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JoyG

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Posts posted by JoyG

  1. I would refer the insurance auditor to Medicare Claims Processing Manual Chapter 4, Section 231.7.  It's right on CMS website.  If your Med Exec committee and hospital policy was to crossmatch 6 units in preparation for that surgery, then that was the patient-specific preparation charges that can be billed.

    231.7 - Billing for Unused Blood

    (Rev. 1487, Issued: 04-08-08, Effective: 04-01-08, Implementation: 04-07-08)

    When blood or blood products which the OPPS provider has collected in its own blood bank or received from a community blood bank are not used, processing and storage costs incurred by the community blood bank and the OPPS provider cannot be charged to the beneficiary. However, certain patient-specific blood preparation costs incurred by the OPPS provider (e.g., blood typing and cross-matching) can be charged to the beneficiary under Revenue Code Series 30X or 31X. Patient-specific preparation charges should be billed on the dates the services were provided.

  2. We do the same as AuntieS.  We have it written into our procedure that if a female of child bearing age is weak D, we send for molecular with no additional order from the physician.  This was approved by our med exec committee and is in our reflex testing protocol so we can charge the patient for it.  We scan the results into EPIC

  3. We our own donor center and are experiencing an excess of plasma.  We also discard a small percent of thawed plasma and HLA positive plasma.  I was wondering if there were any companies that would purchase this type of products.  Any information would be helpful.  Thanks

  4. We get prepooled from our outside suppliers so this has not happened in a very long time.  However, when we used to get singles, there may have been times where we did not have enough of one type or the other.  In those cases, we could mix pools. I think this is more unlikely in our current situation where prepools are readily available.  We do not obtain single units anymore.

  5. I took the BB (ASCP).  I had my MLT, went back to school for my bachelor's but had children and it took me 7 years.  Rather than try to study for the whole MLS, I took the BB and C (because those were the two areas that I worked in directly) then took my SBB.  For the BB (ASCP), if you work in the department and study the Technical Manual, you will be fine.  The SBB is much more difficult!  Hope that helps.

  6. We do the same as EDibble.  Also, if we do not get positive reactivity in all cells with solid phase as in your scenario of 1+ in one screening cell and negative in the others, we perform antibody identification to the extent possible using solid phase and other test methods as necessary (we have PEG and Gel backup).  If all clinically significant antibodies can be ruled out, we call that unexplained and must perform XMAHG.  We have had some of these antibodies turn into real clinically significant antibodies with subsequent draws.  Also, while Immucor does appear to have "fixed" the problem they were experiencing earlier in the year, we just reported a problem with the newest lot that appears to be acting in the same fashion.  Keeping our fingers crossed that it is not happening again!

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