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Re: self pay patients

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,

Although we've had patients request this, we never do.

Mendoza Liver Transplant Financial Coordinator Phone: Fax: Pager: 3-9648 Location: 120 W Mendoza.@... Silence is often misinterpreted but never misquoted

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of anne BuccheriSent: Wednesday, October 11, 2006 11:50 AMTo: TxFinancialCoordinators Subject: self pay patients

Hello fellow TFC's,We have our first self pay liver patient who has deposited a large sumof money, but may wait longer than a year for a transplant. Do yourcenters ever set up interest bearing accounts for these situations?Appreciate any advice.

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Our center doesn't set up an interest

bearing account for these types of pts.

We recommend that they set up an irrevocable

letter of credit from any United States bank good for at least 1 yr.

" anne Buccheri "

Sent by: TxFinancialCoordinators

10/11/2006 10:50 AM

Please respond to

TxFinancialCoordinators

To

<TxFinancialCoordinators >

cc

Subject

self pay patients

Hello fellow TFC's,

We have our first self pay liver patient who has deposited a large sum

of money, but may wait longer than a year for a transplant. Do your

centers ever set up interest bearing accounts for these situations?

Appreciate any advice.

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out of country - refer to International Dept. - USA or Local to Admitting

office, Director or Manager only,

they expect more than 50% down with a local bank agreement for the balance,

similar to Chaney.

Their are other medical services including Pre & Post transplant services

and Donor.

Just keep in mind of medical complications, exceeding the norm $$$.

Louis, a proud TFC.

At 11:50 AM 10/11/2006, you wrote:

>Hello fellow TFC's,

>

>We have our first self pay liver patient who has deposited a large sum

>of money, but may wait longer than a year for a transplant. Do your

>centers ever set up interest bearing accounts for these situations?

>

>Appreciate any advice.

>

>

>

>

>

>

>

>

>

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St. Luke's Episcopal Hospital does not set up interest bearing accounts

for the deposits obtained.

>>> jbucche@... 10/11 10:50 AM >>>

Hello fellow TFC's,

We have our first self pay liver patient who has deposited a large sum

of money, but may wait longer than a year for a transplant. Do your

centers ever set up interest bearing accounts for these situations?

Appreciate any advice.

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Share on other sites

We usually have the patient put the money

in an account where they are getting the interest with the monies being

designated to the hospital…I believe it is called a letter of guarantee.

This way, the patient has the additional

funds available for services.

We do not have anything set up to provide

interest to the family.

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 anne Buccheri

Sent: Wednesday, October 11, 2006

8:50 AM

To: TxFinancialCoordinators

Subject:

self pay patients

Hello fellow TFC's,

We have our first self pay liver patient who has deposited a large sum

of money, but may wait longer than a year for a transplant. Do your

centers ever set up interest bearing accounts for these situations?

Appreciate any advice.

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Share on other sites

Hi ,

At NZTI we do not set up interest bearing accounts. It is not something that usually makes the patient very happy but it is the way we have handle these deposits in the past. We just set up a hospital number for the future and put it on the patients hospital account. To get into interest bearing accounts things would get very confusing for a billing department. A deposit for future services and on a future number are confusion enough. In the long run less confusion will make the patient happy.

Dugan Transplant Financial Coordinator

INTEGRIS BAPTIST MEDICAL CENTER Nazih Zuhdi Transplantation Institute Office direct ext 96097 NZTI FAX E-Mail: .Dugan@...

-----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of anne BuccheriSent: Wednesday, October 11, 2006 10:50 AMTo: TxFinancialCoordinators Subject: self pay patients

Hello fellow TFC's,We have our first self pay liver patient who has deposited a large sumof money, but may wait longer than a year for a transplant. Do yourcenters ever set up interest bearing accounts for these situations?Appreciate any advice.

This e-mail may contain identifiable health information that is subject to protection under state and federal law. This information is intended to be for the use of the individual named above. If you are not the intended recipient, be aware that any disclosure, copying, distribution or use of the contents of this information is prohibited and may be punishable by law. If you have received this electronic transmission in error, please notify us immediately by electronic mail (reply).

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When I looked into this, years ago @ my previous ctr, when I had my first self pay, the legal dept quashed the idea due to the issue of who was going to be responsible for the 1099 that the bank holding the funds would have to issue for the interest earned. So, from that point on, the funds just went to a future admit set up under the pt's name as a deposit & the $$ went into the hospital's gen'l account.

J. Aguiar

Beth Israel Deaconess, Boston

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra LesterSent: Wednesday, October 11, 2006 12:03 PMTo: jbucche@...; TxFinancialCoordinators Subject: Re: self pay patients

St. Luke's Episcopal Hospital does not set up interest bearing accountsfor the deposits obtained.>>> jbuccheharthosp (DOT) org 10/11 10:50 AM >>>Hello fellow TFC's,We have our first self pay liver patient who has deposited a large sumof money, but may wait longer than a year for a transplant. Do yourcenters ever set up interest bearing accounts for these situations?Appreciate any advice.

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I have a few kidney self pays that have been on our list a few years

and we currently do not have any provisions for interest bearing accts.

Fornash

Transplant Financial Coordinator

Kidney & Pancreas

Mayo Clinic ville

(904) 953.6062 phone

(904) 953.2681 fax

fornash.angela@...

self pay patients

Hello fellow TFC's,

We have our first self pay liver patient who has deposited a large sum

of money, but may wait longer than a year for a transplant. Do your

centers ever set up interest bearing accounts for these situations?

Appreciate any advice.

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Share on other sites

You run into problems if you accept a

large deposit from a patient who is waiting for an organ. Hospitals operations

are set up to receive interest, not pay it. You would have to agree on an interest

rate while the pt is waiting, and then what do you do if interest rates change

considerably during the year? An irrevocable Letter of Credit with the

hospital as the beneficiary allows the patient to accrue interest at his bank.

The downside for the patient is how much the bank is charging to service the

LOC. But it keeps the hospital out of the banking business.

I don’t know if Bill Vaughan would

have any thoughts about holding a large deposit for an uncertain future event and

inducement issues.

Fred L. Forsthoffer, MBA

Financial Analyst

Banner Good Samaritan Transplant Services

,

, F-

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of anne Buccheri

Sent: Wednesday, October 11, 2006

8:50 AM

To:

TxFinancialCoordinators

Subject:

self pay patients

Hello fellow TFC's,

We have our first self pay liver patient who has deposited a large sum

of money, but may wait longer than a year for a transplant. Do your

centers ever set up interest bearing accounts for these situations?

Appreciate any advice.

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