.webp?h=8 "P-Hat (pink) - It's pink.")
Iโm out on vacation for the next week so Iโll give basic Fun Blood Fact! based on high risk patients.
AML: t(15;17) needs results within 12 hours. t(8:21), inv(16) need 24 hour results. t(15;17) is adverse butt the others are good excluding adverse CRAB.
ALL: t(9;22) KMT2A are adverse adults, t(12;21) positive and then CEP 4/10 indeterminate in children.
MDS: See the IPSS scoring guidelines. This is based off of the blast percentage in the morphology and flow, cytogenetic abnormalities and the impact of the tier I molecular variants, clinical presentation and the CBC.
Any further questions will be laughed 
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Question: how much are doctors (in either a hospital or office setting) directly influenced by knowledge of billing rules? For example, a wsj study showed that Medicare patients were disproportionately discharged immediately after the hospital was able to bill Medicare for an entire next day stayโฆ.like patient might be able to go home but they were discharged at 1AM to get more reimbursement money for the hospital. Private commercial patients with different rules/payment structures were not discharged in this fashion.
How much of this is done bc doctors are told by the hospital to increase revenue? How much is it them being savvy and not directly told?
Also if you have a chemo suite at your office, try to get it changed from place of service 11 to one that can bill at a higher rate ๐ค
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Generally smaller offices know more than I do about billing so theyโre more sensitive to rules. I know what tests I can do without prior approval by insurance so I try to stay in those guidelines but will order tests that the hospital has to foot the bill for if medicaid or insurance wonโt cover if I think itโs clinically warranted. I discharge patients when I feel itโs appropriate to do so, regardless of insurance but I know some for profit hospitals will milk as much money as possible.
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