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

[Weems, Joyce]

Which is why everyone is trying to scramble the gray areas to make it
work for them, including urologists who are taking money away from the
pathologists. We all need to work to correct this process before it gets
totally out of hand. For some reason beyond me, our politicians cannot
understand this. We need to bombard them to make changes. The ruling
regarding pod labs is on hold.  My two cents...j

Joyce Weems
Pathology Manager
Saint Joseph's Hospital 
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
Please note new phone and fax numbers
678-843-7376 - Phone
678-843-7831 - Fax





-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu
[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Mark
Tarango
Sent: Thursday, October 23, 2008 11:34 AM
To: Cheryl
Cc: histonet <@t> lists.utsouthwestern.edu
Subject: Re: Technical vs. Professional Re: [Histonet] 88305 pod lab
question

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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