Technical vs. Professional Re: [Histonet] 88305 pod lab question

[Mark Tarango]

Hi Cheryl,

I looked up 88305-TC and it looks like they pay around $60 for this code.
88305-26(professional component) only pays around $40 depending on
locality.  They pay more to make the slide than read it.

Mark

On 10/23/08, Cheryl <tkngflght <@t> yahoo.com> wrote:

> Can anyone clear this up with certainty?  We aren't billing MC/MD so Marla
> may be totally correct on this.  I read the full code book as published last
> year and didn't come away with quite this same distinction and I would
> really like to know!
>
> Cheryl
>
> Full Staff Inc.
> Staffing Healthcare Professionals - One GREAT fit at a time.
> 281.913.7285
> 800.756.3308
>
>
> --- On Thu, 10/23/08, Marla Thomas <mthomas <@t> littonlab.com> wrote:
>
> From: Marla Thomas <mthomas <@t> littonlab.com>
> Subject: RE: Technical vs. Professional Re: [Histonet] 88305 pod lab
> question
> To: "'Cheryl'" <tkngflght <@t> yahoo.com>, marktarango <@t> gmail.com,
> Histonet <@t> lists.utsouthwestern.edu, godsgalnow <@t> aol.com
> Date: Thursday, October 23, 2008, 6:57 AM
>
> If I am not mistaken, for MD/MC it is the unit performing the technical who
> can bill for the global component.  If you only do the professional
> component you cannot bill for the technical.  That is why with most POD
> Labs
> they must provide the technical themselves in order to bill globally.
>
> Many of the commercial insurance companies do allow anyone to bill globally
> whether they do the technical or not.  In those instances they can
> "purchase" the "technical" work to be done somewhere else.
>
> If I am remembering right...
>
> Marla Thomas, HT(ASCP)
>
> Litton Pathology Associates, PC
>
> 700 NW Hunter Dr.
>
> Blue Springs, MO 64015
>
> Phone: 816-229-6449 Fax:816-874-4400
>
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Cheryl
> Sent: Thursday, October 23, 2008 8:34 AM
> To: marktarango <@t> gmail.com; Histonet <@t> lists.utsouthwestern.edu;
> godsgalnow <@t> aol.com
> Subject: Technical vs. Professional Re: [Histonet] 88305 pod lab question
>
> Hi Mark--
>
> The technical and professional on this code are generally bundled.  For
> most
> insurances as well as M/M it can't be split it to be reimbursed (and it
> HAS
> to be billed by the party performing the professional is my understanding
> after just working on this issue a few months ago), Thus the code can be
> charged by the path if he or she is subcontracting the technical.  The
> technical portion is something ridiculously small, like $12/code.  Chances
> are the Pathologist is paying more than this for the tech service.
>
> This is done with frozens all the time where the pathologist is working
> for one company  (Path group is independent non-employee entity of a
> facility) and the tech who supports them work for the hospital and with
> surgical stuff where the pathology group is a contractor for the hospital
> that employs the tech...
>
> Same animal, different zoo.
>
> Cheryl
>
> Full Staff Inc.
> Staffing Healthcare Professionals - One GREAT fit at a time.
> 281.913.7285
> 800.756.3308
>
>
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