[Histonet] RE: H Pylori IHC

[Rathborne, Toni]

You might be able to get around this by doing the IHC on all of these as requested, but only charging for those which are indicated as being medically necessary. This could benefit your TAT, if that's the reason the pathologist wants these done routinely. The pathologist would also have to agree not to bill for the PC of this test in these cases also. You might want to do a retrospective study and determine if this was done what the financial impact would have been.
Good luck.

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Wanda.Smith <@t> HCAhealthcare.com
Sent: Monday, October 13, 2014 2:49 PM
To: sbaldwin <@t> mhhcc.org; histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] RE: H Pylori IHC

Kathy,
My understanding is CMS (Medicare) has ruled that h.Pylori stains cannot be a standing order.  The Pathologist must look at the H&E's first and deem the stain is needed based on the inflammation.


WANDA G. SMITH, HTL(ASCP)HT 
Pathology Supervisor 
TRIDENT MEDICAL CENTER 
9330 Medical Plaza Drive 
Charleston, SC  29406 
843-847-4586 
843-847-4296 fax 

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-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Baldwin, Kathy
Sent: Monday, October 13, 2014 2:36 PM
To: 'histonet <@t> lists.utsouthwestern.edu'
Subject: [Histonet] FW: H Pylori IHC



Hi all
My pathologist would like our techs to do H pylori IHC stains on all stomach, GE Junction and esophagus BX's.  What I was wondering, if there were any indication in Regulations or anything that we couldn't do this?  Any advice would be greatly appreciated :)

S Kathy Baldwin
Histology/Cytology Supervisor
PH. 812-996-0210, Fax 812-996-0232
sbaldwin <@t> mhhcc.org<mailto:sbaldwin <@t> mhhcc.org>    :)

"Christ's healing mission of compassion empowers us to be for others through Quality and Excellence"
Vision Statement:  We are committed to being the preferred health and wellness provider; transforming lives through faith based, compassionate care.


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