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
