[Histonet] RE: H Pylori IHC
Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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] RE: H Pylori IHC
You might be able to get around this by doing the IHC on all of these as requested, but only charging for those which are indicated as being medically necessary. This could benefit your TAT, if that's the reason the pathologist wants these done routinely. The pathologist would also have to agree not to bill for the PC of this test in these cases also. You might want to do a retrospective study and determine if this was done what the financial impact would have been. Good luck. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of wanda.sm...@hcahealthcare.com Sent: Monday, October 13, 2014 2:49 PM To: sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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] RE: H Pylori IHC
You might find that the financial impact wouldn't be that great. There is a reason they are doing an EGD, most commonly for gastritis which is a valid reason to look for H pylori. There is a pretty standard list of ICD 9 codes that would trigger the justification for doing an H pylori. Also, you're going to one of two things when you have a stomach biopsy. You will either cut extra slides, (time and material there) or you will wait until its ordered (loss of TAT). So, if you are going to do a retrospective study you need to include that in your review. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Rathborne, Toni Sent: Monday, October 13, 2014 3:20 PM To: 'wanda.sm...@hcahealthcare.com'; sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC You might be able to get around this by doing the IHC on all of these as requested, but only charging for those which are indicated as being medically necessary. This could benefit your TAT, if that's the reason the pathologist wants these done routinely. The pathologist would also have to agree not to bill for the PC of this test in these cases also. You might want to do a retrospective study and determine if this was done what the financial impact would have been. Good luck. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of wanda.sm...@hcahealthcare.com Sent: Monday, October 13, 2014 2:49 PM To: sbald...@mhhcc.org; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H Pylori IHC Kathy, My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order. The Pathologist must look at the HE's first and deem the stain is needed based on the inflammation. WANDA G. SMITH, HTL(ASCP)HT Pathology Supervisor TRIDENT MEDICAL CENTER 9330 Medical Plaza Drive Charleston, SC 29406 843-847-4586 843-847-4296 fax This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ 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
[Histonet] RE: H Pylori IHC
I think the real question here is, Why do your pathologists want H. pylori IHC on all of these specimens? If it's TAT, maybe something can be done to improve it so that you not have to do all this unnecessary work. We only order H. pylori IHC on those cases that show the appropriate inflammatory background and organisms cannot be identified on HE. Also, IHC can be helpful when patients have been treated for H. pylori and, once again, organisms cannot be identified on HE. Richard Richard W. Cartun, MS, PhD Director, Histology Immunopathology Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital 80 Seymour Street Hartford, CT 06102 (860) 972-1596 (860) 545-2204 Fax -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy Sent: Monday, October 13, 2014 2:36 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] FW: H Pylori IHC Hi all My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's. What I was wondering, if there were any indication in Regulations or anything that we couldn't do this? Any advice would be greatly appreciated :) S Kathy Baldwin Histology/Cytology Supervisor PH. 812-996-0210, Fax 812-996-0232 sbald...@mhhcc.orgmailto:sbald...@mhhcc.org:) Christ's healing mission of compassion empowers us to be for others through Quality and Excellence Vision Statement: We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, or an employee or agent responsible for delivering the message to the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message, including any attachments. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
[Histonet] RE: H. Pylori - IHC
We use BioCare's H.Pylori for IHC and it is consistency is excellent. Linda Linda Blazek HT (ASCP) Manager/Supervisor GI Pathology of Dayton Digestive Specialists, Inc 7415 Brandt Pike Huber Heights, OH 45424 Phone: (937) 396-2623 Email: lbla...@digestivespecialists.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of beth@hcahealthcare.com Sent: Wednesday, November 16, 2011 5:16 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] H. Pylori - IHC Does anyone have recommendations for a good vendor for H.Pylori for IHC? We have tried many, but our pathologists complain that they are not specific for H.Pylori and that all gram negative bacteria are staining. Currently we are not running this but our pathologists are interested in it. Thanks! Beth A. Fye, CT (ASCP) Pathology Technical Manager HCA Richmond Hospital Laboratories office: (804)228-6564 fax: (804)323-8638 mailto:beth@hcahealthcare.com ___ 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] RE: H. Pylori - IHC
We get beautiful staining with Dako's concentrate on the Benchmark XT. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of beth@hcahealthcare.com Sent: Wednesday, November 16, 2011 5:16 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] H. Pylori - IHC Does anyone have recommendations for a good vendor for H.Pylori for IHC? We have tried many, but our pathologists complain that they are not specific for H.Pylori and that all gram negative bacteria are staining. Currently we are not running this but our pathologists are interested in it. Thanks! Beth A. Fye, CT (ASCP) Pathology Technical Manager HCA Richmond Hospital Laboratories office: (804)228-6564 fax: (804)323-8638 mailto:beth@hcahealthcare.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] RE: H. Pylori - IHC
We use Biocare antibody with great results on the IntelliPath from Biocare and the Bondmax from Leica. Karen Lahti Arizona Digestive Health -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Tom McNemar Sent: Thursday, November 17, 2011 6:30 AM To: 'beth@hcahealthcare.com'; histonet@lists.utsouthwestern.edu Subject: [Histonet] RE: H. Pylori - IHC We get beautiful staining with Dako's concentrate on the Benchmark XT. Tom McNemar, HT(ASCP) Histology Co-ordinator Licking Memorial Health Systems (740) 348-4163 (740) 348-4166 tmcne...@lmhealth.org www.LMHealth.org -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of beth@hcahealthcare.com Sent: Wednesday, November 16, 2011 5:16 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] H. Pylori - IHC Does anyone have recommendations for a good vendor for H.Pylori for IHC? We have tried many, but our pathologists complain that they are not specific for H.Pylori and that all gram negative bacteria are staining. Currently we are not running this but our pathologists are interested in it. Thanks! Beth A. Fye, CT (ASCP) Pathology Technical Manager HCA Richmond Hospital Laboratories office: (804)228-6564 fax: (804)323-8638 mailto:beth@hcahealthcare.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail, including attachments, is intended for the sole use of the individual and/or entity to whom it is addressed, and contains information from Licking Memorial Health Systems which is confidential or privileged. If you are not the intended recipient, nor authorized to receive for the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this e-mail and attachments is prohibited. If you have received this in error, please advise the sender by reply e-mail and delete the message immediately. You may also contact the LMH Process Improvement Center at 740-348-4641. E-mail transmissions cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Thank you. ___ 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
