• Rapid Hep C Screening / offsite

  • Is the patient having an appointment with a medical provider today?

  • Order for Rapid Hep C Screening

    Ordering physician: Guy M. Lerner, MD

    Facility: SpecialistsMAT, PSC

    Today's provider: Dr. Lerner

    Group NPI#: 1851998181

    Appt type: Suboxone follow up / Suboxone new patient

    Patient Name: {name}

    Patient ID: {uniqueid}

     

    Guy M. Lerner, MD

    Diplomate, American Board Anesthesiology
    Diplomate, American Board Pain Medicine
    Diplomate, American Board of Preventive Medicine/ Addiction Medicine

  • Medical Necessity

    This patient has Hepatitis C or carries a significant risk of having Hepatitis C. Hepatitis C is a chronic and complex health issue that has significant implications for the patient and for public health in general. Untreated, Hepatitis C will shorten a patient's lifespan by 20 years. Patients with untreated Hepatitis C will likely infect up to 20 other individuals in their lifetime. According to the CDC, Hepatitis C is an epidemic that's a major public health threat in the United States. It's also known as a "silent epidemic" because many people don't know they have it as they don’t have symptoms. Over the past 10 years, cases of Hepatitis C have more than doubled.

    The CDC recommends Hepatitis C screening and sexually transmitted disease (STD) screening particularly in high risk groups like patients with opioid use disorder. Diagnosing and treating Hepatitis C is a complex and time intensive process that requires multiple providers to ensure that care is coordinated and delivered efficiently. Case managers are a critical component as they facilitate this process.

  • Date
     - -
  • Test Result*
  • Has the patient ever been vaccinated against hepatitis B?
  • Has the patient ever had a blood test for hepatitis B?*
  • Has the patient ever been told they have hepatitis B?*
  • Was the patient treated and cured?

  • Blood testing for hepatitis B is recommended if the patient has never been tested for hepatitis B previously.

    Blood testing for hepatitis B is recommened if the patient has tested negative for hepatitis B in the past and has participated in risky behaviors (i.e., substance use disorder) since.

     

      

  • Blood testing for hepatitis B is NOT recommended.  Once the patient is cured and has antibodies, re-infection is rare.

    Blood testing for hepatitis B is NOT recommended.  The vaccine produces antibodies, which is protective against future hepatitis B infections.  Re-infection is rare.

  • The patient was educated on the following:

    • How hepatitis is spread
    • Risk factors
    • Symptoms of hepatitis
    • How to prevent hepatitis
    • Treatments and cures

    If requested, the patient was emailed a CDC Hepatitis Fact Sheet.

  • Is the patient a resident with any of these sober living facilities?
  • Should be Empty: