The "rules" are established by CMS through CLIA regulations. They are applied based on the "complexity" of the activity. Grossing is considered "high complexity" and thus is subject to rather stringent rules (which become more complicated because there are "grandfather" clauses). For years, the CAP took a more "liberal" view of how various parts of the grossing activity could be defined. CMS reviews the CAP standards. So, the result is a "tightening" of those standards (ie, don't blame the CAP for this one). The CAP has provided rather clear cut guidelines, and if you find them confusing, then you may contact the LAP program there and someone will assist you. You may ask the CAP to lobby for you (which I suspect they have done) or you can appeal to CMS (which will largely not listen to anything reasonable, and if it does, will tell you it will take multiple years to make any changes).
Bill Tench Associate Dir. Laboratory Services Chief, Cytology Services Palomar Medical Center 555 E. Valley Parkway Escondido, California 92025 [email protected] Voice: 760- 739-3037 Fax: 760-739-2604 -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of [email protected] Sent: Sunday, May 16, 2010 10:24 AM To: [email protected] Subject: [BULK] Histonet Digest, Vol 78, Issue 22 ---------------------------------------------------------------------- ------------------------------ Message: 2 Date: Sat, 15 May 2010 17:46:58 -0400 From: Robert Richmond <[email protected]> Subject: [Histonet] Re: Grossing Technician Qualifications To: [email protected] Message-ID: <[email protected]> Content-Type: text/plain; charset=ISO-8859-1 Tanisha Neely HT(ASCP) asks: >>Are the guidelines for a tech who is strictly limited to grossing anatomic pathology specimens different than for those of a full time histotech? Could a bachelor degree'd person with the right course work qualify for this position? If so, does anyone have documentation of this? I'd like to present this as a staffing option to my management if possible.<< Well, I'm giving a talk on the subject to the Tennessee Society for Histotechnology meeting in Chattanooga, and I'm pretty confused about the question of who's allowed to gross - the rules seem to be changing, and different certifying organizations have different requirements. If somebody can spell out in detail who it is that's requiring what, I'd appreciate it. Bob Richmond Samurai Pathologist Knoxville TN ------------------------------ **************************************** mail2.pph.org made the following annotations --------------------------------------------------------------------- Confidential E-Mail: This e-mail is intended only for the person or entity to which it is addressed, and may contain information that is privileged, confidential, or otherwise protected from disclosure. Dissemination, distribution, or copying of this e-mail or the information herein by anyone other than the intended recipient is prohibited. If you have received this e-mail in error, please notify the sender by reply e-mail, and destroy the original message and all copies. --------------------------------------------------------------------- _______________________________________________ Histonet mailing list [email protected] http://lists.utsouthwestern.edu/mailman/listinfo/histonet
