RE: Long distance donor w/u

[Guest guest]

This has happened to me before. I faxed them a copy of the Medicare Regulation & restated that 100% was all we could reimburse. I also faxed a copy of the Billing Information we sent at the time of testing which also stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMCKansas City, MO

-----Original Message-----From: Sbalbi, Sherri Sent: Thursday, December 30, 2004 11:45 AMTo: TxFinancialCoordinators Subject: Long distance donor w/u

Hi all… A transplant center in another state performed a partial work-up for a potential kidney donor for us recently. They now state they will not accept 100% of the Mcare allowable…they want 100% of charges because that's what they pay for their long distance work-ups. Has this happened to anyone and if so how did you handle it? Just imagine my surprise when I got the call!

Thanks & Happy New Year!

Sherri Sbalbi Financial Counselor Transplant Services Baystate Medical Center Springfield, MA fax

[Guest guest]

Our coordinators also send out a letter w/the orders but we have the same problem of that info not making it to the billers. Invariably we'll get a call and I will re-send the letter, which states in no uncertain terms that the facility is not allowed to bill the donor for any balances after we pay 100% of the Medicare allowable.

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

"Probably all organic beings which have ever lived on this earth have descended from some one primordial form, into which life was first breathed. There is grandeur in this view of life that...from so simple a beginning endless forms most beautiful and most wonderful have been, and are being evolved." - Darwin

-----Original Message-----From: Babbitt, Diane Sent: Thursday, December 30, 2004 11:30 AMTo: TxFinancialCoordinators Subject: RE: Long distance donor w/u

This has happened to me before. I faxed them a copy of the Medicare Regulation & restated that 100% was all we could reimburse. I also faxed a copy of the Billing Information we sent at the time of testing which also stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMCKansas City, MO

-----Original Message-----From: Sbalbi, Sherri Sent: Thursday, December 30, 2004 11:45 AMTo: TxFinancialCoordinators Subject: Long distance donor w/u

Hi all... A transplant center in another state performed a partial work-up for a potential kidney donor for us recently. They now state they will not accept 100% of the Mcare allowable...they want 100% of charges because that's what they pay for their long distance work-ups. Has this happened to anyone and if so how did you handle it? Just imagine my surprise when I got the call!

Thanks & Happy New Year!

Sherri Sbalbi Financial Counselor Transplant Services Baystate Medical Center Springfield, MA fax

[Guest guest]

Bill,

Could you please fax me a copy of that intermediary letter to

. Thanks.

Tony Somora

Business Manager of Transplant Services

-Jewish Hospital

>>> Vaughan@... 01/03/05 02:28PM >>>

HI All,

For those of you that would like a copy of the Medicare Intermediary

Letter

that indicates that this is the intent on Page 11 of the letter,

please

email me separately at vaughan@.... Please include your fax

number.

The intermediary letter is a 1974 Intermediary Letter and to my

knowledge is

not on the net. I will use your email as the fax cover sheet, so

please put

any necessary internal contact information on the email.

Thanks,

Bill

_____

From: Seedorff,

Sent: Monday, January 03, 2005 10:13 AM

To: txfinancialcoordinators

Cc: , Becky

Subject: FW: Long distance donor w/u

We have been looking for the Medicare Regulation that states we must

reimburse at 100% of Medicare allowable. Diane, or someone, can you

tell me

where we can find it? We have been all over the CMS website and found

nothing specific.

Thanks for your help!

Seedorff

Patient Account Manager

Transplant Programs

Saint Luke's Hospital

_____

From: Babbitt, Diane

Sent: Thursday, December 30, 2004 1:30 PM

To: TxFinancialCoordinators

Subject: RE: Long distance donor w/u

This has happened to me before. I faxed them a copy of the Medicare

Regulation & restated that 100% was all we could reimburse. I also

faxed a

copy of the Billing Information we sent at the time of testing which

also

stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMC

Kansas City, MO

Long distance donor w/u

Hi all.

A transplant center in another state performed a partial work-up for a

potential kidney donor for us recently. They now state they will not

accept

100% of the Mcare allowable.they want 100% of charges because that's

what

they pay for their long distance work-ups. Has this happened to anyone

and

if so how did you handle it? Just imagine my surprise when I got the

call!

Thanks & Happy New Year!

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

Springfield, MA

fax

_____

[Guest guest]

Hi Bill,

Happy New Year to you. I would like a copy of the letter. My fax is (808)

547-6750 e-mall address joycek@....

Mahalo

>>> Vaughan@... 01/03/05 10:28AM >>>

HI All,

For those of you that would like a copy of the Medicare Intermediary Letter

that indicates that this is the intent on Page 11 of the letter, please

email me separately at vaughan@.... Please include your fax number.

The intermediary letter is a 1974 Intermediary Letter and to my knowledge is

not on the net. I will use your email as the fax cover sheet, so please put

any necessary internal contact information on the email.

Thanks,

Bill

_____

From: Seedorff,

Sent: Monday, January 03, 2005 10:13 AM

To: txfinancialcoordinators

Cc: , Becky

Subject: FW: Long distance donor w/u

We have been looking for the Medicare Regulation that states we must

reimburse at 100% of Medicare allowable. Diane, or someone, can you tell me

where we can find it? We have been all over the CMS website and found

nothing specific.

Thanks for your help!

Seedorff

Patient Account Manager

Transplant Programs

Saint Luke's Hospital

_____

From: Babbitt, Diane

Sent: Thursday, December 30, 2004 1:30 PM

To: TxFinancialCoordinators

Subject: RE: Long distance donor w/u

This has happened to me before. I faxed them a copy of the Medicare

Regulation & restated that 100% was all we could reimburse. I also faxed a

copy of the Billing Information we sent at the time of testing which also

stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMC

Kansas City, MO

Long distance donor w/u

Hi all.

A transplant center in another state performed a partial work-up for a

potential kidney donor for us recently. They now state they will not accept

100% of the Mcare allowable.they want 100% of charges because that's what

they pay for their long distance work-ups. Has this happened to anyone and

if so how did you handle it? Just imagine my surprise when I got the call!

Thanks & Happy New Year!

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

Springfield, MA

fax

_____

[Guest guest]

Good morning Bill

Could you fax me a copy of this letter, attention

mmartin1@...

Thanks

marlene

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[Guest guest]

> HI All,

>

>

>

> For those of you that would like a copy of the Medicare

Intermediary Letter

> that indicates that this is the intent on Page 11 of the letter,

please

> email me separately at vaughan@h... Please include your fax number.

> The intermediary letter is a 1974 Intermediary Letter and to my

knowledge is

> not on the net. I will use your email as the fax cover sheet, so

please put

> any necessary internal contact information on the email.

>

>

>

> Thanks,

>

> Bill

>

>

>

> _____

>

> From: Seedorff, [mailto:mseedorff@s...]

> Sent: Monday, January 03, 2005 10:13 AM

> To: txfinancialcoordinators

> Cc: , Becky

> Subject: FW: Long distance donor w/u

>

>

>

> We have been looking for the Medicare Regulation that states we must

> reimburse at 100% of Medicare allowable. Diane, or someone, can

you tell me

> where we can find it? We have been all over the CMS website and

found

> nothing specific.

>

>

>

> Thanks for your help!

>

>

>

> Seedorff

> Patient Account Manager

> Transplant Programs

> Saint Luke's Hospital

>

>

> _____

>

>

> From: Babbitt, Diane [mailto:Diane.Babbitt@h...]

> Sent: Thursday, December 30, 2004 1:30 PM

> To: TxFinancialCoordinators

> Subject: RE: Long distance donor w/u

>

> This has happened to me before. I faxed them a copy of the Medicare

> Regulation & restated that 100% was all we could reimburse. I also

faxed a

> copy of the Billing Information we sent at the time of testing

which also

> stated this information. They finally accepted the 100%.

>

>

>

> Diane

>

> Transplant Institute of RMC

> Kansas City, MO

>

>

> Long distance donor w/u

>

> Hi all.

> A transplant center in another state performed a partial work-up

for a

> potential kidney donor for us recently. They now state they will

not accept

> 100% of the Mcare allowable.they want 100% of charges because

that's what

> they pay for their long distance work-ups. Has this happened to

anyone and

> if so how did you handle it? Just imagine my surprise when I got

the call!

>

> Thanks & Happy New Year!

>

> Sherri Sbalbi

> Financial Counselor

> Transplant Services

> Baystate Medical Center

> Springfield, MA

>

> fax

>

>

> _____

>

>

>

[Guest guest]

Hi Bill,

I would like a copy of the Medicare Intermediary Letter also.

Thanks

Sandy Guseman

St. Louis University Hospital

Fax:

> HI All,

>

>

>

> For those of you that would like a copy of the Medicare

Intermediary Letter

> that indicates that this is the intent on Page 11 of the letter,

please

> email me separately at vaughan@h... Please include your fax number.

> The intermediary letter is a 1974 Intermediary Letter and to my

knowledge is

> not on the net. I will use your email as the fax cover sheet, so

please put

> any necessary internal contact information on the email.

>

>

>

> Thanks,

>

> Bill

>

>

>

> _____

>

> From: Seedorff, [mailto:mseedorff@s...]

> Sent: Monday, January 03, 2005 10:13 AM

> To: txfinancialcoordinators

> Cc: , Becky

> Subject: FW: Long distance donor w/u

>

>

>

> We have been looking for the Medicare Regulation that states we must

> reimburse at 100% of Medicare allowable. Diane, or someone, can

you tell me

> where we can find it? We have been all over the CMS website and

found

> nothing specific.

>

>

>

> Thanks for your help!

>

>

>

> Seedorff

> Patient Account Manager

> Transplant Programs

> Saint Luke's Hospital

>

>

> _____

>

>

> From: Babbitt, Diane [mailto:Diane.Babbitt@h...]

> Sent: Thursday, December 30, 2004 1:30 PM

> To: TxFinancialCoordinators

> Subject: RE: Long distance donor w/u

>

> This has happened to me before. I faxed them a copy of the Medicare

> Regulation & restated that 100% was all we could reimburse. I also

faxed a

> copy of the Billing Information we sent at the time of testing

which also

> stated this information. They finally accepted the 100%.

>

>

>

> Diane

>

> Transplant Institute of RMC

> Kansas City, MO

>

>

> Long distance donor w/u

>

> Hi all.

> A transplant center in another state performed a partial work-up

for a

> potential kidney donor for us recently. They now state they will

not accept

> 100% of the Mcare allowable.they want 100% of charges because

that's what

> they pay for their long distance work-ups. Has this happened to

anyone and

> if so how did you handle it? Just imagine my surprise when I got

the call!

>

> Thanks & Happy New Year!

>

> Sherri Sbalbi

> Financial Counselor

> Transplant Services

> Baystate Medical Center

> Springfield, MA

>

> fax

>

>

> _____

>

>

>

[Guest guest]

I would also like a copy - - attention

. Thank you.

At 05:16 PM 1/3/2005, Tony J. Somora wrote:

Bill,

Could you please fax me a copy of that intermediary letter to

. Thanks.

Tony Somora

Business Manager of Transplant Services

-Jewish Hospital

>>> Vaughan@... 01/03/05 02:28PM >>>

HI All,

For those of you that would like a copy of the Medicare Intermediary

Letter

that indicates that this is the intent on Page 11 of the letter,

please

email me separately at vaughan@.... Please include your

fax

number.

The intermediary letter is a 1974 Intermediary Letter and to my

knowledge is

not on the net. I will use your email as the fax cover sheet,

so

please put

any necessary internal contact information on the email.

Thanks,

Bill

_____

From: Seedorff,

Sent: Monday, January 03, 2005 10:13 AM

To: txfinancialcoordinators

Cc: , Becky

Subject: FW: Long distance donor w/u

We have been looking for the Medicare Regulation that states we must

reimburse at 100% of Medicare allowable. Diane, or someone, can

you

tell me

where we can find it? We have been all over the CMS website and

found

nothing specific.

Thanks for your help!

Seedorff

Patient Account Manager

Transplant Programs

Saint Luke's Hospital

_____

From: Babbitt, Diane

Sent: Thursday, December 30, 2004 1:30 PM

To: TxFinancialCoordinators

Subject: RE: Long distance donor w/u

This has happened to me before. I faxed them a copy of the Medicare

Regulation & restated that 100% was all we could reimburse. I

also

faxed a

copy of the Billing Information we sent at the time of testing which

also

stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMC

Kansas City, MO

Long distance donor w/u

Hi all.

A transplant center in another state performed a partial work-up for

a

potential kidney donor for us recently. They now state they will

not

accept

100% of the Mcare allowable.they want 100% of charges because that's

what

they pay for their long distance work-ups. Has this happened to

anyone

and

if so how did you handle it? Just imagine my surprise when I got

the

call!

Thanks & Happy New Year!

Sherri Sbalbi

Financial Counselor

Transplant Services

Baystate Medical Center

Springfield, MA

fax

_____

[Guest guest]

Bill,

If I could get through the virus wall, I would send my request at the other address. Please send me a copy of the letter to: Ginger Steen FAX 1-.

Thanks

FW: Long distance donor w/u

We have been looking for the Medicare Regulation that states we must reimburse at 100% of Medicare allowable. Diane, or someone, can you tell me where we can find it? We have been all over the CMS website and found nothing specific.

Thanks for your help!

Seedorff Patient Account Manager Transplant Programs Saint Luke's Hospital

From: Babbitt, Diane Sent: Thursday, December 30, 2004 1:30 PMTo: TxFinancialCoordinators Subject: RE: Long distance donor w/u

This has happened to me before. I faxed them a copy of the Medicare Regulation & restated that 100% was all we could reimburse. I also faxed a copy of the Billing Information we sent at the time of testing which also stated this information. They finally accepted the 100%.

Diane

Transplant Institute of RMCKansas City, MO

-----Original Message-----From: Sbalbi, Sherri Sent: Thursday, December 30, 2004 11:45 AMTo: TxFinancialCoordinators Subject: Long distance donor w/u

Hi all… A transplant center in another state performed a partial work-up for a potential kidney donor for us recently. They now state they will not accept 100% of the Mcare allowable…they want 100% of charges because that's what they pay for their long distance work-ups. Has this happened to anyone and if so how did you handle it? Just imagine my surprise when I got the call!

Thanks & Happy New Year!

Sherri Sbalbi Financial Counselor Transplant Services Baystate Medical Center Springfield, MA fax