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I'm with Donna on this one. You can't charge for something that isn't being done.

I do not think you should never change antibody screen result negative to positive. Your test result was negative screen so it should be reported as such. by changing it to positive , you are actually falsifying the records. Re: antibody in past? we do not worry about positive in the past and negative now as floor can view patient prior record in EMR and if they have a doubt they call blood bank regarding delay.

We were picking up several anti-Ms a month using the Echos. As the instrument is designed to detect IgG, the conclusion was always that the antibody was reactive at 37 C. Yet, it doesn't make sense to see so many. We noted comments of interest in the package insert for the Capture-R Ready Screen under Limitations, 11. "...the Indicator Red Cells (may) carry the antigen toward which the IgM antibody is directed. Some IgM antibodies have been found to link Indicator Red Cells to immobilized red blood cell monolayers by binding to antigens on both. Thus, examples of anti-M, anti-Lea, anti-Leb, anti-P1,etc that are detected in Capture-R tests should not be assumed to contain an IgG component without further study." Here is another useful article on cold agglutinins and cold cardioplegia in surgery: Barbara DW, Mauermann WJ, Neal JR, et al. Cold agglutinins in patients undergoing cardiac surgery requiring cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery. Sept 2013 http://dx.doi.org/10.1016/j.jtcvs.2013.03.009

The medical director can delegate (in writing, we have an SOP) QC review.