[Histonet] Billing question

[Houston, Ronald]

We've been repeatedly told by Compliance that if a pathologist (or a clinician) orders a test, the test result must be included in the report and the test must be billed for; even if the result is non-contributory.


Ronnie Houston
Anatomic Pathology Manager
Nationwide Children's Hospital
Columbus OH 43205
(614) 722 5450

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Drew Meyer
Sent: Thursday, January 06, 2011 12:40 PM
To: Weems, Joyce
Cc: Histonet <@t> lists.utsouthwestern.edu
Subject: Re: [Histonet] Billing question

Hey Joyce,

My understanding has always been that if the pathologist specifically
mentions the stain in the report, then it's OK to charge all the fees.
However, if the pathologist chooses to leave any mention of the stain/immuno
in the report, then you can't bill for it.  So if the pathologist mentions a
specific stain was done, but that the findings were negative, you can still
charge.  In the case of an exhausted tumor, I think the ultimate discretion
comes to whether or not the pathologist chooses to mention it in the
report.  That's just from my experience, but I would love to hear how others
are handling instances such as these, too!

Drew

On Thu, Jan 6, 2011 at 12:22, Weems, Joyce <JWeems <@t> sjha.org> wrote:

> When you have performed a special stain or immuno that does not help the
> pathologist (tumor exhausted, etc) do you still charge for the technical
> component and the pathologist credits the professional fee? Just curious..
>
> Happy New Year, Everyone!
>
> Thanks! j
>
>
> Joyce Weems
> Pathology Manager
> Saint Joseph's Hospital
> 5665 Peachtree Dunwoody Rd NE
> Atlanta, GA 30342
> 678-843-7376 - Phone
> 678-843-7831 - Fax
>
>
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