Re: TFC's and admitting functions

[Guest guest]

Admitting takes care of all of that (I just go back & 'fix' things), including precerting the tx admit. I didn't want them to get in the habit of seeing an admit to the tx unit, or a 'tx pt' being admitting for other things & not doing the precert, so they do their normal process' for all pts, regardless of whether it's tx related or not. I do, however, call the case mgr & alert him/her that the pt has been called in for the tx & , if the case mgr also handles the inpt precerts, will forward the auth#, etc., back to the admitting people as needed.

J. Aguiar

Beth Israel Deaconess, Boston

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 1:22 PMTo: TxFinancialCoordinators Subject: TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department regarding handling inpatient accounts and registering outpatient accounts within admitting vs. by transplant.

Currently, our TFC’s handle all the admitting functions including: registering outpatient accounts and handling the admission of all transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these issues. Does admitting handle these administrative functions or is it the TFC’s?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

[Guest guest]

Debbie,

At our facility I pre-register OP accounts for all evaluation tests and clinic visits for pre patients. I also pre-register all post-transplant clinic visits. Even though I have the initial insurance information, and benefit details I don't verify each patient's insurance for each account. Also I don't pre-register any IP accounts for transplants, although I always review those accounts to be sure they are set up correctly.

I would like to see our Admitting Dept take this task back (I've been doing it for about 2 years), as it is time consuming and I am not kept abreast of changes that the Admitting Department implements...unfortunately however, when Admitting use to do this task we frequently found accounts being set up wrong and errors related to ESRD Medicare COB rules...and then I'd have to correct the accounts myself anyway.

Tyler

Transplant Financial Coordinator

Sacred Heart Medical Center

Spokane, WA

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 10:22 AMTo: TxFinancialCoordinators Subject: TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department regarding handling inpatient accounts and registering outpatient accounts within admitting vs. by transplant.

Currently, our TFC’s handle all the admitting functions including: registering outpatient accounts and handling the admission of all transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these issues. Does admitting handle these administrative functions or is it the TFC’s?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

[Guest guest]

Hi everyone.

Here at the University of Michigan Transplant center, the TFC handles

it all. The TFCs were under the division of Finance until about 3 years

ago, when we transitioned under the transplant center umbrella.

Handling transplant admissions is much more complex than the average

case because of the bundled contracts and special case rates. The TFC

handles the case from beginning to end.

Happy Holidays to all...

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.

>>> " Mast, Deborah " 12/20/2006 1:21 PM >>>

Hello All-

We are having discussions at our facility with ou admitting department

regarding handling inpatient accounts and registering outpatient

accounts within admitting vs. by transplant.

Currently, our TFC's handle all the admitting functions including:

registering outpatient accounts and handling the admission of all

transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these

issues. Does admitting handle these administrative functions or is it

the TFC's?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

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

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[Guest guest]

At our facility, our secretary does the registration for outpatient testing. When the patient is admitted for transplant, our admissions department handles the admission, however, I fax all the insurance information, I call for precert and go in the system to update the benefits, auth and initial LOS. I also have to track post transplant to be sure all the bills get paid properly. Hope this helps.

Kreci Transplant Financial Coordinator Southwest Florida Regional Medical Center 2727 Winkler Ave Fort Myers, FL 33910

This email may contain CONFIDENTIAL PATIENT INFORMATION, which may also be legally PRIVILEGED, and which is intended to be read and or used only by the individual entity named above. If the reader of this e-mail is NOT the intended recipient, you are hereby notified that you are in possession of confidential and privileged information. Any disclosure, dissemination, distribution, copying or the taking of any action in reliance of the contents of this information is strictly prohibited.

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-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 1:22 PMTo: TxFinancialCoordinators Subject: TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department regarding handling inpatient accounts and registering outpatient accounts within admitting vs. by transplant.

Currently, our TFC’s handle all the admitting functions including: registering outpatient accounts and handling the admission of all transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these issues. Does admitting handle these administrative functions or is it the TFC’s?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

[Guest guest]

we do all the paperwork at transplant, and add a BIG note to the acct screen asking hospital admitters to please not alter any of the financial information.

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

"Christmas time... a good time; a kind, forgiving, charitable, pleasant time; the only time I know of, in the long calendar of the year, when men and women seem by one consent to open their shut-up hearts freely, and to think of people ...as if they really were fellow-passengers to the grave, and not another race of creatures bound on other journeys." Dickens

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 10:22 AMTo: TxFinancialCoordinators Subject: TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department regarding handling inpatient accounts and registering outpatient accounts within admitting vs. by transplant.

Currently, our TFC's handle all the admitting functions including: registering outpatient accounts and handling the admission of all transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these issues. Does admitting handle these administrative functions or is it the TFC's?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

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]

Thank you everyone for your responses.

, when you say you ask your “admitters”

to not alter any of the information…are they then handling the account

and discharging or are they not responsible for anything at all?

Debbie Mast

Supervisor, Senior

Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung,

Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH Trnsplnt

Sent: Wednesday, December 20, 2006

10:54 AM

To: TxFinancialCoordinators

Subject: RE:

TFC's and admitting functions

we do all the paperwork at transplant, and

add a BIG note to the acct screen asking hospital admitters to please not alter

any of the financial information.

on

Financial

Counselor

Legacy

Transplant Services

1040 NW 22nd Ave Ste 480

Portland OR

97210

toll free

fax

lmorrisolhs (DOT) org

" Christmas time... a good time; a kind, forgiving,

charitable, pleasant time; the only time I know of, in the long calendar of the

year, when men and women seem by one consent to open their shut-up hearts

freely, and to think of people ...as if they really were fellow-passengers to

the grave, and not another race of creatures bound on other

journeys. " Dickens

TFC's and admitting functions

Hello All-

We

are having discussions at our facility with ou admitting department regarding

handling inpatient accounts and registering outpatient accounts within

admitting vs. by transplant.

Currently,

our TFC's handle all the admitting functions including: registering outpatient

accounts and handling the admission of all transplant patients (faxing

facesheets, inputting benefits info etc)

I

would like to get some feedback as to how other centers handle these

issues. Does admitting handle these administrative functions or is it the

TFC's?

Thanks

Debbie

Mast

Supervisor,

Senior Transplant Financial Coordinator

Member, TFCA

Heart

Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal

Transplant Programs

Phone:

Fax:

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]

At my facility, the transplant clinic coordinator flags the patients

coming in with a code. When the patient presents at admitting to be

registered for appts. The patients insurance shows the code as their

primary insurance. Admitting can then add their insurance in the

secondary and tercirary fields, but this helps us avoid billing

mistakes.

McCardell

Transplant Financial Coordinator

University of Utah Health Care

>>> DMast@... 12/20 12:01 PM >>>

Thank you everyone for your responses.

, when you say you ask your " admitters " to not alter any of the

information...are they then handling the account and discharging or

are

they not responsible for anything at all?

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of

on,

:LPH Trnsplnt

Sent: Wednesday, December 20, 2006 10:54 AM

To: TxFinancialCoordinators

Subject: RE: TFC's and admitting functions

we do all the paperwork at transplant, and add a BIG note to the acct

screen asking hospital admitters to please not alter any of the

financial information.

on

Financial Counselor

Legacy Transplant Services

1040 NW 22nd Ave Ste 480

Portland OR 97210

toll free

fax

lmorriso@...

" Christmas time... a good time; a kind, forgiving, charitable,

pleasant

time; the only time I know of, in the long calendar of the year, when

men and women seem by one consent to open their shut-up hearts freely,

and to think of people ...as if they really were fellow-passengers to

the grave, and not another race of creatures bound on other journeys. "

Dickens

TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department

regarding handling inpatient accounts and registering outpatient

accounts within admitting vs. by transplant.

Currently, our TFC's handle all the admitting functions including:

registering outpatient accounts and handling the admission of all

transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these

issues. Does admitting handle these administrative functions or is it

the TFC's?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

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 Debbie, admitting is responsible for verifying the demographics only on our patients. I code (ICD-9)the profee accts and the hospital codes the facility acct. If I don't add my please don't touch note, admitters are likely to change the insurance, the claims address, the service code, the guarantor info, the MSP questionnaire, the chief complaint line etc. We have too much turnover in that dept to keep them trained on the complexities of transplant accts. Via the service code, all the pretransplant and inpt stay billing flows to one person in our billing dept who knows how to handle it.

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

"Christmas time... a good time; a kind, forgiving, charitable, pleasant time; the only time I know of, in the long calendar of the year, when men and women seem by one consent to open their shut-up hearts freely, and to think of people ...as if they really were fellow-passengers to the grave, and not another race of creatures bound on other journeys." Dickens

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 11:02 AMTo: TxFinancialCoordinators Subject: RE: TFC's and admitting functions

Thank you everyone for your responses.

, when you say you ask your "admitters" to not alter any of the information...are they then handling the account and discharging or are they not responsible for anything at all?

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Wednesday, December 20, 2006 10:54 AMTo: TxFinancialCoordinators Subject: RE: TFC's and admitting functions

we do all the paperwork at transplant, and add a BIG note to the acct screen asking hospital admitters to please not alter any of the financial information.

on Financial Counselor Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 toll free fax lmorrisolhs (DOT) org

"Christmas time... a good time; a kind, forgiving, charitable, pleasant time; the only time I know of, in the long calendar of the year, when men and women seem by one consent to open their shut-up hearts freely, and to think of people ...as if they really were fellow-passengers to the grave, and not another race of creatures bound on other journeys." Dickens

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Wednesday, December 20, 2006 10:22 AMTo: TxFinancialCoordinators Subject: TFC's and admitting functions

Hello All-

We are having discussions at our facility with ou admitting department regarding handling inpatient accounts and registering outpatient accounts within admitting vs. by transplant.

Currently, our TFC's handle all the admitting functions including: registering outpatient accounts and handling the admission of all transplant patients (faxing facesheets, inputting benefits info etc)

I would like to get some feedback as to how other centers handle these issues. Does admitting handle these administrative functions or is it the TFC's?

Thanks

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Member, TFCA

Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone: Fax:

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.

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]

Our admitting dept takes care of all that. However, I do have to

audit their accounts to verify the information is in correctly.

There is always someone who does not understand how the process

should work. There is no way I would have time to do all the

admissions for our patients.

>

> Hello All-

>

>

>

> We are having discussions at our facility with ou admitting

department

> regarding handling inpatient accounts and registering outpatient

> accounts within admitting vs. by transplant.

>

>

>

> Currently, our TFC's handle all the admitting functions including:

> registering outpatient accounts and handling the admission of all

> transplant patients (faxing facesheets, inputting benefits info

etc)

>

>

>

> I would like to get some feedback as to how other centers handle

these

> issues. Does admitting handle these administrative functions or

is it

> the TFC's?

>

> Thanks

>

>

>

>

>

> Debbie Mast

>

> Supervisor, Senior Transplant Financial Coordinator

>

> Member, TFCA

>

> Heart Failure, Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

> Intestinal Transplant Programs

>

> Phone: Fax:

>