Re: [Histonet] Billing Questions
I can only speak to IHC billing. My staff (now 2 people) in our IHC Lab does all the technical IHC billing manually. We average about 3,500 billable IHC tests per month now. The volume used to be higher, but our healthcare system sold most of our outreach business. Richard Richard W. Cartun, MS, PhD Director, Histology & The Martin M. Berman, MD Immunopathology & Morphologic Proteomics Laboratory 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: Gauch, Vicki via Histonet [mailto:histonet@lists.utsouthwestern.edu] Sent: Wednesday, October 12, 2016 9:19 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing Questions Hi, I've been asked to post a question regarding Pathology technical billing. With all of the changes that have been instituted over the past few years on the technical billing side in Pathology and the fact that our computer system cannot automate it for us we have been manually billing our IHC,etc. . This is becoming a real problem since the supervisor and myself are the ones doing this and we are also working on the bench along with other duties. We are wondering who does that billing in your lab? Do you have biller/coders ? Is it technical staff ? If it is technical staff, what level ? Has anyone been able to get that billing automated? Any info would be greatly appreciated. Thank you, Vicki Gauch AMCH Albany, NY - CONFIDENTIALITY NOTICE: This email and any attachments may contain confidential information that is protected by law and is for the sole use of the individuals or entities to which it is addressed. If you are not the intended recipient, please notify the sender by replying to this email and destroying all copies of the communication and attachments. Further use, disclosure, copying, distribution of, or reliance upon the contents of this email and attachments is strictly prohibited. To contact Albany Medical Center, or for a copy of our privacy practices, please visit us on the Internet at www.amc.edu. ___ 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
Re: [Histonet] Billing Questions
Vicki, My first question is what computer/LIS system are you using? Are you a private lab or part of a hospital? We are in an academic medical center, have our own Pathology coders, but all billing is done by the hospital. We generate the information for the technical and pro charges and send a daily file. We have a team of 3 that run the LIS for Pathology. We use PowerPath and straight out of the box, it doesn’t do billing well. A lot of customization over the years and ongoing to keep up with changes. Victor UWMC Seattle, WA Sent from Mail for Windows 10 From: Gauch, Vicki via Histonet Sent: Wednesday, October 12, 2016 6:19 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing Questions Hi, I've been asked to post a question regarding Pathology technical billing. With all of the changes that have been instituted over the past few years on the technical billing side in Pathology and the fact that our computer system cannot automate it for us we have been manually billing our IHC,etc. . This is becoming a real problem since the supervisor and myself are the ones doing this and we are also working on the bench along with other duties. We are wondering who does that billing in your lab? Do you have biller/coders ? Is it technical staff ? If it is technical staff, what level ? Has anyone been able to get that billing automated? Any info would be greatly appreciated. Thank you, Vicki Gauch AMCH Albany, NY - CONFIDENTIALITY NOTICE: This email and any attachments may contain confidential information that is protected by law and is for the sole use of the individuals or entities to which it is addressed. If you are not the intended recipient, please notify the sender by replying to this email and destroying all copies of the communication and attachments. Further use, disclosure, copying, distribution of, or reliance upon the contents of this email and attachments is strictly prohibited. To contact Albany Medical Center, or for a copy of our privacy practices, please visit us on the Internet at www.amc.edu. ___ 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] billing question
Breast for margins is an 88307. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Eck, Allison [mailto:a...@dh.org] Sent: Monday, June 29, 2015 1:12 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] billing question I am looking for advice on a current billing problem. Breast specimens: We recieve the lumpectomy with orienting sutures - 88307 along with that are the accompanying margins (inferior, superior, medial, etc). Our breast surgeon has been placing orienting sutures on all of her margins. We had previously been billing under the assumption that the unsutured margins were 88305, but now with the sutures should we be billing an 88307 or still 88305 since they are margins? Thank you in advance for your help Allison ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing
Correct On May 29, 2015, at 3:13 PM, Vickroy, James jvick...@springfieldclinic.com wrote: Just need a reminder: If a pathologist orders the same several IHC stains on two blocks from the same specimen am I correct to think that we can only charge the stains on one of the blocks? 88342 and the remainder 88341's Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you. ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing
Yes that is how we do it as well. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu -Original Message- From: Vickroy, James [mailto:jvick...@springfieldclinic.com] Sent: Friday, May 29, 2015 3:13 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing Just need a reminder: If a pathologist orders the same several IHC stains on two blocks from the same specimen am I correct to think that we can only charge the stains on one of the blocks? 88342 and the remainder 88341's Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. 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
Re: [Histonet] Billing question
From my understanding its just one charge. Its per specimen such as A, B, C, etc. Someone else said that it would be 2 charges so am I wrong on this?? If you did GMS on A1 and AFB on A2 then that would be 2 charges because its two different stains. Tasha Campbell, B.S.,HTL(ASCP) Frederick Gastroenterology Associates 310 W. 9th St. Frederick, MD 21701 301-695-6800 ext. 144 (w) 304-685-9307 (c) -Original Message- From: Vickroy, James [mailto:jvick...@springfieldclinic.com] Sent: Thursday, May 07, 2015 4:58 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question If I have two sections on an A specimen A1 and A2 and both had a GMS stain, do I charge 1 - 88312 or 2 - 88312? Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. 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
Re: [Histonet] Billing question
This is incorrect. The response from Joyce Weems is correct. And yes, it's confusing to everyone. Special stains are billed per block IHC is billed per specimen So a GMS on blocks A1 and A2 is GMS charge x 2 If you are not charging special stains per block you are losing revenue you are entitled to for 2015 Vinnie Della Speranza | Manager for Anatomic Pathology Services| Medical University of South Carolina | 165 Ashley Avenue MSC 908 | Charleston, South Carolina 29425 | Office: 843.792.6353 | Fax: 843.792.8974 | del...@musc.edu -Original Message- From: Campbell, Tasha M. [mailto:tmcam...@fmh.org] Sent: Friday, May 08, 2015 7:51 AM To: Vickroy, James; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing question From my understanding its just one charge. Its per specimen such as A, B, C, etc. Someone else said that it would be 2 charges so am I wrong on this?? If you did GMS on A1 and AFB on A2 then that would be 2 charges because its two different stains. Tasha Campbell, B.S.,HTL(ASCP) Frederick Gastroenterology Associates 310 W. 9th St. Frederick, MD 21701 301-695-6800 ext. 144 (w) 304-685-9307 (c) -Original Message- From: Vickroy, James [mailto:jvick...@springfieldclinic.com] Sent: Thursday, May 07, 2015 4:58 PM To: histonet@lists.utsouthwestern.edumailto:histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question If I have two sections on an A specimen A1 and A2 and both had a GMS stain, do I charge 1 - 88312 or 2 - 88312? Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com%3cmailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edumailto:Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edumailto: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] Billing question
Special stains are charged per block. If you have blocks A1, A2, and A3, and do AFB and GMS on all three that would be 6 charges. Sh... this will probably change next year!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Campbell, Tasha M. [mailto:tmcam...@fmh.org] Sent: Friday, May 08, 2015 7:51 AM To: Vickroy, James; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing question From my understanding its just one charge. Its per specimen such as A, B, C, etc. Someone else said that it would be 2 charges so am I wrong on this?? If you did GMS on A1 and AFB on A2 then that would be 2 charges because its two different stains. Tasha Campbell, B.S.,HTL(ASCP) Frederick Gastroenterology Associates 310 W. 9th St. Frederick, MD 21701 301-695-6800 ext. 144 (w) 304-685-9307 (c) -Original Message- From: Vickroy, James [mailto:jvick...@springfieldclinic.com] Sent: Thursday, May 07, 2015 4:58 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question If I have two sections on an A specimen A1 and A2 and both had a GMS stain, do I charge 1 - 88312 or 2 - 88312? Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. 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 This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing question
2 - specials are per block.. Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Vickroy, James [mailto:jvick...@springfieldclinic.com] Sent: Thursday, May 07, 2015 4:58 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question If I have two sections on an A specimen A1 and A2 and both had a GMS stain, do I charge 1 - 88312 or 2 - 88312? Jim Jim Vickroy Histology Manager Springfield Clinic, Main Campus, East Building 1025 South 6th Street Springfield, Illinois 62703 Office: 217-528-7541, Ext. 15121 Email: jvick...@springfieldclinic.commailto:jvick...@springfieldclinic.com This electronic message contains information from Springfield Clinic, LLP that may be confidential, privileged, and/or sensitive. This information is intended for the use of the individual(s) or entity(ies) named above. If you are not the intended recipient, be aware that disclosure, copying, distribution, or action taken on the contents of this information is strictly prohibited. If you have received this electronic message in error, please notify the sender immediately, by electronic mail, so that arrangements may be made for the retrieval of this electronic message. Thank you. ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] billing question
That's correct, Hazel. Daniel Schneider, MD Amarillo, TX On Thu, Jan 22, 2015 at 3:14 PM, Horn, Hazel V hor...@archildrens.org wrote: Scenario: I am billing for immunostains and there are 3 specimens; A, B, C. Pathologist orders 1 stain on all 3 specimens. I bill 3 88342's. Pathologist orders 2 stains each on A and B. I bill 2 88342's and 2 88341's. Is this correct? Hazel Horn Supervisor of Histology/Autopsy/Transcription Anatomic Pathology Arkansas Children's Hospital 1 Children's Way | Slot 820| Little Rock, AR 72202 501.364.4240 direct | 501.364.1241 fax hor...@archildrens.orgmailto:hor...@archildrens.org archildrens.orghttp://www.archildrens.org/ ** The information contained in this message may be privileged and confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. 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
RE: [Histonet] Billing question
Professional only Ed Gray | Pathology IT Analyst | Phone: 304-293-2945 | Fax 304-293-1627 | WVU Healthcare l eg...@wvuhealthcare.com Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Terri Braud Sent: Friday, November 01, 2013 3:05 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing question I have a billing question that I would sure like to hear what others are doing, please. In AP billing, when billing for CPT #88321 Consultation and report on referred slides prepared elsewhere do you bill both a technical and professional component, or professional only? Any input would be appreciated. Sincerely, Terri Terri L. Braud, HT(ASCP) Anatomic Pathology Supervisor Holy Redeemer Hospital Laboratory 1648 Huntingdon Pike Meadowbrook, PA 19046 Ph: 215-938-3676 Fax: 215-938-3874 - CONFIDENTIALITY NOTICE: This E-Mail is intended only for the use of the individual or entity to which it was sent. It may contain information that is privileged and/or confidential, and the use or disclosure of such information may also be restricted under applicable federal and state law. If you received this communication in error, please do not distribute any part of it or retain any copies, and delete the original E-Mail. Please notify the sender of any error by E-Mail. Thank you for your cooperation. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing ???
At our institution the hospital bills the technical and the pathologist bills the professional. Martha Ward, MT (ASCP) QIHC Manager Molecular Diagnostics Lab Medical Center Boulevard \ Winston-Salem, NC 27157 p 336.716.2109 \ f 336.716.5890 mw...@wakehealth.edu -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of jmasla...@stpetes.org Sent: Friday, June 21, 2013 11:49 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing ??? Happy Friday This is a question to those who work at a hospital that have contracted pathologists. Does your hospital bill the technical component and the pathologist bill the profession component or does the pathologist bill everything and pay the hospital for technical component? Joe Maslanka BS, CT,HT (ASCP) Anatomical Pathology Technical Supervisor Give thanks for ALL things. Kindness is the language the blind can see the deaf can hear- Mark Twain This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, distribution or use of the contents of the received information is prohibited. If you have received this e-mail in error, please reply to the sender immediately and permanently delete this message and all copies of it. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing ???
Hospital bills technical and pathologists bill professional Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of jmasla...@stpetes.org Sent: Friday, June 21, 2013 11:49 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing ??? Happy Friday This is a question to those who work at a hospital that have contracted pathologists. Does your hospital bill the technical component and the pathologist bill the profession component or does the pathologist bill everything and pay the hospital for technical component? Joe Maslanka BS, CT,HT (ASCP) Anatomical Pathology Technical Supervisor Give thanks for ALL things. Kindness is the language the blind can see the deaf can hear- Mark Twain This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, distribution or use of the contents of the received information is prohibited. If you have received this e-mail in error, please reply to the sender immediately and permanently delete this message and all copies of it. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing ???
Hospital bills the technical and pathologists bill the professional. 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 jmasla...@stpetes.org Sent: Friday, June 21, 2013 11:49 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing ??? Happy Friday This is a question to those who work at a hospital that have contracted pathologists. Does your hospital bill the technical component and the pathologist bill the profession component or does the pathologist bill everything and pay the hospital for technical component? Joe Maslanka BS, CT,HT (ASCP) Anatomical Pathology Technical Supervisor Give thanks for ALL things. Kindness is the language the blind can see the deaf can hear- Mark Twain This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, distribution or use of the contents of the received information is prohibited. If you have received this e-mail in error, please reply to the sender immediately and permanently delete this message and all copies of it. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet 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] Billing ???
Good Afternoon to All, At our hospital, for hospital inpatients and outpatients the Pathologist bill for their professional fee and the hospital bills the patients for the technical component. For non-patient specimens (patients seen at other offices and facilities), the Pathologist bills the patient globally for both tech and pro fee and pays the hospital for the technical services on their industrial account. Hope that helps! Wanda 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 jmasla...@stpetes.org Sent: Friday, June 21, 2013 11:49 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing ??? Happy Friday This is a question to those who work at a hospital that have contracted pathologists. Does your hospital bill the technical component and the pathologist bill the profession component or does the pathologist bill everything and pay the hospital for technical component? Joe Maslanka BS, CT,HT (ASCP) Anatomical Pathology Technical Supervisor Give thanks for ALL things. Kindness is the language the blind can see the deaf can hear- Mark Twain This electronic mail message contains information which is confidential. If you are not the intended recipient, please be aware that any disclosure, photocopying, distribution or use of the contents of the received information is prohibited. If you have received this e-mail in error, please reply to the sender immediately and permanently delete this message and all copies of it. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing for Pin 4 Cocktail
I always thought you could bill for three due to three distinguishable staining patterns. The two cytokeratins can not be distinguished from each other, therefore three charges instead of four (PIN4). -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Monday, March 18, 2013 1:11 PM To: Angela K. Bitting; histonet@lists.utsouthwestern.edu; Vanessa Perez Subject: RE: [Histonet] Billing for Pin 4 Cocktail Our billing manager said the same thing. If the antibodies are being applied separately, you can bill for each one. If antibodies are being mixed and applied at the same time, you can only bill for one. It sounds like the difference between a double-stain (two different chromogens) and a single stain using an antibody cocktail. I still don't think we're doing it correctly, because we're billing for three, but at least it sounds like we can bill for two, which seems logical. Have others heard something different? Roger Heyna Maywood, IL Bitting, Angela K. akbitt...@geisinger.edu 3/18/2013 7:49 AM I was given info from a Dako rep last week that if the primary antibodies are applied separately to the slide as is true with Ventana instruments, you can charge for both. I am skeptical. Has anyone else heard this? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez Sent: Friday, March 15, 2013 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing for Pin 4 Cocktail Its actually not allowed already. Any cocktail where all stains are done at one time on one slide can only be charged x1 even if its 2 or more antibodys in the cocktail. One of our reps updated us with our PIN cocktail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Friday, March 15, 2013 11:09 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing for Pin 4 Cocktail Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. - This message was secured by ZixCorp(R). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet The information in this e-mail, and any attachments therein, is confidential and for use by the intended addressee only. If this message is received by you in error please do not disseminate or read further. Please reply to the sender that you have received the message in error, then delete the message. Although Catholic Health Services of Long Island attempts to sweep e-mail and attachments for viruses, it does not guarantee that either are virus-free and accepts no liability for any damage sustained as a result of viruses. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http
RE: [Histonet] Billing for Pin 4 Cocktail
Well we use a cocktail, so the antibodies are mixed together and so applied at the same time. All in the same dispenser not two diff one. Vanessa -Original Message- From: Bitting, Angela K. [mailto:akbitt...@geisinger.edu] Sent: Monday, March 18, 2013 7:49 AM To: Vanessa Perez; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing for Pin 4 Cocktail I was given info from a Dako rep last week that if the primary antibodies are applied separately to the slide as is true with Ventana instruments, you can charge for both. I am skeptical. Has anyone else heard this? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez Sent: Friday, March 15, 2013 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing for Pin 4 Cocktail Its actually not allowed already. Any cocktail where all stains are done at one time on one slide can only be charged x1 even if its 2 or more antibodys in the cocktail. One of our reps updated us with our PIN cocktail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Friday, March 15, 2013 11:09 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing for Pin 4 Cocktail Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. - This message was secured by ZixCorp(R). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing for Pin 4 Cocktail
I was given info from a Dako rep last week that if the primary antibodies are applied separately to the slide as is true with Ventana instruments, you can charge for both. I am skeptical. Has anyone else heard this? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez Sent: Friday, March 15, 2013 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing for Pin 4 Cocktail Its actually not allowed already. Any cocktail where all stains are done at one time on one slide can only be charged x1 even if its 2 or more antibodys in the cocktail. One of our reps updated us with our PIN cocktail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Friday, March 15, 2013 11:09 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing for Pin 4 Cocktail Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. - This message was secured by ZixCorp(R). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing for Pin 4 Cocktail
Our billing manager said the same thing. If the antibodies are being applied separately, you can bill for each one. If antibodies are being mixed and applied at the same time, you can only bill for one. It sounds like the difference between a double-stain (two different chromogens) and a single stain using an antibody cocktail. I still don't think we're doing it correctly, because we're billing for three, but at least it sounds like we can bill for two, which seems logical. Have others heard something different? Roger Heyna Maywood, IL Bitting, Angela K. akbitt...@geisinger.edu 3/18/2013 7:49 AM I was given info from a Dako rep last week that if the primary antibodies are applied separately to the slide as is true with Ventana instruments, you can charge for both. I am skeptical. Has anyone else heard this? -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Vanessa Perez Sent: Friday, March 15, 2013 12:43 PM To: histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing for Pin 4 Cocktail Its actually not allowed already. Any cocktail where all stains are done at one time on one slide can only be charged x1 even if its 2 or more antibodys in the cocktail. One of our reps updated us with our PIN cocktail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Friday, March 15, 2013 11:09 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing for Pin 4 Cocktail Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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 IMPORTANT WARNING: The information in this message (and the documents attached to it, if any) is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message (and the documents attached to it, if any), destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. Geisinger Health System utilizes an encryption process to safeguard Protected Health Information and other confidential data contained in external e-mail messages. If email is encrypted, the recipient will receive an e-mail instructing them to sign on to the Geisinger Health System Secure E-mail Message Center to retrieve the encrypted e-mail. - This message was secured by ZixCorp(R). ___ 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] Billing for Pin 4 Cocktail
Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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] Billing for Pin 4 Cocktail
Its actually not allowed already. Any cocktail where all stains are done at one time on one slide can only be charged x1 even if its 2 or more antibodys in the cocktail. One of our reps updated us with our PIN cocktail -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Roger Heyna Sent: Friday, March 15, 2013 11:09 AM To: histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing for Pin 4 Cocktail Our lab currently bills for three, and I know of other labs in our area that also bill for three. I have heard rumors that this may not be allowed in the near future. Roger Heyna Maywood, IL Debbie Granato debgran...@yahoo.com 3/15/2013 11:00 AM We have a billing question for the PIN4 Cocktail that we perform on prostate needle biopsies. We currently use the Biocare CK5+CK14+p63 and then add the Biocare P 504S in the lab. How would you bill for this? Would billing for 1 stain be correct or can you bill for 3 stains? Thank you for your input. Debbie Granato ___ 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] Billing 88342
I am neither a lawyer nor a health care administrator, but, in my experience, the Pathologist picks the (hopefully) most diagnostic blocks from the multiblock cases and submits them for IHC. If you do the requested IHC on, say, 4 blocks out of 30, you charge x4 for the technical fee. After all, you are using 4 times the supplies (buffer, antibody, etc.). Before you hit the cash paying patient with a bill, their primary care provider should warn them what it's going to cost. I have seen a good Pathologist only select one block for IHC when the clinician previously informed him that the patient had no insurance and was paying out of pocket. I think it's interesting that people control *their own* health care costs when no insurance company or the government is involved. Sincerely, Jay A. Lundgren, M.S., HTL (ASCP) On Tue, Jul 3, 2012 at 11:43 AM, Victor A. Tobias vtob...@uw.edu wrote: Looking for other opinions from those who do consult/referral work. If a client sends in a request for a single antibody done on multiple blocks on a single specimen, do you bill the client for each tech component ? The client will do the interpretation. What happens in the above scenario if the request is to bill the patient? Knowing you get reimbursed for one, do you eat the other charges are make the client select the one block? We have run numbers on potential lost revenue and the number is significant. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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] Billing 88342
Where is the like button? Thumbs up! 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: Jay Lundgren jaylundg...@gmail.com To: Victor A. Tobias vtob...@uw.edu Cc: HISTONET histonet@lists.utsouthwestern.edu Sent: Tuesday, July 3, 2012 12:05 PM Subject: Re: [Histonet] Billing 88342 I am neither a lawyer nor a health care administrator, but, in my experience, the Pathologist picks the (hopefully) most diagnostic blocks from the multiblock cases and submits them for IHC. If you do the requested IHC on, say, 4 blocks out of 30, you charge x4 for the technical fee. After all, you are using 4 times the supplies (buffer, antibody, etc.). Before you hit the cash paying patient with a bill, their primary care provider should warn them what it's going to cost. I have seen a good Pathologist only select one block for IHC when the clinician previously informed him that the patient had no insurance and was paying out of pocket. I think it's interesting that people control *their own* health care costs when no insurance company or the government is involved. Sincerely, Jay A. Lundgren, M.S., HTL (ASCP) On Tue, Jul 3, 2012 at 11:43 AM, Victor A. Tobias vtob...@uw.edu wrote: Looking for other opinions from those who do consult/referral work. If a client sends in a request for a single antibody done on multiple blocks on a single specimen, do you bill the client for each tech component ? The client will do the interpretation. What happens in the above scenario if the request is to bill the patient? Knowing you get reimbursed for one, do you eat the other charges are make the client select the one block? We have run numbers on potential lost revenue and the number is significant. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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] Billing 88342
That is so true.! -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Paula Pierce Sent: Tuesday, July 03, 2012 1:36 PM To: Jay Lundgren; Victor A. Tobias Cc: HISTONET Subject: Re: [Histonet] Billing 88342 Where is the like button? Thumbs up! 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: Jay Lundgren jaylundg...@gmail.com To: Victor A. Tobias vtob...@uw.edu Cc: HISTONET histonet@lists.utsouthwestern.edu Sent: Tuesday, July 3, 2012 12:05 PM Subject: Re: [Histonet] Billing 88342 I am neither a lawyer nor a health care administrator, but, in my experience, the Pathologist picks the (hopefully) most diagnostic blocks from the multiblock cases and submits them for IHC. If you do the requested IHC on, say, 4 blocks out of 30, you charge x4 for the technical fee. After all, you are using 4 times the supplies (buffer, antibody, etc.). Before you hit the cash paying patient with a bill, their primary care provider should warn them what it's going to cost. I have seen a good Pathologist only select one block for IHC when the clinician previously informed him that the patient had no insurance and was paying out of pocket. I think it's interesting that people control *their own* health care costs when no insurance company or the government is involved. Sincerely, Jay A. Lundgren, M.S., HTL (ASCP) On Tue, Jul 3, 2012 at 11:43 AM, Victor A. Tobias vtob...@uw.edu wrote: Looking for other opinions from those who do consult/referral work. If a client sends in a request for a single antibody done on multiple blocks on a single specimen, do you bill the client for each tech component ? The client will do the interpretation. What happens in the above scenario if the request is to bill the patient? Knowing you get reimbursed for one, do you eat the other charges are make the client select the one block? We have run numbers on potential lost revenue and the number is significant. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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
Re: [Histonet] Billing 88342
I would think that if you're billing the client and not the insurance that you could charge per block for the technical. After all you're just providing the stain to them. In my opinion, the client should eat this cost. I would let the client know that you'd be billing this way before staining the slides. They could order 25 stains on a single part and you would be in the red big time. If you're billing the patient directly, you would have to follow the rule of charging only once per specimen. Mark On Tue, Jul 3, 2012 at 9:43 AM, Victor A. Tobias vtob...@uw.edu wrote: Looking for other opinions from those who do consult/referral work. If a client sends in a request for a single antibody done on multiple blocks on a single specimen, do you bill the client for each tech component ? The client will do the interpretation. What happens in the above scenario if the request is to bill the patient? Knowing you get reimbursed for one, do you eat the other charges are make the client select the one block? We have run numbers on potential lost revenue and the number is significant. Victor Victor Tobias HT(ASCP) Clinical Applications Analyst Harborview Medical Center Dept of Pathology Room NJB244 Seattle, WA 98104 vtob...@u.washington.edumailto:vtob...@u.washington.edu 206-744-2735 206-744-8240 Fax = Privileged, confidential or patient identifiable information may be contained in this message. This information is meant only for the use of the intended recipients. If you are not the intended recipient, or if the message has been addressed to you in error, do not read, disclose, reproduce, distribute, disseminate or otherwise use this transmission. Instead, please notify the sender by reply e-mail, and then destroy all copies of the message and any attachments. ___ 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] Billing IHC on MOHS
The terminology is confusing stage and per layer are not the same thing to me, depends on how you think about it . Seems that Moh's and yes I have done this, can be done different. You have the Dr Mohs way of getting the what we call Donut specimen, which gets inked, nicked, embedded flat then frozen. This is your 1st stage. or block A if you will. Now some people will cut this into 2 pieces and even more and this creates more blocks. All of that first specimen is still the 1st stage and considered block A. You bill for block A, not for A1, A2 etc. and yes you are correct each additional stage( had to go back because 1st stage was positive) would be billiable again, same senario above. The second stage Block B billiable for B only, not B1, B2 etc. This was something we had much discussion about here as they recently changed multiple billing on the same site, or for Mohs you would call it Same Stage. This is my interpretation. and to make sure I am not mis-interpreting you, you're not considering every section as you mentioned a seperate stage? While I can see that Carol's post has (stage) next to per layer, I have to wonder if this is exactly out of the book? Because I would disagree with the two terms meaning the same as well. Refer to above comment for my definition of Stage and hopfully it has clarity. :) As far as ignoring Medicare, I would never suggest that. And for ignoring insurance companies, well you can try all they can do is deny payment and then you get to haggle with them. I'm not sure I can add anything else to this conversation so I will let the rest have at it for now. Hope everyone has a fantastic week! Kim D From: William Chappell cha...@yahoo.com To: Kim Donadio one_angel_sec...@yahoo.com Cc: Carol Torrence ctorre...@kmcpa.com; histonet@lists.utsouthwestern.edu histonet@lists.utsouthwestern.edu; 'Ingles Claire' cing...@uwhealth.org Sent: Tuesday, June 19, 2012 9:45 PM Subject: Re: [Histonet] Billing IHC on MOHS Well, I don't know if that settles that. I haven't responded, because I have not worked for a Mohs dermatopahtologist who runs Immunos (I have worked at numerous Mohs laboratories), however, this explanation is contradictory. Each stain is reported only once per block, not per slide or per layer (stage). Yet the definition of a block, Tissue flattened by cutting into pieces, embedded, and frozen in mounting medium used by histotechnologists to embed tissue for frozen sections. Every stage represent a new block in which slides are cut. These two statements are contradictory and need clarification. Now, my own opinion (again I have talked with my dermatopathologist and billing specialist and they are as lost as we) is that by definition, Mohs is a frozen section diagnosis that must be made by the surgeon (i.e., for a Mohs to be a mohs the surgeon removing the tissue must diagnose the tissue -- look it up). Every section taken, at every stage is a separate block of the same case. In the event you can charge immunos per case, only one charge can be made. If it can be shown that immunos can be charged per block (per the definition below), every immuno on every block from every stage can be charged. Now for the practicality -- we always start questions like this because medicare sets standards for billing that other insurance companies then adopt. We should NEVER ask, what can we charge for, but should always ask, what work did we do that it is fair for a patient to pay for. Ignore what medicare and insurance companies say, bill clients for the work we perform and for the results they get. How much more raw cost is there in staining two Mohs blocks with the same immuno? Is it fair to charge a patient double the amount for MUCH less than twice the work? Will Chappell HTL(ASCP), QIHC On Jun 19, 2012, at 9:15 PM, Kim Donadio wrote: Great team work! Job well done and a absolute answer is given. Thank you From: Carol Torrence ctorre...@kmcpa.com To: 'Kim Donadio' one_angel_sec...@yahoo.com Cc: 'Weems, Joyce K.' joyce.we...@emoryhealthcare.org; 'Ingles Claire' cing...@uwhealth.org; histonet@lists.utsouthwestern.edu Sent: Tuesday, June 19, 2012 2:10 PM Subject: RE: [Histonet] Billing IHC on MOHS The following is the response I recived from a coding specialist at the American Academy of Dermatology. I am trying not to be concerned that the reference is 6 years old but I think it clears up what we thought to be true. 88342 for IHC 88314 other “special stains” Here is the description for 88314 according to November 2006 cpt Assistant article, the companion piece to the AMA CPT Code Book. The work of processing and interpreting one routine stain is included in the procedure 17311- 17315. This stain is usually hematoxylin and eosin, or toluidine blue. If other special stains are necessary after one routine
RE: [Histonet] Billing IHC on MOHS
I have nothing more to add regarding this subject but would like to address concerns expressed here that touch on fairness, frequency, cost and the abilities of techs and surgeons. This was a very rare incident involving scar tissue and tumor. Our Mohs lab does not do immunos, our pathology lab does. My quest was to learn more about what constitutes a block. We stained 5 slides that were the same ‘stage’ (one block)….’to be sure there would be no ‘fall offs’. We do not want to put the patient through more waiting than necessary. I was not trying to charge for each slide I stained or gouge the patient. My quest was for “correct coding” not what “can” I charge. I certified as a CPC in 2005 but do not practice in that field. That said, I have a good grasp as to the seriousness of the subject of coding and documentation. I have 30 plus years of experience in histology including management. I have always had the pleasure of working with physicians of high integrity and continue to do so in the area of dermatology. The majority of my time has been spent in a large medical center where coding questions could be addressed ‘in house’ so to speak. When I was consulted by the surgeon regarding coding this case, our search for the correct coding stems from the level of integrity we practice on a daily basis. I consulted the American Society for Mohs Surgery (ASMS) as was suggested and they do not offer coding advice. I was told that they are an administrative office and suggested that I contact AAD. Thanks for sharing your thoughts and listening to mine. Have a good day! Onward and upward! Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing IHC on MOHS
Carol, Its nice to hear this isn't a regular thing. In reading your original question, it sounded like you were excited to be charging five times for those immunos and you were ready to argue for it. Apparently that was not the case, you wanted more information and thoughts on the subject. I once worked for a MOHS surgeon who had billing practices with which I did not agree. It was the reason I quit. I'm glad there are people of high integrity, such as your group, doing this work. Mark On Wednesday, June 20, 2012, Carol Torrence wrote: I have nothing more to add regarding this subject but would like to address concerns expressed here that touch on fairness, frequency, cost and the abilities of techs and surgeons. ** ** This was a very rare incident involving scar tissue and tumor. Our Mohs lab does not do immunos, our pathology lab does. My quest was to learn more about what constitutes a block. We stained 5 slides that were the same ‘stage’ (one block)….’to be sure there would be no ‘fall offs’. We do not want to put the patient through more waiting than necessary. I was not trying to charge for each slide I stained or gouge the patient. My quest was for “correct coding” not what “can” I charge. I certified as a CPC in 2005 but do not practice in that field. That said, I have a good grasp as to the seriousness of the subject of coding and documentation.*** * ** ** I have 30 plus years of experience in histology including management. I have always had the pleasure of working with physicians of high integrity and continue to do so in the area of dermatology. The majority of my time has been spent in a large medical center where coding questions could be addressed ‘in house’ so to speak. When I was consulted by the surgeon regarding coding this case, our search for the correct coding stems from the level of integrity we practice on a daily basis. I consulted the *American Society for Mohs Surgery* (*ASMS*) as was suggested and they do not offer coding advice. I was told that they are an administrative office and suggested that I contact AAD. ** ** Thanks for sharing your thoughts and listening to mine. ** ** Have a good day! Onward and upward! Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com javascript:_e({}, 'cvml', 'ctorre...@kmcpa.com');*** * ** ** Confidentiality Note: This message is intended for use only by the individual or entity to which it is addressed and may contain information that is privileged, confidential, and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please contact the sender immediately and destroy the material in its entirety, whether electronic or hard copy. Thank you ** ** ** ** * * ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
The following is the response I recived from a coding specialist at the American Academy of Dermatology. I am trying not to be concerned that the reference is 6 years old but I think it clears up what we thought to be true. 88342 for IHC 88314 other “special stains” Here is the description for 88314 according to November 2006 cpt Assistant article, the companion piece to the AMA CPT Code Book. The work of processing and interpreting one routine stain is included in the procedure 17311 javascript:cptaaCPTPopup('17311') - 17315 javascript:cptaaCPTPopup('17315') . This stain is usually hematoxylin and eosin, or toluidine blue. If other special stains are necessary after one routine stain, then the code for special stains may be used (88314 javascript:cptaaCPTPopup('88314') ) as well as immunoperoxidase stains (88342 javascript:cptaaCPTPopup('88342') ) or decalcification procedures (88311 javascript:cptaaCPTPopup('88311') ). Special stains are not typically used and in most Mohs practices are of low frequency. Each stain is reported only once per block, not per slide or per layer (stage). AMA CPT definition of a Block: Tissue flattened by cutting into pieces, embedded, and frozen in mounting medium used by histotechnologists to embed tissue for frozen sections. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing IHC on MOHS
Great team work! Job well done and a absolute answer is given. Thank you From: Carol Torrence ctorre...@kmcpa.com To: 'Kim Donadio' one_angel_sec...@yahoo.com Cc: 'Weems, Joyce K.' joyce.we...@emoryhealthcare.org; 'Ingles Claire' cing...@uwhealth.org; histonet@lists.utsouthwestern.edu Sent: Tuesday, June 19, 2012 2:10 PM Subject: RE: [Histonet] Billing IHC on MOHS The following is the response I recived from a coding specialist at the American Academy of Dermatology. I am trying not to be concerned that the reference is 6 years old but I think it clears up what we thought to be true. 88342 for IHC 88314 other “special stains” Here is the description for 88314 according to November 2006 cpt Assistant article, the companion piece to the AMA CPT Code Book. The work of processing and interpreting one routine stain is included in the procedure 17311- 17315. This stain is usually hematoxylin and eosin, or toluidine blue. If other special stains are necessary after one routine stain, then the code for special stains may be used (88314) as well as immunoperoxidase stains (88342) or decalcification procedures (88311). Special stains are not typically used and in most Mohs practices are of low frequency. Each stain is reported only once per block, not per slide or per layer (stage). AMA CPT definition of a Block:Tissue flattened by cutting into pieces, embedded, and frozen in mounting medium used by histotechnologists to embed tissue for frozen sections. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing IHC on MOHS
Well, I don't know if that settles that. I haven't responded, because I have not worked for a Mohs dermatopahtologist who runs Immunos (I have worked at numerous Mohs laboratories), however, this explanation is contradictory. Each stain is reported only once per block, not per slide or per layer (stage). Yet the definition of a block, Tissue flattened by cutting into pieces, embedded, and frozen in mounting medium used by histotechnologists to embed tissue for frozen sections. Every stage represent a new block in which slides are cut. These two statements are contradictory and need clarification. Now, my own opinion (again I have talked with my dermatopathologist and billing specialist and they are as lost as we) is that by definition, Mohs is a frozen section diagnosis that must be made by the surgeon (i.e., for a Mohs to be a mohs the surgeon removing the tissue must diagnose the tissue -- look it up). Every section taken, at every stage is a separate block of the same case. In the event you can charge immunos per case, only one charge can be made. If it can be shown that immunos can be charged per block (per the definition below), every immuno on every block from every stage can be charged. Now for the practicality -- we always start questions like this because medicare sets standards for billing that other insurance companies then adopt. We should NEVER ask, what can we charge for, but should always ask, what work did we do that it is fair for a patient to pay for. Ignore what medicare and insurance companies say, bill clients for the work we perform and for the results they get. How much more raw cost is there in staining two Mohs blocks with the same immuno? Is it fair to charge a patient double the amount for MUCH less than twice the work? Will Chappell HTL(ASCP), QIHC On Jun 19, 2012, at 9:15 PM, Kim Donadio wrote: Great team work! Job well done and a absolute answer is given. Thank you From: Carol Torrence ctorre...@kmcpa.com To: 'Kim Donadio' one_angel_sec...@yahoo.com Cc: 'Weems, Joyce K.' joyce.we...@emoryhealthcare.org; 'Ingles Claire' cing...@uwhealth.org; histonet@lists.utsouthwestern.edu Sent: Tuesday, June 19, 2012 2:10 PM Subject: RE: [Histonet] Billing IHC on MOHS The following is the response I recived from a coding specialist at the American Academy of Dermatology. I am trying not to be concerned that the reference is 6 years old but I think it clears up what we thought to be true. 88342 for IHC 88314 other “special stains” Here is the description for 88314 according to November 2006 cpt Assistant article, the companion piece to the AMA CPT Code Book. The work of processing and interpreting one routine stain is included in the procedure 17311- 17315. This stain is usually hematoxylin and eosin, or toluidine blue. If other special stains are necessary after one routine stain, then the code for special stains may be used (88314) as well as immunoperoxidase stains (88342) or decalcification procedures (88311). Special stains are not typically used and in most Mohs practices are of low frequency. Each stain is reported only once per block, not per slide or per layer (stage). AMA CPT definition of a Block:Tissue flattened by cutting into pieces, embedded, and frozen in mounting medium used by histotechnologists to embed tissue for frozen sections. ___ 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] Billing IHC on MOHS
Thanks everyone. I quoted the description straight from the PMIC coding manual. It is for use with 17311-17315, 88302-88309, 33221, and 88332. I was hoping to get a discussion about Mohs mysteries. I have also found it in two other publications. Mohs Society referred me AAD and I am waiting for an email response. After reviewing the slides that were given to our lab for staining I discovered that all five slides were from a single block containing two margins on each slide. I charged 88314-59. Kim you bring up another often controversial subject...when to charge 88307 or 88309. I became a CPC in 2005 but have found that if you don't use you lose it and if notthey will change the rules on you anyway. Ha! I appreciate all comment. Carol T -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Saturday, June 16, 2012 10:40 AM To: Carol Torrence Cc: Weems, Joyce K.; Ingles Claire; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing IHC on MOHS I'd be very careful with this. Histochemical even if it's on frozen section such as 88314 does not mean immunohistochemical which is 88342 to my understanding. To my understanding anytime you use a antibody it's a 88342 code. Now as far as being able to code for each margin say from 3-6 or 6-9 o'clock etc that seems like it would fall under the rules for each site to me kind of like we would charge a 88307 or 88309 for excision with margins instead of a 88305 which pays less. I personally recommend this not be left in the hands of google or even histonet. Good information comes from both but you might just want to put a call into American society of MOHs and ask. Because over billing is serious business and can get you in a lot of trouble. I only say this because usually in MOHs you'll get the whole specimen which your checking for margins. Then any piece after that would be a separate specimen example that would be part B which you could charge separate for. And since different docs do this differently making a call couldn't hurt then you could come and share what they say with us :) Sent from my iPhone On Jun 15, 2012, at 2:20 PM, Carol Torrence ctorre...@kmcpa.com wrote: By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.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
Re: [Histonet] Billing IHC on MOHS
Carol, I obvioulsy have a talent for getting involved in controversial subjects, I really got to stop that LOL I used to have a CPT manual but no longer,they are very handy. If you got it out of that it seems to me thats the golden rule. My concern for you was that they recently changed how many you could bill per site. We had great discussion on it here. As I am not familiar with 88314 and got little info when I tried to look it up, coder wanted 20 bucks from me to see it. I am aware that Mohs has some codes specifically for Mohs, but my understanding is that CPT's are universal and each antibody would be 88342. However if your cpt manual says specifically a Mohs fs + antibody is 88314 I can only imagine the reimbursment for the frozen is included? I cant imagine why they would have a seperate one. Also when I was looking at what little coder would let me see for 88314, the termonology caught my eye. When I think histochemical stain , I think stains like a iron or trichrome or something of that nature. Thats why I mentioned 88342 because its specifically for immunohistochemistry, each antibody. Well, I hope I havnt made this clear as mud. I have no perfect answer just my thoughts. I am eager to hear what AAD says so keep us up to date. Thanks Kim D From: Carol Torrence ctorre...@kmcpa.com To: 'Kim Donadio' one_angel_sec...@yahoo.com Cc: 'Weems, Joyce K.' joyce.we...@emoryhealthcare.org; 'Ingles Claire' cing...@uwhealth.org; histonet@lists.utsouthwestern.edu Sent: Monday, June 18, 2012 5:23 PM Subject: RE: [Histonet] Billing IHC on MOHS Thanks everyone. I quoted the description straight from the PMIC coding manual. It is for use with 17311-17315, 88302-88309, 33221, and 88332. I was hoping to get a discussion about Mohs mysteries. I have also found it in two other publications. Mohs Society referred me AAD and I am waiting for an email response. After reviewing the slides that were given to our lab for staining I discovered that all five slides were from a single block containing two margins on each slide. I charged 88314-59. Kim you bring up another often controversial subject...when to charge 88307 or 88309. I became a CPC in 2005 but have found that if you don't use you lose it and if notthey will change the rules on you anyway. Ha! I appreciate all comment. Carol T -Original Message- From: Kim Donadio [mailto:one_angel_sec...@yahoo.com] Sent: Saturday, June 16, 2012 10:40 AM To: Carol Torrence Cc: Weems, Joyce K.; Ingles Claire; histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing IHC on MOHS I'd be very careful with this. Histochemical even if it's on frozen section such as 88314 does not mean immunohistochemical which is 88342 to my understanding. To my understanding anytime you use a antibody it's a 88342 code. Now as far as being able to code for each margin say from 3-6 or 6-9 o'clock etc that seems like it would fall under the rules for each site to me kind of like we would charge a 88307 or 88309 for excision with margins instead of a 88305 which pays less. I personally recommend this not be left in the hands of google or even histonet. Good information comes from both but you might just want to put a call into American society of MOHs and ask. Because over billing is serious business and can get you in a lot of trouble. I only say this because usually in MOHs you'll get the whole specimen which your checking for margins. Then any piece after that would be a separate specimen example that would be part B which you could charge separate for. And since different docs do this differently making a call couldn't hurt then you could come and share what they say with us :) Sent from my iPhone On Jun 15, 2012, at 2:20 PM, Carol Torrence ctorre...@kmcpa.com wrote: By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.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
RE: [Histonet] Billing IHC on MOHS
Kim, You are too funny! It must be controversial if only three of us are talking about it and lots of people are 'doing it'. ha! That is funny about the $20. or not. I was only familiar with 88342 also until I started reading in the MOHS section of said CPT book. As I read it again, and again, I think I indeed might be interpreting it wrong about being applied to Immunos. We will see what AAD says about my ADD. Stay tunedJ Carol ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing IHC on MOHS
Oh I'm hooked. I have got to know the answer now lol we shall conquer this problem with your help and then we will all know once and for all. :) Thank you Sent from my iPhone On Jun 18, 2012, at 6:29 PM, Carol Torrence ctorre...@kmcpa.com wrote: Kim, You are too funny! It must be controversial if only three of us are talking about it and lots of people are ‘doing it’. ha! That is funny about the $20… or not. I was only familiar with 88342 also until I started reading in the MOHS section of said CPT book. As I read it again, and again, I think I indeed might be interpreting it wrong about being applied to “Immunos”. We will see what AAD says about my ADD. Stay tunedJ Carol ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing IHC on MOHS
I'd be very careful with this. Histochemical even if it's on frozen section such as 88314 does not mean immunohistochemical which is 88342 to my understanding. To my understanding anytime you use a antibody it's a 88342 code. Now as far as being able to code for each margin say from 3-6 or 6-9 o'clock etc that seems like it would fall under the rules for each site to me kind of like we would charge a 88307 or 88309 for excision with margins instead of a 88305 which pays less. I personally recommend this not be left in the hands of google or even histonet. Good information comes from both but you might just want to put a call into American society of MOHs and ask. Because over billing is serious business and can get you in a lot of trouble. I only say this because usually in MOHs you'll get the whole specimen which your checking for margins. Then any piece after that would be a separate specimen example that would be part B which you could charge separate for. And since different docs do this differently making a call couldn't hurt then you could come and share what they say with us :) Sent from my iPhone On Jun 15, 2012, at 2:20 PM, Carol Torrence ctorre...@kmcpa.com wrote: By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.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
RE: [Histonet] Billing IHC on MOHS
I was hoping someone else would jump in here that knows more about Mohs. I'm not sure if they are handled differently than other specimens because we don't do them. It seems that whatever is removed for separate dx would be billed as separate specimens, but there's not a lot of logic to this system! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Ingles Claire [mailto:cing...@uwhealth.org] Sent: Thursday, June 14, 2012 3:33 PM To: Weems, Joyce K.; Carol Torrence; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing IHC on MOHS Is this per Specimen or per surgical site. Mohs specimens are usually cut into smaller pieces and inked after the excision is removed. I would think this constitutes x# of blocks from the same specimen. Same as an excision that is breadloafed into separate sections. I don't think it matters who does the cutting, although when we send these to path for permenents they are logged in a separate specimens but only measured, never breadloafed. Is it more dependent on how it is received in the lab even though the end result is still the same? Claire From: histonet-boun...@lists.utsouthwestern.edu on behalf of Weems, Joyce K. Sent: Thu 6/14/2012 2:20 PM To: 'Carol Torrence'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing IHC on MOHS If each location is identified as a separate specimen, you can bill per specimen, is the way I understand it. e.g. Received separately - 88342 x 4 3:00 margin - A 6:00 margin - B 9:00 margin - C 12:00 margin - D If one specimen is received and divided into separate cassettes - 88342 x 1 A1 - 3:00 margin A2 - 6:00 margin A3 - 9:00 margin A4 - 12:00 margin Best, $1,783.00 Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol Torrence Sent: Thursday, June 14, 2012 2:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing IHC on MOHS I have a question about billing IHC on MOHS. When I go through the coding rules..I can defend it either way... I think. Ha! If you are doing the same antibody on one site with 5 individual zones, taking 5 independently labeled slides and each zone requires evaluation before continuing surgery. Do you charge 88342 times 5 or just once. I understand it would be just once if this was a routine surgical specimen but this is a horse of a different color. For example. Even for frozen sections performed during surgery, additional margins can be charged as additional frozen sections. Thanks in advance! Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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] Billing IHC on MOHS
Thanks. I agree. Maybe we will hear from some derm labs today. My doctor wants to play it safe and charge once but that sure doesn't come close to covering costs of staining 5 slides, all different sites of the same lesion. It sounds like we can all argue both sides of the fence. Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
See, I even forgot the CPT code was 314!! Yeah, you.. so glad you found that for all the Mohs folks.. Have a good weekend everybody... Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Carol Torrence [mailto:ctorre...@kmcpa.com] Sent: Friday, June 15, 2012 2:20 PM To: Weems, Joyce K.; 'Ingles Claire '; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing IHC on MOHS By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.com This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
Well, actually I was thinking immunos on the paraffin block from the frozen.. I guess you all do it on frozen tho!! Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: Carol Torrence [mailto:ctorre...@kmcpa.com] Sent: Friday, June 15, 2012 2:20 PM To: Weems, Joyce K.; 'Ingles Claire '; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing IHC on MOHS By George I've got it! This is what I read from Coder's Choice CPT Plus 88314 is for IHC performed on frozen tissue...when a nonroutine histochemical stain on frozen tissue during Mohs surgery is utilized, report 88314 with modifier 59. Report one unit of 88314 for each special stain on each frozen surgical pathology block. Carol M. Torrence, HT(ASCP)CM Director of Laboratory Services KMC Dermatology - Pathology 2921 SW Wanamaker Dr. Topeka, Kansas 66614-5334 785-273-2788 ext 328 fax 785-272-6185 ctorre...@kmcpa.com This e-mail message (including any attachments) is for the sole use of the intended recipient(s) and may contain confidential and privileged information. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
If each location is identified as a separate specimen, you can bill per specimen, is the way I understand it. e.g. Received separately - 88342 x 4 3:00 margin - A 6:00 margin - B 9:00 margin - C 12:00 margin - D If one specimen is received and divided into separate cassettes - 88342 x 1 A1 - 3:00 margin A2 - 6:00 margin A3 - 9:00 margin A4 - 12:00 margin Best, $1,783.00 Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol Torrence Sent: Thursday, June 14, 2012 2:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing IHC on MOHS I have a question about billing IHC on MOHS. When I go through the coding rules..I can defend it either way... I think. Ha! If you are doing the same antibody on one site with 5 individual zones, taking 5 independently labeled slides and each zone requires evaluation before continuing surgery. Do you charge 88342 times 5 or just once. I understand it would be just once if this was a routine surgical specimen but this is a horse of a different color. For example. Even for frozen sections performed during surgery, additional margins can be charged as additional frozen sections. Thanks in advance! Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] Billing IHC on MOHS
Is this per Specimen or per surgical site. Mohs specimens are usually cut into smaller pieces and inked after the excision is removed. I would think this constitutes x# of blocks from the same specimen. Same as an excision that is breadloafed into separate sections. I don't think it matters who does the cutting, although when we send these to path for permenents they are logged in a separate specimens but only measured, never breadloafed. Is it more dependent on how it is received in the lab even though the end result is still the same? Claire From: histonet-boun...@lists.utsouthwestern.edu on behalf of Weems, Joyce K. Sent: Thu 6/14/2012 2:20 PM To: 'Carol Torrence'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] Billing IHC on MOHS If each location is identified as a separate specimen, you can bill per specimen, is the way I understand it. e.g. Received separately - 88342 x 4 3:00 margin - A 6:00 margin - B 9:00 margin - C 12:00 margin - D If one specimen is received and divided into separate cassettes - 88342 x 1 A1 - 3:00 margin A2 - 6:00 margin A3 - 9:00 margin A4 - 12:00 margin Best, $1,783.00 Joyce Weems Pathology Manager 678-843-7376 Phone 678-843-7831 Fax joyce.we...@emoryhealthcare.org www.saintjosephsatlanta.org 5665 Peachtree Dunwoody Road Atlanta, GA 30342 This e-mail, including any attachments is the property of Saint Joseph's Hospital and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Carol Torrence Sent: Thursday, June 14, 2012 2:37 PM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] Billing IHC on MOHS I have a question about billing IHC on MOHS. When I go through the coding rules..I can defend it either way... I think. Ha! If you are doing the same antibody on one site with 5 individual zones, taking 5 independently labeled slides and each zone requires evaluation before continuing surgery. Do you charge 88342 times 5 or just once. I understand it would be just once if this was a routine surgical specimen but this is a horse of a different color. For example. Even for frozen sections performed during surgery, additional margins can be charged as additional frozen sections. Thanks in advance! Carol M. Torrence, HT(ASCP)CM ctorre...@kmcpa.com ___ 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. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this message (including any attachments) is strictly prohibited. If you have received this message in error, please contact the sender by reply e-mail message and destroy all copies of the original message (including attachments). ___ 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] Billing question
Hey Joyce, My understanding has always been that if the pathologist specifically mentions the stain in the report, then it's OK to charge all the fees. However, if the pathologist chooses to leave any mention of the stain/immuno in the report, then you can't bill for it. So if the pathologist mentions a specific stain was done, but that the findings were negative, you can still charge. In the case of an exhausted tumor, I think the ultimate discretion comes to whether or not the pathologist chooses to mention it in the report. That's just from my experience, but I would love to hear how others are handling instances such as these, too! Drew On Thu, Jan 6, 2011 at 12:22, Weems, Joyce jwe...@sjha.org wrote: When you have performed a special stain or immuno that does not help the pathologist (tumor exhausted, etc) do you still charge for the technical component and the pathologist credits the professional fee? Just curious.. Happy New Year, Everyone! Thanks! j Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ 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] Billing question
We've been repeatedly told by Compliance that if a pathologist (or a clinician) orders a test, the test result must be included in the report and the test must be billed for; even if the result is non-contributory. Ronnie Houston Anatomic Pathology Manager Nationwide Children's Hospital Columbus OH 43205 (614) 722 5450 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Drew Meyer Sent: Thursday, January 06, 2011 12:40 PM To: Weems, Joyce Cc: Histonet@lists.utsouthwestern.edu Subject: Re: [Histonet] Billing question Hey Joyce, My understanding has always been that if the pathologist specifically mentions the stain in the report, then it's OK to charge all the fees. However, if the pathologist chooses to leave any mention of the stain/immuno in the report, then you can't bill for it. So if the pathologist mentions a specific stain was done, but that the findings were negative, you can still charge. In the case of an exhausted tumor, I think the ultimate discretion comes to whether or not the pathologist chooses to mention it in the report. That's just from my experience, but I would love to hear how others are handling instances such as these, too! Drew On Thu, Jan 6, 2011 at 12:22, Weems, Joyce jwe...@sjha.org wrote: When you have performed a special stain or immuno that does not help the pathologist (tumor exhausted, etc) do you still charge for the technical component and the pathologist credits the professional fee? Just curious.. Happy New Year, Everyone! Thanks! j Joyce Weems Pathology Manager Saint Joseph's Hospital 5665 Peachtree Dunwoody Rd NE Atlanta, GA 30342 678-843-7376 - Phone 678-843-7831 - Fax Confidentiality Notice: This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s). It may contain information that is privileged and confidential. Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email. ___ 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 - Confidentiality Notice: The following mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. The recipient is responsible to maintain the confidentiality of this information and to use the information only for authorized purposes. If you are not the intended recipient (or authorized to receive information for the intended recipient), you are hereby notified that any review, use, disclosure, distribution, copying, printing, or action taken in reliance on the contents of this e-mail is strictly prohibited. If you have received this communication in error, please notify us immediately by reply e-mail and destroy all copies of the original message. Thank you. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] billing for breast cases
My understanding is: Inked margins (on any specimen type) are 88307. Doesn't specify who inks the margin. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net Hutton, Allison ahut...@dh.org Sent by: histonet-boun...@lists.utsouthwestern.edu 12/29/2010 12:35 PM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] billing for breast cases A debate has arisen and I am looking to histonet for a more definitive answer. We have a breast surgeon who, after he removes the lumpectomy specimen, always goes back and removes more tissue around the margins of the lumpectomy. Our question is how should these additional margins be charged. Currently we charge an 88305 for each of the additional margins (there are no sutures indicating any orientation, however, one can determine the old and new margins). Is 88305 the correct charge in this situation or should they be higher at an 88307? Thank you in advance, Allison ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
RE: [Histonet] BILLING QUESTION
We have a contract with the hospitals, this comes from our billing manger. We bill the hospitals, then they bill the patient. Cindy Pyse, CLT, HT (ASCP) Histology Supervisor X-Cell Laboratories e-mail cp...@x-celllab.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sara Baldwin/mhhcc.org Sent: Friday, July 02, 2010 11:59 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] BILLING QUESTION Histonetters: If you do some work for another hospital (Histology) can you bill the hospital or do you have to bill the patient directly? Is there a statute or Regulation out there about this? Thanks Pathology Supervisor Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-482-0210, 482-0216, Fax 812-482-0232, Pager 812-481-0897 Confidential information, Authorized use only. ___ 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] BILLING QUESTION
You can contract for services to another lab or hospital and depending upon the terms of the contract, you may be able to bill the patient. For example, you send all of your HER2's and ER/PR to another lab to be stained and quantified into a score. You may contract with the other lab for them to charge you a flat fee for the service and you will bill the patient for 88361x3. The other side is that you can contract for the other hospital to do the test, bill the patient and your hospital pays no fee but misses out on some of the compensation. Steve -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Cynthia Pyse Sent: Friday, July 02, 2010 1:52 PM To: 'Sara Baldwin/mhhcc.org'; histonet@lists.utsouthwestern.edu Subject: RE: [Histonet] BILLING QUESTION We have a contract with the hospitals, this comes from our billing manger. We bill the hospitals, then they bill the patient. Cindy Pyse, CLT, HT (ASCP) Histology Supervisor X-Cell Laboratories e-mail cp...@x-celllab.com -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Sara Baldwin/mhhcc.org Sent: Friday, July 02, 2010 11:59 AM To: histonet@lists.utsouthwestern.edu Subject: [Histonet] BILLING QUESTION Histonetters: If you do some work for another hospital (Histology) can you bill the hospital or do you have to bill the patient directly? Is there a statute or Regulation out there about this? Thanks Pathology Supervisor Kathy Baldwin, SCT (ASCP) Memorial Hospital and Health Care Center sbald...@mhhcc.org Ph 812-482-0210, 482-0216, Fax 812-482-0232, Pager 812-481-0897 Confidential information, Authorized use only. ___ 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] Billing for Prostate Biopsies
Each separately submitted jar with a specified location is coded as 88305, regardless of the number of cores in the jar. An exception is for saturation biopsies (ultrasound guided template needle biopsies) that are coded using 4 specific G codes, depending on total number of cores. Lester J. Raff, MD Medical Director UroPartners Laboratory 2225 Enterprise Dr. Suite 2511 Westchester, Il 60154 Tel 708.486.0076 Fax 708.486.0080 -Original Message- From: histonet-boun...@lists.utsouthwestern.edu [mailto:histonet-boun...@lists.utsouthwestern.edu] On Behalf Of Parker, Helayne Sent: Thursday, April 29, 2010 3:06 PM To: 'histonet@lists.utsouthwestern.edu' Subject: [Histonet] Billing for Prostate Biopsies Can anyone tell me what/how prst bx are billed ?? Helayne Parker, HT (A.S.C.P.) ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet __ Information from ESET NOD32 Antivirus, version of virus signature database 5073 (20100429) __ The message was checked by ESET NOD32 Antivirus. http://www.eset.com __ Information from ESET NOD32 Antivirus, version of virus signature database 5073 (20100429) __ The message was checked by ESET NOD32 Antivirus. http://www.eset.com ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing for HE stains
I've never done a HE on cytology just a Pap stain and Diff Quik. The stain charge, however is determined by the preparation technique (a smear or cytospin concentration preparation). The cytospin prep (Non Gyn) is 88108: the smear (NonGyn) is 88104. Debbie M. Boyd, HT(ASCP) l Chief Histologist l Southside Regional Medical Center I 200 Medical Park Boulevard l Petersburg, Va. 23805 l T: 804-765-5050 l F: 804-765-5582 l dkb...@chs.net awe...@shorememorial.org Sent by: histonet-boun...@lists.utsouthwestern.edu 03/02/2010 10:45 AM To histonet@lists.utsouthwestern.edu cc Subject [Histonet] Billing for HE stains Good Morning Anyone out there doing HE on cytology slides? Currently I am trying to do HE stains on our FNA's, is there a separate charge for billing the HE per slide? Andrea J Weiss BST CT (ASCP) Cytotechnologist 609 653 3577 Ext 4907 awe...@shorememorial.org This transmittal from Shore Memorial Health System is for the sole use of the intended recipient and may contain confidential and privileged information. Any unauthorized review or use, including disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender and destroy all copies of the transmittal. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet -- Disclaimer: This electronic message may contain information that is Proprietary, Confidential, or legally privileged or protected. It is intended only for the use of the individual(s) and entity named in the message. If you are not an intended recipient of this message, please notify the sender immediately and delete the material from your computer. Do not deliver, distribute or copy this message and do not disclose its contents or take any action in reliance on the information it contains. ___ Histonet mailing list Histonet@lists.utsouthwestern.edu http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Re: [Histonet] Billing question
It is my understand that , Yes you can bill as long as the ASR disclaimer is on the report and you heave validation of such antibodies that do did not have FDA approvals yet Michael LaFriniere On 12/9/2008 at 12:53:16 PM, Rene J Buesa [EMAIL PROTECTED] wrote: As your pathologists first because even when we charged for IHC to the patients, there was always a disclaimer saying that the Ab was for research, in spite of which, the charges were done (they are essentially for the pathologist interpretation).Hope this will help you. René J. --- On Tue, 12/9/08, KELLY BOYD [EMAIL PROTECTED] wrote: From: KELLY BOYD [EMAIL PROTECTED] Subject: [Histonet] Billing question To: histonet Histonet@lists.utsouthwestern.edu Date: Tuesday, December 9, 2008, 12:15 PM Hi all! Question for those familiar with all the billing regulations: If you use an antibody that is for RUO (research use only) or ASR (analyte specific reagent), can you bill the patient for these immunos? Kelly D. Boyd, BS, HTL (ASCP) Lab Manager Harris Histology Services 2025 Eastgate Dr. Ste. F Greenville, NC 27858 www.harrishisto.com Tele (252)-830-6866 Cell (252)-943-9527 Fax (252)-830-0032 ___ 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] Billing question
As your pathologists first because even when we charged for IHC to the patients, there was always a disclaimer saying that the Ab was for research, in spite of which, the charges were done (they are essentially for the pathologist interpretation).Hope this will help you. René J. --- On Tue, 12/9/08, KELLY BOYD [EMAIL PROTECTED] wrote: From: KELLY BOYD [EMAIL PROTECTED] Subject: [Histonet] Billing question To: histonet Histonet@lists.utsouthwestern.edu Date: Tuesday, December 9, 2008, 12:15 PM Hi all! Question for those familiar with all the billing regulations: If you use an antibody that is for RUO (research use only) or ASR (analyte specific reagent), can you bill the patient for these immunos? Kelly D. Boyd, BS, HTL (ASCP) Lab Manager Harris Histology Services 2025 Eastgate Dr. Ste. F Greenville, NC 27858 www.harrishisto.com Tele (252)-830-6866 Cell (252)-943-9527 Fax (252)-830-0032 ___ 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