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Re: Financial Protocol

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what do we do in the case of these bills getting denied as no donor

coverage?

Donovan

Transplant Financial Coordinator

SUNY Upstate Medical University

750 East Street

Syracuse, New York 13210

PH:

FAX:

Donovanl@...

>>> BALarson@... 12/13/01 12:02PM >>>

Anesthesia and Surgeon fees are billed to the recipient's insurance.

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My understanding is that these bills are post transplant since they are anethesia bills..................If so, yes you are right they should be billed to the recipient's insurance or the recipient's Medicare Part B, depending on which is primary and who the payer is. The hospital bill for the donor however should continue to come to the KACC . If your transplant center has negotiated any contracts with insurance companies that include the payment of physician fees then the bills may be coming to the transplant center to be paid as part of a contracted package. If they are bills for cadaveric donors they should have been instructed to bill the OPO. Hope this helps. Have a great day. Judy

-----Original Message-----From: Nabil Faik Sent: Thursday, December 13, 2001 7:56 AMTo: Donovanl@...; TxFinancialCoordinators Subject: Re: Financial Protocol

Good morning every body,

Our center received anesthesia bills related to the donors. (medicare insurance or private ins. reipients). Is a right that the anethesia dept. should bill directly the insurance's recipient? or is a part of the kidney acquisition costs?

Nabil faikFinancial ManagerInova Transplant CenterInova Fairfax HospitalTel. Fax. >>> Donovanl@... 12/12/01 09:55AM >>>Hello everyone,We are interested in creating a financial protocol for our kidneytransplant program and was hoping to get some information from other centersregarding what to include. Maybe someone could fax me a copy of theirprotocol if they have one. Any information would be helpful.Thanks. DonovanTransplant Financial CoordinatorSUNY Upstate Medical University750 East StreetSyracuse, New York 13210PH: FAX: Donovanl@...

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