Quality Assurance & CT Practice Issues
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Archive Item Code: 3800-A
Item Name: The Paris System of Reporting Urine Cytology
Güliz A. Barkan, MD and Eva M. Wojcik, MD
Presentation date: April 26, 2016; Expires: April 26, 2019
This Cyto-econference provides a review of the morphologic criteria and guidelines for the cytologic diagnosis of urinary tract (UT) specimens. It is based on The Paris System of Reporting UT cytology, an international effort to unify and standardize the reporting terminology of UT cytology. This webinar will address the salient diagnostic criteria and the morphological pitfalls. It will also address ancillary tests and their indications, utilization, and practical integration. Other discussion points will include clinical implications of individual diagnostic categories with the associated percentages of risk of high-grade urothelial carcinoma on follow up, and the expected percentage of each reported category based on the practice settings.
Archive Item Code: 3800-E
Item Name: ICD-10 One Year In, Now What?
Michele Smith, MS, SCT(ASCP)
Presentation date: August 23, 2016; Expires: August 23, 2017
ICD-10 has been on the minds of US healthcare professionals for several years, and finally went live in October 2015. This webinar will discuss the first year of ICD-10 coding successes and challenges in the cytopathology laboratory. Additionally, the webinar will look at proposed changes for October 2016 so that cytopathology professionals are able to work with both clinical and revenue integrity staff in effort to coordinate a smooth transition.
Archive Item Code: 3800-F
Item Name: Gynecologic Cytology Reproducibility: Lessons from the Bethesda Interobserver Reproducibility Study (BIRST-2) with selected cases
Daniel F. I. Kurtycz, MD
Presentation date: September 27, 2016; Expires: September 27, 2019
One of the secondary goals of the 2014 revision of the Bethesda System for Reporting Gynecologic Cytopathology was the performance of an Interobserver Reproducibility Study with the aims of finding out how well volunteer cytologist interpretations of selected images would compare with the interpretations of the “Expert Panel” of system authors and to participant performance in the previous BIRST study (2003). This presentation will examine who participated in the study, how well they did, and areas of perceived difficulty. Illustrative case material will be used to highlight areas of interpretive difficulty.
Archive Item Code: 3800-D
Item Name: Role of Touch Imprint Cytology of Needle Core Biopsies in Adequacy Assessment: Change in Practice Pattern
Vijayalakshmi Padmanabhan, MD
Presentation date: July 26, 2016; Expires: July 26, 2019
Needle core biopsies (NCB) are replacing classic FNA in many institutions across the US, and intra-procedural cytological assessment of the Touch Imprint (TI) cytology of NCB is often requested by radiologists. In this webinar, we will discuss the role of TI cytology of skinny NCB in adequacy assessment – preparing the specimen, differentiating the morphological features from classic FNA and the advantages and pitfalls of this technique.
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.