RE: [Histonet] Billing for Pin 4 Cocktail

2013-03-19 Thread Kuhnla, Melissa
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

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RE: [Histonet] Billing for Pin 4 Cocktail

2013-03-19 Thread Vanessa Perez
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

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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.

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RE: [Histonet] Billing for Pin 4 Cocktail

2013-03-18 Thread Bitting, Angela K.
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

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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.

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RE: [Histonet] Billing for Pin 4 Cocktail

2013-03-18 Thread Roger Heyna
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

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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.

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Re: [Histonet] Billing for Pin 4 Cocktail

2013-03-15 Thread Roger Heyna
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

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RE: [Histonet] Billing for Pin 4 Cocktail

2013-03-15 Thread Vanessa Perez

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

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