RE: M-care reimbursement for Panc.Tx

[Guest guest]

If you mean a pancreas tx in someone w/no history of kidney disease, there is no Medicare reimbursement as it's a non-covered tx; there's no coverage for the immunos, either.

J. Aguiar

Beth Israel Deaconess, Boston

From: Kim Buckner Sent: Tuesday, April 05, 2005 9:18 AMTo: TxFinancialCoordinators Subject: M-care reimbursement for Panc.Tx

We are a Kidney and SPK Tx facility only. Could anyone please give me information regarding Medicare reimbursement for a Pancreas only Tx?

Thank You!

Kim Buckner, LMSWSocial Worker / Financial CoordinatorMCG Transplant Program1120 15th St., BA-4407Augusta, GA 30912Office #: FAX #: e-mail: kbuckner@...

[Guest guest]

Thank You. I have a pt. who has "Beta Cell Hyperplasia" which has caused his pancreas to fail and has caused multiple medical problems. He has been told he does not have a good chance for survival but could get a Pancreas Tx which would help. However, based on what you have said, it would not be covered. Is there any way to get Medicare to pay based on the Dx? I know it's a long shot.

Kim Buckner, LMSWSocial Worker / Financial CoordinatorMCG Transplant Program1120 15th St., BA-4407Augusta, GA 30912Office #: FAX #: e-mail: kbuckner@...>>> LAguiar@... 04/05/05 9:22 AM >>>

If you mean a pancreas tx in someone w/no history of kidney disease, there is no Medicare reimbursement as it's a non-covered tx; there's no coverage for the immunos, either.

J. Aguiar

Beth Israel Deaconess, Boston

From: Kim Buckner Sent: Tuesday, April 05, 2005 9:18 AMTo: TxFinancialCoordinators Subject: M-care reimbursement for Panc.Tx

We are a Kidney and SPK Tx facility only. Could anyone please give me information regarding Medicare reimbursement for a Pancreas only Tx?

Thank You!

Kim Buckner, LMSWSocial Worker / Financial CoordinatorMCG Transplant Program1120 15th St., BA-4407Augusta, GA 30912Office #: FAX #: e-mail: kbuckner@...

[Guest guest]

Talk to your local FI-you've got nothing to lose & the worst they can say is no (I suspect they will, btw). From what you said it sounds like it might possibly fall into the dreaded "investigational" & /or "experimental", too...

Good luck,

From: Kim Buckner Sent: Tuesday, April 05, 2005 9:32 AMTo: TxFinancialCoordinators Subject: RE: M-care reimbursement for Panc.Tx

Thank You. I have a pt. who has "Beta Cell Hyperplasia" which has caused his pancreas to fail and has caused multiple medical problems. He has been told he does not have a good chance for survival but could get a Pancreas Tx which would help. However, based on what you have said, it would not be covered. Is there any way to get Medicare to pay based on the Dx? I know it's a long shot.

Kim Buckner, LMSWSocial Worker / Financial CoordinatorMCG Transplant Program1120 15th St., BA-4407Augusta, GA 30912Office #: FAX #: e-mail: kbuckner@...