RE: Donor Post-TransplantComplications Medicare Coverage

[Guest guest]

Can

you fax me a copy as well.

Olga I.

Administrative Director

Hospital Transplant

Surgery

fax

ogonzal@...

Re:

Donor Post-TransplantComplications Medicare Coverage

We have a Gatekeeper,

i.e. our Urologist. He makes the determination if the complication is related

to the transplant. He then dictates a letter that is sent to us that states the

complication is related to his donation.

This letter is sent with the UB92 form and it is sent in hard copy. The appropriate

diagnosis codes must be placed on the claim and the claim is filed. If you

would like a copy faxed to you, let me know. I would be happy to send you what

we use.

The donor will retain this coverage until he is deemed " recovered "

this could be years on a month. The verbiage is not specific as to how long

they retain coverage, it just says " recovered " . Bev

>>> " Battin, Daryl J. " <Daryl.J.BattinLahey (DOT) org>

7/19/2007 1:26 PM >>>

Hypothetical questions -

If a donor has post-transplant related medical complications (when

medically documented as such), how does the Medicare coverage work for

him/her? (The transplant was a Medicare covered transplant.)

* If the recipient only signed up for Medicare A as has group

health insurance, will Medicare only cover hospital charges for such a

donor?

* If the recipient no longer has Medicare (is more than 3

years after transplant), will Medicare still cover donor charges for

transplant related complications?

Thanks for the help!

Daryl Battin, LICSW

Financial Coordinator/Social Worker

Lahey Clinic Kidney/PancreasTransplant Program

41 Mall Road

Burlington, MA 01805

Phone: 781 744-7166/781 744-8974

FAX: 781 744-5009

See our web page at http://www.lahey.org

for a full directory of Lahey sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT

MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM

DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your

use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

***********************EMAIL DISCLAIMER************************

This email and any files transmitted with it may be confidential and are intended

solely for the use of the individual or entity to whom they are addressed.

If you are not the intended recipient or the individual responsible for

delivering the e-mail to the intended recipient, any disclosure, copying,

distribution or any action taken or omitted to be taken in reliance on it,

is strictly prohibited. If you have received this e-mail in error, please

delete it and notify the sender or contact Health Information Management

.

[Guest guest]

Belinda

University of Kansas Hospital

Patient Financial Services

Westwood Campus Ste. 200 /Mailstop #5001

3901 Rainbow Blvd.

Kansas City, Ks. 66160

Phone:

" Advanced Care for the Next Century "

>>> " , Olga " 7/31/2007 8:46 AM >>>

Can you fax me a copy as well.

Olga I.

Administrative Director

Hospital Transplant Surgery

fax

ogonzal@...

Can I get a fax copy also.....Fax # (913) 588-0846

Re: Donor

Post-TransplantComplications Medicare Coverage

We have a Gatekeeper, i.e. our Urologist. He makes the determination if

the complication is related to the transplant. He then dictates a letter

that is sent to us that states the complication is related to his

donation.

This letter is sent with the UB92 form and it is sent in hard copy. The

appropriate diagnosis codes must be placed on the claim and the claim is

filed. If you would like a copy faxed to you, let me know. I would be

happy to send you what we use.

The donor will retain this coverage until he is deemed " recovered " this

could be years on a month. The verbiage is not specific as to how long

they retain coverage, it just says " recovered " . Bev

>>> " Battin, Daryl J. " <Daryl.J.Battin@...

<mailto:Daryl.J.Battin%40Lahey.org> > 7/19/2007 1:26 PM >>>

Hypothetical questions -

If a donor has post-transplant related medical complications (when

medically documented as such), how does the Medicare coverage work for

him/her? (The transplant was a Medicare covered transplant.)

* If the recipient only signed up for Medicare A as has group

health insurance, will Medicare only cover hospital charges for such a

donor?

* If the recipient no longer has Medicare (is more than 3

years after transplant), will Medicare still cover donor charges for

transplant related complications?

Thanks for the help!

Daryl Battin, LICSW

Financial Coordinator/Social Worker

Lahey Clinic Kidney/PancreasTransplant Program

41 Mall Road

Burlington, MA 01805

Phone: 781 744-7166/781 744-8974

FAX: 781 744-5009

See our web page at http://www.lahey.org <http://www.lahey.org> for a

full directory of Lahey sites, staff, services and career

opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS

ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL

AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the

intended recipient, your use of this message for any purpose is strictly

prohibited. If you have received this communication in error, please

delete the message and notify the sender so that we may correct our

records.

**************************EMAIL DISCLAIMER***************************

This email and any files transmitted with it may be confidential and

are

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

are

addressed. If you are not the intended recipient or the individual

responsible for delivering the e-mail to the intended recipient, any

disclosure, copying, distribution or any action taken or omitted to be

taken in reliance on it, is strictly prohibited. If you have received

this

e-mail in error, please delete it and notify the sender or contact

Health

Information Management .