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Re: FOBs

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Hi Carla Probably becasue my population is largely older- I use these up al l  the time..  If you came to Camp and wanted me to hand you  half the box or so I would be happy to.The reimbursement stinks I give them 2 week s int he tickler system then nag them

Mostly  all my patients return them   ONE guy has repeatedly not returned them- he has been told I will not give him any   more but promises me  we will get a colonoscopy set up next time and I documentI use the plain old cheapy  cards- I looked this up a year ago and could not get clear answer on wherther I should change but the reimbursemtn is so bad  that steered me away form change

Hoping some coding maven will tell me how to work this better.May  use less anyway soon as Medicare covers screening colonsocpy now.... sigh.

 

I'm wondering what folks are doing in regards to FOB kits for home use and singles for in-office use.  1) Are you using high sensitivity guaiac or the immunochemical type?  If using the immunochemical type for CRC screening, do you still have guaiac type for upper GI bleeding screens or do you find that unnecessary? 

2) What do you do when patients don't return their cards and thus you cannot bill for the test?  Particularly the more expensive iFOBs? Is there any work-around to charge the patient for the kit in some way? Perhaps that would even increase the compliance rate?

3) Every order of FOBs I've purchased have outdated before I've used them up. Anyone else have that problem? Perhaps buying in bulk and sharing an order might be

feasible?Carla

--      MD          ph    fax impcenter.org

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