; Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Monday, November 5, 2012 11:03 AM Subject: Re: [Histonet] Devasting news on 88305TC component Hi Histonetters. I was curious as to what measures or thoughts anyone had regarding the news from CAP about CMS cutting the 88305 TC by 52%. This is a devastating thought and from the news letter it is supposed to start 1/1/13 and I dont see anywhere in here where it says specifically POL's. This loks to effect all of us. Here’s the news letter. Your thoughts are appreciated. Thanks Kim D CMS Cuts 88305 TC by 52%, Molecular Codes Go On CLFS November 1—Advancing its commitment to contain health care delivery costs, CMS announced a series of physician pay cuts impacting pathologists in the final 2013 Physician Fee Schedule (PFS) released today. Most notably, the agency lowered the technical component (TC) of the surgical pathology code 88305 by 52%, although it raised the professional component (PC) by 2%, beginning Jan. 1. This change alters the global payment for this code, which will decrease by 33% as a result of this revaluation. The agency also announced that the newly developed molecular pathology CPT codes would be placed on the Medicare Clinical Laboratory Fee Schedule (CLFS). A new CMS HCPCS II G-code was created for situations requiring physician interpretation and reporting of these tests for Medicare beneficiaries. The revaluation of the 88305 code—as well as other codes in this surgical pathology family—is not surprising. As directed by the health care reform law, CMS has been focused on scrutinizing high volume codes from all specialties as potentially overvalued services. Indeed, the 88305 code is not only high volume, but its TC has not been reviewed since valued in 2000 http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr From: Kienitz, Kari kkien...@orclinic.com To: Nails, Felton flna...@texaschildrens.org; 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:10 PM Subject: RE: [Histonet] Devasting news on 88305TC component Actually, the global payment for this code is being reduced by 33% according to the announcement. Regardless of the establishment, small lab; large volume lab; POL lab everyone will be taking a hit on this. Even if the POL labs all dried up and went away, the remaining labs may get the work but they will be doing it for a lot less reimbursement. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton [flna...@texaschildrens.org] Sent: Friday, November 02, 2012 10:01 AM To: 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both
RE: [Histonet] Devasting news on 88305TC component
Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. 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 Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component
88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. 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 Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
I am not in a POL, nor private lab. 88305 is our bread and butter. Being part of a large national organization, some of their labs will weather it out, however, I am in a town of 33,000 people and the only local laboratory.. We are already in competition with clinicians who choose to send them to a cheaper outsource. A number of scenarios come to mind: Cheap labs will no longer be any cheaper - we get the business back (most everyone in town as an alimentary canal and skin exposed to too much Sun) and I keep my job :) (Most everyone will retain their alimentary canals and skin so histology remains sustainable) Cheap labs continue to bill less, increasing their volume by draining ours away and I lose my job. :( Corporate starts housing regional laboratories, shutting down the smaller ones (like us) and I lose my job or I uproot my family and move to the regional. :! Corporate could continue to subsidize the smaller labs, draining resources from other hospitals or services. However, 88305 is only one of many, many, many cuts across the health care industry. There may be no monies to redirect and a lot of people lose their jobs across the system in all disciplines. :( :( We offer something the cheap labs cannot and we weather the storm and hope for the best. As to some of the comments made over the last few days about politics and politicians: I know who I support, but this issue is not even a factor. Healthcare reform is happening and will happen. Maybe in a different form, maybe not - but it is coming and in many ways, it is here. Example: Two years ago, the insurance company that covered my company health plan just abandoned their health care coverage. They cannot make a profit on it. We got another insurance company, and the coverage was less impressive, but the good news is I got to pay more for it! Another increase in premiums the next year and more slated for the upcoming enrollment. Its just the way it's going to be. Private option, public option, business option, but there is really no option. What am I doing? I've kept a bathtub full of water since Y2K and learned to cure a ham, bake bread and make cheese, beer and wine. I also have two boxes of band-aids, two botttles of hydrogen peroxide and a clean toothbrush. Got a NetFlix subscription. Got a bible for guidence and a copy of Atlas Shrugged as a warning indicator. Kids are all married off and the wife doesn't eat much. Let the apocalypse come! Have a greaty day! - Bill -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kim Donadio Sent: Monday, November 05, 2012 10:33 AM To: Bernice Frederick; Webster, Thomas S.; 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Devasting news on 88305TC component 88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. 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 Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___
Re: [Histonet] Devasting news on 88305TC component
Yes Jesus, Thats what I was saying in short. This code isnt specific to a private lab, so those who think its only going to be private labs hurt by this they are wrong. and while I appreciate your positive spin on this. This is beyond devistating. I have worked in labs already where because of cost operational cost alone, then add staff, the budget was treading the red. I have spent the last few years squeezing blood from turnips. It seems once again the lab has gotten the shaft. It is very disapointing that CAP during its battle managed to get the Pathologist PC a 2% increase, but such a huge HUGE decrease for our TC. Someone please tell me a joke or something. Perferably one where a woman walks in a bar. From: Jesus Ellin jel...@yumaregional.org To: 'Kim Donadio' one_angel_sec...@yahoo.com; Bernice Frederick b-freder...@northwestern.edu; Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 1:09 PM Subject: RE: [Histonet] Devasting news on 88305TC component This is for all of not matter if you are a POL, Hospital, and Reference. But read the remainder of the other cuts that are coming down. We just need to do things smarter and also look at our process to improve, I still think we have a outlook,, it is not as bright in the past though. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Kim Donadio Sent: Monday, November 05, 2012 9:33 AM To: Bernice Frederick; Webster, Thomas S.; 'histonet@lists.utsouthwestern.edu' Subject: Re: [Histonet] Devasting news on 88305TC component 88305 is the most common code anywhere, hospitals POL. From: Bernice Frederick b-freder...@northwestern.edu To: Webster, Thomas S. twebs...@crh.org; 'histonet@lists.utsouthwestern.edu' histonet@lists.utsouthwestern.edu Sent: Monday, November 5, 2012 11:22 AM Subject: RE: [Histonet] Devasting news on 88305TC component Bear in mind it only 88305. 't's not the only CPT code we use for billing. Just all those biopsies..Yes, that will mess up those independent labs that just do biopsies. 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 Webster, Thomas S. Sent: Monday, November 05, 2012 10:11 AM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Devasting news on 88305TC component It is terrible for anyone that works in an AP lab. There will be job loss from this and some labs will close their doors. There is a lot of blame for this to go around. I blame client billing the most. The government is tired of being the pull through business for labs that are doing the TC so low. Why should the government pay so much when some labs are doing the TC for peanuts in these client billing schemes? I am sure that played a huge role in why they made such a drastic cut. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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] Devasting news on 88305TC component
I wish there was a way to put a positive spin on this but I can't think of any. We can only hope it kills off client billing somehow. Whomever the stakeholder was that told CMS a typical 88305 costs 18 bucks, I'd love to know how he/she came up with that number. It's insultingly low. http://www.acla.com/sites/default/files/ACLA%20comments%202012%20PFS%20proposed%20rule%208-30-11_3.pdf I believe whoever it was had the goal to stop the proliferation of POLs. Wouldn't surprise me if they worked for a large national lab that had lost a lot of business to POLs. CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
I was working with a dermpath, who's friend is a dermatologist setting up their lab. They stopped dead in their tracks. I mean 88305s would be their bread and butter. Joe -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa Sent: Friday, November 02, 2012 12:26 PM To: Nails, Felton; 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component EXACTLY SO! POLs started to offer better prices to interested colleagues and by doing so work started to drain into POLs with the pointed out result = less work for Reference labs. Do you think that large ref. labs like Quest or Lab.Corp were going to take that drainage sitting on their hands? Sure not! They are business with billions at stake and money to lobby. This is the result. Blame the power of the lobbyists! Policies and even sometimes democracy is tainted by big money. Tell that to the Supreme Court that has ruled that a large company is a person. René J. From: Nails, Felton flna...@texaschildrens.org To: 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:01 PM Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ This message is confidential, intended only for the named
[Histonet] Devasting news on 88305TC component
It was cut 52%. I cannot believe this. http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] Devasting news on 88305TC component
Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component
That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. twebs...@crh.org wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Devasting news on 88305TC component
http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverride=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtlt%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_2013_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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] Devasting news on 88305TC component
Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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 __ CONFIDENTIALITY NOTICE: The information in this e-mail may be confidential and/or privileged. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination, or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail from your computer system. Thank you. __ ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Devasting news on 88305TC component
Actually, the global payment for this code is being reduced by 33% according to the announcement. Regardless of the establishment, small lab; large volume lab; POL lab everyone will be taking a hit on this. Even if the POL labs all dried up and went away, the remaining labs may get the work but they will be doing it for a lot less reimbursement. Kari Kienitz HT, (ASCP) Histology Laboratory Portland Gastroenterology The Oregon Clinic NE 99th Ave Portland, OR 97220 503.935.8311 kkien...@orclinic.com From: histonet-boun...@lists.utsouthwestern.edu [histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Nails, Felton [flna...@texaschildrens.org] Sent: Friday, November 02, 2012 10:01 AM To: 'Jesus Ellin'; 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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
Re: [Histonet] Devasting news on 88305TC component
EXACTLY SO! POLs started to offer better prices to interested colleagues and by doing so work started to drain into POLs with the pointed out result = less work for Reference labs. Do you think that large ref. labs like Quest or Lab.Corp were going to take that drainage sitting on their hands? Sure not! They are business with billions at stake and money to lobby. This is the result. Blame the power of the lobbyists! Policies and even sometimes democracy is tainted by big money. Tell that to the Supreme Court that has ruled that a large company is a person. René J. From: Nails, Felton flna...@texaschildrens.org To: 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:01 PM Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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
Re: [Histonet] Devasting news on 88305TC component
The Gravy Train has left the station. Jay A. Lundgren, M.S., HTL (ASCP) On Fri, Nov 2, 2012 at 12:26 PM, Rene J Buesa rjbu...@yahoo.com wrote: EXACTLY SO! POLs started to offer better prices to interested colleagues and by doing so work started to drain into POLs with the pointed out result = less work for Reference labs. Do you think that large ref. labs like Quest or Lab.Corp were going to take that drainage sitting on their hands? Sure not! They are business with billions at stake and money to lobby. This is the result. Blame the power of the lobbyists! Policies and even sometimes democracy is tainted by big money. Tell that to the Supreme Court that has ruled that a large company is a person. René J. From: Nails, Felton flna...@texaschildrens.org To: 'Jesus Ellin' jel...@yumaregional.org; 'Cristi Rigazio' cls71...@gmail.com; Brendal Finlay brendal.fin...@medicalcenterclinic.com Cc: histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; Webster, Thomas S. twebs...@crh.org Sent: Friday, November 2, 2012 1:01 PM Subject: RE: [Histonet] Devasting news on 88305TC component Before you holler political and blame the candidates, ask yourself who was hurt most by POL's? Large reference labs. With this change they will get back the business because it will not be profitable to establish a POL. Also they lobbied for and increase on the PC, reference have pathologist, most POL's don't. Just my thought -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto: histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Jesus Ellin Sent: Friday, November 02, 2012 11:52 AM To: 'Cristi Rigazio'; Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: RE: [Histonet] Devasting news on 88305TC component AMEN -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto: histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cristi Rigazio Sent: Friday, November 02, 2012 9:32 AM To: Brendal Finlay Cc: histonet@lists.utsouthwestern.edu; Webster, Thomas S. Subject: Re: [Histonet] Devasting news on 88305TC component Political yet?! Seriously! 52%, while the PC is increased 2%... But in case anyone wondered both candidates for President are looking for the middle class! Unbelievable! Sent from my iPhone On Nov 2, 2012, at 8:28 AM, Brendal Finlay brendal.fin...@medicalcenterclinic.com wrote: http://www.cap.org/apps/cap.portal?_nfpb=truecntvwrPtlt_actionOverrid e=%2Fportlets%2FcontentViewer%2Fshow_windowLabel=cntvwrPtltcntvwrPtl t%7BactionForm.contentReference%7D=statline%2Fspecial_report_final_201 3_physician_fee_schedule.html_state=maximized_pageLabel=cntvwr Brendal Finlay, HT (ASCP) Medical Center Clinic brendal.fin...@medicalcenterclinic.com 850.474.8758 http://medicalcenterclinic.com -Original message- From: Davide Costanzo pathloc...@gmail.com Date: Fri, 02 Nov 2012 10:09:18 -0500 To: Webster, Thomas S. twebs...@crh.org Subject: Re: [Histonet] Devasting news on 88305TCcomponent That is devastating! Do you have a link to this information? Sent from my iPhone On Nov 2, 2012, at 4:53 AM, Webster, Thomas S. wrote: Devastating I meant CONFIDENTIALITY NOTICE: This e-mail message, including all attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. You may NOT use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender by reply e-mail immediately. Please destroy all copies of the original message and all attachments. Your cooperation is greatly appreciated. Columbus Regional Hospital 2400 East 17th Street Columbus, Indiana 47201___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ 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
