RE: Colonoscopy as part of tx eval

[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.

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

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used for urgent or sensitive issues

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

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for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

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that the dissemination, distribution or copying

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[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.

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

[Guest guest]

Colonoscopies are not done as treatment

procedures; they are inherently diagnostic. It is a “scope”, which

means you are just looking. If you take a biopsy while in there, then you code

it differently & the biopsy is a separate billable procedure. Colonoscopies

vary depending on whether the diagnostic is routine/ screening, or diagnostic

subsequent to sxs. You don’t go in to clip polyps, polyps on their own

are not generally a problem, it is what they would become if left there for

years.

Sher Stirling-Burgin, BS, RN, CCM

Transplant Financial Coordinator

Liver/ Intestine/Multivisceral Programs

Clarian Transplant

550 N. University Blvd., Rm 4601

Indpls., IN 46202-5202

Desk

FAX

sstirlingburgin@...

" Helping People Embrace New

Life. "

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]

Colonoscopies are not done as treatment

procedures; they are inherently diagnostic. It is a “scope”, which

means you are just looking. If you take a biopsy while in there, then you code

it differently & the biopsy is a separate billable procedure. Colonoscopies

vary depending on whether the diagnostic is routine/ screening, or diagnostic

subsequent to sxs. You don’t go in to clip polyps, polyps on their own

are not generally a problem, it is what they would become if left there for

years.

Sher Stirling-Burgin, BS, RN, CCM

Transplant Financial Coordinator

Liver/ Intestine/Multivisceral Programs

Clarian Transplant

550 N. University Blvd., Rm 4601

Indpls., IN 46202-5202

Desk

FAX

sstirlingburgin@...

" Helping People Embrace New

Life. "

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]

Colonoscopies are not done as treatment

procedures; they are inherently diagnostic. It is a “scope”, which

means you are just looking. If you take a biopsy while in there, then you code

it differently & the biopsy is a separate billable procedure. Colonoscopies

vary depending on whether the diagnostic is routine/ screening, or diagnostic

subsequent to sxs. You don’t go in to clip polyps, polyps on their own

are not generally a problem, it is what they would become if left there for

years.

Sher Stirling-Burgin, BS, RN, CCM

Transplant Financial Coordinator

Liver/ Intestine/Multivisceral Programs

Clarian Transplant

550 N. University Blvd., Rm 4601

Indpls., IN 46202-5202

Desk

FAX

sstirlingburgin@...

" Helping People Embrace New

Life. "

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]

Thanks to all for the information given

Financial Coordinator

Allegheny General Hospital

>>> " 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.

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

[Guest guest]

Thanks to all for the information given

Financial Coordinator

Allegheny General Hospital

>>> " 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.

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

[Guest guest]

Marcia,

Our center considers removal of a polyp as

a “treatment” since it takes the colonoscopy beyond the realm of “screening”.

Barbara Cochrane, MSN, RN

Transplant Financial Coordinator

Transplant Services Department

Mercy Medical Center—Des Moines

Fax:

bcochrane@...

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of marcia Fisher

Sent: Monday, September 10, 2007

3:33 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 Barbara, thanks for responding...seems like there is a lot of diversity on

how different centers handle Ad Hoc testing to clear the patient for transplant.

I wonder how centers handle this " after the fact " when clipping (colonoscopy),

and stenting (heart cath), is done in the screening process.

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.

>>> " Cochrane, Barbara E " 9/18/2007 9:42 AM >>>

Marcia,

Our center considers removal of a polyp as a " treatment " since it takes

the colonoscopy beyond the realm of " screening " .

Barbara Cochrane, MSN, RN

Transplant Financial Coordinator

Transplant Services Department

Mercy Medical Center-Des Moines

Fax:

bcochrane@...

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of marcia

Fisher

Sent: Monday, September 10, 2007 3:33 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 " <Vaughan@...

<mailto:Vaughan%40HSC-CLC.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%40yahoogroups.com>

[mailto:TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com> ] On Behalf Of

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

To: TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com>

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

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

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,

We stopped covering caths for that reason,

we were having too many that had to be stented and it is too difficult to break

out all the charges; the colonoscopy’s are done prior to their

evaluation, we only cover the ones if the patient cannot afford the copay and

so far we haven’t had any snipping.

Pat Kreci

Transplant Financial Coordinator

Southwest Florida Regional

Medical Center

Ft Myers,

FL

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of marcia Fisher

Sent: Tuesday, September 18, 2007

4:01 PM

To: TxFinancialCoordinators

Cc: Anne ; Crystal Sprang

Subject: RE:

Colonoscopy as part of tx eval

Hi

Barbara, thanks for responding...seems like there is a lot of diversity on

how different centers handle Ad Hoc testing to clear the patient for

transplant. I wonder how centers handle this " after the fact " when

clipping (colonoscopy), and stenting (heart cath), is done in the

screening process.

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.

>>> " Cochrane, Barbara E " <bcochranemercydesmoines (DOT) org>

9/18/2007 9:42 AM >>>

Marcia,

Our center considers removal of a polyp as a " treatment " since it

takes

the colonoscopy beyond the realm of " screening " .

Barbara Cochrane, MSN, RN

Transplant Financial Coordinator

Transplant Services Department

Mercy Medical Center-Des Moines

Fax:

bcochranemercydesmoines (DOT) org

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of marcia

Fisher

Sent: Monday, September 10, 2007 3:33 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

<mailto:Vaughan%40HSC-CLC.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%40yahoogroups.com>

[mailto:TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com> ] On

Behalf Of

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

To: TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com>

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

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[Guest guest]

Cardiac Cath with stenting should be

billed to the insurance company.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of marcia Fisher

Sent: Tuesday, September 18, 2007

3:01 PM

To:

TxFinancialCoordinators

Cc: Anne ; Crystal Sprang

Subject: RE:

Colonoscopy as part of tx eval

Hi

Barbara, thanks for responding...seems like there is a lot of diversity on

how different centers handle Ad Hoc testing to clear the patient for

transplant. I wonder how centers handle this " after the fact " when

clipping (colonoscopy), and stenting (heart cath), is done in the

screening process.

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.

>>> " Cochrane, Barbara E " <bcochranemercydesmoines (DOT) org>

9/18/2007 9:42 AM >>>

Marcia,

Our center considers removal of a polyp as a " treatment " since it

takes

the colonoscopy beyond the realm of " screening " .

Barbara Cochrane, MSN, RN

Transplant Financial Coordinator

Transplant Services Department

Mercy Medical Center-Des Moines

Fax:

bcochranemercydesmoines (DOT) org

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of marcia

Fisher

Sent: Monday, September 10, 2007 3:33 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

<mailto:Vaughan%40HSC-CLC.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%40yahoogroups.com>

[mailto:TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com> ] On

Behalf Of

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

To: TxFinancialCoordinators

<mailto:TxFinancialCoordinators%40yahoogroups.com>

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

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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.

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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]

It's messy, but our biller rejects the claim on any eval service that turned into a treatment, w/instructions to the provider to bill the insurance directly

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

"Here should be an objective of Government itself, to provide at least as much assistance to the little fellow as it is now giving to the large banks and corporations."--lin D. Roosevelt, April 7, 1932

RE: Colonoscopy as part of tx evalCan any let me know if colonoscopy are now being down at transplantcenteras part of kidney tx pre eval ?We have new physician who would like this done on all patients over age50,would like to find out if this is being done at other centers and put oncost 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.********************************************************************************************************************************Electronic Mail is not secure, may not be read every day, and should notbe used for urgent or sensitive issues**********************************************************Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues

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.