Thanks Bill, 
That isn't what we do here but I was curious about a scenario like I
mentioned.  Actually our surgeons typically order exercise for all pts who
are able to walk and have exercise symptoms and if we find a reason not to
exercise we will consult with the ordering surgeon.
 
Jeff Stanley BS,RVT
Nashville TN
(lowest price of low grade gas here $2.71/gal as of this morning)
 
 ---Original Message-----
From: Bill Schroedter [mailto:[log in to unmask]]
Sent: Wednesday, August 31, 2005 3:52 PM
To: [log in to unmask]
Subject: Re: PVR with exercise



Jeff - That doesn't really do it! The order must come from the "treating
physician." Internal protocols do not meet that criterion. In order for your
medical director to write the order, he/she would need to be formally
consulted to see the patient in which case they also become the treating
physician.

 

Bill Schroedter

Venice, Fl

 


  _____  


From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Jeff Stanley
Sent: Wednesday, August 31, 2005 4:37 PM
To: [log in to unmask]
Subject: Re: PVR with exercise

 

What about if you had an algorithm with your Med Director's signature of
approval that states something like "perform treadmil testing if such and
such conditions exist"?   ie A pt arrives with symptoms of claudication and
you have an order for a "LE Arterial Doppler" and you find the resting
pressures and waveforms are normal.  But you look at your protocols and it
states that you should perform treadmil testing in this case (assuming no
cardiac or other contraindications exist).

 

Jeff Stanley BS,RVT

Nashville TN

-----Original Message-----
From: Pat Marques [mailto:[log in to unmask]]
Sent: Wednesday, August 31, 2005 3:22 PM
To: [log in to unmask]
Subject: Re: PVR with exercise

Shelly:  If the order does not state "with exercise" and you perform the PVR
with exercise, and then bill for it, namely 92924, then this is a billing
problem, i.e., fraudulent billing.  You must have a order from a health care
provider, MD/PA/NP-C, perform that test, and bill for that test.  On the
other hand, if you want to do the exercise testing even without an order for
it, you must only bill 93923.  Pat Marques, RN, RVT, FSVU, Vascular
Associates Laboratory, Baton Rouge, LA   

-----Original Message-----
From: UVM Flownet [mailto:[log in to unmask]]On Behalf Of Burns, Shelly
Sent: Wednesday, August 31, 2005 3:14 PM
To: [log in to unmask]
Subject: PVR with exercise

Hi,

The compliance people at our hospital have discovered we perform treadmill
testing on 90% of our PVR studies although the 

'script' does not always say 'with exercise testing'.  Do you all feel this
is a noncompliance issue and that we should get the order to state 'with
exercise testing'?  Thanks.

 

Shelly Burns

Manager Vascular Services

Summa Health System

330-375-3288

fax 330-375-6384

 

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