I believe the question was asking for "laws". 

A law is different than what insurance companies may or may not prefer. They 
have 'rules' but have to follow 'laws'. Laws that might concern this are also 
enacted at both the national and state levels. Any state might differ over 
another.  All I can offer beyond that is, if really concerned, and it sounds 
like you are, take up the question with your Risk Management folks, or whatever 
department deals with that kind of stuff. 

This case is one you are aware of. It might shock you to learn how many times 
patients do not have their tissues examined, especially in clinics. The best 
record might the op-notes, as far as the insurance companies are concerned. 

To assume the patient won't be covered, that she has anterior motive, or that 
the lab is the sole documentation of a procedure is to make legal assumptions 
and, frankly, that's not a good idea. 

All of that said - it is, in my mind, prudent to get a diagnosis, but prudence 
is different than necessity and patient rights are pretty broad and are rarely 
narrowly interpreted. 

Thanks for reading this far down -

Bill (Not A Lawyer) O'Donnell

 



-----Original Message-----
From: [email protected] 
[mailto:[email protected]] On Behalf Of Barbara Tibbs
Sent: Tuesday, August 19, 2014 8:52 AM
To: Sue; Paula Pierce
Cc: Histonet
Subject: [Histonet] RE: Is there a Law for refusal of pathology services.

Also, legally speaking, if it isn't documented, it didn't happen in the eyes of 
the law.

Barbara S. Tibbs
Histology Supervisor
Accurate Diagnostic Labs
South Plainfield, NJ
[email protected]
732-839-3374
Cell: 610-809-6508


________________________________________
From: [email protected] 
<[email protected]> on behalf of Sue 
<[email protected]>
Sent: Monday, August 18, 2014 9:43 PM
To: Paula Pierce
Cc: Histonet
Subject: Re: [Histonet] Is there a Law for refusal of pathology services.

I agree, if you do not document that a specimen was removed most likely 
insurance will deny the clain.

SPaturzo
TJU
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