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Where can I find a list of your insurance plans? Are you a part of Carolinas Medical Center? When will our office have specimen results? What is the turn around time for the Breast Cancer Panel (Her 2 neu, ER/PR)? When will we get our reports, and how will we receive them? Why do my patients get a bill from both Carolinas Laboratory Network and Carolinas Pathology Group? How are professional component fees billed by Carolinas Pathology Group? These physician services may be billed by the pathologist to the patient (or the patient’s insurer) or to the hospital as the pathologist and hospital may agree. Medicare rules require pathologists to seek payment from the hospital for the professional component of clinical pathology services to Medicare patients because the hospital’s Medicare payment rate includes payment for these physician services. Pathologists and hospitals often negotiate a different billing arrangement for the pathologist’s professional services for non-Medicare patients. The pathologist may bill a professional component for clinical laboratory services to the patient, and the hospital may bill the technical component. The hospital’s bill for the technical component covers hospital costs for laboratory equipment, supplies and non-physician personnel. Professional component billing is one valid method of billing for the professional services of pathologists in the clinical laboratory. In many communities the standard practice is for the pathologist to direct bill patients for the professional component of clinical laboratory services. When the pathologist bills a professional component to a non-Medicare patient, no payment is made by the hospital to the pathologist for this service. How does Carolinas Pathology Group use my Protected Health Information? For a complete copy of our HIPAA Privacy Statement for Carolinas Pathology Group and Celligent Diagnostics click here. The notice describes how medical information about you may be used and disclosed, and how you can get access top this information. If you have any questions or requests, please contact: Sherry Rumbough, Privacy Officer at 704-973-2494. |
Announcements
For difficult or unusual breast pathology cases we now invite you to make our expertise yours. Dr. Ben Calhoun and Dr. Chad Livasy offer specialized diagnostic consultation in breast pathology with a heightened expertise and service dedicated to precision and responsiveness, one case at a time.
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