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Re: CLIA testsFrom: ainsron (ainsron@sbcglobal.net)Mon Apr 23 18:10:56 2007
I still do microscopy in the hospital for ferning, but I don't bill for it. Like I said before, if you don't bill for it, they can't deny it or track it. The nursing staff can do a screening exam for ferning, but it has to be reviewed by a lab tech for the hospital to bill. There are many times when I review the slide and the technician has missed a small area of ferning or a subtle one. When CLIA first came out, the hospital pulled the microscopes off L&D and we had to go borrow one in the lab, what a hassle and waste of my time!! What I said before had to do with CLIA in the office, not the hospital. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Myer Bornstein Sent: Monday, April 23, 2007 3:11 PM To: Multiple recipients of list OB-GYN-L Subject: Re: CLIA tests Hank You are right; PPM testing is a moderate complex procedure under CLIA, and does require proficiency testing, however I have not every performed proficiency testing for these procedures in the office and I bet hardly any provider has also. However to do this procedure in a Hospital setting requires the proficiency testing, and our hospital decided that Fern testing by microscopy by a provider will not be done. Myer _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Monday, April 23, 2007 4:32 PM To: Multiple recipients of list OB-GYN-L Subject: CLIA tests Listers Does anyone have any knowledge of how CLIA statutes impact on physician or other provider performed microscopy testing (specifically, slide fern tests for AF leakage)? By my reading of Section 493.2 of this act, it is a moderately difficult test that requires proficiency certification and documentation for non provider staff. It is unclear to me whether that also applies to physicians, PA's, NP's, MW's, etc. Comments appreciated. This may not be a thread of interest, so off list email is welcome. Also, the local hospital has determined it will not use AmniStat testing, noting that testing for amniotic fluid is a "screening" test for which it may or may not get reimbursed. Is there experience in that regard out there among the group? Seems to me its a diagnostic test, but hey, I'm no insurance provider. Thanks in advance. Hank _____ Ahhh...imagining that irresistible "new car" smell? Check out new <http://us.rd.yahoo.com/evtH245/*http:/autos.yahoo.com/new_cars.html;_ylcX3oDMTE1YW1jcXJ2BF9TAzk3MTA3MDc2BHNlYwNtYWlsdGFncwRzbGsDbmV3LWNhcnM-> cars at Yahoo! Autos.
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