I can see how that would be dangerous!Can you bill in the hospital system without accessioning a case? If not I would add a case type to use for bill only cases and add a note on the new number such as "For billing only". I would do an addendum on the original case for the results.  (I bill directly into our hospital IDX system in these instances.)Good luck!Joyce WeemsPathology ManagerSaint Joseph's Hospital of Atlanta404-851-7376404-851-7831 - Fax-----Original Message-----From: histonet-bounces@lists.utsouthwestern.edu on behalf of Ramona TurnerSent: Thu 1/24/2008 9:38 AMTo: histonet@lists.utsouthwestern.eduSubject: [Histonet] How to bill for additional testing on old cases   Currently, in order to bill for additional testing that is ordered on old cases, we must have the patient re-register and open a new billing number. Then in CoPath, we give the old case a new surgical number.  A gross descriptions is given.... "Case S08-x is patient name John Doe. Received is one paraffin block labeled S02-x-J sent for additional testing for Her2neu." This puts the new surgical number on the pathologist's work list to sign out later.  This is the only way we can think of to bill for the additional testing.  The problem is that now the one case has two surgical numbers and the additional testing results are dictated on the new surgical number, not the old one.  IF the old case is ever pulled again for review, the new results will not be shown unless they look at the new surgical number.  The pathologist are not happy about this.... IF anyone is doing things different, PLEASE respond........ Ramona Turner, HT (ASCP)POTOMAC HOSPITAL2300 Opitz BlvdWoodbridge, VA 22191703-670-1341_________________________________________________________________Helping your favorite cause is as easy as instant messaging. You IM, we give.http://im.live.com/Messenger/IM/Home/?source=text_hotmail_join_______________________________________________Histonet mailing listHistonet@lists.utsouthwestern.eduhttp://lists.utsouthwestern.edu/mailman/listinfo/histonetConfidentiality Notice ** The information contained in this message may be privileged and is confidential information intended for the use of the addressee listed above. If you are neither the intended recipient nor the employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. Saint Joseph's Health System, Inc.