Coding and Billing
Bundled code Exceptions Uterus with fallopian tubes and ovaries 88309 (uterine tumor) or 88307 (nonneoplastic) Ovary contains possible tumor Mastectomy with regional lymph nodes 88309 Lymph node is designated…
The Income Statement
Fig. 7.1 Mountain Pathology Income Statement I Note the overall structure of the income statement: Revenue−Expense = Net income. Each month the accountant updates the income statement and the two most senior…
Health-Care Finance and the Pathology Practice
TC and PC may also be paid separately using a modifier (TC for Technical Component and − 26 for Professional Component) appended to the CPT code. In the clinical laboratory, some…
Bringing It All Together
© Springer International Publishing Switzerland 2016Lewis A. Hassell, Michael L. Talbert and Jane Pine Wood (eds.)Pathology Practice Management10.1007/978-3-319-22954-6_24 24. Bringing It All Together Michael L. Talbert1 (1) Department of Pathology, University of Oklahoma Health Sciences Center, 940…
The High-Performing Practice into the Future
© Springer International Publishing Switzerland 2016Lewis A. Hassell, Michael L. Talbert and Jane Pine Wood (eds.)Pathology Practice Management10.1007/978-3-319-22954-6_23 23. The High-Performing Practice into the Future Lewis Hassell1 and Michael L. Talbert1 (1) Department of Pathology, University of Oklahoma…
Identifying and Capitalizing on Opportunities
Perceived value or cost to organization of responding to RFP Percentage identifying value or cost Improved group culture, communication, identity, or unity 68 Development of new leadership 32 Better marketplace…
Opportunities and Entrepreneurism
© Springer International Publishing Switzerland 2016Lewis A. Hassell, Michael L. Talbert and Jane Pine Wood (eds.)Pathology Practice Management10.1007/978-3-319-22954-6_21 21. Opportunities and Entrepreneurism Lewis A. Hassell1 and Michael L. Talbert1 (1) Department of Pathology, University of Oklahoma Health Sciences…
Revenue Cycle Management
Key business consideration In-house operation Contracted service Significant front-end capital investment required Yes No Substantial lead time before start-up required Frequent Infrequent Upgrades and innovations readily implemented Sometimes Usually Close…
Technologic and Regulatory Risks
Regulatory entity Primary domain Examples of lab regulations Centers for Medicare/Medicaid Services (CMS) What gets paid for CLIA regulations regarding lab medical directors and accreditation requirements; payment or coding policies…
Trends Towards Outcomes, Accountable Care, and Value-Based Purchasing
© Springer International Publishing Switzerland 2016Lewis A. Hassell, Michael L. Talbert and Jane Pine Wood (eds.)Pathology Practice Management10.1007/978-3-319-22954-6_2 2. Trends Towards Outcomes, Accountable Care, and Value-Based Purchasing Dale W. Bratzler1 (1) Health Administration and Policy, College of…
