Client Communication

2019

Effective July 1, 2019, Sunrise Medical Laboratories will introduce a new stool collection device, the Apacor Mini ParaSep for Ova & Parasite testing.

 

Mini Parasep® SF Patient Care Single Vial Device

  • Contains a formalin free alcohol based stool preservative
  • Maintains morphological features of intestinal parasites
  • Uses a smaller amount of stool for collection in one device
  • Allows for wet mount preparations, trichrome staining for trophozoites and ELISA testing for Giardia and Cryptosporidium from one sample
  • Replaces the Formalin and PVA Para-Paks

 

Additional Information

  • Testing performed Monday through Friday
  • Analytic time 24-72 hours after receipt
  • Samples transported room temperature (15-25°C) or refrigerated (2-8°C)
  • After inoculation, sample stable in collection device for 7 days
  • Empty collection devices and leaking samples will be rejected

 

Test Codes

  • Ova & Parasite one sample ............Test Code 403
  • Ova & Parasite two samples ........Test Code 4032
  • Ova & Parasite three samples ......Test Code 4033
  • Ova & Parasite comprehensive* .....Test Code 405
    *Includes O&P, Giardia and Cryptosporidium ELISA testing

 

For questions contact: Sunrise Laboratories Microbiology Department at1.800.782.0282 ext. 1110

Before applying a tourniquet, make sure you’re following the proper order of venipuncture. There are several steps to take before a tourniquet should be used. These include:

  • Confirming with the patient the amount of blood that will be drawn.
  • Putting together any equipment that may be necessary.
  • Washing hands and putting on gloves.
  • Positioning the patient correctly.
  • Finding the appropriate vein for a blood draw.

 

Once these steps have been taken, you can apply the tourniquet. It’s always a good idea to let your patient know what you’re doing while you’re doing it. This helps put them at ease. When you’re ready, put on the band using the following steps:

  1. Place the band at the back of the patient’s arm. The tourniquet needs to be flat on the patient's arm. A tourniquet should be placed 3 to 4 inches above the site of collection.
  2. Be sure not to pinch the skin or make it too tight. (When it’s tied too tight the vein can collapse.)
  3. Make a loop with the tourniquet around the patient’s arm and cross the ends.
  4. Taking one end, loop it around the cross-section, and underneath.
  5. The loop and natural compression of the cross-section will apply enough pressure to hold the band in place.
  6. Ask them if the band is too tight. If it is, you may need to start the process over.
  7. In many cases, if the vein is visible, you may not need a tourniquet at all.
  8. Remove the tourniquet as soon as blood flow is established.

Purpose To provide a brief introduction to Histology, and a clearer understanding of the process, highlighting common errors made when submitting samples.

 

Transport

  • Specimens can be transported and stored at room temperature or refrigerated.

 

Transport Medium

  • Formalin - most routine cases
  • Sterile Container - If sample is shared with micro. (nails, iud)
  • POC - For chromosome analysis or hematology (gout tophi, "GOUT")

 

Test Code

  • 601 THROUGH 618
  • 614 - POC
  • 6019 - PROSTATE
  • 92417 - DERM, IN-HOUSE
  • 66212 - MID-ATLANTIC

 

Lab Department

  • Histology

 

Methodology

  • Vacuum Infiltration Processing (VIP)

 

Sample Type

  • Human Tissue
     

Post-Collection Stability

Fixation is done at the time of specimen collection. In some cases, such as POC for chromosome analysis, the sample is kept in the refrigerator upon receipt.

 

Turn-Around Time

48 hours, if no additional stains or processes are required by the pathologist to aid in diagnosis

 

List Price

For any other pricing questions, please forward to the Sales Department.

 

Contacts

For technical questions, please contact:

Victoria, Ext. 1018

Haiedeh, Ext. 1108, or

Donna, Ext. 1011

 

For result follow-up, slide request, test add-on, to speak to a pathologist, or any other non-technical question, please contact Pathology Support:

Ellen (Lead Pathology Coordinator), Ext. 1197

Tyesha (“TYE”), Ext. 1179, or

Allyson, Ext. 1178

Sunrise Medical Laboratories is pleased to announce the introduction of QuantiFERON-TB Gold Plus assay which offers optimized analyses with tuberculosis (TB)-specific antigens that elicit both CD4+ and CD8+ T-cell responses. The new 4-tube collection sets enable a more comprehensive assessment of cell-mediated immune response to TB infection.

 

Immediately after filling the tubes with 1ml blood, shake 10 times just firmly enough to coat the inner surface of the tubes without disrupting the gel.

 

For unincubated(Test code 21202) processing, send tubes to the lab at room temperature within 16 hours of collection.

 

For pre-incubated(Test code 21203) processing, incubate the tubes upright at 37C for 16-24 hours and centrifuge for 15 minutes at 2000-3000g. Refrigerate tubes at 2-8C.

 

The 1-tube assay(Test code 12024) requires 6ml (5ml minimum) of whole blood collected in a Hemoguard green lithium heparin tube. Invert tube gently several times. Specimen must remain at room temperature for a minimum of 15 minutes after collection before being refrigerated. Refrigerate the specimen within 3 hours of draw and transport tube to the lab the same day it is collected.

If you have any questions, please contact Customer Service at 1.800.782.0282.

Purpose

  • The D-DIMER assay is intended for use in conjunction with a clinical pretest probability (PTP) assessment model to exclude pulmonary embolism (PE) and as an aid in the diagnosis of deep venous thrombosis (DVT) in outpatients suspected of PE or DVT.
  • Elevated levels of D-Dimer are found in clinical conditions such as DVT, PE and disseminated intravascular coagulation (DIC). D-Dimer levels also rise during the normal pregnancy but very high levels are associated with complications.
  • A negative D-Dimer result, when combined with a clinical assessment of low pretest probability, has been shown to have a high negative predictive value for DVT or PE.

 

Test Code

  • 503

 

CPT Code

  • 85379

 

Sample Type 

  • Citrate Plasma

 

Rejection Criteria  

  • Hemolyzed sample, clotted sample

 

Lab Department 

  • Hematology (Coagulation)

 

Collection Device 

  • Light blue top tube - sodium citrate

 

TAT 

  • 24 hours

 

Stability Post Collection

  • Whole blood is stable at room temp. for 4 hours.
  • Room temp. plasma is stable for 8 hours.
  • Frozen plasma is stable for 3 days.

 

Methodology

  • Turbimetric - this assay is based on the change in turbidity of a microparticle suspension that is measured by photometry.

 

Critical Results

  • Any D-Dimer>0.55 ug/ml FEU is considered critical and the client will be notified.

 

List Price 

  • Refer to Antrim. For any other pricing questions, please forward to the Sales Department. 

 

Contacts

  • For technical questions, please contact Paul Doherty, extension 1131

 

Collection Instructions

  1. Nine parts of freshly drawn venous blood are collected into one part 3.2% trisodium citrate.
  2. The tube should be gently inverted several times immediately after being drawn. Collection Instructions
  3. The specimen should be centrifuged at 2500 rpms or above for 15 minutes, or stat spin for five minutes at 5,000 to 6,000 rpm.
  4. Under filled or overfilled tube will be rejected.
  5. Frozen whole blood tube will be rejected.

 

2018

  • Patients on high dose supplements of biotin (minimum 5-10 mg/day), such as hair/nail/skin supplements, should refrain from taking them in the 24 hours prior to laboratory test.
  • Supplements may or may not prominently indicate they contain biotin.
  • Patients taking prescribed megadose regimens (>150 mg biotin, usually prescribed for multiple sclerosis) should refrain from taking the supplements for 2-3 days prior to laboratory testing, after consulting with their physician.

 

THE LEVEL OF BIOTIN TYPICALLY FOUND IN MULTIVITAMIN TABLETS DOES NOT INTERFERE WITH LABORATORY TESTING.

 

*Patients and physicians should review any lab test result that does not match the clinical presentation and consider if biotin interference is present.

Patient and specimen identification is critical for accurate result reporting. Healthcare accrediting agencies (i.e., CAP) address this patient safety concern by requiring that requisitions and specimen containers be labeled with at least two unique patient identifiers. Examples of acceptable patient identifiers include:
 

  1. Patient first and last name Mandatory
  2. Patient date of birth
  3. Patient Medical Record Number
     

Both identifiers must appear on the specimen container and the accompanying requisition. To aid in timely and accurate test results, we kindly ask physicians and staff to provide the following information:
 

Specimen Label:

Please include the following:

  • Patient Name (first and last) Mandatory
  • Second Identifier (DOB, MRN, etc) Mandatory
  •  Date of Collection
     

Laboratory Requisition:

Please include the following:

  • Requesting Physician Name (first and last) Mandatory
  • Full Patient Name (first and last) Mandatory
  • Patient Date of Birth Mandatory
  • Patient Sex Mandatory
  • Date of Collection (if specimen is submitted to lab) Mandatory
  • Source of Specimen (if specimen is submitted to lab) If Applicable, Mandatory
  • Submitting Diagnosis or ICD-10 code (relevant to the type of specimen submitted and patient condition)
  • Other Relevant Information (additional clinical, billing, and insurance information, etc.)

 

The above mandatory fields are necessary even when patients are sent to Sunrise Medical Laboratories Patient Service Centers. Please ensure that specimen information on the container label matches the information on the laboratory requisition.

 

Thank you for your assistance. Your efforts will ensure accurate and timely delivery of your results.

 

Sunrise is pleased to offer a new, more convenient way to order your supplies. You can now place orders using a web portal, customized to your needs. All orders will be fulfilled by the Sunrise supply team. Your Sunrise Medical Laboratories dedicated Customer Service team is available to assist you. 

 

There are two ways to access the portal:

  1. Use the following link to gain direct access to portal: https://clients.sunriselab.com

  2. Go to www.sunriselab.com, and under “Quick Links” (on the right side of the screen) click, “Client Supply Request Portal” 

 

Once inside the portal, just enter your account number and requester name, then follow the training instructions. 

 

Complete the following steps to create a new supply request:

  1. Click Create Request. The Request dialog box is displayed.
  2. Enter data in the following applicable boxes and elements for the type of request:

 

Elements

Description

Requester

Enter the name of the person reporting the issue, requesting supplies, or requesting assistance, or enter the person to contact.

Telephone Number

Enter the phone number of the requester.

Instructions

Enter special instructions that relate to the delivery of the requested supplies, if applicable.

 

When you create a supply request, the available supply items are displayed on the Favorites and Other tabs. The Favorites tab displays supply items that are most frequently requested by your organization. The Other tab displays all other supply items available for request.

 

Complete the following steps to add items to the list of requested items:

  1. Locate the item on the Favorites or Other tab. Click the image of the item to view additional details.
  2. In the Quantity box, enter the number needed for the item. Notice the unit of measure (UOM) of the item, and ensure that you order the correct number of items.
  3. Click Add. The item is displayed on the list of requested items.
  4. Repeat Steps 1 through 3 for additional items, as needed.
  5. To remove an item from the list, click Remove.
  6. Click Confirm. The Confirmation dialog box is displayed.
  7. If edits are required, click Back to return to the Request dialog box and make the necessary changes.
  8. Click Submit

 

 

Complete the following steps to access your organization’s history and request details:

1. From the Supply Requests tab, the default view is displayed with all supply requests created in the last seven days.

2. Enter a start date and end date, and then select a status from the following status options:

  • Request number
  • Name of the requester
  • Requester’s phone number
  • Date and time the request was created
  • Status of the request
  • Items and quantities requested
  • Instructions

3. Click View Details to view the details of that request. The Request Detail dialog box is displayed with the following details, if applicable:

4. Click Back to return to the request view.

 

To contact us, please call 800.782.0282 

Attention Loudoun Medical Group clients: Effective Monday, February 5, 2018, the following urinalysis testing will be performed by the LMG Laboratory.

  • K313 Urinalysis with Reflex Microscopy
  • K314 Urinalysis with Microscopy
  • K315 Urinalysis with Reflex Microscopy and Culture
  • K318 Urogram
  • K316 Urine Microscopy

 

SPECIMEN HANDLING:

  • K313, K314, K316, K318 – Aliquot urine to Urinalysis Preservative Conical Tube
  • K315 - Aliquot urine to Urinalysis Preservative Conical Tube and Urine C&S Preservative Tube

 

The BD order numbers are as follows:

 

364953- C&S transfer straw kit: Transfer straw and 4.0mL, 13mm x 75mm Plus plastic C&S preservative tube (qty: 50/case)

 

364943- Urinalysis Transfer Straw Kit: 8mL draw PLUS Plastic conical bottom tube with preservative (qty: 200/case)

This communication is to describe a change concerning how Sunrise Medical Laboratories handles Medicare Z00.00 denials, which we instituted last Fall.

 

Specifically:

  • Z00.00 is a code that is never covered by Medicare for laboratory testing. If you submit this code, the patient will ultimately receive a full-price invoice from Sunrise Medical Laboratories.
  • In instances where Z00.00 is initially submitted, but the patient’s condition also supports additional codes that were not submitted, then you must submit a letter from your office on your practice letterhead containing the following:
  1. Patient’s name and the collection date
  2. Your Sunrise account number
  3. States, “Please remove Dx code Z00.00 from this patient encounter and replace it with _________________________________, which (is)(are) applicable to the patient and supported by the patient’s medical records, and submit to Medicare.
  4. The printed name, title and signature of the individual in your office who is requesting the change. No request will be honored without this.

 

Please fax the letter to Sunrise Billing at 888.798.6744.