For Medical Professionals

Diagnostic Walk-in Hours

https://www.cvph.org/Patients-and-Visitors/Patients/Diagnostic-Services-Available

Symptomatic Testing

Starting Monday, January 17th, COVID-19 tests, the CVPH testing site (23 Hammond Lane), will require an appointment. A physician’s order is still needed and people/patients needing a test will need to call (518) 314-3278 between 9 a.m. and 2 p.m. (seven days a week) to schedule their appointment.  The offical press release. 

Pre-Procedure Testing

Effective immediately we are asking that patients, that are being Covid tested for pre-op procedures, present at the main campus for testing, not at Hammond Lane.  This is due to the increase of the COVID collections in recent days.  We do not know when we will be able to move pre-procedure testing back to Hammond, this will depend on testing demand.

Patients, going forward, that need pre-procedure testing will be able to walk- in at CVPH (as they were previously).

Pre-procedure testing orders will continue to be faxed from the CVPH surgical specialty offices directly to CVPH Lab.  Outside surgical offices please continue to use fax # 518-314-3980 for pre-procedure testing orders.

Diagnostic Testing Capacity

Please see the attached guidance on maintaining diagnostic testing capacity for respiratory viral infections during COVID 19.

Exective Order from NYS

Currently all routine & non-essential surgeries/procedures will be rescheduled.  Some offices have started this process (if procedures can get pushed out far enough and patients are not at risk for another reschedule), while others are waiting until Friday when we receive further direction from NYS.  Here is what we know:

We have been submitting data to NYS daily. 

Based on that data NYS will decide if we need to continue pushing non-essential procedures/surgeries out further

CVPH Specialty Offices will contact patients directly to reschedule. We understand that end of year procedures/surgeries are urgent and deductibles are a concern, we are doing our best to get these patients scheduled as soon as possible. 

Ask for patience during this frustrating time as we continue to get guidance from NYS. 

Laboratory Collection Closed at Valcour

Laboratory collection site is closed at Valcour.  This difficult choice is due to staffing shortages.   Reopening this service will depend on future staffing.  If we currently pick up labs/samples at your office, that service will not be effected, you will continue to receive courier service from CVPH.  If you do not currently have pickup services and need them, please reach out to Selena Ashline at SAshline@cvph.org.  For other questions please contact Sharon Terry at STerry@cvph.org. 

Alert about Medschenker Media for Covid-19 collections

It has been brought to our attention that the commercially available Medschenker Media that we provide for Covid-19 collections will very occasionally have a tube in the box where the media is discolored with or without black precipitate instead of the normally “clear pink” color expected in the media.

For those collecting samples, please examine the media vial prior to patient collections and discard any tubes that show any discoloration or have black flecks in the media.

Fluvid Testing

Currently CVPH is not processing Fluvid tests, however medical offices can order a Flu/RSV and Covid, yet it needs to be a nasopharyngeal (NP) specimen.  All NP specimens are collected at CVPH, we do not have the capability to swab NP at our Hammond Lane site.  If we are able to expand our testing capabilities at Hammond Lane to offer NP swabbing in the future we will let you know. 

The above is due to our current staffing shortages and that the flu is not prevalent in this area at this time.  Providers can always collect the NP swab in the office and send it to CVPH for FLU/RSV though using a NP swab and a Viral media collection tube.  If your office would like some of these collection tubes just let me know (click here).   I am happy to drop some off.  Once collected they need to remain refrigerated.  I can drop off collection tubes and transport instructions.  

As a reminder, for a lab order to be considered valid in the state of NY the following elements must be present: 

•         Patient name and identifier (i.e. DOB)

•         Test ordered

•         Signature of physician

•         Date

•         Diagnosis

We are seeing many orders come through without a diagnosis and we apologize but we can no longer accept those.  In the event we do not have a valid complete order we will attempt to call your office for the information, if we are not successful, we will be asking the patient to return to their provider office to get a corrected order.

Symptomatic Patients Needing Imaging

Radiology services will continue to screen all scheduled outpatients for covid symptoms via telephone prior to the scheduled exam date. Patients who have symptoms and are scheduled for non-emergent exams will be rescheduled to such a time when symptoms have subsided.

Patients with acute symptoms that require immediate imaging will be asked to wait in their cars at the north entrance (MRI), and call us at (518) 562-7045 at arrival. We will obtain the patient’s information, including cell phone number, and prepare for the exam so patients may be escorted directly from the entry into the appropriate exam room, bypassing the waiting area. Someone from the registration team may need to contact the patient to perform a remote registration, and the radiology team will call when we are ready to begin the exam. Patients without a cell phone can report to the screening checkpoint at the MRI entrance and the screeners will aid in getting the necessary information to the radiology team.

Mask Required Regardless of Vaccination Status, Distance

The revised Personal Protective Equipment and Covid-19 Exposure Policy is aligned with the CDC’s recommendation to wear a mask while indoors, regardless of vaccination, when county thresholds are met. Masks are now required regardless of the distance between individuals, at all times, unless eating or drinking in designated areas.

Low-Dose Lung Screening

The Low-Dose Lung Screening at CVPH is an essential program for identifying positive findings in lung cancer patients early on.  This program is critical in early detection and can help patients receive timely lifesaving treatment.  If you have a patient that you have identified as a lung cancer risk, please continue to recommend screening.   A lung screening coordinator will call your office immediately if there is a positive finding.  You would then contact your patient directly to discuss the finding.  If there is a negative finding a letter will be sent directly to the patient.  If you have additional questions please call one of our Radiologists at (518) 562-7500.  In the coming months our Low-Dose Screening resources will improve as we develop and grow our care team.  As our program expands, so will our ability to reach out directly to patients.  Please do not hesitate to reach out to Haley with questions (Hayley Kourofsky, MRI/CT Radiology Manager, 518-314-3021 or hkourofsky@cvph.org )

New ECHO Technology for CVPH Cardiology Patients

https://youtu.be/rgyCzf_zh40 

United Healthcare Community Plan

It has recently come to our attention that patients with United Healthcare Community (UHC) Plan are receiving denials when referred to our specialty offices.  In order for the specialist visit to be covered, the PCP must submit the referral to United Healthcare Community Plan for all patients under;

•             United Healthcare Community Plan for Families (Medicaid)

•             United Healthcare Community Plan Wellness4Me (HARP)

•             United Healthcare Community Plan (CHP)

You can submit the referral to UHC at UHCprovider.com or send a fax to 888-624-2748.  Please refer to the attachment (United Healthcare Community Plan) for a full list of services that do not require this extra step such as women’s health, radiology (with the exception of MRI/CT), dental, eye care, behavioral health, PT and smoking cessation. 

 MRI Referrals with Relation to Creatinine/GFR Lab Tests

We have recently changed MRI contrast to Dotarem, which has an impeccable safety record. In 30 years on the market, there is not one known case of NSF. Because of this improvement, if you are ordering an MRI with contrast, we no longer need you to order a creatinine/GFR test prior.  This will be one less hurtle for our shared patients.

Please note, nothing has changed for CT referrals.  Creatinine/GFR is still required within 60 days of scan for patients with h/o kidney disease, HTN, diabetes, or over the age of 60.

Interventional Radiology Ordering “Cheat Sheet”

It came to our attention that many of you were frustrated with the IR ordering/referral process.  There seems to be a lot of unwanted back and forth.  We are under strict ordering guidelines when it comes to IR.   Our IR leadership has put together a cheat sheet that is intended to be a guide to what is required by The Joint Commission.  Please reach out to Becky Larkin to request a cheat sheet (rlarkin@cvph.org)

New Phone Tree for the CVPH Laboratory

In an effort to better manage the increased volume of calls coming into the lab due to Covid questions we will be going live with a phone tree.  This will help community providers and office staff reach the CVPH lab staff directly and in a timely manner.  Below I bolded the important take-a-ways;

• You will still fax your lab orders to 518-314-3980
• The CVPH lab phone number is still 518-562-7400.  Please press 2 to reach the lab staff directly.
• The phone tree lists a fax number 518-562-7415, do not fax orders to this number.
• Please still have patients call Central Scheduling (518-562-7340) to schedule their test/draw.  (Let me know if you want me to drop off more wallet cards for patients)

Citrix Access

If you need Citrix access and have not previously had an account.  For new account users please email me (rlarkin@cvph.org) and I will send you the form for setup. 

If you already have an account and are having access issues please call the CVPH Help Desk at 518-562-7444 to speak with a representative that can trouble shoot your access. 

Important (!!) information on patient privacy and correct referral information

It has come to our attention that some offices are using an outdated fax number to send patient information to CVPH Cardiology.   The correct fax number for CVPH Cardiology is (518) 314-3438.

Please refer to the most current CVPH Specialist Sheet (see link on right).  

If you need to verify information before sending patient information, please contact the clinic by phone. 

Scheduling PET Scans and Labs

Just a friendly reminder that the PAC does not schedule PET Scans, those are done through a company called MMRI. Their phone number is 1-800-862-4032. We are getting an increase in offices trying to schedule these scans. 

Also a reminder that labs need to be scheduled. Patients are showing up to draw locations and then having to call CVPH to schedule. Please have patients call Central Scheduling (518-562-7340) to schedule their test/draw.  If you need more wallet cards I am happy to drop some off.   If you could fax the order ahead of time, ideally 24 hrs ahead, we can have everything ready for the patient upon arrival.  This will cut down on wait times.  The fax number is 518-314-3980. 

Diagnostics

For diagnostic cards, with instructions on calling Central Scheduling, please email me at rlarkin@cvph.org.  I am happy to drop them off at your office.  These wallet cards are helpful for patients.

To access diagnostic grid please go to https://www.cvph.org/Patients-and-Visitors/Patients/Diagnostic-Services-Available If you are sending a patient for a COVID-19 test, please call CVPH Patient Registration at (518) 562-7091 and then fax the order to 518-314-3980.

An experienced RN Case Manager is on call to answer the hotline 24 hours a day, 365 days a year. This facilitates getting the patient to the right bed, in the right facility, and will improve communication and efficiency. Referring physicians are linked to receiving physicians on a recorded line to ensure real-time capture of vital information

COVID-19 NYS Hotline

• The New York State Department of Health has established a toll-free Novel Coronavirus Hotline.  Call 888-364-3065.

Contact Us

Please reach Becky Larkin at RLarkin@cvph.org with feedback, questions or concerns.