Because like so many other things the people that made the rule have no
idea what is going on!

Have a good weekend!

c

Cynthia Favara
NIAID/NIH/RML/LPVD
903 South 4th Street
Hamilton, MT 59840
406-363-9317

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-----Original Message-----
From: Dawson, Glen [mailto:GDawson@dynacaremilwaukee.com] 
Sent: Friday, December 09, 2005 10:45 AM
To: Histonet
Subject: RE: [Histonet] cap ihc info

All,

Just an Observation...Has anyone else ever wondered why we cannot charge
for
IHC's on multiple blocks that are considered the "same" sample: eg. A1,
A2,
A3, A4, A5 on a case where 3 IHC's are ordered on each block, only 3 are
billable although we are really performing 15.  Yet, when it comes to
negative controls, one must be run on each of the blocks because they
are
seperate and distinct.

The end result of this madness is that, if you count the negative
control
run on each of the blocks, although 20 IHC's are run for the above case,
only 3 are billable.  I find it strange that when it comes to being able
to
bill for a case like this, the blocks are too much
the "same" to bill for all technical work done, but,when it comes to
running
negatives (& lets face it, negatives are largely procedural and not
closely
monitored by many pathologists), it is vital that one be run on each
block
because they are not the same, although it is all just one, big, happy
specimen.  The IHC lab is lucky enough to take it in the shorts on cases
like this.

Ain't Life Grand,

Glen Dawson
Milwaukee, WI

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