[Histonet] DiffQuik Question again

MARY T HODGES hodges420 <@t> msn.com
Thu Nov 11 06:29:05 CST 2004


Good morning all, Over the past 7 years, I have seen drs in three states do QS on gastric and liver specials on biospys( only on Hep C or elts for livers). If it not necessary credit to patient account was done before bill and case was signed out. It all had to do with turnaround time for cases.
Tere Hodges St Mary's Hospital
Tucson, Az
  ----- Original Message ----- 
  From: Marshall Terry Dr,Consultant Histopathologist<mailto:Terry.Marshall <@t> rothgen.nhs.uk> 
  To: Horn, Hazel V<mailto:HornHV <@t> archildrens.org> ; Richard Cartun<mailto:Rcartun <@t> harthosp.org> ; juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org> ; histonet <@t> lists.utsouthwestern.edu<mailto:histonet <@t> lists.utsouthwestern.edu> ; PatPatterson <@t> mhd.com<mailto:PatPatterson <@t> mhd.com> ; JWEEMS <@t> sjha.org<mailto:JWEEMS <@t> sjha.org> 
  Sent: Wednesday, November 10, 2004 7:30 AM
  Subject: RE: [Histonet] DiffQuik Question again


  Really?
  You don't do specials on kidney or liver until the H&E is examined?

  Dr Terry L Marshall, B.A.(Law), M.B.,Ch.B.,F.R.C.Path
   Consultant Pathologist
   Rotherham General Hospital
   South Yorkshire
   England
          terry.marshall <@t> rothgen.nhs.uk<mailto:terry.marshall <@t> rothgen.nhs.uk>

  -----Original Message-----
  From: Horn, Hazel V [mailto:HornHV <@t> archildrens.org]
  Sent: 10 November 2004 15:11
  To: Richard Cartun; juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org>;
  histonet <@t> lists.utsouthwestern.edu<mailto:histonet <@t> lists.utsouthwestern.edu>; PatPatterson <@t> mhd.com<mailto:PatPatterson <@t> mhd.com>; JWEEMS <@t> sjha.org<mailto:JWEEMS <@t> sjha.org>
  Subject: RE: [Histonet] DiffQuik Question again


  There has to be a medical indication for ordering any tests.    You
  can't just do a stain because it is a gastric biopsy.    Our hospital
  does not allow that.    We wait on all stains until the pathologist has
  looked at the H&E.    

  Hazel Horn, HT/HTL (ASCP)
  Histology Supervisor
  Arkansas Children's Hospital

  Phone - 501.364.4240
  Fax - 501.364.3912 

  -----Original Message-----
  From: histonet-bounces <@t> lists.utsouthwestern.edu<mailto:histonet-bounces <@t> lists.utsouthwestern.edu>
  [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Richard
  Cartun
  Sent: Tuesday, November 09, 2004 3:52 PM
  To: juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org>;
  histonet <@t> lists.utsouthwestern.edu<mailto:histonet <@t> lists.utsouthwestern.edu>; PatPatterson <@t> mhd.com<mailto:PatPatterson <@t> mhd.com>; JWEEMS <@t> sjha.org<mailto:JWEEMS <@t> sjha.org>
  Subject: RE: [Histonet] DiffQuik Question again


  Some pathologists would argue that if inflammation is not present, there
  is no reason to look for H. pylori.  Also, third party payors may
  question the policy of doing a histochemical stain for bugs without
  first examining the H&E-stained slide.

  Richard

  Richard W. Cartun, Ph.D.
  Director, Immunopathology & Histology
  Assistant Director, Anatomic Pathology
  Hartford Hospital
  80 Seymour Street
  Hartford, CT  06102
  (860) 545-1596
  (860) 545-0174 Fax

  >>> "GUTIERREZ, JUAN" <juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org>> 11/09/04
  02:56PM >>>
  Who determines when it's not necessary?  If a stain is negative it does
  not necessarily mean it was not warranted.  The stain is done to figure
  out if the bugs are there or not.  The clinician needs to know either
  way.  Because even if it's a tumor, did the bugs have a role in the
  process?  

  Juan C. Gutierrez, HT(ASCP)
  Histology Laboratory Supervisor
  (210)704-2533

  My opinions are my own and do not reflect those of my employer.  Long
  live free speech!


  -----Original Message-----
  From: Weems, Joyce [mailto:JWEEMS <@t> sjha.org] 
  Sent: Tuesday, November 09, 2004 1:38 PM
  To: Richard Cartun; GUTIERREZ, JUAN; histonet <@t> lists.utsouthwestern.edu<mailto:histonet <@t> lists.utsouthwestern.edu>;
  PatPatterson <@t> mhd.com<mailto:PatPatterson <@t> mhd.com> 
  Subject: RE: [Histonet] DiffQuik Question again

  We do Genta on all gastric bxs and then if they are not necessary we
  credit the charge. 
  Joyce 

  -----Original Message-----
  From: histonet-bounces <@t> lists.utsouthwestern.edu<mailto:histonet-bounces <@t> lists.utsouthwestern.edu> 
  [mailto:histonet-bounces <@t> lists.utsouthwestern.edu]On Behalf Of Richard
  Cartun
  Sent: Tuesday, November 09, 2004 2:17 PM
  To: juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org>;
  histonet <@t> lists.utsouthwestern.edu<mailto:histonet <@t> lists.utsouthwestern.edu>; PatPatterson <@t> mhd.com<mailto:PatPatterson <@t> mhd.com> 
  Subject: RE: [Histonet] DiffQuik Question again


  Dear Juan:

  Do all these patients get billed for the Giemsa histochemical stain?

  Richard

  Richard W. Cartun, Ph.D.
  Director, Immunopathology & Histology
  Assistant Director, Anatomic Pathology
  Hartford Hospital
  80 Seymour Street
  Hartford, CT  06102
  (860) 545-1596
  (860) 545-0174 Fax

  >>> "GUTIERREZ, JUAN" <juan.gutierrez <@t> christushealth.org<mailto:juan.gutierrez <@t> christushealth.org>> 11/09/04
  01:29PM >>>
  We do a Giemsa on all gastric bx. And never get questioned.  The
  pathologist does not have to review the H&E before it's done.  We
  usually turn it in with the H&E.

  Juan C. Gutierrez, HT(ASCP)
  Histology Laboratory Supervisor
  (210)704-2533

  My opinions are my own and do not reflect those of my employer.  Long
  live free speech!


  -----Original Message-----
  From: Patterson, Pat [mailto:PatPatterson <@t> mhd.com] 
  Sent: Tuesday, November 09, 2004 10:01 AM
  To: 'histonet <@t> lists.utsouthwestern.edu'<mailto:'histonet <@t> lists.utsouthwesternedu'> 
  Subject: [Histonet] DiffQuik Question again


  Hi all -
  Thanks for response previously for request for DiffQuik stain protocols.

  I'm trying to get a sense from all about prodecure/policy -- do the
  clinical sites routinely perform a DiffQuik on all Gastric Bxs? Or do
  your Pathologists order after initial review of H&E?  And if done on all
  Bxs - have there been any questions from your Billing offices about
  necessity?

  Thanks for any information.

  Pat Patterson
  Methodist Dallas Medical Center

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