Technical vs. Professional Re: [Histonet] 88305 pod lab question

From:Cheryl



Hi Mark--
 
The technical and professional on this code are generally bundled.  For most insurances as well as M/M it can't be split it to be reimbursed (and it HAS to be billed by the party performing the professional is my understanding after just working on this issue a few months ago), Thus the code can be charged by the path if he or she is subcontracting the technical.  The technical portion is something ridiculously small, like $12/code.  Chances are the Pathologist is paying more than this for the tech service. 
 
This is done with frozens all the time where the pathologist is working for=A0one company  (Path group is independent non-employee entity of a facility) and the tech who supports them work for the hospital and with surgical stuff where the pathology group is a contractor for the hospital that employs the tech...
 
Same animal, different zoo.
 
Cheryl
 
Full Staff Inc.
Staffing Healthcare Professionals - One GREAT fit at a time.
281.913.7285
800.756.3308
 
 
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