Guest guest Posted February 26, 2009 Report Share Posted February 26, 2009 Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2009 Report Share Posted February 26, 2009 Hi Bessie Here at LSUHSC I handles everything that requires insurance verification and Rx drug coverage however once a patient is transplanted the social worker takes over anything that the patients needs help with such as Rx drugs co-pays, patient assistance program, helping patients fill out applications for any types of assistance that they mght need. Beverly Antoine, LPN Transplant Financial Coordinator LSUHSC Lafayette, LA bantoi@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bessie Plummer Sent: Thursday, February 26, 2009 4:56 PM To: txfinancialcoordinators Subject: Social Worker vs. TFC Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2009 Report Share Posted February 26, 2009 Bessie, Here at UCI I have been the sole TFC since Jane retired in June of 2008. We have now (finally) added a temp to assist me. We deal with Kidney and pancreas only. As the TFCs we do all insurance authorizations for pre and post patients regarding treatment and follow up. We are lucky enough to have and awesome post-tx Nurse who understands insurance coverage and does RX pre-auth requests for her patients. She is really sharp! I assist her with verification of patient's RX benefits and other coverage options. Our S.W. is also available to assist the patient with funding options for RX. I hope that is helpful From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bessie Plummer Sent: Thursday, February 26, 2009 2:56 PM To: txfinancialcoordinators Subject: Social Worker vs. TFC Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer This message contains confidential information and is intended only for the individual named. If you are not the named addressee you should not disseminate, distribute or copy this e-mail. Please notify the sender immediately by e-mail if you have received this e-mail by mistake and delete this e-mail from your system. E-mail transmission cannot be guaranteed to be secure or error-free as information could be intercepted, corrupted, lost, destroyed, arrive late or incomplete, or contain viruses. The sender therefore does not accept liability for any errors or omissions in the contents of this message, which arise as a result of e-mail transmission. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2009 Report Share Posted February 26, 2009 Bessie, At the University of Utah the TFC's do all of the pre transplant authorizations. Once the patient has been transplanted, the Social Workers take care of everything. We all work together and assist as we are able, but the pre-transplant work load is too chaotic for one person. Good luck to your Lone TFC. McCardell From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.Sent: Thursday, February 26, 2009 4:09 PMTo: TxFinancialCoordinators Subject: RE: Social Worker vs. TFC Hi Bessie Here at LSUHSC I handles everything that requires insurance verification and Rx drug coverage however once a patient is transplanted the social worker takes over anything that the patients needs help with such as Rx drugs co-pays, patient assistance program, helping patients fill out applications for any types of assistance that they mght need. Beverly Antoine, LPN Transplant Financial Coordinator LSUHSC Lafayette, LA bantoilsuhsc (DOT) edu From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bessie PlummerSent: Thursday, February 26, 2009 4:56 PMTo: txfinancialcoordinators Subject: Social Worker vs. TFC Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2009 Report Share Posted February 27, 2009 Here at and White in Temple Tx, the TFC does all Pre Transplant evaluation and authorization for medical and Rx. The Social Worker works with the Post transplant patients with financial assistance and drug authorizations. The TFC and Social Worker work togeather to assist with insurance issues post. We only work with Kidney and Panc at this time. Good luck, Sounds like she has a big job. Amellia >>> Bessie Plummer 2/26/2009 4:55 PM >>> Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2009 Report Share Posted March 2, 2009 I am the only Financial Coordinator at Hartford Hospital Transplant Program in Connecticut. I deal with all the pre authorizations, meeting with all patients, Rx authorizations for the patients in-house and a lot more. We do kidneys , Hearts and Livers. Social Workers take care of all the post insurance and financial issues. AyabarrenoFinancial CoordinatorHartford Hospital Transplant Program80 Seymour Street - Suite 321Hartford, CT 06102Email: Mayabar@...Tele# Fax# >>> Bessie Plummer 2/26/2009 5:55 PM >>>Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer Attachment: vcard [not shown] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2009 Report Share Posted March 2, 2009 >>> " Antoine, Beverly A. " 2/26/2009 6:08 pm >>> Hi Bessie Here at LSUHSC I handles everything that requires insurance verification and Rx drug coverage however once a patient is transplanted the social worker takes over anything that the patients needs help with such as Rx drugs co-pays, patient assistance program, helping patients fill out applications for any types of assistance that they mght need. Beverly Antoine, LPN Transplant Financial Coordinator LSUHSC Lafayette, LA bantoi@... ________________________________ From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bessie Plummer Sent: Thursday, February 26, 2009 4:56 PM To: txfinancialcoordinators Subject: Social Worker vs. TFC Hello all: I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. Thanks in advance for your assistance with this matter. Bessie Plummer ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the West Penn Allegheny Health System Help Desk at 412 330-4357. ********************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 3, 2009 Report Share Posted March 3, 2009 Hi Bessie! I am sorry this response is so late. I feel your " Lone TFC's " pain. I am a lone TFC as well, but with just Kidney & panc. I can't imagine adding more organs with just me as I also work all of the pre billing in house and for out lying facilities. Anyway,I do all pre ins and Rx work. As far as post, I keep post ins up to date to help the MSW with her part of post Rx. So our MSW does all the work with PAP's and helps patients in getting their post tx meds. BUT there is a fine line between our jobs as far as post. I have a better grasp on Medicare B vs D so I help with that part. I hope that makes sense and helps. Feel free to call or email. Kim , TFC Memorial Medical Center Springfield, IL > > Here at and White in Temple Tx, the TFC does all Pre Transplant evaluation and authorization for medical and Rx. The Social Worker works with the Post transplant patients with financial assistance and drug authorizations. The TFC and Social Worker work togeather to assist with insurance issues post. > > We only work with Kidney and Panc at this time. > > Good luck, Sounds like she has a big job. > > Amellia > > > >>> Bessie Plummer 2/26/2009 4:55 PM >>> > Hello all: > > I am meeting with the Transplant Social Workers within my department tomorrow to enlist additional support for our TFC and I need your help ASAP > > Presently, we have one TFC without the possibility of budgeting for another during the next fiscal year. The one TFC is responsible for kidney, liver, pancreas and heart. She does all of the evals, majority of verifications, RX coverage benefits, and the authorization for patient listing. Needless to say she has JOB SECURITY during this recession. > > On a serious note I would like to know who is responsible for assisting with RX benefits and insurance issues and concerns during the post phase. It is not possible for this one person to be pre/post for the remainder of the patient's life and to assist each time a patient loses medical or prescription benefits. > > I would appreciate some hard facts to present to the Social Workers to support them assisting the LONE TFC (that's what I call her) like the LONE RANGER only she doesn't have TONTO or Silver! > > Please let me know how much financial support is provided by the Transplant Social Workers and if you can how the work is divided between the TFC and SW. > > Thanks in advance for your assistance with this matter. > > Bessie Plummer > Quote Link to comment Share on other sites More sharing options...
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