[Histonet] Outside Lab

Wed Jan 7 13:21:21 CST 2009

As long as you have someone who is willing to read it!

	-----Original Message-----
	From: Histonet Alias [mailto:histonetalias <@t> gmail.com] 
	Sent: Wednesday, January 07, 2009 12:12 PM
	To: Paula Pierce
	Cc: Mike Pence; Histonet
	Subject: Re: [Histonet] Outside Lab

	Get used to this sort of thing. It is happening in urology and
derm practices. You can not blame them for keeping it in-house. They are
making a profit on it so why not do it yourself? 

	On Wed, Jan 7, 2009 at 12:11 PM, Paula Pierce
<contact <@t> excaliburpathology.com> wrote:

		The pathologists are probably going to the urology group
to read because CLIA certification is LOCATION specific. The urology
group may already have CLIA cert. and is splitting the interpretation
charges with the pathologist. By adding its own lab, they will be able
to capture both tech and interp charges.

		________________________________
		From: Mike Pence <mpence <@t> grhs.net>
		To: Bernice Frederick <b-frederick <@t> northwestern.edu>;
jstaruk <jstaruk <@t> masshistology.com>; "Senn, Amy R" <arsenn <@t> hsh.org>;
Histonet <@t> lists.utsouthwestern.edu
		Sent: Wednesday, January 7, 2009 10:50:49 AM

		Subject: RE: [Histonet] Outside Lab

		Why does the hospital pathologist go to the Urology to
read and sign out
		the cases?
		So if I am understanding this correctly, your hospital
is right now
		getting the tech part of the specimen for processing. Is
your
		pathologist part of the hospital or are they their own
group? The
		urology group will bill for their own tech part and make
money from that
		part of the service which they are not currently making
revenue from. I
		would assume that your pathologist are their own group
and they don't
		care who makes the tech part? 

		This is just business and you will have to make your
services and prices
		competitive enough to make it not profitable for the
urology group.

		Mike

		-----Original Message-----
		From: histonet-bounces <@t> lists.utsouthwestern.edu
		[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On
Behalf Of Bernice
		Frederick
		Sent: Wednesday, January 07, 2009 10:11 AM
		To: 'jstaruk'; 'Senn, Amy R';
Histonet <@t> lists.utsouthwestern.edu
		Subject: RE: [Histonet] Outside Lab

		Is the histo lab in the urology office CAP certified?
		Bernice

		Bernice Frederick HTL (ASCP)
		Northwestern University
		Pathology Core Facility
		ECOGPCO-RL
		710 N Fairbanks Court
		Olson 8-421
		Chicago,IL 60611
		312-503-3723

		-----Original Message-----
		From: histonet-bounces <@t> lists.utsouthwestern.edu
		[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On
Behalf Of jstaruk
		Sent: Wednesday, January 07, 2009 9:51 AM
		To: 'Senn, Amy R'; Histonet <@t> lists.utsouthwestern.edu
		Subject: RE: [Histonet] Outside Lab

		The first question on everybody's mind is "How much are
you charging
		them"?

		Jim

		_______________________
		James E. Staruk HT(ASCP)
		www.masshistology.com
		  www.nehorselabs.com

		-----Original Message-----
		From: histonet-bounces <@t> lists.utsouthwestern.edu
		[mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On
Behalf Of Senn,
		Amy R
		Sent: Wednesday, January 07, 2009 8:28 AM
		To: Histonet <@t> lists.utsouthwestern.edu
		Subject: [Histonet] Outside Lab

		Hi histonetters,

		Hope everyone is having a good week so far...

		Our hospital receives specimens from a Urology group on
a daily basis.
		Our PA grosses the specimens here; us histotechs work
our magic, and the
		hospital pathologists take the slides directly to the
Urology office to
		read them and sign them out.  If there are any special
stains needed, we
		do them here in the hospital.

		We are being told that the Urology group is now opening
its own
		histology lab because it's more cost effective.

		Unless it's too early in the morning for us all to
function, us
		histotechs can't figure out where they're saving money.
We are being
		told that the Urology office (or any outside dr's office
that has its
		own histo lab) can bill Medicare (or any insurance co.)
differently,
		thereby making more money for the practice itself.

		Does anyone have any input on this?  One of our
pathologists is telling
		the Urology group NOT to do this because Medicare may
change it's
		regulations again & need an 'established' lab to
complete the work,
		instead of an 'up & coming' laboratory, so he's also
against the Urology
		group setting up it's own lab.

		Thanks for everyone's 0.02.

		Have a great day!!!

		Amy Senn

		Histotech, Histology Laboratory

		Camp Hill, PA  17011

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	-- 
	Al Ias HT(ASCP)
	Histology Manager
	Pathology Laboratory
	United States