Healthcare Professionals

The medical laboratories at Rochester Regional Health are a key piece of your care plan, providing important medical information vital to the diagnosis, treatment and prevention of disease. The labs at Rochester Regional Health are nationally and regionally recognized, and accredited for a superior record for quality, customer service and rapid turnaround of diagnostic results.

Laboratory Medicine

The laboratory medicine division uses the most advanced analytical and testing equipment, including robotics. Testing is performed 24 hours a day, seven days a week.

Laboratory medicine includes testing in these areas:

  • Clinical chemistry
  • Hematology (blood system)
  • Urinalysis
  • Advanced coagulation (blood clotting)
  • Flow cytometry (measuring cell functions)
  • Microbiology (study of bacteria and viruses)
  • Molecular diagnostics (testing parts of a person’s genetic code for connections to specific diseases)
  • Transfusion medicine (transfer of donated blood and blood components)

Pathology

Our pathology division examines tissues, cells, bodily fluids and organs to determine the cause of your condition or group of symptoms. Our team of board-certified pathologists specializes in:

  • Blood banking (preservation of donated blood)
  • Cytopathology (study of cells to diagnose disease)
  • Dermatopathology (study of skin cells to diagnose conditions)
  • Hematology (study of blood and blood conditions)
  • Molecular genetic pathology (study of molecules within tissues and organs to make a diagnosis)
  • Pediatric pathology (study and diagnosis of disease from embryo to adolescence)

Cytopathology Laboratory

The Cytopathology Laboratory studies cells from the body under a microscope to spot signs of disease. The cytopathology lab is one of the largest in upstate New York, with board-certified cytopathologists on staff to provide patients answers about their conditions.

The lab performs more than 100,000 cell-based evaluations a year in these areas of specialty:

  • Gynecologic (Pap tests for cervical cancer)
  • Breast
  • Non-gynecologic
  • Oral & dermatopathology
  • Head, neck & pulmonary
  • Gastrointestinal & genitourinary
  • Hematopathology
  • Neonatal and pediatric

Lab Ambulatory Services

The lab ambulatory business of Rochester Regional Health Laboratories is centralized at ACM Global Laboratories’ expanded Elmgrove facility. Founded in 1975, ACM is one of New York State’s largest regional reference laboratories, conducting over 20 million tests annually for physicians, hospitals, employers, and other health care providers.

Within ACM’s 70,000 square foot, state-of-the-art laboratory, medical diagnostic tests are conducted in areas such as chemistry, hematology, toxicology and microbiology, with a large majority of specimens coming from our 52 Rochester Regional Health Laboratories Patient Service Centers. We also receive samples for testing from across the US from our commercial clients, as well as clinical trial samples from around the world.

Lab Reference Manual

Rochester Regional Health utilizes the new RRHL Reference Manual for ambulatory testing which is designed to provide easy access to test information. Recent functionality enhancements include:

  • User interface upgrade
  • Easier-to-read page layout
  • “Find a Test”: search by test name, test number, specialty or keyword
  • Search by specialty, including Cardiovascular, Diabetes, Infectious Disease, Pain Management and Women’s Health with more to come
  • New & featured tests
  • The ability to bookmark your favorite or most frequently ordered tests for quick reference
  • “Build A Book” of test information that is most useful to you
  • The “Downloads” section: download PDF documents containing additional technical information, algorithms and specimen collection techniques

Searching For a Test

To “Find a Test” – It is easy to do. Just start typing in the name of the test and a list will populate, making it easier to find the test you are looking for!  Additional information like test number, specimen requirements and technical specifications, such as methodology, CPT and LOINC codes, stability and reference ranges are also included.

 Specimen Collection Requirements

The specimen collection requirements provide specific information on the following items:

  • Collection container – type of container or tube to obtain the specimen for testing
  • Specimen type – indicates whether the appropriate sample is serum, plasma, whole blood, urine, CSF, stool or amniotic
  • Transport temperature and specimen volume – an amount sufficient to run the test in duplicate if necessary

Go to the RRHL Reference Manual to get all the information you need. And, let us know how you like it!

IT Services

As part of our commitment to delivering unsurpassed service, Rochester Regional Health Laboratories provides healthcare practitioners and clinics with fast, flexible and convenient IT solutions and support for laboratory test ordering and reporting. Whether you’re using an electronic health record (EHR) system to track your patients’ medical history or a custom database solution, our goal is to provide you with a seamless interface. We can help streamline your laboratory ordering and reporting process by eliminating costly administrative tasks and improving data accuracy, saving you time and money.

Electronic Health Record Interfaces

Having implemented interfaces in a variety of healthcare settings, we offer direct interfacing with most any EHR system. Our knowledgeable and experienced IT professionals take the time to understand your specific requirements and develop a customized solution with the right mix of software and hardware to ensure you have access to the data you need.

With direct interfacing, we offer superior turnaround times by allowing you to seamlessly submit laboratory requisitions electronically directly from your EHR system. Instead of writing up test orders, simply enter the tests into your EHR and the order will be waiting for us when the patient arrives at one of our Patient Service Centers. Once the test is completed, you’ll have access to results through your own EHR within seconds.

Learn more about the EHR interfaces we support

No EHR? No Problem.

If you don’t have an EHR system, you can still initiate lab requisitions electronically using Rochester Regional Health Laboratories’ free, web-based, RRHL Provider Portal, which allows for easy, precise ordering and customized reporting capabilities.

Reporting

We also offer customized reporting capabilities, so physicians can choose when and how to receive laboratory results, as well as track patient trends, format reports, create customized alerts, and facilitate standing/routine orders. Learn more about reporting

Contact IT Services

Experience how our direct EHR interfacing capabilities can streamline your laboratory ordering and reporting. Call us at 585.429.2345 and ask how our customized IT services can help you lower your administrative costs and remove inefficiencies.

Client Connectivity

Rochester Regional Health Laboratories currently supports the following EHR systems with HL7 standard interfaces

Health Information Exchange (HIE) Interfaces

In addition to EHR interfaces, Rochester Regional Health Laboratories is able to interface with Health Information Exchanges (HIEs). Rochester Regional Health Laboratories currently supports Rochester RHIO and HealthLink HIEs with HL7 standard interfaces

Hospital Based Acute Care

Rochester Regional Health Laboratories uses the most advanced analytical and testing equipment, including robotics. Testing is performed 24-hours-a-day, seven days a week. Laboratory medicine includes testing in clinical chemistry, hematology, urinalysis, advanced coagulation, flow cytometry, microbiology, molecular diagnostics, and transfusion medicine.

Rochester Regional Health has inpatient laboratories at Rochester General Hospital, Unity Hospital, Newark-Wayne Community Hospital, and Clifton Springs Hospital & Clinic.

Pathology Services

Our pathology division examines tissues, cells, bodily fluids and organs to determine the cause of your condition or group of symptoms. Our team of board-certified pathologists specializes in:

  • Blood banking (preservation of donated blood)
  • Cytopathology (study of cells to diagnose disease)
  • Dermatopathology (study of skin cells to diagnose conditions)
  • Hematology (study of blood and blood conditions)
  • Molecular genetic pathology (study of molecules within tissues and organs to make a diagnosis)
  • Pediatric pathology (study and diagnosis of disease from embryo to adolescence)

Cytopathology

The Cytopathology Laboratory studies cells from the body under a microscope to spot signs of disease. The cytopathology lab is one of the largest in upstate New York, with board-certified cytopathologists on staff to provide patients answers about their conditions.

The lab performs more than 100,000 cell-based evaluations a year in these areas of specialty:

  • Gynecologic (Pap tests for cervical cancer)
  • Breast
  • Non-gynecologic
  • Oral & dermatopathology
  • Head, neck & pulmonary
  • Gastrointestinal & genitourinary
  • Hematopathology
  • Neonatal and pediatric

Charge Capture and Compliance

Phone: 585.922.1167

Fax: 585.922.1168

Medical Necessity for Ordering Lab Tests

Any test ordered through the Department of Pathology and Laboratory Medicine must be accompanied by signs and symptoms or a diagnosis indicating the reason for ordering each test. Requisitions must be signed by a provider.

Tips for Requisition Completion

  • A diagnosis or signs and symptoms must be placed on the requisition relating to each test ordered. Provide all codes or narrative data that are appropriate for the tests ordered. ALL insurances require diagnostic information on claims for laboratory services.
  • ICD-10 codes must contain all digits as specified in the current ICD-10 book, and be as specific as possible.
  • R/O, screening, up or down arrows, +, -, or possible before a narrative diagnosis are not acceptable.
  • Medicare does not pay for laboratory testing for screening purposes except as specifically allowed by regulation. Appropriate screening diagnoses must be provided when allowed screening tests are requested.

Medical Necessity Policies

Medicare has established medical necessity criteria for a variety of tests through local or national coverage decisions. This medical necessity criteria may also be followed by private insurers who offer HMO or managed care coverage to medicare-eligible individuals.

If laboratory tests are requested without covered diagnoses on the requisition, the patient will be asked to sign an Advance Beneficiary Notice (ABN), or your office will be contacted for additional diagnostic information.

Click here for the current information on Medicare coverage decisions.
View or print the entire 2017 NCD manual

List of Medical Necessity Policies:

POLICY TYPE
Acid Phosphatase (discontinued January 2013) LCD
Alpha-fetoprotein (revised October 2015) NCD
Amylase (discontinued June 2007) LCD
Beta2 Microglobulin (discontinued March 2012) LCD
Blood Counts (revised October 2015) NCD
Blood Glucose Testing (revised October 2015) NCD
B-type Natriuretic Peptide (BNP) Testing (revised October 2015) LCD
Carcinoembryonic Antigen (revised October 2015) NCD
Chloride, Blood (discontinued June 2007) LCD
Collagen Crosslinks, Any Method (revised October 2015) NCD
Digoxin Therapeutic Drug Assay (revised October 2015) NCD
Erythrocyte Sedimentation Rate (ESR) (discontinued October 2011) LCD
Fecal Occult Blood (revised October 2015) NCD
Flow Cytometry (discontinued November 2011) LCD
Gamma Glutamyl Transferase (revised July 2012) NCD
Glycated Hemoglobin/Glycated Protein (revised October 2015) NCD
POLICY TYPE
Helicobacter Pylori Tests (discontinued June 2007) LCD
Hepatic Function Panel (discontinued December 2011) LCD
Hepatitis Panel / Acute Hepatitis Panel (revised October 2015) NCD
Heavy Metals (revised January 2017) LCD
High Sensitivity C-Reactive Protein (hsCRP) Testing (discontinued April 2012) LCD
Homocysteine Level, Serum (discontinued February 2012) LCD
Human Chorionic Gonadotropin (revised October 2015) NCD
Human Immunodeficiency Virus Testing (Diagnosis) (revised October 2015) NCD
Ionized Calcium (discontinued March 2012) LCD
Lipid Testing (revised October 2015) NCD
Molecular Pathology (revised January 2017) LCD
Pap Smear of the Cervical or Vaginal Mucosa (discontinued June 2007) LCD
Parathormone (Parathyroid Hormone, PTH) (discontinued April 2012) LCD
Partial Thromboplastin Time (PTT) (revised January 2016) NCD
Phosphorus Inorganic (phosphate) (discontinued June 2007) LCD
Potassium (Serum) Levels (discontinued June 2007) LCD
POLICY TYPE
Prostate Specific Antigen (revised October 2015) NCD
Prothrombin Time (PT) (revised January 2016) NCD
Qualitative Drug Screen (discontinued December 2015) LCD
RAST Type Tests (revised October 2015) LCD
Reticulocyte Counts (discontinued June 2007) LCD
Serum Iron Studies (revised July 2016) NCD
Serum Magnesium (discontinued May 2012) LCD
Syphilis Tests (discontinued December 2011) LCD
Thyroid Testing (revised January 2016) NCD
Tumor Antigen by Immunoassay CA 19-9 (revised October 2015) NCD
Tumor Antigen by Immunoassay CA15-3 / CA 27.29 (revised October 2015) NCD
Tumor Antigen by Immunoassay CA125 (revised October 2015) NCD
Urinalysis (discontinued June 2007) LCD
Urine Culture (Bacterial Urine Culture) (revised January 2016) NCD
Urine Drug Testing (revised January 2017) LCD
Viral Hepatitis Serology Tests (discontinued December 2011) LCD
Vitamin D25-OH (revised December 2015) LCD

Forms & Requisitions

If you need to order forms or lab requisitions, please email us at RGHCourierDept@rochesterregional.org or call 585.922.LABS (5227), Option 2.

Frequently Asked Questions

Results Availability

Will results be available in a timely fashion? Will I still be called with ambulatory critical results?

Our goal is to maintain the turnaround times you rely on to provide timely care for your patients. Our plan is to accomplish this with more frequent pick-ups at each of our Patients Service Centers (PSC’s). It is possible that you will experience some delays over the next few months during the transition period. We greatly appreciate your patience and understanding as we optimize our courier routes, staffing plans and testing schedules. Our goal, as always, is to meet or exceed your expectations. Yes, we will continue to contact you directly (by phone) with all ambulatory critical results.

Is STAT testing available for outpatients and patients in nursing homes? Will I still be called with these STAT results?

Our goal is result all testing in a timely fashion. Outpatient and nursing home requests for STAT testing should be limited to those clinical situations where test results are needed urgently to inform immediate next steps in patient management. In general STAT samples collected in PSC’s will be picked-up by the next scheduled courier and delivered to the testing laboratory for STAT-on-arrival processing; our goal, whenever possible, is to provide results within four hours of sample pickup. STAT samples from nursing homes will be picked up by a STAT courier, and, again, our goal is to have results within four hours of sample pick-up.

Yes, we will continue to contact you directly (by phone) with ambulatory STAT results.

Can blood samples for all tests be collected in all PSC’s?

Most, but not all, blood samples can be collected in all of our PSC’s. In order to preserve specimen integrity, the following table lists tests for which blood samples that can only be collected at a PSC with immediate access to a hospital laboratory. This list applies to both routine and STAT testing, with some exceptions for nursing homes as noted below.

RGH PSC
1425 Portland AveM-F: 6am-5:30pm
Sat: 7:30am – 12:30pm
Unity PSC
1561 Long Pond RdM-F: 7am-5pm
Sat: 8am-Noon
Newark PSC
240 W Pearl StM-F: 6am-5:30pm
Sat: 7am-Noon
Ammonia  x  x  x
Carboxyhemoglobin x  x  x
D-Dimer x  x  x
Emergency Tox Screen  x  x
Ethyl Alcohol  x  x  x
Lactic Acid  x  x  x
Troponin  x  x  x
Specialized Coagulation Tests
Closure Time  x  x
Coag Activity Tests  x  x  x
Fibrinogen Split Products  x  x  x
Fibrinogen  x  x  x
Platelet Aggregation & Release  x (requires appt)
Ristocetin Cofactor  x  x  x
Von Willebrand Activity/Antigen  x  x  x

Why do I no longer receive preliminary results/reports?

The default setting for ambulatory laboratory results is to not report preliminary results. If preliminary reports are needed, please contact Client Services by calling 800.525.5227 or 585.922.LABS (5227) and access to preliminary reports will be enabled.

Why am I seeing some lab results listed as “unsolicited” or scanned into the Care Connect record? I ordered these tests in Care Connect, so when I don't get my results the expected way, why is the test I ordered still listed as "pending?"

While most of the tests performed at Rochester Regional Health Laboratories’ Elmgrove Laboratory have been linked to the appropriate legacy Rochester General or Newark-Wayne test, that process is not complete. Those tests that have yet to be linked will be listed as “unsolicited” or if received in hard copy, will be scanned into Care Connect. As we continue to build the order links for ACM tests, the number of unsolicited results will decrease. Priority has been given to the routine, high volume tests.

Why do I no longer reliably receive all of my lab results in my Care Connect In-Basket? How will I know results are available, if I don't get an In-Basket notification?

All Care Connect providers will have their results posted into the Care Connect In-Basket with notification.

Will results of testing performed at Rochester Regional Health Laboratories' Elmgrove Laboratory be available in MyCare, the Care Connect patient portal?

All testing performed at Rochester Regional Health Laboratories’ Elmgrove Laboratory routed through Care Connect will be auto-released to the patient portal. Routine lab results are auto-released at 9 am the following morning. Results of “sensitive labs” (STD’s, serum pregnancy tests, genetic test, and drug screens) are auto-released with a 7-day delay. When reviewing your patient’s results you always have the option of releasing the result to your patient ahead of the auto-release.

Test Menu & Methodologies

What testing options are available for TB screening?

Quantiferon Gold and TSPOT are both orderable in Care Connect for tuberculosis screening. Providers ordering TSPOT can direct patients to any Rochester Regional Health Laboratories PSC for collection. Providers preferring Quantiferon Gold should contact client services to confirm the full listing of available PSC’s collecting this test: 800.525.5227 or 585.922-LABS (5227).

Some of those locations include:

  • Alexander Park
  • 3101 W. Ridge Rd (Greece)
  • Linden Oaks – Hagen Drive Campus
  • Culver Ridge
  • 400 Crosskeys
  • Wilson Health Center

For questions on which test to order, contact Dr. Robert Carlson at rcarlson@acmlab.com or at 585.429.2246.

For patients previously tested at Rochester General or Newark Labs, how do I know that the assay method will be the same when samples are tested at Rochester Regional Health Laboratories Elmgrove Laboratory?

Many of the tests performed at Rochester General, Newark-Wayne and Rochester Regional Health Laboratories have already been harmonized by using the same instrumentation and methods but a few will require re-baselining. We will continue to expand that level of standardization over time. When looking at results in Care Connect, those tests that are harmonized will appear together on the same line in Results View, while those with different methods and/or reference ranges will be reported on a different line. Hovering over the result in Care Connect will display the testing lab and the associated reference range for that result. Those providers accessing test results on hard copy or through non-EPIC systems will need to associate the result with the performing laboratory’s reference range listed on the report.

For patients previously followed using Rochester General and Newark labs, what tests will need to be re-baselined? How do I request a re-baseline for my patient?

The following five tests are the only tests which are performed using different instruments or methodologies at ACM Elmgrove Laboratory and will require re-baselining for patients being followed with serial testing:

CA 19-9          CA 27.29          CA15.3          dsDNA          HCG (tumor marker)

Prior to laboratory integration, we have made a sincere effort to notify legacy Rochester General and Newark-Wayne providers most likely to order these five tests about the need to re-baseline their patients.

To order a re-baseline, please indicate “needs re-baseline” in the Comment field of the lab order. An extra tube will be drawn, and the test will be performed by both the legacy (Rochester General or Newark-Wayne) method and new (Elmgrove) method. The patient will only be charged once.  This applies only to those providers who would have previously received results from Rochester General or Newark-Wayne.  Unity providers are not affected.   If you have questions about whether or not re-baselining is required or about a re-baselined result, please contact Dr. Carlson at 585.429.2246 or rcarlson@acmlab.com.

Provider & Office Support

How do I reach Client Services?

Client Services can be reached by calling 800.525.5227 or 585.922.LABS (5227).

Can I continue using Rochester General, Newark-Wayne and ACM forms? How do I obtain more lab requisition forms?

Yes, you may continue to use Rochester General, Newark-Wayne and Rochester Regional Health Lab requisition forms until we transition to a common lab requisition form in the near future. Lab requisition forms can be ordered through the laboratory supply process. You can call the stock room directly at 585.429.2238 or fax your request to 585.247.8047.

How do I place a stock order?

Stock orders are submitted on paper.  You can fax directly to 585.247.8047, send to the lab via your courier, or you can call the stock room directly at 585.429.2238.

If I need a courier pickup or have questions about my pick-up schedule, who do I call?

The courier department can be reached through the Client Service Directory at 800.525.5227 or 585.922.LABS (5227).

Lab Ambulatory Contact Information

Clinical Support: Robert Carlson, MD at rcarlson@acmlab.com or 585.429.2246
Operations: Beth Schroeder at bschroeder@acmlab.com
Sales and Commercial: Tom DePalma at tdepalma@acmlab.com