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drug confirmation

DRUG SCREENING LABORATORY

Are you looking for a drug screening laboratory for your medical practice that produces fast and accurate results?  Premier Medical Laboratory Services (PMLS) offers urine drug confirmation testing using state-of-the-art technology, liquid chromatography with triple-quad mass spectroscopy (LC-MS), to ensure reliable results on urine and oral specimen testing.

LC-MS is highly sensitive and selective so it is useful in many applications.  It is geared to detect, separate and identify chemicals of particular masses in the presence of other chemicals.  At PMLS, you will have access to our experienced and highly trained staff, including on-call toxicologists, who fully comply with DEA standards, and you will have peace of mind knowing that we are certified by all major laboratory accrediting organizations.

The LC-MS technique allows us to provide you with the most accurate results while ensuring fast turnaround times for your facility.  With our advanced laboratory information system, you will have access to an easy to read, one page report within just 72 hours, saving you valuable time and enabling you to run your practice more efficiently.  These reports can be printed, saved or downloaded to your EMR system.

Most importantly, we are committed to helping you continue to provide the very best care to your patients by striving to be the industry leader with the highest standards of honesty, integrity and ethical conduct.

Our drug screening laboratory Test Menu provides a comprehensive list of many of the drugs we test for and a search bar that allows you to look through our entire database for more specific testing.  These include comprehensive drug monitoring via oral fluids and urine with K2/Spice.

We also offer you personalized treatment through the field of Genetics.  Medicines metabolize differently from one patient to another.  Our genetics testing will help you to identify patients who may need an adjustment in their dosage of opioids and benzodiazapines such as:

  • Hyrdocodone
  • Codeine
  • Oxycodone
  • Methadone
  • Tramadol
  • Tricyclic Antidepressants
  • Serotonin reuptake inhibitors
  • Serotonin Norepinephrine  reuptake inhibitors

While there are other variables that can affect patient outcomes with medication, genetics has been proven to play a significant role.  You can improve patient care by using the information provided with such testing.  By using genetic testing, you can help predict a better outcome for your patients, one that can greatly improve their pain management and quality of life.

Another benefit of genetics testing by our drug screening laboratory is identifying the potential risk of adverse drug reactions in your patients.  This is a critical issue since the FDA has listed adverse drug reactions as a leading cause of death.  Our genetics testing provides you with greater knowledge of a patient’s potential risk, ensuring improved patient outcomes.

Genetics testing has also been shown to increase cost effectiveness by increasing positive patient outcomes.  Considering the expense involved with adverse reactions, including preventative care with our genetics testing is a smart choice.

At PMLS, we use the Enzyme Immunoassay (EIA) screen to detect the presence of a drug or metabolite.  If the result is positive, we can order further testing at your request.  However, we also offer Point-Of-Care testing.  This enables you to administer the EIA screen in your office at the time of the patient visit.

We offer education to physicians and full disclosure of all CPT codes we bill with.  We also offer you the corresponding Medicare fees so that you may consider those facts when ordering tests for your patients.  And at PMLS, we will also show you how to increase your revenue while monitoring your patients medication compliance.  Give us a call at 1-877-335-2455 for more information.

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Urine Drug Confirmation and Pain Management

You may be considering developing a schedule and system of drug screen testing for your office. There are many reasons for this. Perhaps you practice in an area that has started regulating this testing and need to make some changes. Or you may be interested in further protecting your practice from any difficult law suits regarding a patient who may have allowed someone else to use their prescription recreationally. Another reason could be you’re looking to improve on your patient care. Regardless of the reason you’re looking to pick up your urine screening routine, you will need to consider how the testing is done. Take a look at the two most common practices below for comparison when deciding what might suit your office.

In-House Drug Screening

In-office drug screening will either be through the use of saliva tests or with a urine sample cup. Many medical practices enjoy not sending their samples out for testing. The cups and saliva tests that are performed in the practice tend to take about ten to fifteen minutes to get results back and are considered a screening. For confirmation, these results will need to be sent out to a lab.

Utilizing a Lab for Testing

Urine drug confirmation performed by a lab can be more thorough. Sending your urine tests out to a lab may take longer, anywhere from a few hours to a day or so, they will be a very reliable resource. Should results be questioned, you’ll have an outside professional source to site. If there is a lawsuit, you’ll also benefit from the support of the lab that you have sent the test to. When you are choosing to send results out to the lab you can decide if your office will benefit more from sending every test out or just the ones that have come back positive.

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Outsourcing Drug Tests Allows for Better and Faster Results

One of the least invasive ways to monitor drugs in a patient’s system is through urine drug tests. The sample for the test can be done in a matter of minutes and by sending the sample to a secondary company for testing, it frees the workers in the office up for more important tasks related to the care of their patients. Working with a company that specializes in such outsource testing can be a huge bonus to any practice.

Working with an established company can help make the transition between handling the tests in the office and having the work outsourced smooth and streamlined. For offices that are new to this process, an established company with a strong track record will be able to help transition to outsourcing making the change easy to follow through on.

Going with a reliable company will also allow your office to receive urine drug confirmations in a timely and accurate. Results can be accessed as soon as they are available online through a secure site so no need to worry about waiting on postal mail to deliver the labs. There are many options for offices looking to work with an outsourcing lab.

There are many options available for any practice looking to make the move to a dedicated outsource lab. There is not a one size fits all model and the lab will work with the practice in order to achieve a process that works well with their needs, not force the practice to change their work model to conform to the lab.

Working with an outsourcing lab can open space and time in a practice for more patient focused care while still ensuring that all medications are being properly monitored.

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The Downsides of Urine Drug Testing and How to Counteract Them

Urine drug confirmations have quickly become the cheapest and most relied upon variety of drug testing in the health care world. These tests do not come without issues. In order to combat many of these issues, practices are relying more frequently on outsourcing their urine samples to other labs. Here are just a few of these potential issues, and possible means of counteracting them.

 

Difficulty Obtaining Sample

Depending on the situation and state of the patient, it may be difficult to obtain a urine sample upon demand. While hair and saliva are always present, a patient may not be able to void at the drop of a hat. Likewise, some patients may be physically unable to urinate do to illness, pain, or other bodily issues.

Catheters have often been used in instances where a patient cannot void, but a urine drug test is vital to diagnosis.

 

Storage

Due to the temperamental nature of urine, the samples must be stored safely and securely. Improper storage may result in invalidation of the test or an unstable sample.

Many health care professionals have decided to outsource their urine drug tests when storage becomes an issue. These external labs focus on prime care of specimens, delivering the results of the test in a timely manner.

 

Tampering

Urine samples must be taken by a patient in private, but this gives the patient an opportunity to dilute, substitute, or tamper with the urine. Many patients may be nervous or unsure about their test results, and many test results may effect their potential or current employment – thus, patients may try everything they can to pass a drug test.

This remains the biggest issue with urine drug tests. Thankfully, advances in testing have made it possible to notice traces of foreign bodies in the samples. Differences in temperature between the patient and the sample are the largest indicator.

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Three Different Drug Confirmation Types

If you’re a medical professional who needs to quickly and accurately test for the presence of illegal substances in a patient’s system, you may be wondering what testing options are available to you. The increase in the demand for drug tests calls for quick and clear drug conformations. There are a myriad of tests available – here are three of the more popular varieties.

 

Hair

A hair-based drug screening can test for cannabis, cocaine, and amphetamines, as well as a few less popular drugs. Hair-based drug tests are commonly used in the UK and other areas of Europe. As hair tests cannot be altered or adulterated, they are the most likely form of test to stand up in court cases.

 

Saliva

Tests for saliva can only pick up traces of alcohol or marijuana. This test boasts high accuracy (on par with the urine drug confirmation), though that in part depends on what methods/kits/chemicals are used. The only issue with saliva-based drug tests is the time frame: most tests will only register drugs used within the past few days. Saliva-based drug tests are best used in situational cases, where it’s important to know if there was any recent drug use.

 

Urine

While there are several varieties of urine drug testing panels, the most popular form is the standard 5 panel – it tests for cocaine, cannabis, phencyclidine, amphetamines, and opiates. Urine drug confirmations are considered the most accurate and the least expensive, and are therefore popular among health care professionals in the US. The downside to these tests is that it can be altered easily, by the patient or otherwise. A test can also be invalidated if the sample is not properly stored, and many health care offices are outsourcing their urine-based drug tests to professional labs for this reason alone.

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How Drug Screening Can Help Diagnose Pain Issues

A patient arrives with unexplained pain – it could be in their joints, in their digestive tract, or simply generalized pain. A series of tests, scans, and more are administered, with nothing coming up. Many doctors would tell the patient to take a pain killer, head home, and return if the pain continued or worsened.

Something that might not be addressed, however, is the possibility of illegal substances in the patient’s system. With the increased use of illegal drugs around the nation, a urine drug screening could become an expected step in treating a patient for pain complaints.

 

The Pain

Illegal substances have been known to cause a myriad of hard-to-explain aches and pains. Some drugs simply aggravate pre-existing conditions, causing the patient a great deal of pain. A frequent complaint of those taking hard drugs is unexplained chest pain, often caused by inflammation of the heart muscles or surrounding tissue. Withdraw symptoms can also be numerous and otherwise undetectable.

 

The Test

A urine drug confirmation (or UDC) can help a medical professional to rule out any and all illegal substance involvement. The UDC can then either be tested on sight in the lab or outsourced to another lab for testing.

Approaching a patient for a drug screening is much easier than a doctor might think – many patients are fine with doing a screening, as long as it is requested in a professional manner. Patients expect to be run through tests in a doctor’s office, so they won’t usually question a UDC.

 

The Recovery

The presence of an illegal or unprescribed drug in the patient’s system during urine drug confirmations does not mean that their complaints of pain are unwarranted. On the contrary, the pain may point to drug complications such as addiction, unexpected side affects, or a reaction with a separate legal or illegal drug.

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Using Urine Drug Confirmation Outsourcing – The Pros and Cons

UDC’s (urine drug confirmations) are used by a myriad of health professionals today. They’re used so often, in fact, that the urine tests can become difficult to manage. Storing becomes an issue if you run a small practice, and the bad economy and required drug testing for employment means more and more people are flocking to get these tests done.

Outsourcing these UDC confirmations

 

The Advantages

  • Clean and careful sample storage. Good labs will be sure to treat each sample with care.
  • Many services offer personalized procedures, outlined by you. If you have specific needs, any quality lab will be willing to follow your instructions to the letter.
  • The results are fast and convenient. This means you’ll be able to deliver news of the test to your patient quickly.

 

The Disadvantages

  • Cost. Outsourcing your urine drug tests can cost you a bit extra, though it can save your staff and you a lot of time. Weight the differences and make sure that it’s worth it to you.
  • Paperwork. If you’re one who doesn’t enjoy adding more paperwork to your life, you might see outsourcing your UDC’s as more hassle than it’s worth.
  • While outsourcing can help streamline your medical work, it can also complicate matters if you end up working with a poor company. Make sure that the lab you outsource to is accurate, friendly, and compliant with all regulations.

 

Conclusion

Keeping up on UDC confirmation results can be a hassle for any medical professional and their team. With so many people to care for, it’s can be a struggle dealing with a large load of urine tests. If you find yourself needing it, find a high-quality lab to outsource your UDC tests to. It will save you time and effort, so you can get back to what you do best.

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The Advantages and Disadvantages of Urine Drug Testing

One of the most common types of tests used among medical professionals is the urine drug confirmation test. Drugs are more prevalent than ever in our society, and have a major impact on the health of incoming patients. Many jobs now require a screening in order to apply, and due to the economic downturn many people are flocking to get these drug tests done. What are the positives and negatives of these types of drug tests?

The Pros
• The drug test in non-invasive. Patient can retreat to a private bathroom, and rarely does a doctor need to be present for the voiding procedure. Patients find this comfortable, and prefer this type of drug test over others.
• Drugs can be detected in the urine for a lengthy amount of time. This means that it can be more reliable than other sampling methods.
• There are many labs that now offer outsourcing for these urine drug confirmations. They dutifully monitor each sample and specimen sent to them, keeping them stored under safe conditions.

The Cons
• Urine needs to be properly stored in order to have valid and stable tests. Storing vessels need to be pristine, and storing chambers need to be particular and properly maintained.
• Can be difficult to obtain if patient cannot produce urine in the moment. This could be situation (a patient has recently voided) or due to health complications (unable to urinate on any occasion).
• Urine specimens can be easily altered or tampered with. Due to the privacy of the voiding process, patients could potentially alter a sample before it is handed over to the doctor.

Many doctors turn to urine tests when it’s time to test for drugs in a patient. Knowing the positives and negatives to these sorts of tests can help you decide which method you prefer.

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