Re: NHIC Proposed Local Medical Review Policy - CA

From: Bruce Davis (DAVISB@mmc.org)
Date: Wed Jul 17 2002 - 13:54:58 EST


This is a very serious issue for clinical cytometry in the U.S.  The Clinical Cytometry Society through it's regulatory committee will be looking into this proposal and be making a strong comment in writing and likely will offer to meet personally with the Medical Director for the Medicare carrier in California.  As chair of that CCS committee and past president of CCS, I welcome thoughts, ideas, and arguments to combat this proposal to limit reimbursement for flow cytometry (and immunohistochemistry) in California.  I also will attempt to enlist the assistance of the International Society for Laboratory Hematology, College of American Pathologists and the American Society for Clinical Pathology to work with CCS in assisting California in developing a more informed policy.

Thanks to Dr. Hiti for this "heads up"

Regards,



Bruce H. Davis, M.D.
Maine Medical Center Research Institute
81 Research Drive
Scarborough, Maine  04074
USA

PHONE: 207-885-8113
FAX: 207-885-8110
Email:  davisb@mmc.org

>>> "Alan L. Hiti, Ph.D., M.D." <ahiti@usc.edu> 07/16/02 07:04PM >>>

I was just made aware of the National Heritage Insurance Company proposed
LMRP for Flow Cytometry and Immunocytochemistry for Cancer Diagnoses and
Prognoses for California Health Professionals regarding Medicare coverage.
The proposal is to normally reimburse for a maximum of 16 flow cytometry
studies and/or a maximum of 7 immunocytochemical studies without additional
submitted documentation of medical necessity.  I thought that others may
want to take advantage of the comment period from 7/17/02 to 8/31/02.
Information can be found at the following link:

http://www.medicarenhic.com/lmrp/draft/ca/flowcyto_drftlmrp.htm

Thanks.


Alan L. Hiti, Ph.D., M.D.
Associate Professor, Pathology Department
USC Keck School of Medicine
Director, USC Clinical Laboratories
Director, Flow Cytometry Section
Clinical Sciences Center, Room 108
2250 E. Alcazar St.
Los Angeles, CA  90033-4523
Tel. (323) 442-3465
FAX  (323) 442-2990
email ahiti@usc.edu



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