Because of the orders being written in the chart, our path reqs are now part
of the medical record.
Hazel

> -----Original Message-----
> From:	Carson, Karla [SMTP:KCarson@chw.edu]
> Sent:	Monday, May 21, 2001 9:11 AM
> To:	'Histonet'
> Subject:	RE: Medicare compliance
> 
> 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
> 					
> 			
>