Re: help for billing clarification

From:Susan Hay-Antoff

Hi Debbie:

I don't think we ever know for sure what happens in our respective billing
departments.  But the quarterly statement that our lab receives about recovery
is in line with my expectations for recovery and we bill as described.  It
really has everything to do with the way tests are worded in the reports, so I
am told.

Susan


"Jennings-Siena, Debbie" wrote:

> Hi Susan,
> I hope that your billing department has a better understanding of the
> concepts involved in Histology than mine do here at Baylor.  I had to spend
> a lot of time, before we were able to come to a consensus as to what levels
> and blocks are.  The advise that I gave was from a workshop that I attended
> at NSH given by Dennis Padgett.  I would be surprised, if his advise was
> wrong.
> Debbie J. Siena, HT(ASCP)
> NSH Legislative Chair
> Baylor University Medical Center
> Dallas, TX 75246
> 214-820-2465 vm
> 214-820-4110 fax
> ds.jennings-siena@baylordallas.edu
>
> -----Original Message-----
> From: Susan Hay-Antoff [mailto:haysj@SLU.EDU]
> Sent: Wednesday, October 03, 2001 11:48 AM
> To: Jennings-Siena, Debbie
> Cc: 'Horn, Hazel V'; 'histonet@pathology.swmed.edu'
> Subject: Re: help for billing clarification
>
> Hi Hazel,
>
> I checked with our billing department and have been told that as long as the
> stains are levels and EACH slide is interpreted and mentioned in the report,
> then you may bill for each stained slide.  It is very interesting to hear
> how
> different interpretations are made.  Good luck.
>
> "Jennings-Siena, Debbie" wrote:
>
> > Hi Hazel,
> > You are correct, you may only charge each special stain once per specimen.
> > With your kidney biopsy, you have 6 PAS stains which would be 88313 x1, 2
> > Jones stains = 88313 X 1, and 1 trichrome = 88313 X 1.  The 88305 is the
> CPT
> > code for the kidney biopsy gross and microscopic exam + the H&E stain.
> > Debbie J. Siena, HT(ASCP)
> > NSH Legislative Chair
> > Baylor University Medical Center
> > Dallas, TX 75246
> > 214-820-2465 vm
> > 214-820-4110 fax
> > ds.jennings-siena@baylordallas.edu
> >
> > -----Original Message-----
> > From: Horn, Hazel V [mailto:HornHV@archildrens.org]
> > Sent: Wednesday, October 03, 2001 9:12 AM
> > To: 'histonet@pathology.swmed.edu'
> > Subject: help for billing clarification
> >
> > I need some help with documentation for billing.    I have always
> understood
> > that when billing for special stains or immunos, you can only bill once
> for
> > a specific stain on each specimen.   i.e......1 renal biopsy = 6 pas
> stains,
> > 2 jones' and 1 trichrome.   According to what I have always thought, that
> > would be one 88305, and three 88313's.
> >
> > Because the CPT code book lists each after the 88313, some are saying we
> can
> > bill for nine 88313's.     I am sure this is not right but I need it in
> > WRITING for anyone to believe me.   Can anyone help me out???    Or I am
> > wrong about this billing issue??
> >
> > Thanks,
> > Hazel





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