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Sponsors: Abbott • Telcor • Lifescan • Bayer Diagnostics • MAS
Roche • Cholestech • Ryan Diagnostics (for HemoCue)

AUGUST 14, 2002 Meeting Review
at the Raddison Hotel, Merrillville, IN

Serving Illinois, Indiana, Michigan, Wisconsin, and Ohio, our groups April meeting will provide an excellent educational opportunity for all who attend.  So make plans to attend today!


  • Wendy Denk MT (ASCP)
    Ingalls Memorial Hospital
  • Theresa Kulik MT (ASCP)
    Advocate Lutheran General Hospital
  • David Noah MT (ASCP)
    Palos Community Hospital
  • Gil Salas MT (ASCP)
    University of Ill. At Chicago Medical Center
  • Darlene Sobucki RN, CLS (NCA)
    Advocate Trinity & South Suburban Hospitals

The next Tri-State meeting will be December 4 at the Radisson Hotel, Merrillville, IN.

Billing & Reimbursement
and Connectivity


The second meeting in 2002 of the Tri-State POC Network serving Illinois, Indiana and Michigan took place at the Radisson Hotel in Merrillville, Indiana on Wednesday, August 14, 2002 from 8:30 AM to 3:00 PM.  The meeting was attended by 53 registered healthcare professionals as well as representatives from the program sponsors and vendors: Abbott, Bayer, LifeScan (J&J), MAS, Roche, Ryan Diagnostics and Telcor.

The meeting commenced with the introduction of the core group and opening remarks by Darlene Sobucki, founder of the Tri-State POC Network.  Members of the core group include: Wendy Denk, Ingalls Hospital, Harvey, IL; Theresa Kulik, Advocate Lutheran General, Park Ridge, IL; David Noah, Palos Community, Palos Heights, IL; Gil Salas, Univ of Illinois – Chicago, Chicago, IL; Darlene Sobucki, Advocate Trinity – Chicago and Advocate South Suburban, Hazel Crest, IL.

Billing and Reimbursement Presentation

Christopher Fetters, President and founder of Nextivity Point of Care Consulting Firm spoke to the group about POCT Billing and Reimbursement (our thanks to Roche for sponsoring Chris for this event.)  Chris obtained audience participation by rewarding individuals who could correctly solve acronyms with pieces of candy (chocolate!).  The stumper: 200 D for P. G. in M. (If you guessed $200 for passing Go in Monopoly, congratulations!)  Chris continued giving treats throughout his presentation when people volunteered information, definitely a way to encourage group participation.

The presentation involved discussion of the following: 

  1. Should we bill for POC testing, 

  2. POC is Profitable, and 

  3. Improves patient care.  

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(There were no handouts but the presentation was made available on  Lab tests have CPT codes 80000 – 89399 no matter where the location or setting so a Glucose performed at bedside should be charged as a lab test (which would be the same for ACT, ABG, A1c, I-Stat, etc, a total of 23 lab analytes!).  By not charging for these lab tests performed as POCT, the CPT codes and charges won’t be added to the lab charges listed on the hospital cost report. Chris warned that the Clinical Fee Schedule should not be used but to use the Charge Master to determine charges and suggests using NCCLS GP-11A as a guide to doing so.

Who says POCT can be billed? Medicare and Compliance consultants as long as the following requirements are met: there is a CLIA certificate, a physician order, test is reasonable and necessary for the management of the patient and the result can be reported promptly (needs to be available before the next test is performed). How to bill? Either by paper or electronically although 20% – 40% of the charges are missed in a manual paper system.  In an automated system, CDM codes can be established for individual floors or units to capture charges for their particular tests.

There are three things that must be done for an efficient, high quality and profitable POCT program:

  1. Bar code the patient and operators to avoid bogus ID numbers, 

  2. Install a data management system and 

  3. Bill for POCT.  

Chris provided a formula to help members determine revenue for POCT, which opened many eyes as just how much the healthcare facility can recoup from even just one CPT code.  He also stated someone from the POC Committee, Finance and Contract Management should work together in the project.

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Connectivity Presentations

Following break, the group heard connectivity presentations from Roche ( and – presenters) for the Inform/DataCare connectivity, J&J Lifescan/DataLink (Donna Szul, Joe Eickhoff, Brenda Behrens, Ruth Boltec and Steve Lipschutz), and Abbott PrecisionNet  (John Ellis and Margaret Rooney) and following lunch, two independent vendors, MAS RALS-Plus and Telcor – QML

Roche, J&J and Abbott provided overviews of their respective BGM meters and test strips before proceeding with the Connectivity discussions. To be fair to the three vendors, only one vendor was allowed in the room during the presentations and all had equal time.  

When asked about Web Based Training, Roche said the program would be coming soon, Lifescan has both CD and WEB based available and Abbott has the WEB based training available for I-Stat and Medisense.  

As for Connectivity, Roche (DataCare) has an open system, which means other devices may be linked to the system as long as there is an HL7 and ASTM interface.  Lifescan (DataLink) has a bi-directional interface and may be connected via a PC Link, network or modem. Abbott (PrecisionNet) features a walk away download and the docking stations may be plugged into either a network PC or a network port.  Currently Abbott can only connect to the glucose monitors but other components are to be added.  (For more detailed connectivity information, speak with the vendors.) 

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MAS (RALS Plus) is vendor independent.  Connectivity currently is available for Roche and Lifescan BGM meters, as well as Triage.  Soon to be released (currently in Beta testing) will be I-Stat, Bayer and IL Gem Premier.  Radiometer connectivity will be released in first or second quarter 2003. Joan Maher and Kit McElwain provided an in depth discussion on the more technical aspects of connectivity as well as provide information as to the difference between updates (no charge) and upgrades (charge, be sure to negotiate upgrades into the contract).  For more information visit

Telcor (QML, Mike Seaton presenting) is also vendor independent and may be linked to Nova, IL, Lifescan, ITC, HemoCue, Biosite, Bayer, I-Stat, Roche and a few more (I can’t read my writing, sorry). Connections may be direct, modem or network and Data is managed by exception (you determine the exceptions, hi/lows, etc).  For more information, visit

All presenters stated be sure to ask the vendor if their POC devices are CIC compliant Chris Fetters suggests reviewing the standards for connectivity through or the CAP checklist POCT1-A.

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Last updated: 09/09/2002
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