From: | "Weems, Joyce" |
This is a BIG
problem for all of us, I’m sure. We are late with many charges as we only have
3 days for in patients and 5 days for outpatients to get the charges in. Some of
our paps are late before we get them!
What I do
as much as I can – even for a recent case, is register the patient for the new DOS
(I have access to the hospital system) – and bill only the stains (immunos/specials)
ordered for that date. In the case of years old specimens – I obtain recent
insurance information and a written order from the clinician, and register for
the new DOS.
I hope
someday we can get the powers that be to listen to us………
Joyce Weems
Pathology
Manager
Saint Joseph’s
Hospital of Atlanta
404-851-7376
404-851-7831 -
fax
-----Original
Message-----
From: Tom McNemar
[mailto:TMcNemar@lmhealth.org]
Sent: Thursday, October 17, 2002
9:58 AM
To: 'Histonet
(histonet@pathology.swmed.edu)'; Lorei Reinhard
Subject: Date of Service for
Medicare B
Hello all,
We are struggling here
to comply with the new Medicare ruling that says testing dates must match the
date of service with the date of service being defined as the date of
collection. I would like to know how others are handling this so I have
several questions.....
When a specimen is
registered, they are using the collection date as the registration date.
When we put the specimen into the Meditech pathology module, we are using the
registration date as the date of collection, ok so far.
The problems (or questions)
arise when it comes time to enter procedures. The initial procedures are
based upon the complexity of the specimen and are assigned by the pathologist
when they do the micro.
Q: Since this
specimen was collected yesterday, grossed today, and signed out tomorrow, how
do I keep the procedure date and the collection date the same? Do I have
to worry about it since this is initial testing?
Q: What about
special stains that are ordered after reviewing the slides? Consults?
Q: If I were to
change the date of collection every time another procedure was done, it would
look as if there were multiple biopsies done, yes?
The other big question
revolves around stored specimens. Medicare says that for stored
specimens, the date of collection is the date the specimen was retrieved from
storage. As you know, blocks are stored for a long time.
Q: If I pull a
block from the file today on a previous case (may be a month old or a year for
that matter), how can I change the collection date to that day? I can't.
I would certainly
appreciated any thought you folks may have regarding this. How do you
interpret it. What have you done to comply? Thanks in advance.
Tom Mc Nemar HT(ASCP)
Histology Supervisor
Licking Memorial Hospital
Newark, Ohio
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