Joyce,
The documentation in the pathology report is sufficient to document the physicians order. To be compliant, they should bill off the pathology report - not the order forms. If it's not documented on the pathology report, they can't bill it even if an order was placed.
Kindest regards,
Louri
www.billingconsultants.net
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Today's Topics:
1. Physician orders (Weems, Joyce)
2. Re: Cirrhosis (Gayle Callis)
3. Re: Physician orders (Rene J Buesa)
4. RE: Physician orders (Weems, Joyce)
5. Re: (no subject) (Gayle Callis)
6. Bone Saw (Nita Searcy)
7. Re: Bone Saw (Rene J Buesa)
8. RE: Bone Saw (Mike Pence)
9. re: spurrs problem HELP!!! (Linda Jenkins)
10. AW: [Histonet] Cirrhosis (Gudrun Lang)
11. Re: (no subject) double label (Alice Fleming)
12. Re: Prostate cancer (JMyers1@aol.com)
13. Re: Prostate cancer (Akemi Allison-Tacha)
----------------------------------------------------------------------
Message: 1
Date: Fri, 8 Jun 2007 13:57:41 -0400
From: "Weems, Joyce"
Subject: [Histonet] Physician orders
To: "Histonet"
Message-ID:
<1CD6831EB9B26D45B0A3EAA79F7EBD3203FF9B2D@sjhaexc02.sjha.org>
Content-Type: text/plain; charset="utf-8"
Our Medical Records Dept states that they need to see the orders for special stains and immunos made by the pathologists as a physician order for billing/compliance regulations. I believe that the stain documented in the report is evidence of that order.
We are attempting to find a way to make the order that the pathologist places in our computer system transfer to the hospital system, but I thought I would ask what the rest of you do regarding this issue.
Thanks in advance.
Happy Friday!
Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax
Confidentiality 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.
------------------------------
Message: 2
Date: Fri, 08 Jun 2007 12:00:17 -0600
From: Gayle Callis
Subject: Re: [Histonet] Cirrhosis
To: Robyn Pulsifer ,
Histonet@lists.utsouthwestern.edu
Message-ID:
<6.0.0.22.1.20070608115128.01b74eb0@gemini.msu.montana.edu>
Content-Type: text/plain; charset="us-ascii"; format=flowed
A workshop director years ago suggested using a reticulin stain in
conjunction with a Massons trichrome and the routine H&E stain. They did
not counterstain the reticulin stain although an eosin stain would be nice
OR nuclear fast red for red/black contrast.
You should see correlation between reticulin stain and Masson's
trichrome. Remember that Mass Tri stains ALL types of connective tissues
that include basement membrane, reticulin and collagen. You could, for
fun, do a Verhoeffs van Giesons for just collagen fibers too - you will
have an interesting collection of stains in the end.
Try to pick up adjacent sections in order to have a closer correlation
within 25 um or so of each section
Pick up and stain in this order (or what you prefer)
1. H&E
2. Mass Tri
3. Verhoeffs van Gieson
3. reticulin
Then repeat the sequence.
Good luck
At 09:08 AM 6/8/2007, you wrote:
>Dear Histonet Community-
>
> Currently I am working on a capstone project dealing with Cirrhosis of
> the liver. If anyone has experienced working with Cirrhosis, please
> contact me, I have some questions. And anything that anyone could offer
> me would be great. Right now I am using the Masson Trichrome as a special
> stain for this disease, any other suggestions that could possibly be a
> better stain, please let me know. Thank you
>
>
>
> Robyn Pulsifer
> Histology Lab Assistant
> Argosy University
> Eagan, MN
>
>
>---------------------------------
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>_______________________________________________
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>http://lists.utsouthwestern.edu/mailman/listinfo/histonet
Gayle Callis
MT,HT,HTL(ASCP)
Research Histopathology Supervisor
Veterinary Molecular Biology
Montana State University - Bozeman
PO Box 173610
Bozeman MT 59717-3610
------------------------------
Message: 3
Date: Fri, 8 Jun 2007 11:09:01 -0700 (PDT)
From: Rene J Buesa
Subject: Re: [Histonet] Physician orders
To: "Weems, Joyce" , Histonet
Message-ID: <468900.29379.qm@web61217.mail.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
Our pathologists either requested the special stains after the initial H&E was received as part of their initial report (in the computer) and the secretaries transferred the request to the lab OR the PT wrote the requests in special forms (one for HC and the other for IHC) that were sent to the lab. The lab sent the forms to the office for billing.
If the case was a "rush" the initial report was sent to the referring physician with a note of "special stains to follow" and the additional report (as an addendum) was issued on a later date.
René J.
"Weems, Joyce" wrote:
Our Medical Records Dept states that they need to see the orders for special stains and immunos made by the pathologists as a physician order for billing/compliance regulations. I believe that the stain documented in the report is evidence of that order.
We are attempting to find a way to make the order that the pathologist places in our computer system transfer to the hospital system, but I thought I would ask what the rest of you do regarding this issue.
Thanks in advance.
Happy Friday!
Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax
Confidentiality 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.
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------------------------------
Message: 4
Date: Fri, 8 Jun 2007 14:11:02 -0400
From: "Weems, Joyce"
Subject: RE: [Histonet] Physician orders
To: "Rene J Buesa" , "Histonet"
Message-ID:
<1CD6831EB9B26D45B0A3EAA79F7EBD320432A70C@sjhaexc02.sjha.org>
Content-Type: text/plain; charset="utf-8"
Did you have to have the actual order scanned into the patient's record as a physician order? j
________________________________
From: Rene J Buesa [mailto:rjbuesa@yahoo.com]
Sent: Friday, June 08, 2007 1:09 PM
To: Weems, Joyce; Histonet
Subject: Re: [Histonet] Physician orders
Our pathologists either requested the special stains after the initial H&E was received as part of their initial report (in the computer) and the secretaries transferred the request to the lab OR the PT wrote the requests in special forms (one for HC and the other for IHC) that were sent to the lab. The lab sent the forms to the office for billing.
If the case was a "rush" the initial report was sent to the referring physician with a note of "special stains to follow" and the additional report (as an addendum) was issued on a later date.
René J.
"Weems, Joyce" wrote:
Our Medical Records Dept states that they need to see the orders for special stains and immunos made by the pathologists as a physician order for billing/compliance regulations. I believe that the stain documented in the report is evidence of that order.
We are attempting to find a way to make the order that the pathologist places in our computer system transfer to the hospital system, but I thought I would ask what the rest of you do regarding this issue.
Thanks in advance.
Happy Friday!
Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
404-851-7376 - Phone
404-851-7831 - Fax
Confidentiality 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.
_______________________________________________
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________________________________
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Confidentiality 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.
------------------------------
Message: 5
Date: Fri, 08 Jun 2007 12:13:54 -0600
From: Gayle Callis
Subject: Re: [Histonet] (no subject)
To: Alice Fleming ,
Histonet@lists.utsouthwestern.edu
Message-ID:
<6.0.0.22.1.20070608120231.01b69ea0@gemini.msu.montana.edu>
Content-Type: text/plain; charset="iso-8859-1"; format=flowed
You lost me on this message, can you tell us exactly how you are doing
this? Are you detecting the proteins with antibodies, in a double staining?
You may have a problem with quenching (this is NOT photobleaching) where
the fluorophores interfer with each other in such cloAt 09:20 AM 6/8/2007,
you wrote:
>Hi, I work in a research lab and have been trying to work out a
>protocol for doing a double label for two proteins that really co-
>localize—that is, they bind each other. So far, my results make me
>think there’s some physical interference going on between the
>antibodies (and/or the attached biotin-streptavidin, etc)—I see
>mostly Cy3 or FITC, rarely a yellow merge.
>
>I’ve been using Perkin-Elmer’s tyramide amplification for the final
>step and really like it for each of these proteins individually (and
>in some other double label experiments where the target proteins are
>in separate cells or compartments). The company says I should be
>able to strip the first antibody-biotin-streptavidin off, leaving
>only the tyramide-fluorochrome bound to the tissue, then proceed to
>the second antibody. But they don’t have protocols for doing that.
>Anyone have some ideas?
>
>Alternatively, Dako suggested I use their polymer system (since the
>polymer is very small), with their stripper in between antibodies.
>They are not sure if this will work and it’s pretty expensive, so I’d
>like to hear if anyone has tried this.
>
>Oh, I’d like to stick to fluorescent signal, and I really have to go
>with paraffin-embedded tissue.
>
>Thank a lot,
>
>Alice
>
>
>Alice Fleming, PhD
>Department of Human Genetics
>Gonda Building 5524
>University of California Los Angeles
>Los Angeles, CA 90095
>310-267-2456
>
>
>
>
>
>----------------------------------------------------------
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>_______________________________________________
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Gayle Callis
MT,HT,HTL(ASCP)
Research Histopathology Supervisor
Veterinary Molecular Biology
Montana State University - Bozeman
PO Box 173610
Bozeman MT 59717-3610
------------------------------
Message: 6
Date: Fri, 08 Jun 2007 13:58:48 -0500
From: "Nita Searcy"
Subject: [Histonet] Bone Saw
To:
Message-ID:
Content-Type: text/plain; charset="us-ascii"
I have been asked to obtain a saw for cutting bone. We have the Mar-Med
presently but its not "big" enough for larger bones. In the past the
institution had a band saw but found it unsafe.
Any suggestions?
Thanks
Nita Searcy
Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street
254-724-2438
Temple, Texas, 76502
nsearcy@swmail.sw.org
254-724-2438
254-724-2438
-------------- next part --------------
BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Nita Searcy
TEL;WORK:4-2438
ORG:;Anatomic Pathology
EMAIL;WORK;PREF;NGW:NSEARCY@swmail.sw.org
N:Searcy;Nita
TITLE:Manager, Pathology Division
END:VCARD
------------------------------
Message: 7
Date: Fri, 8 Jun 2007 12:03:58 -0700 (PDT)
From: Rene J Buesa
Subject: Re: [Histonet] Bone Saw
To: Nita Searcy ,
histonet@lists.utsouthwestern.edu
Message-ID: <964347.28081.qm@web61213.mail.yahoo.com>
Content-Type: text/plain; charset=iso-8859-1
A band saw is the ideal instrument. Just try to "protect (cover)" the saw and use precaution. Also buy the smallest band saw capable of doing the job. I don't think you will find anything better (or cheaper) for large bones.
René J.
Nita Searcy wrote:
I have been asked to obtain a saw for cutting bone. We have the Mar-Med
presently but its not "big" enough for larger bones. In the past the
institution had a band saw but found it unsafe.
Any suggestions?
Thanks
Nita Searcy
Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street
254-724-2438
Temple, Texas, 76502
nsearcy@swmail.sw.org
254-724-2438
254-724-2438
BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Nita Searcy
TEL;WORK:4-2438
ORG:;Anatomic Pathology
EMAIL;WORK;PREF;NGW:NSEARCY@swmail.sw.org
N:Searcy;Nita
TITLE:Manager, Pathology Division
END:VCARD
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------------------------------
Message: 8
Date: Fri, 8 Jun 2007 14:17:33 -0500
From: "Mike Pence"
Subject: RE: [Histonet] Bone Saw
To: "Rene J Buesa" , "Nita Searcy"
,
Message-ID: <661949901A768E4F9CC16D8AF8F2838CA1C620@IS-E2K3.grhs.net>
Content-Type: text/plain; charset="iso-8859-1"
Try this saw. Works great for any size bone and you can't find one cheaper.
http://www.thermo.com/com/cda/product/detail/1,,10121267,00.html
Mike
-----Original Message-----
From: histonet-bounces@lists.utsouthwestern.edu [mailto:histonet-bounces@lists.utsouthwestern.edu] On Behalf Of Rene J Buesa
Sent: Friday, June 08, 2007 2:04 PM
To: Nita Searcy; histonet@lists.utsouthwestern.edu
Subject: Re: [Histonet] Bone Saw
A band saw is the ideal instrument. Just try to "protect (cover)" the saw and use precaution. Also buy the smallest band saw capable of doing the job. I don't think you will find anything better (or cheaper) for large bones.
René J.
Nita Searcy wrote:
I have been asked to obtain a saw for cutting bone. We have the Mar-Med presently but its not "big" enough for larger bones. In the past the institution had a band saw but found it unsafe.
Any suggestions?
Thanks
Nita Searcy
Nita Searcy, HT/HTL (ASCP)
Scott and White Hospital
Division Manager, Anatomic Pathology
2401 S. 31st. Street
254-724-2438
Temple, Texas, 76502
nsearcy@swmail.sw.org
254-724-2438
254-724-2438
BEGIN:VCARD
VERSION:2.1
X-GWTYPE:USER
FN:Nita Searcy
TEL;WORK:4-2438
ORG:;Anatomic Pathology EMAIL;WORK;PREF;NGW:NSEARCY@swmail.sw.org
N:Searcy;Nita
TITLE:Manager, Pathology Division
END:VCARD
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------------------------------
Message: 9
Date: Fri, 08 Jun 2007 15:29:10 -0400
From: Linda Jenkins
Subject: [Histonet] re: spurrs problem HELP!!!
To: histonet@lists.utsouthwestern.edu
Message-ID:
<6.2.3.4.2.20070608152114.03187260@mailhost.ces.clemson.edu>
Content-Type: text/plain; charset="us-ascii"; format=flowed
Caron,
Many years ago(before google searches were common place) I had a
similar Spurr's experience. I was told at the time that there was no
retrieval method available...my sample was garbage. I have never
used Spurr's since then;however, using a modern day google search, I
found 2 articles that might help. Go to:
http://www.emsdiasum.com/microscopy/technical/techtips/re-embedding.aspx
Maybe I have been unfair to Spurr's.
=== message truncated ===
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