RE: Colonoscopy as part of tx eval

[Guest guest]

Can any let me know if colonoscopy are now being down at transplant center as

part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

Can any let me know if colonoscopy are now being down at transplant center as

part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

Can any let me know if colonoscopy are now being down at transplant center as

part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

We definitely include it.

Fornash Transplant Financial Coordinator Kidney & Pancreas Mayo Clinic ville (904) 953.6062 phone (904) 953.2681 fax fornash.angela@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sent: Monday, September 10, 2007 11:50 AMTo: TxFinancialCoordinators Cc: DodsonSubject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

[Guest guest]

We definitely include it.

Fornash Transplant Financial Coordinator Kidney & Pancreas Mayo Clinic ville (904) 953.6062 phone (904) 953.2681 fax fornash.angela@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sent: Monday, September 10, 2007 11:50 AMTo: TxFinancialCoordinators Cc: DodsonSubject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

[Guest guest]

We definitely include it.

Fornash Transplant Financial Coordinator Kidney & Pancreas Mayo Clinic ville (904) 953.6062 phone (904) 953.2681 fax fornash.angela@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sent: Monday, September 10, 2007 11:50 AMTo: TxFinancialCoordinators Cc: DodsonSubject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

[Guest guest]

We do them here at this center on patients over the age of 50.

Felicia Elizondo

CHRISTUS Transplant Institute

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as

part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

We do them here at this center on patients over the age of 50.

Felicia Elizondo

CHRISTUS Transplant Institute

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as

part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

Hi , we do colonoscopy on absolutely everyone age 50 and over, younger if there's any history or symptoms, of course.

on Financial Counselor Legacy Transplant Services Good Samaritan Hospital 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

"If I die-God forbid-I would like to go to heaven to ask somebody in charge up there, 'Hey, what was the good news and what was the bad news?"

Kurt Vonnegut 1922-2007

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

[Guest guest]

Hi , we do colonoscopy on absolutely everyone age 50 and over, younger if there's any history or symptoms, of course.

on Financial Counselor Legacy Transplant Services Good Samaritan Hospital 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorriso@...

"If I die-God forbid-I would like to go to heaven to ask somebody in charge up there, 'Hey, what was the good news and what was the bad news?"

Kurt Vonnegut 1922-2007

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

IMPORTANT NOTICE: This communication, including any attachment, contains information that may be confidential or privileged, and is intended solely for the entity or individual to whom it is addressed. If you are not the intended recipient, you should contact the sender and delete the message. Any unauthorized disclosure, copying, or distribution of this message is strictly prohibited. Nothing in this email, including any attachment, is intended to be a legally binding signature.

[Guest guest]

We do it here too, but I'm having problems with the anesthesiology charge. I'm not showing the HCPS for the anesthesiology to be in the Medicare fee schedule.

Any suggestions would be MIGHTY helpful.

Thanks!

ez Transplant Financial Coordinator NAMC Renal Transplant Center 12221 North Mopac Expressway Austin, Texas 78758 Phone - Fax - monica.martinez@...

NAMC Mission - "To provide exceptional care to every patient every day with a spirit of warmth, friendliness and personal pride"

NAMC Values - I C A R E...Integrity, Compassion, Accountability, Respect, Excellence [This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.]

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

[Guest guest]

We do it here too, but I'm having problems with the anesthesiology charge. I'm not showing the HCPS for the anesthesiology to be in the Medicare fee schedule.

Any suggestions would be MIGHTY helpful.

Thanks!

ez Transplant Financial Coordinator NAMC Renal Transplant Center 12221 North Mopac Expressway Austin, Texas 78758 Phone - Fax - monica.martinez@...

NAMC Mission - "To provide exceptional care to every patient every day with a spirit of warmth, friendliness and personal pride"

NAMC Values - I C A R E...Integrity, Compassion, Accountability, Respect, Excellence [This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.]

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center as part of kidney tx pre eval ?We have new physician who would like this done on all patients over age 50, would like to find out if this is being done at other centers and put on cost report.Thanks Financial CoordinatorAllegheny General Hospital**********************************************************************This email and any files transmitted with it are confidential andintended solely for the use of the individual or entity to whom theyare addressed. If you have received this email in error please notifythe West Penn Allegheny Health System Help Desk at 412 330-4357.This footnote also confirms that this email message has been swept byMIMEsweeper for the presence of computer viruses.**********************************************************************

[Guest guest]

Anesthesia has different payment schedule.

They are being paid per unit. Each 15 minute of anesthesia time is equivalent

to 1 unit. You will need to know the HCPS code and the amount of time or number

of units they are billing you for the procedure.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ez

Sent: Monday, September 10, 2007

11:41 AM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

We do it here too, but I'm having

problems with the anesthesiology charge. I'm not showing the HCPS for

the anesthesiology to be in the Medicare fee schedule.

Any suggestions would be MIGHTY helpful.

Thanks!

ez

Transplant Financial Coordinator

NAMC

Renal Transplant Center

12221

North Mopac Expressway

Austin,

Texas 78758

Phone -

Fax -

monica.martinezstdavids

NAMC Mission

- " To provide exceptional care to every patient every day with a spirit of

warmth, friendliness and personal pride "

NAMC Values - I C A R E...Integrity, Compassion, Accountability,

Respect, Excellence

[This

email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL

information and may be read or used only by the intended recipient. If you are

not the intended recipient of the email or any of its attachments, please be

advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing, or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email or contact the sender at the number listed.]

RE:

Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down

at transplant center as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

***********************************************************************

This electronic transmission contains information from Methodist Health

System and should be considered confidential and privileged. The

information contained in the above messages is intended only for the

use of the individual(s) and entity(ies) named above. If you are not

the intended recipient, be aware that any disclosure, copying,

distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by

return e-mail. Methodist Health System, its subsidiaries and

affiliates hereby claim all applicable privileges related to the

transmission of this communication.

[Guest guest]

Anesthesia has different payment schedule.

They are being paid per unit. Each 15 minute of anesthesia time is equivalent

to 1 unit. You will need to know the HCPS code and the amount of time or number

of units they are billing you for the procedure.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ez

Sent: Monday, September 10, 2007

11:41 AM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

We do it here too, but I'm having

problems with the anesthesiology charge. I'm not showing the HCPS for

the anesthesiology to be in the Medicare fee schedule.

Any suggestions would be MIGHTY helpful.

Thanks!

ez

Transplant Financial Coordinator

NAMC

Renal Transplant Center

12221

North Mopac Expressway

Austin,

Texas 78758

Phone -

Fax -

monica.martinezstdavids

NAMC Mission

- " To provide exceptional care to every patient every day with a spirit of

warmth, friendliness and personal pride "

NAMC Values - I C A R E...Integrity, Compassion, Accountability,

Respect, Excellence

[This

email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL

information and may be read or used only by the intended recipient. If you are

not the intended recipient of the email or any of its attachments, please be

advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing, or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email or contact the sender at the number listed.]

RE:

Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down

at transplant center as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

***********************************************************************

This electronic transmission contains information from Methodist Health

System and should be considered confidential and privileged. The

information contained in the above messages is intended only for the

use of the individual(s) and entity(ies) named above. If you are not

the intended recipient, be aware that any disclosure, copying,

distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by

return e-mail. Methodist Health System, its subsidiaries and

affiliates hereby claim all applicable privileges related to the

transmission of this communication.

[Guest guest]

Anesthesia has different payment schedule.

They are being paid per unit. Each 15 minute of anesthesia time is equivalent

to 1 unit. You will need to know the HCPS code and the amount of time or number

of units they are billing you for the procedure.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of ez

Sent: Monday, September 10, 2007

11:41 AM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

We do it here too, but I'm having

problems with the anesthesiology charge. I'm not showing the HCPS for

the anesthesiology to be in the Medicare fee schedule.

Any suggestions would be MIGHTY helpful.

Thanks!

ez

Transplant Financial Coordinator

NAMC

Renal Transplant Center

12221

North Mopac Expressway

Austin,

Texas 78758

Phone -

Fax -

monica.martinezstdavids

NAMC Mission

- " To provide exceptional care to every patient every day with a spirit of

warmth, friendliness and personal pride "

NAMC Values - I C A R E...Integrity, Compassion, Accountability,

Respect, Excellence

[This

email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL

information and may be read or used only by the intended recipient. If you are

not the intended recipient of the email or any of its attachments, please be

advised that you have received this email in error and that any use,

dissemination, distribution, forwarding, printing, or copying of this email or

any attached files is strictly prohibited. If you have received this email in

error, please immediately purge it and all attachments and notify the sender by

reply email or contact the sender at the number listed.]

RE:

Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down

at transplant center as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

***********************************************************************

This electronic transmission contains information from Methodist Health

System and should be considered confidential and privileged. The

information contained in the above messages is intended only for the

use of the individual(s) and entity(ies) named above. If you are not

the intended recipient, be aware that any disclosure, copying,

distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by

return e-mail. Methodist Health System, its subsidiaries and

affiliates hereby claim all applicable privileges related to the

transmission of this communication.

[Guest guest]

Hi,

Please remember, it is very, very important

to communicate closely with the patients and where not Medicare, the payer for

the patient. The patient needs to sign something that says that they

realize that if care is given (such as a polyp is snipped) that the patient and

their payer is going to be billed, if no care is given then the patient and

payer will not get billed (kidney only). For non kidney, non Medicare,

you can do the service and bill based on contract. However in any case,

any hospital service must be logged for inclusion on the cost report regardless

of payer. You also may need to get preauths and get the doc’s to do

the same just in case.

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007

11:50 AM

To:

TxFinancialCoordinators

Cc: Dodson

Subject: RE:

Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down

at transplant center as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

Hi,

Please remember, it is very, very important

to communicate closely with the patients and where not Medicare, the payer for

the patient. The patient needs to sign something that says that they

realize that if care is given (such as a polyp is snipped) that the patient and

their payer is going to be billed, if no care is given then the patient and

payer will not get billed (kidney only). For non kidney, non Medicare,

you can do the service and bill based on contract. However in any case,

any hospital service must be logged for inclusion on the cost report regardless

of payer. You also may need to get preauths and get the doc’s to do

the same just in case.

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007

11:50 AM

To:

TxFinancialCoordinators

Cc: Dodson

Subject: RE:

Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down

at transplant center as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on cost

report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

[Guest guest]

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered " treatment " .

The polyp is sent for biopsy, and if positive for carcinoma, then they would

refer the patient for " treatment " based on the result of that test. Tests

like colonoscopy and heart caths (also a diagnostic procedure), seem like a gray

area...if no stent is placed during a cath, then it would be a diagnostic

procedure. If they do put in a stent, then it would be considered treatment.

Interesting subject... any other thoughts out there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " 9/10/2007 3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be used

for urgent or sensitive issues

[Guest guest]

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered " treatment " .

The polyp is sent for biopsy, and if positive for carcinoma, then they would

refer the patient for " treatment " based on the result of that test. Tests

like colonoscopy and heart caths (also a diagnostic procedure), seem like a gray

area...if no stent is placed during a cath, then it would be a diagnostic

procedure. If they do put in a stent, then it would be considered treatment.

Interesting subject... any other thoughts out there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " 9/10/2007 3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be used

for urgent or sensitive issues

[Guest guest]

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered " treatment " .

The polyp is sent for biopsy, and if positive for carcinoma, then they would

refer the patient for " treatment " based on the result of that test. Tests

like colonoscopy and heart caths (also a diagnostic procedure), seem like a gray

area...if no stent is placed during a cath, then it would be a diagnostic

procedure. If they do put in a stent, then it would be considered treatment.

Interesting subject... any other thoughts out there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " 9/10/2007 3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be used

for urgent or sensitive issues

[Guest guest]

We consider the Polyp removal as " treatment " In addition, during heart cath, if

medication is prescribed (such as Nitro) then that too is considered " treatment "

and we have the patient's insurance or medicare billed. The patients are told

pryor to beguining any workup that any treatment would be filed with their

insurance, and that this includes polyp removal and such.

hope this helps.

Amellia Gay

East Texas Medical Center

Tyler TX

>>> " marcia Fisher " 9/10/2007 3:32 PM >>>

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered " treatment " .

The polyp is sent for biopsy, and if positive for carcinoma, then they would

refer the patient for " treatment " based on the result of that test. Tests

like colonoscopy and heart caths (also a diagnostic procedure), seem like a gray

area...if no stent is placed during a cath, then it would be a diagnostic

procedure. If they do put in a stent, then it would be considered treatment.

Interesting subject... any other thoughts out there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " 9/10/2007 3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be used

for urgent or sensitive issues

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/

Thank you.

===========================================================

[Guest guest]

Hi Marcia,

The cardiac cath example is wonderful, we

believe that if it is in and out and no treatment or management, then it is

evaluation. If there is any treatment or management, then it is not

evaluation and must be billed separately as I described in the earlier email.

We suggest that the “snip” be

handled as a treatment because, as it has been explained to us, not all are “snipped

(sp?)”.

Thanks,

Bill

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of marcia Fisher

Sent: Monday, September 10, 2007

4:33 PM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered

" treatment " . The polyp is sent for biopsy, and if positive for

carcinoma, then they would refer the patient for " treatment " based on

the result of that test. Tests like colonoscopy and heart caths (also a

diagnostic procedure), seem like a gray area...if no stent is placed during a

cath, then it would be a diagnostic procedure. If they do put in a stent, then

it would be considered treatment. Interesting subject... any other thoughts out

there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan

Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " <VaughanHSC-CLC (DOT) Com> 9/10/2007

3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be

used for urgent or sensitive issues

[Guest guest]

Hi Marcia,

The cardiac cath example is wonderful, we

believe that if it is in and out and no treatment or management, then it is

evaluation. If there is any treatment or management, then it is not

evaluation and must be billed separately as I described in the earlier email.

We suggest that the “snip” be

handled as a treatment because, as it has been explained to us, not all are “snipped

(sp?)”.

Thanks,

Bill

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of marcia Fisher

Sent: Monday, September 10, 2007

4:33 PM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered

" treatment " . The polyp is sent for biopsy, and if positive for

carcinoma, then they would refer the patient for " treatment " based on

the result of that test. Tests like colonoscopy and heart caths (also a

diagnostic procedure), seem like a gray area...if no stent is placed during a

cath, then it would be a diagnostic procedure. If they do put in a stent, then

it would be considered treatment. Interesting subject... any other thoughts out

there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan

Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " <VaughanHSC-CLC (DOT) Com> 9/10/2007

3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be

used for urgent or sensitive issues

[Guest guest]

Hi Marcia,

The cardiac cath example is wonderful, we

believe that if it is in and out and no treatment or management, then it is

evaluation. If there is any treatment or management, then it is not

evaluation and must be billed separately as I described in the earlier email.

We suggest that the “snip” be

handled as a treatment because, as it has been explained to us, not all are “snipped

(sp?)”.

Thanks,

Bill

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of marcia Fisher

Sent: Monday, September 10, 2007

4:33 PM

To: TxFinancialCoordinators

Subject: RE:

Colonoscopy as part of tx eval

Hello,

I checked with our clinical staff and this is what they told me...during the

colonoscopy, even if they snipped a polyp, it is not considered

" treatment " . The polyp is sent for biopsy, and if positive for

carcinoma, then they would refer the patient for " treatment " based on

the result of that test. Tests like colonoscopy and heart caths (also a

diagnostic procedure), seem like a gray area...if no stent is placed during a

cath, then it would be a diagnostic procedure. If they do put in a stent, then

it would be considered treatment. Interesting subject... any other thoughts out

there?

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan

Transplant Center

This message is confidential, intended for the named recipient(s). If you

receive this message in error, please notify the sender by email or at

, and delete this email. Thank you.

>>> " Vaughan " <VaughanHSC-CLC (DOT) Com> 9/10/2007

3:40 PM >>>

Hi,

Please remember, it is very, very important to communicate closely with the

patients and where not Medicare, the payer for the patient. The patient

needs to sign something that says that they realize that if care is given

(such as a polyp is snipped) that the patient and their payer is going to be

billed, if no care is given then the patient and payer will not get billed

(kidney only). For non kidney, non Medicare, you can do the service and

bill based on contract. However in any case, any hospital service must be

logged for inclusion on the cost report regardless of payer. You also may

need to get preauths and get the doc's to do the same just in case.

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of

Sent: Monday, September 10, 2007 11:50 AM

To: TxFinancialCoordinators

Cc: Dodson

Subject: RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be

used for urgent or sensitive issues

[Guest guest]

Do you then send the whole bill to the pt's insurance?

Felicia Elizondo

RE: Colonoscopy as part of tx eval

Can any let me know if colonoscopy are now being down at transplant center

as part of kidney tx pre eval ?

We have new physician who would like this done on all patients over age 50,

would like to find out if this is being done at other centers and put on

cost report.

Thanks

Financial Coordinator

Allegheny General Hospital

**********************************************************************

This email and any files transmitted with it are confidential and

intended solely for the use of the individual or entity to whom they

are addressed. If you have received this email in error please notify

the West Penn Allegheny Health System Help Desk at 412 330-4357.

This footnote also confirms that this email message has been swept by

MIMEsweeper for the presence of computer viruses.

**********************************************************************

**********************************************************

Electronic Mail is not secure, may not be read every day, and should not be

used for urgent or sensitive issues

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/ <http://www.etmc.org/mail/>

Thank you.

===========================================================