[Histonet] RE: G.I. biopsies and special stains

[Victoria Baker]

AKA - managed care.  Emphasis on managed.
On Jun 9, 2014 10:11 AM, "Mike Pence" <mpence <@t> grhs.net> wrote:

> You gotta love Obamacare! Where "Legal meets Medical".
>
> -----Original Message-----
> From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:
> histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Boyd, Debbie M
> Sent: Monday, June 09, 2014 9:05 AM
> To: Kathy.Machado <@t> LPNT.net; histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] RE: G.I. biopsies and special stains
>
> We have just discontinued this practice after Jane Pine Wood (renowned
> Healthcare Attorney and Medical Director for Palmetto Medicare Part B
> coving NC, SC, VA, and WV) stated "ordering special stains prior to review
> of the H&E stain is not reasonable and necessary".   According to the
> pathologist billing company ,there is in an article they have privy to with
> wording which threatens "additional action" taken for providers whose
> ordering of special stains exceeds the 20th percentile of Gastric Pathology
> cases.  For this reason we are now retro ordering special stains on gastric
> biopsies.  We are also looking at IHC necessity.
>
> Debbie M. Boyd HT (ASCP) l Chief Histologist  l Southside Regional Medical
> Center l  200 Medical Park Blvd.  l  Petersburg, Va.  23805 l  PH
> 804-765-5050 l  FAX 804-765-8852
>
> ________________________________________
> From: histonet-bounces <@t> lists.utsouthwestern.edu [
> histonet-bounces <@t> lists.utsouthwestern.edu] on behalf of
> Kathy.Machado <@t> LPNT.net [Kathy.Machado <@t> LPNT.net]
> Sent: Monday, June 09, 2014 9:14 AM
> To: histonet <@t> lists.utsouthwestern.edu
> Subject: [Histonet] G.I. biopsies and special stains
>
> I was wondering if other labs are "automatically" ordering special stains
> and/or IHC on stomach biopsies and esophageal biopsies?  Or do you wait
> until H&E is screened?  Thanks!
>
> Danville Regional Medical Center
> Danville, VA
> Kathy.Machado <@t> lpnt.net<mailto:Kathy.Machado <@t> lpnt.net>
> 434-799-3868
>
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