Non-Discrimination Policy and Access Procedure

A. Policy:

As a recipient of federal reimbursement for its laboratory testing services, Precision Diagnostics does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age from access to, or receipt of, Precision Diagnostics laboratory testing services and the benefits thereof, whether the testing services are carried out by Precision Diagnostics directly or through a contractor or any other entity with whom Precision Diagnostics arranges to carry out those services. Likewise, Precision Diagnostics does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age, from opportunities for employment by Precision Diagnostics.

  • This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, and 91.
B. Access Notice:

As a clinical reference laboratory located and operating in San Diego, California, Precision Diagnostics provides laboratory testing on patient samples generally shipped via air carriers as well as local couriers from the unaffiliated offices of its health care practitioner customers. Precision Diagnostics therefore has very limited in-person interaction with patients for whom it performs its laboratory testing services. However, for patients and clients and others throughout the United States who may from their respective locations seek access to, or receipt of, Precision Diagnostics laboratory testing services and the benefits thereof, or otherwise to access or communicate with Precision Diagnostics, Precision Diagnostics also strives to make such communications accessible to and usable by disabled persons, including persons with impaired hearing and vision, through assistive and communication aids provided without additional charge (as described in Sections C and D). In addition, Precision Diagnostics has implemented access features at its San Diego clinical reference laboratory facility, as set forth below. Precision Diagnostics also has posted an Access Notice (in the form attached hereto as Exhibit A) on its website, and at its main laboratory facility.

Access features at the Precision Diagnostics laboratory facility include:
  • Convenient off-street parking designated specifically for disabled persons.
  • Curb cuts and ramps between parking areas and buildings.
  • Level access into first floor level with elevator access to all other floors.
  • Fully accessible offices, meeting rooms, bathrooms, and public waiting areas.
  • A full range of assistive and communication aids provided to persons with impaired hearing, vision, speech, or manual skills, without additional charge for such aids (described in Sections C and D).
C. Procedures for Communicating Information to Persons with Sensory Impairments:
  1. Generally: Precision Diagnostics will take such steps as are necessary to ensure that qualified persons with disabilities, including those with impaired sensory or speaking skills, receive effective notice concerning benefits or services or written material concerning waivers of rights or consent to treatment. All aids needed to provide this notice are provided without cost to the person being served.
  2. For Persons With Hearing Impairments: Qualified sign-language interpreter for persons who are deaf/hearing impaired and who use sign- language as their primary means of communication, the following procedure has been developed and resources identified for obtaining the services of a qualified sign-language interpreter to communicate both verbal and written information:
      • Precision Diagnostics will utilize a local Sign Language Interpreting Service
      • Teletypewriter (TTY): A TTY is an electronic device for text communication over a telephone line, which transmits texts live, via a telephone line, to a compatible device. Precision Diagnostics provides TTY services if necessary to assist persons with hearing impediments.
  1. For Persons With Visual Impairments: Upon request, Precision Diagnostics staff will communicate the content of written materials concerning benefits, services, waivers of rights, and consent to treatment forms by reading them out loud to visually impaired persons. Alternatively, Precision Diagnostics staff will also, upon request and where possible, enlarge printed materials for visually impaired persons.
  2. For Persons With Speech Impairments: TTY support and computers are available to facilitate communication concerning program services and benefits, waivers of rights, and consent to treatment forms.
Policy and Procedures for Communicating Information to Persons of Limited English Language Proficiency: Policy:

It is the policy of Precision Diagnostics to provide communication aids (at no cost to the person being served) to Limited English Proficient (LEP) persons, including current and prospective patients, clients, family members, interested persons, et al., to ensure them a meaningful opportunity to apply for, receive or participate in, or benefit from the services offered. The procedures outlined below will reasonably ensure that information about service, benefits, consent forms, waivers of rights, financial obligations, etc., is communicated to LEP persons in a language which they understand. Also, they will provide for an effective exchange of information between staff/employees and patients/clients and/or families while services are being provided.

Procedure:

Precision Diagnostics has designated the Director of Client Services to be responsible for implementing methods of effective communication with LEP persons. The Director of Client Services will:

  • Maintain and routinely update a list of all bilingual persons, organizations, and staff members who are available to provide bilingual services, and
  • Develop written instructions on how to gain access to these services, i.e., contact persons, telephone numbers, addresses, languages available, hours available, fees and conditions under which the person(s) are available.
  • In order to ensure effective communication and to protect the confidentiality of (client/patient) information and privacy, the (client/patient) will be informed that the services of a qualified interpreter are available to him/her at no additional charge. The choice of the (client/patient) and assistance of an interpreter will be documented after every encounter.
Please direct any questions or concerns regarding communication with LEP persons to:
  • Director of Client Services
  • Precision Diagnostics
  • 4215 Sorrento Valley Blvd., San Diego, CA, 92121
  • Phone: 800-635-6901 ext. 534
Notice of Non-Discrimination:

Precision Diagnostics does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age from access to, or receipt of, Precision Diagnostics laboratory testing services and the benefits thereof, whether the testing services are carried out by Precision Diagnostics directly or through a contractor or any other entity with whom Precision Diagnostics arranges to carry out those services. Likewise, Precision Diagnostics does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age, from opportunities for employment by Precision Diagnostics.

  • This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, and 91.
Access Notice:

As a clinical reference laboratory located and operating in San Diego, California, Precision Diagnostics provides laboratory testing on patient samples generally shipped via air carriers as well as local couriers from the unaffiliated offices of its health care practitioner customers. Precision Diagnostics therefore has very limited in-person interaction with patients for whom it performs its laboratory testing services. However, for patients and clients and others throughout the United States who may from their respective locations seek access to, or receipt of, Precision Diagnostics laboratory testing services and the benefits thereof, or otherwise to access or communicate with Precision Diagnostics, Precision Diagnostics also strives to make such communications accessible to and usable by disabled persons, including persons with impaired hearing and vision, through assistive and communication aids provided without additional charge (as described in Sections C and D). In addition, Precision Diagnostics has implemented access features at its San Diego clinical reference laboratory facility, as follows:

Access features at the Precision Diagnostics laboratory facility include:
  • Convenient off-street parking designated specifically for disabled persons.
  • Curb cuts and ramps between parking areas and buildings.
  • Level access into first floor level with elevator access to all other floors.
  • Fully accessible offices, meeting rooms, bathrooms, and public waiting areas.
  • A full range of assistive and communication aids provided to persons with impaired hearing, vision, speech, or manual skills, without additional charge for such aids (described in Sections C and D).
Accommodations for Communicating Information to Persons with Sensory Impairments:

Precision Diagnostics will take such steps as are necessary to ensure that qualified persons with disabilities, including those with impaired sensory or speaking skills, receive effective notice concerning benefits or services or written material concerning waivers of rights or consent to treatment. All aids needed to provide this notice are provided without cost to the person being served.

  • For Persons With Hearing Impairments: Qualified sign-language interpreter for persons who are deaf/hearing impaired and who use sign- language as their primary means of communication, the following procedure has been developed and resources identified for obtaining the services of a qualified sign-language interpreter to communicate both verbal and written information:
  • For Persons With Visual Impairments: Upon request, Precision Diagnostics staff will communicate the content of written materials concerning benefits, services, waivers of rights, and consent to treatment forms by reading them out loud to visually impaired persons. Alternatively, Precision Diagnostics staff will, upon request and where possible, enlarge printed materials for visually impaired persons.
  • For Persons With Speech Impairments: TTY support and computers are available to facilitate communication concerning program services and benefits, waivers of rights, and consent to treatment forms.
  • Communicating Information to Persons of Limited English Language Proficiency:
  • It is the policy of Precision Diagnostics to provide communication aids (at no cost to the person being served) to Limited English Proficient (LEP) persons, including current and prospective patients, clients, family members, interested persons, et al., to ensure them a meaningful opportunity to apply for, receive or participate in, or benefit from the services offered.
  • Precision Diagnostics has designated the Director of Client Services to be responsible for implementing methods of effective communication.
  • If you require any of the aids listed above, please let us know.

Patient Assistance Program

Precision Diagnostics has an obligation to perform Precision Testing Services on specimens submitted by health care providers for their patients, regardless of the extent or type of the patients’ insurance or ability to pay. Precision Diagnostics is sensitive to patient concerns regarding insurance coverage and affordability of medically necessary Precision Testing Services ordered by their treating providers. In addition, in the interest of patient care and safety. Precision Diagnostics also seeks to provide treating providers and their patients with clear and consistent information about patient responsibility for payment.

Financial Assistance & Payment Plans

Eligibility is determined upon review of your income and the U.S. Poverty Guidelines. To apply for financial assistance, download a 2019 Hardship application and mail or fax it to Precision Diagnostics, or contact our contact our Billing Department at 800-635-6901 Ext. 1.

Precision Diagnostics will work with you to setup a Payment Plan so you are able to make payments over time to pay your bill. To setup a Payment Plan, please contact our Billing Department at 800-635-6901 Ext. 1.

Specimen Processing Checklist

Specimen Processing Checklist: Online
  1. Treating provider identifies patient to be tested based on medical necessity.
  2. Patient takes a urine collection cup or Quantisal® oral fluid collection device and provides a sample.
    • To ensure no residual medication in the oral cavity, instruct patient to rinse mouth with water a minimum of 5 minutes prior to oral fluid collection. This is good practice and recommended, but not required.
  3. Go to https://pdx.careevolve.com/
  4. Login using your unique login identification which includes your Username, Password, and Location Code.
  5. Once logged in, you will be directed to the “Results” tab.
  6. To create a new test order, hover over the “Orders” tab and select “New Order”.
    • If the patient is an existing patient in CareEvolve, search by patient information (last name, DOB, etc.) and select the patient you’ve collected from. If the patient is new, hover over the “Patients” tab and select “Add Patient”.
      • If you are adding a new patient, fill in all required information. The required fields are in red and are bolded.
    • Once you’ve selected the existing patient or added a new patient, you will be directed to the “New Order” screen, which includes these following steps:
      • Step 1 – Demographics: Review provider and demographic information. Once confirmed, select “Next” at the bottom of the page.
      • Step 2 – Tests: Select your testing option. Options include “Test Group(s)” if one has been created, or select the individual test(s) based on medical necessity. To record POC results, search for “POC” and select. During Step 4, you will have the option to enter the POC results.
      • Step 3 – Medication(s): Select medication(s) by typing in the desired medication or selecting from the provided list.
      • Step 4 – Point of Care: Select the Point of Care (POC) result obtained in office using the drop down menu corresponding to each analyte that was tested in house. The options are: Positive, Negative, or Not Tested.
      • Step 5 – Diagnosis Code(s): Select diagnosis code(s) provided by the treating provider.
      • Step 6 – Review: Review order which includes: diagnosis code(s), testing, medication(s), collection time and date (which will be recorded automatically). Please update if the date of collection and the date of submission are different. Indicate the specimen collector in the “Coll. by” field, if different from the provider. The order should be documented and signed by the treating provider in the patient’s medical record.
      • Carefully review all fields to ensure information accuracy, then click on “Complete” at the bottom of the page.
      • Once submitted, you’ll receive an “Order Requisition/Label” pop-up. Print the barcode label. The label will include the patient’s full name, specimen ID, provider, date of collection, and date of birth.
      • Place the barcode label, which includes at least two patient identifiers, over the device.
      • Have the patient initial the barcode label once the label is affixed on the specimen device. This is good practice and recommended, but not required.
  7. Please be sure that the specimen device is secure to prevent any leaks in transit to the laboratory.
  8. Place the device into the biohazard specimen bag and ensure the bag is sealed.
  9. Place the biohazard specimen bag into the shipping bag (FedEx/UPS) and affix the shipping label to the outside of the package.
  10. Schedule a FedEx or UPS pickup by calling (800) 635-6901, Option 3.
Specimen Processing Checklist: Paper
  1. Treating provider identifies patient to be tested based on medical necessity.
  2. Patient takes a urine collection cup or Quantisal® oral fluid collection device and provides a sample.
    • To ensure no residual medication in the oral cavity, instruct patient to rinse mouth with water a minimum of 5 minutes prior to oral fluid collection. This is good practice and recommended, but not required.
  3. Once the sample is collected from the patient, place the provided barcode label (located in the top left corner of the requisition and must include at least two patient identifiers) over the device. At minimum, two unique identifiers must be written on or attached to the collection device.
  4. Have the patient initial the barcode label once the label is affixed on the specimen device.
  5. Accurately and thoroughly complete the patient information on the requisition form. At minimum: please include full patient name, date of birth, and gender – matching the patient identifiers indicated on the barcode label.
    • You may also include a copy of the demographic sheet and send it in with the sample.
  6. Indicate specimen type (urine or oral fluid) along with the date of collection.
  7. Indicate the diagnosis code(s) provided by the treating provider.
  8. Optional: To record POC results, please indicate in the appropriate area on the requisition form.
  9. Select your testing option. Options include: “Perform Custom Profile” – if one has been established – or select “Do Not Perform Custom Profile” and select the individual test(s) based on medical necessity.
  10. Select medication(s) from the provided list on the requisition form or make a copy of the patient’s medication list and place it inside the biohazard specimen bag.
  11. Make a copy of the patient’s health insurance and place it into the biohazard specimen bag.
  12. Have the treating provider sign and date the bottom of the requisition form before completion. This is good practice and recommended, but not required. The order should be documented and signed by the treating provider in the patient’s medical record.
  13. Review the requisition form to ensure all necessary information has been completed.
  14. Please be sure that the specimen device is secure to prevent any leaks in transit to the laboratory.
  15. Fold the requisition form along with any other patient demographics (e.g. insurance, medication lists, etc.) into fourths, and place the information in the back pocket of the biohazard specimen bag.
  16. Place the specimen in the front of the biohazard specimen bag and ensure the bag is sealed.
  17. Place the biohazard specimen bag into the shipping bag (FedEx/UPS) and affix the shipping label to the outside of the package.
  18. Schedule a FedEx or UPS pickup by calling (800) 635-6901, Option 3.