FW: FUNDING FOR IVIG TREATMENT

[Guest guest]

I don't think you want to get a National Coverage Decision, because if it is

unfavorable, then your local intermediary cannot overturn it, and that

unfavorable decision would affect everyone, nationwide. What you need is a

local medical review policy (LMRP) through your fiscal intermediary. You

can probably search their website for their current policy concerning IVIg,

and find their procedures for review of that policy, then submit to them

your request for the language you would like added to that policy. They

will have requirements regarding the information and documentation they need

to consider your request. Our organization is currently working on a

request for our local intermediary. If approved it will apply to all

facilities covered by that fiscal intermediary. GOOD LUCK!

Seedorff

Saint Luke's Hospital of Kansas City

mseedorff@...

FUNDING FOR IVIG TREATMENT

If we offer plasmapheresis and / or IVIG as a pre-transplant treatment

option, how will it be funded?

This is done pre-transplant (We are just talking about Kidney Transplant in

this example) on a specific regimen to decrease the patients PRA

(sensitization)

Do we just include these expenses on the Cost Report as a " Transplant Workup

Line Item " within the Organ Acquisition Cost Center?

Thanks,

Todd C. Seiger

Transplant Business Manager

Sacred Heart Medical Center