[Histonet] Billing 88342

[Helen Fedor]

That is so true.!

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Paula Pierce
Sent: Tuesday, July 03, 2012 1:36 PM
To: Jay Lundgren; Victor A. Tobias
Cc: HISTONET
Subject: Re: [Histonet] Billing 88342

Where is the like button?


Thumbs up!

 
Paula K. Pierce, HTL(ASCP)HT
President
Excalibur Pathology, Inc.
8901 S. Santa Fe, Suite G
Oklahoma City, OK 73139
405-759-3953 Lab
405-759-7513 Fax
www.excaliburpathology.com


________________________________
 From: Jay Lundgren <jaylundgren <@t> gmail.com>
To: Victor A. Tobias <vtobias <@t> uw.edu>
Cc: HISTONET <histonet <@t> lists.utsouthwestern.edu>
Sent: Tuesday, July 3, 2012 12:05 PM
Subject: Re: [Histonet] Billing 88342
 
     I am neither a lawyer nor a health care administrator, but, in my experience, the Pathologist picks the (hopefully) most diagnostic blocks from the multiblock cases and submits them for IHC.  If you do the requested IHC on, say, 4 blocks out of 30, you charge x4 for the technical fee.  After all, you are using 4 times the supplies (buffer, antibody, etc.).
     Before you hit the cash paying patient with a bill, their primary care provider should warn them what it's going to cost.
     I have seen a good Pathologist only select one block for IHC when the clinician previously informed him that the patient had no insurance and was paying out of pocket.
     I think it's interesting that people control *their own* health care costs when no insurance company or the government is involved.

                                           Sincerely,

                                                 Jay A. Lundgren, M.S., HTL
(ASCP)

On Tue, Jul 3, 2012 at 11:43 AM, Victor A. Tobias <vtobias <@t> uw.edu> wrote:

> Looking for other opinions from those who do consult/referral work.
>
> If a client sends in a request for a single antibody done on multiple 
> blocks on a single specimen, do you bill the client for each tech 
> component ? The client will do the interpretation.
>
> What happens in the above scenario if the request is to bill the patient?
> Knowing you get reimbursed for one, do you eat the other charges are 
> make the client select the one block?
>
> We have run numbers on potential lost revenue and the number is 
> significant.
>
> Victor
>
>
> Victor Tobias HT(ASCP)
> Clinical Applications Analyst
> Harborview Medical Center
> Dept of Pathology Room NJB244
> Seattle, WA 98104
> vtobias <@t> u.washington.edu<mailto:vtobias <@t> u.washington.edu>
> 206-744-2735
> 206-744-8240 Fax
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