Quality Assurance & CT Practice Issues – ASC Archived Cyto-econferences

Quality Assurance & CT Practice Issues

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Archive Item Code: 3700-K

Item Name: Medical Legal Aspects of Cytopathology
Timothy Craig Allen, MD, JD

Presentation date: February 23, 2016; Expires: February 23, 2019
Medical legal issues in Pathology are numerous, and for cytopathology, increasingly widespread. A basic understanding of medical malpractice landscape is of great benefit: understanding medical legal issues, preparing for potential litigation and influencing the outcome of actual medical malpractice cases. This webinar will assist cytopathologists and cytotechnologists in navigating the difficult waters of medical malpractice today.


Archive Item Code: 3700-F

Item Name: Smartphone Applications in Cytopathology
Mohi Ghofrani, MD, MBA

Presentation date: September 22, 2015; Expires: September 22, 2018
These days many tasks, from the mundane to the exotic, have been simplified by a myriad of smartphone applications that take advantage of the numerous hardware components housed in these small handheld devices, so much so that the catchphrase “there’s an app for that!” has become ubiquitous. This presentation will review how smartphone technology may be utilized in day-to-day cytopathology practice, either by taking advantage of existing apps, or by developing an innovative idea into a novel application.


Archive Item Code: 3700-E

Item Name: Basics of Billing and CPT Coding in Cytopathology Laboratory
Swati Mehrotra, MD

Presentation date: August 25, 2015; Expires: August 25, 2018
Cytopathology laboratories process a variety of specimens and provide critical information to clinicians in a timely manner. Optimal reimbursement for services provided is dependent on accurate coding of cytology reports. CPT coding of cytology reports can be frustrating and difficult at times. In the present era of declining reimbursements, suboptimal coding could lead to potential loss of revenue. While several pathology groups employ certified professional billing services to deal with claims filing and management, a basic knowledge of CPT helps streamline the process. In addition, proper report documentation improves claims processing while reducing denials.
This webinar explains the basics of CPT coding in cytology laboratory. The target audience includes practicing pathologists, cytotechnologists and trainees. A vignette based approach will be adopted to discuss the nuances of CPT coding of cytology reports. CPT codes are assigned a Relative Value Unit (RVU), a value often used as a measure of physician productivity. RVU’s linked to cytology CPT codes will be addressed. The participants will also be made aware of recent changes in CPT coding, which took place as part of CMS’s National Correct Coding Initiative (NCCI). In the end, emphasis will also be on proper report documentation.
At the conclusion of this webinar, the participants will become familiar with the nuances of CPT coding and recent changes to the process. They should be able to modify their practice, implement any required changes and in turn optimize their collections.


Archive Item Code: 3700-D

Item Name: Common and Challenging Pap Tests with Histopathologic Correlation and Management
Christine N. Booth, MD
Fadi W. Abdul-Karim, MD

Presentation date: July 28, 2015; Expires: July 28, 2018
This webinar will use case studies of common, yet challenging interpretations in gynecologic cytopathology to illustrate key cytomorphologic features of various disease processes. The cases will focus on Pap tests with follow-up histopathologic correlation when available. Knowledge of the Bethesda System for reporting cervical cytology is assumed. The updated 2012 ASCCP Consensus Management Guidelines will be covered to reflect the Pap test interpretations.


Archive Item Code: 3600-K

Item Name: Telecytopathology: Opportunities and Challenges
Brian T. Collins, MD

Presentation date: February 24, 2015; Expires: February 24, 2018
Telecytopathology is an exciting and emerging digital image service involving technologies which enable the cytopathology service to provide on-site immediate interpretation of FNA biopsies. It is becoming easier to implement and deploy systems utilizing currently available hardware and software solutions. Growing demands on health care providers will encourage more efficient use of the time required for managing and evaluating FNA biopsies. The specific hardware and software solutions available will be discussed. Plans for acquisition, validation, implementation, and work flow considerations will be covered. An overview of the current state of the art will be provided.


Item Code: 3500-E

Item Name: Cytopathology Diagnoses Made More Precise with Laboratory Test Result Correlation
Christine N. Booth, MD

Presentation date: August 27, 2013; Expires: August 27, 2016
Diagnoses of specific non-gynecologic cytology samples may be enhanced with knowledge of certain laboratory test results.  These include both exfoliative samples (cerebrospinal fluid, pericardial, peritoneal and pleural fluids) as well as fine needle aspirate cytology samples from body sites such as the thyroid, “neck,” lymph nodes and metastatic sites.  Following an overview of the subject, a case-based approach is used to highlight laboratory tests that aid in rendering more specific cytologic diagnoses. The use of immunocytochemical stains on cytologic samples to help make more specific diagnoses are also covered.


Item Code: 3500-B

Item Name: Critical Values and Issues in Reporting Cytology
Andrew A. Renshaw, MD

Presentation date: May 28,  2013; Expires: May 28, 2016
The cytology report represents the main product of the cytology laboratory.  While the diagnosis remains the most important part of this report, more and more people other than the cytologist and clinician are using the report for research and quality assurance purposes.  This is affecting both the format and content of the report.  I summarize various ways people have used to try and make the cytology report more accurate and useful for its users, and suggest how it will continue to change in the future


Item Code:  3400-D

Item Name: Workload Limits and Quality Assurance in Image-assisted Gynecologic Screening
Tarik M. Elsheikh, MD

Presentation date:  July 24, 2012; Expires:  July 24, 2015
With the current and projected shortage of the cytotechnologist workforce and desires to reduce laboratory costs, markedly increased productivity with image assisted screening, not necessarily increased sensitivity, became an attractive option for many labs. This may be accomplished by imposing pre-determined productivity quota, and reducing QA measures to the minimum required by CLIA. More recent literature, however, has shown that the FDA approved cytotechnologist workload limits are too high and can lead to increased error rate, and that the CLIA-mandated quality measures, by themselves, may fail to detect poor cytotechnologist performers. In this webinar, review of recent literature and recommendations for cytotechnologist workload limits and QA measures are presented.


Item Code: 3400-E

Item Name: Beyond Diagnostic Error! Tips for Avoiding the Medicolegal Morass in Cytopathology
Barbara A. Crothers, DO, FCAP

Presentation date: August 28, 2012, Expires: August 28, 2015
Everyone is aware of the medicolegal impact of a false negative Pap test, and cytologists implement quality assurance practices to minimize these errors. There are other situations that can lead to malpractice and we will examine ways that these practices can be identified and errors prevented.


Item Code: 3400-K

Item Name: The LEAN Toolbox for Hard Times: Project Management Tools and Tips for Avoiding Waste in Your Laboratory
Nancy A. Young, MD  

Presentation date: February 26, 2013; Expires: February 26, 2016
In these challenging economic times we are asked to do more with less while maintaining a culture of safety.  This is a “how to” session to learn basic LEAN process improvement tools and project management strategies to deal with the “8 deadly sins of waste” in your laboratory and improve efficiency.