[Histonet] RE: NCCI policy update--requested link

Thu Jan 26 11:55:26 CST 2012

Also, is the billing (or lack of) the same if you stain with a cocktail as opposed to a double stain?

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Thursday, January 26, 2012 11:16 AM
To: Hannen, Valerie; histonet <@t> lists.utsouthwestern.edu
Subject: RE: [Histonet] RE: NCCI policy update--requested link

This is how I understand it. 

You can bill for multiple different antibodies on the same specimen, but not for multiple blocks of the same ab on the same specimen. 

e.g. 
Sentinel nodes on melanoma case...
Blocks, A1 A2, A3 - Melan A, HMB45, S100  - 3 88342s (intead of the 9 that we could have charged last year) Blocks B1, B2, B3 - Melan A, HMB45, S100  - 3 88342s (intead of the 9 that we could have charged last year) Blocks C1, C2, C3 - Melan A, HMB45, S100  - 3 88342s (intead of the 9 that we could have charged last year)

Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
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 Hannen, Valerie
Sent: Thursday, January 26, 2012 11:08
To: histonet <@t> lists.utsouthwestern.edu
Subject: FW: [Histonet] RE: NCCI policy update--requested link

Sorry for my redundancy in sending this message....I could not seem to get my act together in sending it in properly. : )

Valerie
-----Original Message-----
From: Hannen, Valerie
Sent: Wednesday, January 25, 2012 9:37 AM
To: 'histonet <@t> list.utsouthwestern.edu'
Subject: RE: [Histonet] RE: NCCI policy update--requested link

-----Original Message-----
From: Hannen, Valerie
Sent: Tuesday, January 24, 2012 12:05 PM
To: 'Lester Raff MD'
Subject: RE: [Histonet] RE: NCCI policy update--requested link

 Ok folks...sorry for revisting this issue...but I must. We are contemplating revamping our immuno stains, we have gotten a proposal from a new vendor, and I have been put to the task of figuring out if this proposal  is going to be feasible.

I understand that we are only allow to bill per specimen "part" not per  block for the immunos, I am a little cloudy on one  issue, however.

 Are we allowed to bill for multiple antibodies on the same specimen part or not?

     Does this guideline mean that the hospital will only get paid for 1 immuno antibody technical charge even if we do multiple antibodies on that one specimen?

Thanks for any and all imput!!

Valerie A. Hannen, MLT(ASCP),HTL,SU(FL)
Histology Section Chief
Parrish Medical Center
951 N. Washington Ave.
Titusville, Florida 32976
Phone:(321) 268-6333 ext. 7506
Fax: (321) 268-6149

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Lester Raff MD
Sent: Saturday, December 31, 2011 5:14 PM
To: histonet <@t> lists.utsouthwestern.edu
Subject: FW: [Histonet] RE: NCCI policy update--requested link

-----Original Message-----
From: Lester Raff MD
Sent: Sat 12/31/2011 4:10 PM
To: joelle weaver ; Rathborne Toni ; JEllin <@t> yumaregional.org ; histotech <@t> imagesbyhopper.com
Cc: histonet <@t> lists.utsouthwestern.edu ; Dorothy.L.Webb <@t> HealthPartners.Com
Subject: RE: [Histonet] RE: NCCI policy update

Here is the link:

https://www.cms.gov/NationalCorrectCodInitEd/

This will take you to a folder of zipped documents, one of which is the lab coding rules.

Yes this link would be great to share.
Thanks
Sent from my Verizon Wireless BlackBerry

-----Original Message-----
From: Rathborne  Toni <trathborne <@t> somerset-healthcare.com>
Date: Sat, 31 Dec 2011 17:21:28
To: <LRaff <@t> uropartners.com>; <JEllin <@t> yumaregional.org>; <histotech <@t> imagesbyhopper.com>
Cc: <histonet <@t> lists.utsouthwestern.edu>; <Dorothy.L.Webb <@t> HealthPartners.Com>
Subject: RE: [Histonet] RE: NCCI policy update

Do you have the link to this new guideline? The site can be difficult to navigate.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Lester Raff MD
Sent: Saturday, December 31, 2011 10:57 AM
To: Jesus Ellin; histotech <@t> imagesbyhopper.com
Cc: histonet <@t> lists.utsouthwestern.edu; Webb, Dorothy L
Subject: RE: [Histonet] RE: NCCI policy update

Below is the quote from the new NCCI guidelines that deal with this issue.  I am amazed that CAP and ASCP, have not been 1) notifying members and 2) disputing this change.

"The unit of service for immunohistochemistry (CPT codes 88342, 88360, 88361) is each antibody(s) stain (procedure) per specimen. If a single immunohistochemical stain (procedure) for one or more antibodies is performed on multiple blocks from a surgical specimen, multiple slides from a cytologic specimen, or multiple slides from a hematologic specimen, only one unit of service may be reported for each separate specimen. Physicians should not report more than one unit of service per specimen for an immunohistochemical antibody(s) stain (procedure) even if it contains multiple separately interpretable antibodies"

Lester J. Raff, MD
Laboratory Medical Director
UroPartners Laboratory
2225 Enterprise Dr Suite 2511
Westchester, IL 60154
Phone: 708.486.0076
Fax:  708.492.0203

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu on behalf of Jesus Ellin
Sent: Fri 12/30/2011 4:18 PM
To: histotech <@t> imagesbyhopper.com
Cc: histonet <@t> lists.utsouthwestern.edu; Webb, Dorothy L
Subject: Re: [Histonet] RE: NCCI policy update

Don't you think we havea hand in this reporting out this CPT code so much,, I would expect this to be bundled here soon in a DRG for pathology services,, that's where it is headed.

Sent from my iPad

On Dec 30, 2011, at 2:22 PM, "histotech <@t> imagesbyhopper.com" <histotech <@t> imagesbyhopper.com> wrote:

> Wow.  What made them change their minds?  There are many times when we 
> stain different blocks of a single specimen and only one lights up.
> 
> I, too, would be interested in an official document stating the change.
> 
> Thanks!
> Michelle
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Amber 
> McKenzie
> Sent: Friday, December 30, 2011 3:07 PM
> To: Martha Ward-Pathology; Webb, Dorothy L; 
> 'histonet <@t> lists.utsouthwestern.edu'
> Subject: [Histonet] RE: NCCI policy update
> 
> Where can I get the article to show my billing dept/pathologists?
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Martha 
> Ward-Pathology
> Sent: Friday, December 30, 2011 1:13 PM
> To: Webb, Dorothy L; 'histonet <@t> lists.utsouthwestern.edu'
> Subject: [Histonet] RE: NCCI policy update
> 
> Oh yes, we are very aware and quite upset at the change!
> 
> 
> Martha Ward, MT (ASCP) QIHC
> Manager, Molecular Diagnostics Lab
> Dept. of Pathology
> Wake Forest University Baptist Medical Center Winston-Salem, NC 27157
> 336-716-2104
> 
> 
> 
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu
> [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Webb, 
> Dorothy L
> Sent: Friday, December 30, 2011 1:33 PM
> To: 'histonet <@t> lists.utsouthwestern.edu'
> Subject: [Histonet] NCCI policy update
> 
> Is everyone aware that beginning 1/1/12, we can no longer bill for 
> each block regarding IHC billing, only one unit of billing for each 
> part type no matter how many blocks are stained?  Also IHC "cocktail"
> stains, such as
> PIN4 must now be billed as one unit even though multiple antibodies 
> are reported out.
> 
> Kind of a surprising reversal of the policy set in motion 10/1/2009.
> SPECIMEN becomes the unit of service rather than block(s) for IHC 
> codes 88342, 88360, and 88361.
> 
> Happy New Year to everyone out there.  May 2012 find you happiness and 
> health!
> 
> Dorothy Webb, HT
> Regions Histology TS
> 651-254-2962
> 
> 
> 
>  ________________________________
> This e-mail and any files transmitted with it are confidential and are 
>intended solely for the use of the individual or entity to whom they 
>are addressed. If you are not the intended recipient or the individual 
>responsible for delivering the e-mail to the intended recipient, please 
>be advised that you have received this e-mail in error and that any 
>use, dissemination, forwarding, printing, or copying of this e-mail is 
>strictly prohibited.
> 
> If you have received this e-mail in error, please immediately notify 
> the HealthPartners Support Center by telephone at (952) 967-6600. You 
> will be reimbursed for reasonable costs incurred in notifying us.
> HealthPartners
> R001.0 _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> 
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> 
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet
> 
> 
> 
> -----
> No virus found in this message.
> Checked by AVG - www.avg.com <http://www.avg.com>
> Version: 2012.0.1901 / Virus Database: 2109/4712 - Release Date: 
> 12/30/11
> 
> 
> 
> _______________________________________________
> Histonet mailing list
> Histonet <@t> lists.utsouthwestern.edu
> http://lists.utsouthwestern.edu/mailman/listinfo/histonet

______________________________________________________________________
This message is confidential, intended only for the named
recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law.  If you are not the intended recipient(s), you are notified that the dissemination, distribution, or copying of this message is strictly prohibited.  If you receive this message in error, or are not the named recipient(s), please notify the sender at either the e-mail, fax, address, or telephone number listed above and delete this e-mail from your computer. 
Thank You.
______________________________________________________________________

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

CONFIDENTIALITY NOTICE
This message and any included attachments are from Somerset Medical Center and are intended only for the addressee.  The information contained in this message is confidential and may contain privileged, confidential, proprietary and/or trade secret information entitled to protection and/or exemption from disclosure under applicable law.  Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful.  If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Somerset Medical Center's computer Help Desk at 908-685-2200, ext. 4050.

Be sure to visit Somerset Medical Center's Web site - www.somersetmedicalcenter.com <http://www.somersetmedicalcenter.com>  - for the most up-to-date news, event listings, health information and more.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

**************************************************************
"This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately delete this message. Thank you"
**************************************************************

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Confidentiality Notice:
This e-mail, including any attachments is the property of Catholic Health East and is intended for the sole use of the intended recipient(s).  
It may contain information that is privileged and confidential.  Any unauthorized review, use, disclosure, or distribution is prohibited. If you are not the intended recipient, please delete this message, and reply to the sender regarding the error in a separate email.

_______________________________________________
Histonet mailing list
Histonet <@t> lists.utsouthwestern.edu
http://lists.utsouthwestern.edu/mailman/listinfo/histonet

CONFIDENTIALITY NOTICE
This message and any included attachments are from Somerset Medical Center
and are intended only for the addressee.  The information contained in this
message is confidential and may contain privileged, confidential,
proprietary and/or trade secret information entitled to protection and/or
exemption from disclosure under applicable law.  Unauthorized forwarding,
printing, copying, distribution, or use of such information is strictly
prohibited and may be unlawful.  If you are not the addressee, please
promptly delete this message and notify the sender of the delivery error
by e-mail or you may call Somerset Medical Center's computer Help Desk
at 908-685-2200, ext. 4050.

Be sure to visit Somerset Medical Center's Web site - 
www.somersetmedicalcenter.com - for the most up-to-date news, 
event listings, health information and more.