It was during a Medicare audit that this issue came up.    Our Regional
Compliance officer informed me that there would be no payment since the
attending had not written the path order in the patient chart.  I put the
question back to her that keep the requisition and have no influence over
what orders are written in patient charts.  They have not yet responded.

Karla Carson
Regional Pathology Manager
Mercy Health Care Sacramento
Phone 916-453-4494
FAX 916-453-4397
e-mail kcarson@chw.edu <mailto:kcarson@chw.edu> 

		-----Original Message-----
		From:	Weems, Joyce [mailto:JWEEMS@sjha.org]
		Sent:	Friday, May 18, 2001 9:43 AM
		To:	'Carson, Karla'
		Subject:	RE: Medicare compliance

		Which agency told you this? Thanks, j
		Joyce Weems
		Pathology Manager
		Saint Joseph's Hospital of Atlanta


			-----Original Message-----
			From:	Carson, Karla [SMTP:KCarson@chw.edu]
			Sent:	Thursday, May 17, 2001 11:57 AM
			To:	Weems, Joyce; 'Barb Richmond';
		'Histonet@pathology.swmed.edu'
			Subject:	RE: Medicare compliance

			We have been doing that also, but was just told in a
recent audit
		that
			wasn't good enough.  They wanted to see the order
written in the
		chart.
			Haven't resolved this problem yet.

			Karla Carson
			Regional Pathology Manager
			Mercy Health Care Sacramento
			Phone 916-453-4494
			FAX 916-453-4397
			e-mail kcarson@chw.edu <mailto:kcarson@chw.edu> 

					-----Original Message-----
					From:	Weems, Joyce
[mailto:JWEEMS@sjha.org]
					Sent:	Wednesday, May 16, 2001
10:39 AM
					To:	'Barb Richmond';
		'Histonet@pathology.swmed.edu'
					Subject:	RE: Medicare
compliance

					We have a "Special Studies" section
in the report
		that we
			count as
					documentation for special stains,
immunos, consults,
		etc.
			and count this as
					the order. We also attach the order,
from
		pathologist or
			clinician to the
					requisition which we keep for 10
years. 
					Joyce Weems
					Pathology Manager
					Saint Joseph's Hospital of Atlanta


						-----Original Message-----
						From:	Barb Richmond
			[SMTP:Barb.Richmond@mckennan.org]
						Sent:	Wednesday, May 16,
2001 10:11 AM
						To:
'Histonet@pathology.swmed.edu'
						Subject:	Medicare
compliance


						Wondering how the rest of
the Pathology
		World
			handles the regulation
					that
						states, " all tests
performed in the
		laboratory must
			have a doctors
					order
						and must be documented in
the patients
		chart."  Are
			you using a
					seperate
						form when you get orders for
special stains
		or
			immuno, or is the
					Pathology
						report considered enough
documentation??????
						Barb Richmond
						Avera Mckennan Hospital
						Sioux Falls, S.Dak.
						Barb.Richmond@mckennan.org