Frequently Asked Questions/Answers  

Company

What are the key benefits of utilizing Eurofins Diatherix service?

  • Delivers one-day results
  • Reduced antibiotic utilization
  • Improved patient outcomes
  • Cost reduction and avoidance
  • Increased patient satisfaction
  • Greater clinical value

 

How many physicians use Eurofins Diatherix?

More than 68,431 physicians have ordered Eurofins Diatherix tests since 2009.

How long has Eurofins Diatherix been in business?

Diatherix was founded in 2008.

What certifications does Eurofins Diatherix have?

Eurofins Diatherix is CAP-accredited and CLIA certified and follows the guidelines established by CAP, CLIA, and the Clinical Laboratory Standards Institute (CLSI) for validation of molecular testing technologies.

How is Eurofins Diatherix different from other reference laboratories?

Eurofins Diatherix is a unique laboratory providing accurate and actionable results in one day for infectious diseases and antibiotic resistance genes utilizing innovative molecular technologies, including proprietary TEM-PCR™.

Technology

Why do we test for B. pertussis but not B. parapertussis?

Bordetella parapertussis is similar to B. pertussis and causes a pertussis-like illness. However, B. parapertussis does not produce the pertussis toxin and therefore the infections are typically milder and often asymptomatic. The CDC estimate is that B. parapertussis produces 1%-35% of infections that are ‘pertussis-like’. Given the symptoms and prevalence, our focus is on B. pertussis.

Does Eurofins Diatherix perform Gram stains?

 No. Diatherix Eurofins does molecular testing, not microbiological testing.

How does the clinician interpret the information provided on the Eurofins Diatherix tests that detect antibiotic resistance genes?

When a gene is detected on a Diatherix Eurofins Panel, the clinician should consider the presence of the particular gene identified and adjust his/her choices of antibiotics accordingly. The presence of a gene that can produce a resistance mechanism may not always be seen in phenotypic assays that are a part of routine culture and antibiotic susceptibility testing. Many of the genes that Diatherix-Eurofins Panels detect are not always expressed and may be inducible when antibiotics are used for which there is a gene present. There is no way to predict the time required to induce resistance as this may be dependent upon the concentration of antibiotic used and the duration of coverage.

What distinctions does TEM-PCR™ technology offer?

  • Delivers one-day results
  • Identifies bacteria regardless of recent antibiotic use
  • Offers simplicity of single sample collection
  • Identifies difficult to culture pathogens
  • Yields a high level of sensitivity and specificity

What is PCR?

Polymerase chain reaction (PCR) is a molecular biology technique that amplifies a DNA base pair sequence that is unique to the organism being identified. The DNA or RNA region of interest (usually 150-230 base pairs) is extracted from the specimen and amplified to several orders of magnitude (billions of copies). TEM-PCR™ is a proprietary technology that accomplishes the task of DNA amplification in a multiplex format; e.g. amplifying the DNA or RNA of multiple organisms in a single reaction.

Shipping

Can I give the package to any FedEx® driver?

Only FedEx Express® drivers will accept UN3373 Clinical Paks. FedEx Ground® drivers will not accept packages classified as such.

What is the latest time I can call for a FedEx® pickup?

FedEx® routes may vary from location to location. Call 1-800-GO-FEDEX to obtain a pickup schedule for your area. Only request a FedEx Express® pickup schedule, as other FedEx® methods do not apply.

How can I verify that my package arrived at Eurofins Diatherix?

Always retain the *Keep for your records* shipping label copy from your FedEx Express® shipping label. Go to FedEx.com  and type in the tracking number of your package to check the delivery status.

I am out of FedEx® UN3373 Clinical Paks, can I still send the shipment?

A FedEx® UN3373 Clinical Pak is required to ship a specimen to Diatherix. This type of packaging is not available at FedEx® locations and must be shipped to you from Diatherix. If you have run out of Clinical Paks, please call the Diatherix Logistics Department at 877-820-8047 to request an overnight shipment.

I am out of FedEx® labels, what can I do?

Call 877-820-8047 and request that more labels be shipped to you. If you require a label for a same day shipment, one can be emailed to you. FedEx® labels cannot be faxed due to the poor reproduction quality of fax machines.

Can I take the FedEx® package to a FedEx® location?

Our packages are accepted at FedEx® main facility locations and FedEx® Drop Boxes. FedEx® Office locations WILL NOT accept this type of package. Visit FedEx.com  to find a location near you.

How do I schedule a FedEx® pickup?

Call 1-800-GO-FEDEX (1-800-463-3339) to schedule a pickup. Once in the automated system press ‘0’ for the first three prompts to speak with a customer service representative. Tell the representative that you have a “Prepaid FedEx Express® Label Pickup” and provide them with your address information. Write down the confirmation number for the pickup and retain it for your records.

Supplies

What if I am out of shipping boxes?

You may use any sturdy box that you can find while we are shipping you more boxes.

Who do I call if I am having FedEx® issues?

Please call your Territory Manager with any issues. They will notify the Logistics Department to help resolve the issue. In most cases you will hear back from our FedEx® Representative.

What should I do if I do not receive my test results?

If you have not received your results within 48 hours, please call Client Services at 866-979-4242

What should I do if I do not receive my supply order in the estimated time?

Please call Client Services at 866-979-4242 if you have not received your supplies in 3-5 business days.

What volume of supplies will I receive?

Eurofins Diatherix ships the quantities ordered on the Client Supply Ordering page at: https://eurofins-diatherix.com/resources/online-supply-ordering/

How long does it take for supplies to be shipped?

All supply orders are shipped via FedEx Ground® and may take up to 3 business days to arrive. If you are out of supplies, please request FedEx Priority Overnight® delivery. Supply orders must be received by 3:00 p.m. (CST) to be processed on the same business day.

Where can I locate my client number?

Your client number is in parenthesis next to your office name to the right of the barcode on your requisition form.

How can I order Eurofins Diatherix supplies?

Client supplies can be easily ordered online at: http://eurofins-diatherix.com/resources/online-supply-ordering/

Your CLIENT ID can be located on your Eurofins Diatherix Laboratory Request form next to your company name.

 

Clinical Diagnosis

Testing

Do we have a chain of custody for minors and STD testing?

Multiplex PCR tests (including TEM-PCR) can be used to assess sexual activity and confirm suspicion of the presence of sexually transmitted infections in the routine clinical setting. However, in cases of rape or sexual abuse in children under the age of 15, confirmatory testing (along with appropriate chain of custody as outlined by the CDC) should be used.

What is the smallest test for Streptococcus pyogenes or Group A Strep?

With the understanding that pharyngitis is most often caused by viruses, the Pharyngitis Panel includes Group A Strep as well as other organisms that either cause or contribute to the severity of symptoms. The Pharyngitis Plus Panel detects other bacteria that can cause pharyngitis, including those that can cause serious disease in adolescents and young adults.

Why do we test for Toxin B gene and not Toxin A with our C. difficile panel?

Current research suggests that Toxin B, and not Toxin A is required for virulence. Given the evidence for the role of tcdB (not tcdA) in the pathophysiology of pseudomembranous colitis, we have excluded the Toxin A target from the panel. Some labs have chosen to combine Toxin A/B, and do not differentiate between the two.

Does Eurofins Diatherix test for parasites?

Yes. The Gastrointestinal test includes Giardia lamblia and Cryptosporidium parvum.

If a patient is on anti-herpes medication, will it interfere with the test results?

Anti-herpes medications disrupt the process by which the virus makes copies of itself and spreads to new cells. The antiviral works by inhibiting an enzyme that the virus has, but human cells do not, and therefore interrupt the virus’ ability to synthesize its DNA. By reducing the replication of the Herpes virus, the number of virus particles shed by the host is reduced and tests (even molecular assays) may not always be able to detect viral shedding.

Billing

When is my client invoice due and who do I contact if I have questions related to my invoice?

All invoices are due within 30 days of receipt. All questions related to the client invoices may be directed to billingclients@diatherix.eurofinsus.com or 1-866-829-1854.

When can I expect a return call or email from the Billing Client Support team?

All calls and emails will be returned within 2 business days.

How do I reach the Client Billing Support Team?

Your Client Billing Support Team members for all items related to your invoice can be reached @ billingclients@diatherix.eurofinsus.com.

What number should I call if I need to give patient demographics for a previously submitted requisition?

Please call 1-866-829-1854, Monday-Friday between the hours of 10am-2pm CST.

Who do I contact to submit medical records to?

All medical records are to be submitted to either the billing email @ billingmedicalrecords@diatherix.eurofinsus.com or fax at 1-256-327-5259.

Why am I receiving requests for medical records?

Medical records are required by most payors for all pre and post payment medical record reviews.

Does this mean that even if the physician writes the order with a date that he/she must also authenticate his/her signing the order with a date?

Yes. The practitioner must separately date his/her signature authenticating an entry, even though there may already be a date on the document, since the latter may not reflect when the entry was authenticated.

Must the ordering provider both sign and date the Lab Request/Order?

Per the MLN fact Sheet: Complying with Laboratory Services/Documentation Requirements under the section Medicare Signature Requirements.  “Unsigned physician orders or unsigned requisitions alone don’t support physician intent to order”.

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/LabServices-ICN909221-Text-Only.pdf

What is the process for adding an additional ICD-10-CM diagnosis code by the client?

The client will be required to submit medical records for the date of service that the request is regarding. The records will be reviewed by Billing Department leadership. The client will be notified of all request status and outcome.

Who receives the statement when the patient is in a Medicare Part-A status?

The client will receive the statement for the patient visit as the insurance is listed as a Medicare Part-A status based on Medicare billing policies.

Who will receive the statement when the requisition is marked as Client Bill?

The client will receive the statement for the patients visit based on the selected bill class.

Who will receive the statement when the ordering provider performs testing on immediate family?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

Who receives the statement when the ordering provider is the patient?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

During the Public Health Emergency (PHE) what are the patient requirements to submit to the Health Resources and Services Administration (HRSA) Uninsured Portal for COVID-19 related services?

Patients that are uninsured, symptomatic, or exposed, US citizens, and living in the United States are eligible while the program is active.

During the Public Health Emergency (PHE) what will the patient be financially responsible for?

The patient will be responsible for all other tests ordered during the visit such as Respiratory testing, STD testing, GE testing, etc. based on the patients cost share defined by the patient’s individual insurance. The patient may receive a bill and be financially responsible.

How do I distinguish my asymptomatic, non-exposed patients that are requesting screening on the Lab Request?

For patients that are asymptomatic, non-exposed and screening is being performed for such services as pre-operative screening, screening for school, etc. you would write in the ICD-10 Diagnosis Code(s) section: PRESCREEN-Work, PRESCREEN-School, PRESCREEN-Travel, etc.

What is considered asymptomatic screening for COVID-19 (SARS-CoV-2)?

Examples include, but are not limited to the following: pre-surgical testing, school enrollment, camp entrance, employment requirement, travel requirement, patient requested testing without known exposure or symptoms, and nursing home admission requirements without symptoms and known exposure.

Who will receive the statement when the ordering provider performs testing on immediate family?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

Who receives the statement when the ordering provider is the patient?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

During the Public Health Emergency (PHE) what are the patient requirements to submit to the Health Resources and Services Administration (HRSA) Uninsured Portal for COVID-19 related services?

Patients that are uninsured, symptomatic, or exposed, US citizens, and living in the United States are eligible while the program is active.

During the Public Health Emergency (PHE) what will the patient be financially responsible for?

The patient will be responsible for all other tests ordered during the visit such as Respiratory testing, STD testing, GE testing, etc. based on the patients cost share defined by the patient’s individual insurance. The patient may receive a bill and be financially responsible.

Who is billed for screening of asymptomatic patients without exposure for COVID-19 (SARS-CoV-2) related testing?

If the client marks Client Bill in the Bill Class section then the client will be billed for all asymptomatic, non-exposure ICD-10-CM codes or the verbiage as noted above in the ICD-10 Diagnosis Code(s) section. The client must also have a Laboratory Service Agreement (LSA) on file to have Client Bill set up.  SARS-CoV-2 single target test is currently $75/test.

Or, if the client marks Patient Self-Pay in the Bill Class section. The patient will be billed for all asymptomatic, non-exposure ICD-10-CM codes or the verbiage as noted above in the ICD-10 Diagnosis Code(s) section. SARS-CoV-2 single target test is currently $75/test.

How do I distinguish my asymptomatic, non-exposed patients that are requesting screening on the Lab Request?

For patients that are asymptomatic, non-exposed and screening is being performed for such services as pre-operative screening, screening for school, etc. you would write in the ICD-10 Diagnosis Code(s) section: PRESCREEN-Work, PRESCREEN-School, PRESCREEN-Travel, etc.

What is considered asymptomatic screening for COVID-19 (SARS-CoV-2)?

Examples include, but are not limited to the following: pre-surgical testing, school enrollment, camp entrance, employment requirement, travel requirement, patient requested testing without known exposure or symptoms, and nursing home admission requirements without symptoms and known exposure.

Who will receive the statement when the ordering provider performs testing on immediate family?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

Who receives the statement when the ordering provider is the patient?

The client will receive the statement for the visit based on the Eurofins Diatherix Policy. Please refer to the fax blast dated 2/5/2021 and 5/5/2021.

During the Public Health Emergency (PHE) what are the patient requirements to submit to the Health Resources and Services Administration (HRSA) Uninsured Portal for COVID-19 related services?

Patients that are uninsured, symptomatic, or exposed, US citizens, and living in the United States are eligible while the program is active.   

During the Public Health Emergency (PHE) what will the patient be financially responsible for?

The patient will be responsible for all other tests ordered during the visit such as Respiratory testing, STD testing, GE testing, etc. based on the patients cost share defined by the patient’s individual insurance. The patient may receive a bill and be financially responsible.

Who is billed for screening of asymptomatic patients without exposure for COVID-19 (SARS-CoV-2) related testing?

If the client marks Client Bill in the Bill Class section then the client will be billed for all asymptomatic, non-exposure ICD-10-CM codes or the verbiage as noted above in the ICD-10 Diagnosis Code(s) section. The client must also have a Laboratory Service Agreement (LSA) on file to have Client Bill set up. SARS-CoV-2 single target test is currently $75/test.
Or, if the client marks Patient Self-Pay in the Bill Class section. The patient will be billed for all asymptomatic, non-exposure ICD-10-CM codes or the verbiage as noted above in the ICD-10 Diagnosis Code(s) section. SARS-CoV-2 single target test is currently $75/test.

How do I distinguish my asymptomatic, non-exposed patients that are requesting screening on the Lab Request?

For patients that are asymptomatic, non-exposed and screening is being performed for such services as pre-operative screening, screening for school, etc. you would write in the ICD-10 Diagnosis Code(s) section: PRESCREEN-Work, PRESCREEN-School, PRESCREEN-Travel, etc.

What is considered asymptomatic screening for COVID-19 (SARS-CoV-2)?

Examples include, but are not limited to the following: pre-surgical testing, school enrollment, camp entrance, employment requirement, travel requirement, patient requested testing without known exposure or symptoms, and nursing home admission requirements without symptoms and known exposure.





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