[Histonet] (no subject)

[Jessica.Vacca <@t> HCAhealthcare.com]

Ask for a recut of slides unstained to be sent for 2nd opinion to your lab or as a patient request unstained slides. I think the billing is the ultimate issue as well a chain of custody for specimens removed-When working at a hospital level the hospital labs have contracted and listed prices for certain reference labs. Usually the reference lab ends up billing the hospital for something that was not submitted from them and there is where the problem lies.  You can have the slides sent by you with a method of payment submitted for the consult fee or additional tests. Also the pathologist may have a contract that says specimen collected at the hospital is there's to read and at the time of surgery your dad may have signed something in regards to okaying that a separate bill from the pathology department may be expected should the insurance not cover it. Just a couple of thoughts


-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Cartun, Richard
Sent: Wednesday, September 11, 2013 11:14 AM
To: clay milks; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] (no subject)

Hospital "By-Laws" established by the Medical Staff and Administration may prevent tissue obtained within the hospital from going outside to another laboratory.

Richard

Richard W. Cartun, MS, PhD
Director, Histology & Immunopathology
Director, Biospecimen Collection Programs Assistant Director, Anatomic Pathology Hartford Hospital
80 Seymour Street
Hartford, CT  06102
(860) 545-1596 Office
(860) 545-2204 Fax
richard.cartun <@t> hhchealth.org

________________________________________
From: histonet-bounces <@t> lists.utsouthwestern.edu [histonet-bounces <@t> lists.utsouthwestern.edu] on behalf of clay milks [claymilks <@t> hotmail.com]
Sent: Thursday, September 12, 2013 8:38 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] (no subject)

I need a little help on a Patient's rights question.


It is my understanding that when a patient has a procedure, the patient has the right to request that those specimens be examined by a laboratory of their choosing.  i.e. EGD, colonoscopy, etc


I am in Arkansas.


My father had a procedure yesterday at a local hospital.  I manage a pathology laboratory that specializes in the type of tissue that the procedure procured.  When it was requested that the tissue be sent to my laboratory, the hospital staff refused to fulfill the request.  We asked multiple times for a release form so my father could take his tissue with him.  The administration employee we spoke to said there was no such thing and that patients were not allowed to take their specimens. One employee going so far as stating that if we wanted the tissue sent somewhere aside from their contracted laboratory, that the procedure would be canceled and my father would have to go somewhere else.   My father, not wanting to cause a fuss, let the issue go.


Questions:

Is it legal for a hospital to require that tissue specimens be sent to a lab they are contracted with?


Are there any other actions we could have taken to make our requests be honored?



This is not meant to insult the hospital, but to give an explanation of the situation for context in answering the questions.

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