Long distance donor w/u

[Guest guest]

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 SbalbiFinancial CounselorTransplant ServicesBaystate Medical CenterSpringfield, MA fax

[Guest guest]

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

Thanks for your help!

Seedorff Patient Account Manager TransplantPrograms Saint Luke'sHospital

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

Thishas 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 ofthe Billing Information we sent at the time of testing which also stated thisinformation. They finally accepted the 100%.

Diane

Transplant Institute of RMCKansas City, MO

Long distance donor w/u

Hi all… Atransplant center in another state performed a partial work-up for apotential kidney donor for us recently. They now state they will notaccept 100% of the Mcare allowable…they want 100% of charges because that'swhat they pay for their long distance work-ups. Has this happened toanyone and if so how did you handle it? Just imagine my surprise whenI got the call!

Thanks & Happy New Year!

Sherri Sbalbi Financial Counselor Transplant Services BaystateMedical Center Springfield, MA fax