Re: Decals/charging

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From:Don Hammer <donh7@earthlink.net>
To:Pam Marcum <pmarcum@polysciences.com>, Barbara Davies <Barbara_Davies@memhospcs.org>, Patricia Karlisch <PKARLISCH@PSGHS.EDU>
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Pam,

I believe it was Harvard that designed the CPT codes and didn't take all the
real world situations into their thought process.  It seems obvious by the
way they are set up that Pathologists designed them and did not always take
the Hospital component into their thought process.  ( I could give you
examples, but it's up to you still in the profession to work it out)  Now we
have Medicare and the Insurance companies attaching dollar amounts to them
with not much more knowledge of what the real world is.  Then there is the
people working for Medicare and the Insurance companies trying to interpret
medicine with sometimes little knowledge of what they are trying to
interpret.  A bad situation at best!  Who will attempt to straighten all
this out??  Not me, cause I'm,
Don Hammer, Retired Guy  :)

----- Original Message -----
From: Pam Marcum <pmarcum@polysciences.com>
To: Don Hammer <donh7@earthlink.net>; Barbara Davies
<Barbara_Davies@memhospcs.org>; Patricia Karlisch <PKARLISCH@PSGHS.EDU>
Cc: <Histonet@pathology.swmed.edu>
Sent: Thursday, February 10, 2000 6:28 AM
Subject: RE: Decals/charging


> CPT codes are based more often than not on Medicare charges defined by the
> Gov.  There does not have to be rhyme or reason.  Pam Marcum
>
> -----Original Message-----
> From: Don Hammer [mailto:donh7@earthlink.net]
> Sent: Monday, January 24, 2000 11:31 PM
> To: Barbara Davies; Patricia Karlisch
> Cc: Histonet@pathology.swmed.edu
> Subject: Re: Decals/charging
>
>
> Barb and Histonetters:
>
> Agree here, just like special stains and Immunos.  Someone needs to
educate
> the lawmakers.  :)
>
> Not me cause I'm......
> Don Hammer, Retired Guy  :)
>
> ----- Original Message -----
> From: Barbara Davies <Barbara_Davies@memhospcs.org>
> To: Patricia Karlisch <PKARLISCH@PSGHS.EDU>
> Cc: <Histonet@pathology.swmed.edu>
> Sent: Monday, January 24, 2000 2:27 PM
> Subject: Re: Decals/charging
>
>
> > Barbara Davies/Histology/MEMHOSPCS
> >
> >
> > Decal charge is charged per specimen.  The word 'specimen' is the key
> here.
> > The CPT4 code book defines a specimen as "tissue or tissues that is
(are)
> > submitted for individual and separate attention, requiring individual
> > examination and pathologic diagnosis."   For instance, if you have a
> femoral
> > head cut it into 5 specimens and decal each, it should be allowed only
one
> decal
> > charge, However, if you have a fragment of femur, a fragment of tibia, a
> > fragment of knee  and decaled them all there could be 3 decal charges.
> >
> > Barb Davies
> >
> >
> >
> >
> >
> >
> >
> >
> >
>
>
>
>




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