DIRECTORY OF SERVICES - AP2

[Pages:90]DIRECTORY OF SERVICES

REVISED JANUARY 2017

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CONTENTS

CONTENTS

GENERAL COMPANY OVERVIEW ................................................................................................ 3

COMPANY CONTACT INFORMATION ........................................................................................ 4

ACCREDITATION AND LICENSURE ............................................................................................. 5

CORPORATE AND MEDICAL STAFF ............................................................................................ 6

RESULTS AND REPORTING............................................................................................................ 6

CASE MANAGEMENT,TEST ADD-ONS AND CANCELLATIONS ......................................... 7

INFORMATION TECHNOLOGY ....................................................................................................... 7

INSURANCE AND BILLING SERVICES ........................................................................................ 8

GENERAL SPECIMEN LABELING AND SUBMISSION ........................................................... 9

SURGICAL PATHOLOGY ................................................................................................................ 10

Cervical, Endocervical and Endometrial ....................................................................................... 10 Cone and LEEP Conization of Cervix.............................................................................................. 10 Endoscopic........................................................................................................................................ 10 Skin Excisions....................................................................................................................................11 Breast Tissue ......................................................................................................................................11 Prosthetic Breast Implants .............................................................................................................. 12

IMMUNOHISTOLOGY, CYTOCHEMISTRY, MOLECULAR PATHOLOGY........................... 12

Immunohistology............................................................................................................................. 12 Molecular Oncology......................................................................................................................... 13 Chromosomal Studies and Electron Microscopy ......................................................................... 13

HEMATOPATHOLOGY AND FLOW CYTOMETRY.................................................................... 14

Flow Cytometry ................................................................................................................................ 14 How to Submit a Bone Marrow Biopsy and Aspirate................................................................... 16 How to SubmitTissue for Lymphoma (Lymph Node/SolidTissue) Workup ............................... 16

INFECTIOUS DISEASE TESTING ................................................................................................. 17

UniSwabTM ........................................................................................................................................ 17 ThinPrep? and SurePathTM .............................................................................................................. 18 Group A Streptococcus Swab (ESwab).......................................................................................... 18 Group B Streptococcus Swab ......................................................................................................... 18 Self Collection Device ...................................................................................................................... 19 Urine PreservativeTransport (UPT) ................................................................................................ 19

CYTOPATHOLOGY (NON-GYN).................................................................................................... 20

Induced Sputum and Bronchial Washings for Pneumocystis Pneumonia ................................ 20 Bronchial, Colonic, Esophageal and Gastric Washings ............................................................... 20 Sputum ............................................................................................................................................. 20 Urine ................................................................................................................................................. 21 Nipple Secretions and Smears ....................................................................................................... 22 Cerebral Spinal Fluid ....................................................................................................................... 22

DDIRIRECECTOTORYRYOOF FSSEREVRVICICESES 1

CONTENTS

Contents, Cont.

CYTOPATHOLOGY ? FINE NEEDLE ASPIRATION ..............................................................................23

Thyroid/Parathyroid FNA ?Thyroglobulin Assay Option (UniPath Only)...............................................26

CYTOPATHOLOGY ? GYNECOLOGY .....................................................................................................27

ThinPrep? Pap Tests .................................................................................................................................... 27 SurePathTM PapTests.................................................................................................................................. 28 Human Papillomavirus (HPV) Testing .......................................................................................................29 HPV and Pap Co-Testing .............................................................................................................................30 Pap Smears for Diethylstilbestrol (DES) Evaluation ................................................................................31

Conventional Method ............................................................................................................................31 Liquid Based Method .............................................................................................................................31

THE BETHESDA2014 SYSTEM FOR REPORTING CERVICAL/ VAGINAL CYTOLOGIC DIAGNOSES .............................................................................................................32

PAP SMEAR COMMENTS ? THE BETHESDA2014 SYSTEM...............................................................34

PEDIATRICS ? PLACENTA SERVICE ......................................................................................................36

PEDIATRIC/PERINATAL AUTOPSIES .....................................................................................................37

APPENDICES ................................................................................................................................................44

Appendix 1: Immunopathology Library of Antibodies ........................................................................... 45 Appendix 2: Immunohistochemistry/Molecular Prognostic Markers.................................................... 49 Appendix 3: Special Stains.........................................................................................................................50 Appendix 4: Hematopathology Diagnostic Profiles .................................................................................51 Appendix 5: Available Molecular Tests ......................................................................................................52 Appendix 6: Aperio Scan Scope AT ...........................................................................................................53 Appendix 7: Maturation Index and Other Estrogen Effect Indicators ....................................................54 Appendix 8: Additional Forms ...................................................................................................................55

Supply Order Forms...............................................................................................................................55 Advanced Beneficiary Notice of Noncoverage (ABN) ........................................................................58 Add-on Requests ....................................................................................................................................59 Requisitions ............................................................................................................................................59 Appendix 9: Reference Laboratory Information.......................................................................................60 Counsyl....................................................................................................................................................60 Interpace Diagnostics.............................................................................................................................60 MDxHealth ..............................................................................................................................................60 NeoDiagnostix ........................................................................................................................................61 Progenity .................................................................................................................................................61 Sequenom ...............................................................................................................................................62 University of Colorado...........................................................................................................................62 Appendix 10: LaboratoryTest Directory (Alphabetical Order).................................................................63

(includes specimen preparation and rejection criteria)

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GENERAL COMPANY OVERVIEW

GENERAL COMPANY OVERVIEW

American Pathology Partners (AP2) is an emerging nationwide network of leading anatomic pathology laboratories serving physician offices, hospitals, and surgery centers. Our passion is superior patient care.

AP2 strives to accomplish this by helping clinicians provide the best treatments possible to their patients. This means providing treating physicians and their staff accurate, definitive and informative diagnoses, rapid turnaround times, and superior service levels.

Our goal is to provide academic-caliber, subspecialized pathology services by pairing these capabilities with academic-caliber medical consults and interpretation services through affiliated but independent, physician-owned medical practices.

Our board-certified, fellowship trained, pathologist partners have extensive training and experience in several subspecialty areas, including surgical pathology, breast pathology, cytopathology, dermatopathology, hematopathology, urologic pathology, gastrointestinal and liver pathology, nephropathology, pediatric and perinatal pathology, immunopathology, and molecular diagnostics.

AP2 is committed to delivering quality patient care through teamwork and exceptional laboratory services.

CORE VALUES

COMMUNICATION We support consistent open dialogue company-wide.

SERVICE We set the standard of excellence and build long-lasting relationships through efficiency and reliability.

TEAMWORK We treat each other with respect to promote a collaborative environment.

PASSION We celebrate enthusiasm, fun and the recognition of our accomplishments.

ACCOUNTABILITY We are responsible for accuracy, ownership and attention to detail.

INNOVATION We continuously improve through creative

ideas and advancing technology.

QUALITY

AP2 incorporates extensive quality control and quality assurance during all phases of operation. Interdepartmental process evaluation is conducted regularly and improvements are implemented and identified. AP2 and its subsidiaries have developed departmental committees to interpret statistics, recommend new monitors, discuss resolution of and follow-up on identified problems, and explore ways of improving quality, efficiency, and cost effectiveness.

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COMPANY CONTACT INFORMATION

COMPANY CONTACT INFORMATION

AMERICAN PATHOLOGY PARTNERS, INC. CORPORATE HEADQUARTERS

103 Continental Place, Suite 400, Brentwood,TN 37027 MainTelephone: 615.916.3200 Fax: 615.916.3218

UNIPATH

6116 East Warren Avenue, Denver, Colorado 80222-5703



UNIPATH LABORATORY Toll Free: 866.864.7284 Front Desk: 303.512.0888 Fax: 303.512.2288 Hours: 8am-5:30pm (MST) Monday-Friday

INFORMATION TECHNOLOGY Help Desk: 303.512.2263

CLIENT RELATIONS: Department: 303.512.2210 Fax: 303.512.2252 Hours: 8am-5:30pm (MST) Monday-Friday

CYTOLOGY/HISTOLOGY Main Laboratory: 303.512.0888

HEMATOLOGY/FLOW CYTOMETRY Hotline: 855.823.6555 Email: hemepath@

MOLECULAR Main Laboratory: 303.512.0888

ADDITIONAL SERVICES Supplies Department: 303.512.2216 Fax: 303.512.2246 Add-on Testing: 303.512.2210

NATIONAL BILLING CENTER Hotline: 855.307.5899 Hours: 7am - 4pm (MST), Monday - Friday

PALM BEACH PATHOLOGY

2013 Ponce de Leon Ave., West Palm Beach, Florida 33407 MainTelephone: 615.916.3200 Fax: 615.916.3218

PALM BEACH PATHOLOGY LABORATORY Toll Free: 800.749.6595 Front Desk: 561.659.0770 Fax: 561.659.0413 Hours: 8am - 5:30pm (ET), Monday - Friday

INFORMATION TECHNOLOGY Help Desk: 303.512.2263

CLIENT RELATIONS Department: 561.659.0770 Hours: 8am - 5:30pm (ET), Monday - Friday

CYTOLOGY/HISTOLOGY: Main Laboratory: 561.659.0770

HEMATOLOGY/FLOW CYTOMETRY Hotline: 855.823.6555 Email: hemepath@

MOLECULAR Main Laboratory: 303.512.0888

ADDITIONAL SERVICES Supplies Department: 561.659.0770 Fax: 561.659.0413 Add-on Testing: 561.659.0770

NATIONAL BILLING CENTER Hotline: 855.307.5899 Hours: 9am - 5pm (ET), Monday-Friday

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ACCREDITATION AND LICENSURE

EASTERN CAROLINA PATHOLOGY

2693-B Forest Hills Road, Wilson, North Carolina 27893



EASTERN CAROLINA PATHOLOGY LABORATORY Toll Free: 866.572.8452 Front Desk: 252.234.2841 Fax: 252.234.9270 Hours: 8am - 5pm (ET), Monday - Friday

INFORMATION TECHNOLOGY Help Desk: 303.512.2263

CLIENT RELATIONS Department: 252.234.2841 Hours: 8am - 5pm (ET), Monday - Friday

CYTOLOGY/HISTOLOGY Main Laboratory: 252.234.2841

HEMATOLOGY/FLOW CYTOMETRY Hotline: 855.823.6555 Email: hemepath@

MOLECULAR Main Laboratory: 303.512.0888

ADDITIONAL SERVICES Supplies Department: 252.234.2841 Fax: 252.234.9270 Add-on Testing: 252.234.2841

NATIONAL BILLING CENTER Hotline: 855.307.5899 Hours: 9am - 5pm (ET), Monday-Friday

Note: Many extensions are equipped with voicemail, but you always have the option of speaking with one of our many dedicated and courteous employees who will help resolve your questions or problems. If you feel that your needs are not being satisfied, please ask for a member of the administrative staff or the pathology Medical Director.

ACCREDITATION AND LICENSURE

AP2 has three laboratory facilities and staffs other various sites including local hospitals and surgery centers. AP2 physicians hold appropriate medical and facility accreditations for the jurisdictions served. In compliance with the requirements of the accrediting agencies listed below, AP2 laboratories maintains `inspection readiness' status at all times and participates in on-site inspections and external/internal proficiency testing as required and administered through these jurisdictions.

UNIPATH

6116 East Warren Ave. Denver, CO 80222

Clinical Laboratory Improvement Amendments (CLIA) License No: 06D0512826

College of American Pathologists (CAP) Participant No: 2178701

State of Florida License No: 800026147

PALM BEACH PATHOLOGY

2013 Ponce de Leon Ave. West Palm Beach, Florida 33407

Clinical Laboratory Improvement Amendments (CLIA) License No: 10D0286650

College of American Pathologists (CAP) Participant No: 1515301

State of Florida License No: 800001121

EASTERN CAROLINA PATHOLOGY

2693-B Forest Hills Road Wilson, North Carolina 27893

Clinical Laboratory Improvement Amendments (CLIA) License No: 34D0947174

College of American Pathologists (CAP) Participant No: 6932701

PATHOLOGIST LICENSURE

AP2's physicians, practitioners and laboratories hold licenses in several states. Please contact Client Relations for a comprehensive, up-to-date list.

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OUR STAFF | RESULTS AND REPORTING

OUR STAFF

Please visit our laboratory websites to learn more about our Corporate and Medical staff at: AP2: UniPath: Palm Beach Pathology: Eastern Carolina Pathology:

RESULTS AND REPORTING

AP2 generates final diagnostic reports as quickly as possible while maintaining quality and service. AP2 is in compliance with the Health Insurance Portability and Accountability Act (HIPAA), and all policies, processes and procedures are designed to ensure compliance with HIPAA standards. All AP2 processes and procedures are monitored and audited for HIPAA compliance, and AP2 employees receive training on HIPAA standards annually.

The Client Relations staff is trained to answer many of your questions. If he/she does not know the answers to your questions, they will find out the necessary information and get back to you in a timely manner. AP2 professional staff members, including board-certified, fellowship trained pathologists and certified cytotechnologists, are available to assist with consultations on interpretation of results and reports and technical concerns. Please feel free to communicate any questions or concerns to your client service representative or pathologist at:

UniPath Palm Beach Pathology Eastern Carolina Pathology

303.512.0888 561.659.0770 252.234.2841

TURN AROUND TIME

AP2 and its subsidiaries strive to provide the most rapid turn-around time possible without compromising quality. In general, tissue biopsies and critical cytology specimens are given priority, due to their serious nature. Pathology reports will typically be generated within 48 hours of receipt of the specimen. Routine Pap screening cytology

reports will be available within 4-5 working days after receipt of the specimen. STAT processing and reporting are also available for special circumstances.

ISSUING REPORTS

Delivery of reports can be made a number of ways:

Courier service

United States Mail

Auto fax

On-site remote printing

Electronic file transfers

LifePoint Web-Based Reporting

MONTHLY STATISTICAL REPORTS

Monthly reports specific to your practice are available upon request. Reports such as diagnostic statistics specific to your practice and lists of patients with diagnostic information are two examples of reports we can provide. Please contact Client Relations for more information.

PATHOLOGY DIRECTED CONSULTATIONS

Occasionally, a specific case may require a second opinion from outside AP2's pathology group. AP2 reserves the right to select the experts used for consultative services. Additional consultative expenses will be the responsibility of the patient or their insurance carrier.

SLIDE RE-CUT PROGRAM

Extra slides on cases may be requested by clinicians for study, second opinion or retention

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