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RE: Mcare COB Home Hemo

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Sherri,

Yes, if the person became ESRD Medicare eligible 6/06 the 30-month coordination period would start then...the COB will start with the ESRD Medicare effective date whether it's due to hemo, home hemo, PD, or transplant.

Tyler

Sacred Heart Medical Center

Spokane, WA

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sbalbi, SherriSent: Wednesday, December 13, 2006 9:41 AMTo: TFCASubject: Mcare COB Home Hemo

Hi all... You know what happens when you assume so here's my question: We have a potential kidney transplant recip who started home hemo dialysis in 6/06. Would cob work the same as if patient was on PD?

Thanks! Sherri Sbalbi Financial Counselor Transplant Services Baystate Medical Center 300 Birnie Avenue - Suite 301 Springfield, MA 01107 fax

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The Medicare COB period in this case would begin 09-01-06 due to the 3

month rule with hemo. In the case of CAPD, the COB period would begin

on 06-01-06. In each case, that is when they would be ESRD Medicare

entitled, unless it is a re-entitlement in the case of a previous ESRD

event. Hope this helps.

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.

>>> " Tyler, A. " 12/13/2006 12:50 PM >>>

Sherri,

Yes, if the person became ESRD Medicare eligible 6/06 the 30-month

coordination period would start then...the COB will start with the

ESRD

Medicare effective date whether it's due to hemo, home hemo, PD, or

transplant.

Tyler

Sacred Heart Medical Center

Spokane, WA

________________________________

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sbalbi,

Sherri

Sent: Wednesday, December 13, 2006 9:41 AM

To: TFCA

Subject: Mcare COB Home Hemo

Hi all...

You know what happens when you assume so here's my question:

We have a potential kidney transplant recip who started home hemo

dialysis in 6/06. Would cob work the same as if patient was on PD?

Thanks!

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

300 Birnie Avenue - Suite 301

Springfield, MA 01107

fax

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

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

for urgent or sensitive issues.

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