Guest guest Posted March 6, 2011 Report Share Posted March 6, 2011 Elaine,If you don't do any CLIA-waived tests, then it makes no sense for you to pay for the waiver. If you do any CLIA-waived tests, you are required by law to get the waiver. The penalties, per CDC: Basis for imposing a civil money penalty. CMS may impose a civil money penalty against any laboratory determined to have condition level deficiencies regardless of whether those deficiencies pose immediate jeopardy. ----- (2) Range of penalty amount. (i) For a condition level deficiency that poses immediate jeopardy, the range is $3,050-$10,000 per day of noncompliance or per violation. (ii) For a condition level deficiency that does not pose immediate jeopardy, the range is $50-$3,000 per day of noncompliance or per violation. I think it highly unlikely that you would get caught if you didn't have a waiver, but those are the risks you would be taking on. SetoSouth Pasadena, CA I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2011 Report Share Posted March 6, 2011 Elaine,I have a rule to never try to make sense out of government regulations; if you don't get more confused you're likely to get high blood pressure, or both! My understanding is that without a CLIA license you're not allowed to use the lab results clinically; microscopy by MD might be an exception! Not sure how anyone would care, but you might want to consider it in terms of risk assessment for malpractice. That may not be an issue for an IMP doing all office testing. Still probably won't get it paid!Subject: Droppong Clia WaverTo: "practiceimprovement1" < >Date: Saturday, March 5, 2011, 9:57 PM I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2011 Report Share Posted March 6, 2011 Elaine, You are likely not billing them correctly. Are you putting the QW modifier on the lab codes? Are you putting yourself down as Referring and Ordering Provider? Are you making sure that only the correct ICD-9 codes are being used? Have you called Medicare and asked why you aren’t being paid? The reason to have your CLIA is to comply with federal law, which states that you must have a license to collect bodily fluids (or something to that effect). Get caught, and you could face $$$ in fines. Chances of getting caught? I’m not sure. Being an ex-Federal government employee, I’m not willing to break those rules myself, but to each his own. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sent: Saturday, March 05, 2011 9:58 PM To: practiceimprovement1 Subject: Droppong Clia Waver I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 6, 2011 Report Share Posted March 6, 2011 Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control.Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha Murthy Sent: Monday, March 07, 2011 7:35 AM To: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value On Sun, Mar 6, 2011 at 12:25 PM, Ben Brewer wrote: Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha Murthy Sent: Monday, March 07, 2011 7:35 AM To: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value On Sun, Mar 6, 2011 at 12:25 PM, Ben Brewer wrote: Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha Murthy Sent: Monday, March 07, 2011 7:35 AM To: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value On Sun, Mar 6, 2011 at 12:25 PM, Ben Brewer wrote: Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150 -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D. www.elainemd.com Office: Go in the directions of your dreams and live the life you've imagined. This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact "Better and more Stringent" standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... To: Sent: Mon, March 7, 2011 11:06:04 AMSubject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab†that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha MurthySent: Monday, March 07, 2011 7:35 AMTo: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact "Better and more Stringent" standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... To: Sent: Mon, March 7, 2011 11:06:04 AMSubject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab†that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha MurthySent: Monday, March 07, 2011 7:35 AMTo: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact "Better and more Stringent" standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... To: Sent: Mon, March 7, 2011 11:06:04 AMSubject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab†that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Sangeetha MurthySent: Monday, March 07, 2011 7:35 AMTo: Subject: Re: Droppong Clia Waver You mean you need a clia waiver to do collect specimens too even if you dont do any onsite testing? Totally agree. But I guess i am stuck spending the $150...just another tax I guess. The city of Glendale even taxes my belongings. everything in my office is taxed every year on its value Only in America do you need to pay $150 to get a piece of paper that says you won't be doing any point of care testing more complicated than a urine pregnancy test. The scale of the penalty amounts is ridiculous. The government interference in healthcare is out of control. Ben I just paid $150 for my clia waver. Not sure why I meed to do this. Medicare is not paying me for my labs- UA, strep throat, preg test, so why do i bother to submit. I don't even bill up to $150 anyway. Private ins does not ask for Clia. Can anyone think of anything wrong w this strategy? Do I have any downside? Next yr I think I will save the $150-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error. -- Sangeetha Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 No, CLIA is for labs only, not collection of specimens. I do not see anything in our State guidelines or CMS guidelines that specifies that you have to have a CLIA waiver to collect specimens. , if you can provide proof otherwise, please enlighten us; we have a waiver, so it doesn’t much matter to me, but it may to others. Everything surrounding CLIA refers to labs/tests performed in-house. From: https://www.cms.gov/CLIA/downloads/HowObtainCLIACertificate.pdf DO I NEED TO HAVE A CLIA CERTIFICATE? CLIA requires all facilities that perform even one test, including waived tests, on “materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings” to meet certain Federal requirements. If a facility performs tests for these purposes, it is considered a laboratory under CLIA and must apply and obtain a certificate from the CLIA program that corresponds to the complexity of tests performed. My interpretation of this is that if you are simply collecting the specimen, but are not doing any testing on it, you are NOT required to have a CLIA certificate. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Bleiweiss Sent: Monday, March 07, 2011 8:14 AM To: Subject: Re: Droppong Clia Waver I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact " Better and more Stringent " standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... From: Pratt To: Sent: Mon, March 7, 2011 11:06:04 AM Subject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 No, CLIA is for labs only, not collection of specimens. I do not see anything in our State guidelines or CMS guidelines that specifies that you have to have a CLIA waiver to collect specimens. , if you can provide proof otherwise, please enlighten us; we have a waiver, so it doesn’t much matter to me, but it may to others. Everything surrounding CLIA refers to labs/tests performed in-house. From: https://www.cms.gov/CLIA/downloads/HowObtainCLIACertificate.pdf DO I NEED TO HAVE A CLIA CERTIFICATE? CLIA requires all facilities that perform even one test, including waived tests, on “materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings” to meet certain Federal requirements. If a facility performs tests for these purposes, it is considered a laboratory under CLIA and must apply and obtain a certificate from the CLIA program that corresponds to the complexity of tests performed. My interpretation of this is that if you are simply collecting the specimen, but are not doing any testing on it, you are NOT required to have a CLIA certificate. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Bleiweiss Sent: Monday, March 07, 2011 8:14 AM To: Subject: Re: Droppong Clia Waver I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact " Better and more Stringent " standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... From: Pratt To: Sent: Mon, March 7, 2011 11:06:04 AM Subject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 7, 2011 Report Share Posted March 7, 2011 No, CLIA is for labs only, not collection of specimens. I do not see anything in our State guidelines or CMS guidelines that specifies that you have to have a CLIA waiver to collect specimens. , if you can provide proof otherwise, please enlighten us; we have a waiver, so it doesn’t much matter to me, but it may to others. Everything surrounding CLIA refers to labs/tests performed in-house. From: https://www.cms.gov/CLIA/downloads/HowObtainCLIACertificate.pdf DO I NEED TO HAVE A CLIA CERTIFICATE? CLIA requires all facilities that perform even one test, including waived tests, on “materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of the health of, human beings” to meet certain Federal requirements. If a facility performs tests for these purposes, it is considered a laboratory under CLIA and must apply and obtain a certificate from the CLIA program that corresponds to the complexity of tests performed. My interpretation of this is that if you are simply collecting the specimen, but are not doing any testing on it, you are NOT required to have a CLIA certificate. Pratt Office Manager Oak Tree Internal Medicine P.C www.prattmd.info From: [mailto: ] On Behalf Of Bleiweiss Sent: Monday, March 07, 2011 8:14 AM To: Subject: Re: Droppong Clia Waver I disagree very much. Again the whole set of problems surrounding the PAP's in the '70's is exactly why the CLIA Act was passed in the first place. And proper collection, chain of custody, documentation are all part of what brought it about.... And were glaring problems that were brought to light. It was a real food fight as the layers of mistakes slowly peeled away. I personally would not collect PAP's or other samples for labs without a certificate in place. Each state runs their own CLIA program much like many other things ordered by the Feds but allowed some differences from state to state. A state may NOT water down or have more lenient rules but any state is welcome and encouraged to enact " Better and more Stringent " standards and enforcement. So in the end I would say web search your own state gov't and make sure what the rules are in your particular state... NYS is one of the stricter states enjoying ramping up on docs and businesses any chance they can get.... From: Pratt To: Sent: Mon, March 7, 2011 11:06:04 AM Subject: RE: Droppong Clia Waver I think if you are only collecting specimens (such as paps) and sending them out to a lab you do not need a waiver. But any in-office “lab” that you do requires a CLIA Certificate, even if it is a UA Pregnancy test. Most small offices stick with the Waiver, because to run a full ‘lab’ is super-expensive (in fees to CLIA and the State, not to mention the cost of the lab supplies). Offices that have a Clia-Waived certificate must do CLIA-waived tests only. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2011 Report Share Posted March 8, 2011 I agree it doesn't make sense that physicians have to pay $150.00 for some of the CLIA waived tests. For me, the logic is off. It is ok for a pt to bring in the results of their glucometer and interim adjustments in their medication can be based on those reported values. Yet, if a physician does a glucometer reading in their office...that value can't be used for documentation and/or test can't be charged for unless one has paid for a CLIA certificate. By the way, thanks for the reminder and brief recap about the pap scandal. I remember that also. Quote Link to comment Share on other sites More sharing options...
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