[Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends

Davide Costanzo pathlocums <@t> gmail.com
Tue Oct 30 14:40:09 CDT 2012

Because going from 2 parts (left and right only) to 6, and now to
12,18 or even 24 does not seem to have had any effect on quality of
care, nor changed outcomes much at all. Do you have any data to
demonstrate justification for a six-fold increase in pathology fees?
I'm curious. I was going to do my second masters thesis on
cost-benefit analysis of multipart prostate biopsies, when I was told
if I did I would lose my job.

Sent from my iPhone

On Oct 30, 2012, at 12:24 PM, "Joe W. Walker, Jr." <joewalker <@t> rrmc.org> wrote:

> Davide,
> I'm curious as to why you would characterize a 12 part prostate biopsy billing 88305x12 abuse?
> Joe W. Walker, Jr. MS, SCT(ASCP)CM
> Anatomical Pathology Manager
> Rutland Regional Medical Center
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> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Davide Costanzo
> Sent: Tuesday, October 30, 2012 2:56 PM
> To: Webster, Thomas S.
> Cc: histonet <@t> lists.utsouthwestern.edu
> Subject: Re: [Histonet] The Rise of Physician Owned/Operated Labs (POLs) and future trends
> We still bill 88305 x 12 on prostates. It is common to do that, despite the obvious abuse this represents.
> Sent from my iPhone
> On Oct 30, 2012, at 10:38 AM, "Webster, Thomas S." <twebster <@t> crh.org> wrote:
>> The technical component of the 88305 CPT code is about to get slashed next month by CMS. This will likely have an impact on the growth of in-office labs I am sure. Other codes are scheduled to be cut in 2014, including immunos and cytology 88112. It wont be nearly as profitable to have an in office lab. Plus Urologists aren't allowed to bill 88305x12 any longer. Some were putting cores in 12 different containers.
>> Just look for more client billing to replace the in office labs.
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