Rupture of Membranes

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We have used Amnisure and Nitrazine pH tesing for years, without erroneous results.  We are looking at switching to Fern Testing (which has awful results) due to insurance providers declining the Amnisure as Experimental.

We have the Amnisure now and a few providers perform Fern testing. We are about to trial Actim-Prom as it is cheaper, is not affected by blood, gels, powders etc. The nurses really wanted Actim-Prom due to only having to insert the swab vaginally for 10-15 seconds instead of 1 minute for Amnisure. We will see what the coorelation study looks like.

We currently use Amnisure, but we don't do it entirely POC. We were having issues with nursing staff not entering test results in the patient chart, so we switched to having nurses collect the specimen and send it to the lab for the actual test. We haven't really had any issues with testing since then.

I spoke with a rep about Actim PROM, but we opted not to look too much into switching due to the limitations on gestational age (>/= 29 weeks only). They are approved in other countries for all gestational ages but are waiting on clearance in the US.

We validated an ROM test in the lab all of my labs with an L/D unit. It used to be Aminsure...but we then validated another one that is cheaper.

We removed the pH swabs at the time the kits were validated in the lab. Reimbursement is good and we have had no issues with it.

We use Rom Plus. Easy test and rep was very helpful with training. 

I know this discussion goes back a few months, but I was wondering for those of you who use the AmniSure or AmnioTest assays for POC, are you successful with having residents perform this test and entering results in the patient chart so that the patient can be billed?
We currently have residents perform the test, with the nurses responsible for entering the results manually into the Nova Glucose meters in order to bill for the tests performed. Unfortunately, the nurses are failing miserably at this, so we never get paid for the tests performed. Fortunately the results are still documented by the physician/resident in the physician notes section of the patient chart, but that isn't tracked for billing purposes either.
Any guidance would be very welcomed!

Michael, at our facility that was a big concern, getting reimbursed for this test because the kits are expensive. What we do is have the Physician place an order in our LISS, the Nurse will collect the swab and bring it to the Laboratory. I do realize that the nurses could perform the test, but our fear was that there would be a hit or miss that they were inputting it correctly. Remember this comes from spending time with them and knowing that they are nurses and think differently the Laboratory people. I am not saying all, nurses care for the patient, where as we think about the regulations, reimbursement, and all the documentation that has to go with it, I feel that it is the way we are wired.

dave m

We are looking at reverting to Fern Testing due to insurers declining to cover the Amnisure, calling it unproven and experimental.

Does anyone get their Amnisure reimbursed?