Date-of-service confusion

From:Alex Knisely

Non-urgent biopsies performed under imaging guidance may be arranged here
several weeks in advance of the actual date of biopsy.  

The requisition is dated mid-January, the date of receipt of specimen
mid-February...

And then there are the courier-delayed specimens that trickle from outside
facilities several days after the fact.

Hazel, does your system make allowances for this sort of thing?

Alex K

At 15:28 14/02/03 -0600, Horn, Hazel V wrote:
>Our reqs have 2 dates on them.   The date we received the specimen and the
>date it was collected.   The date of service is really the original date of
>collection, not when we receive the test.    At least that is my
>understaning.
>Hazel
>
>> -----Original Message-----
>> From:	Weems, Joyce [SMTP:JWEEMS@sjha.org]
>> Sent:	Wednesday, February 12, 2003 4:40 PM
>> To:	'Histonet'
>> Subject:	DOS
>> 
>> Regarding the new regulation about date of service for pathology
>> specimens,
>> what do you count as the date of collection for a new specimen being
>> accessioned?
>> 
>> I am asking this because outpatients are registered for the date their
>> specimen is collected, which very often is a date prior to receipt of the
>> specimen. This dates crosses to the laboratory computer system. If we
>> accession the specimen with the collect date and make the DOS as the
>> accession date for us, the hospital computer system sees that as an error
>> and kicks out the charge. 
>> 
>> The new regulation about the DOS for pathology is confusing, but I
>> interpret
>> it to have been established for cases that are months or years old, in
>> which
>> additional testing (e.g. Her2Neu) is being performed. 
>> 
>> If this makes sense to anyone, can you please tell me how you interpret
>> the
>> regulation? :>)
>> 
>> Thanks, j
>> 
>> 
>> Joyce Weems
>> Pathology Manager
>> Saint Joseph's Hospital of Atlanta
>> 404-851-7376
>> 404-851-7831 - fax
>> 
>
>
Alex Knisely, MD
Consultant Histopathologist

alex.knisely@kcl.ac.uk
 
Institute of Liver Studies
King's College Hospital
Denmark Hill
London  SE5 9RS  UK
 
+44 (0)20 - 7346 - 3125 telefax
+44 (0)20 - 7346 - 4627 office



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