RE: Medicare Payment

[Guest guest]

Doesn’t matter

who paid for the transplant, it matters whether or not the patient was AT LEAST

entitled to Part A at the time of the transplant & whether or not it was performed

in a Medicare-approved facility.

That should make it

easier for you!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of McCardell

Sent: Tuesday, May 19, 2009 5:34

PM

To: 'TxFinancialCoordinators '

Subject:

Medicare payment

Hi

Group:

Does anyone know a good way to determine if Medicare paid

for a transplant twenty years ago? Trying to figure out if immuno's are

covered Part B or D.

Thanks:

McCardell

University of Utah

Hospital

[Guest guest]

Hi ,

Try contacting the Renal Network for your region for this information. Since they oversee the data for your region, they may have the information you are looking for.

Thanks,

Marcia

Marcia J. Fisher Sr. Transplant Financial CoordinatorMichigan Transplant Center This message is confidential, intended for the named recipient(s). If you receive this message in error, please notify the sender by email or at , and delete this email. Thank you. >>> McCardell 5/19/2009 5:33 PM >>>

Hi Group:

Does anyone know a good way to determine if Medicare paid for a transplant twenty years ago? Trying to figure out if immuno's are covered Part B or D.

Thanks:

McCardell

University of Utah Hospital

**********************************************************Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues

[Guest guest]

They must not only be "entitled", but also be "enrolled" in at least Medicare part A at the time of the transplant.

Marcia J. Fisher Sr. Transplant Financial CoordinatorMichigan Transplant Center This message is confidential, intended for the named recipient(s). If you receive this message in error, please notify the sender by email or at , and delete this email. Thank you. >>> "Gray, Meredith M" 5/19/2009 5:35 PM >>>

Doesn’t matter who paid for the transplant, it matters whether or not the patient was AT LEAST entitled to Part A at the time of the transplant & whether or not it was performed in a Medicare-approved facility.

That should make it easier for you!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

P Think Green before printing this e-mail.

This message contains information which may be confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email and delete the message. Thank you!

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of McCardellSent: Tuesday, May 19, 2009 5:34 PMTo: 'TxFinancialCoordinators 'Subject: Medicare payment

Hi Group:

Does anyone know a good way to determine if Medicare paid for a transplant twenty years ago? Trying to figure out if immuno's are covered Part B or D.

Thanks:

McCardell

University of Utah Hospital

**********************************************************Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues

[Guest guest]

part B and some part D cover immunos depending on the Provider. I verified the other day a part D plan that covered some of the immunos with an auth for Non Preferred Drugs

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of McCardellSent: Tuesday, May 19, 2009 4:34 PMTo: 'TxFinancialCoordinators 'Subject: Medicare payment

Hi Group:

Does anyone know a good way to determine if Medicare paid for a transplant twenty years ago? Trying to figure out if immuno's are covered Part B or D.

Thanks:

McCardell

University of Utah Hospital

[Guest guest]

All Part D plans include some immunos on their formulary, by law. The important thing to remember is that if the pt was a Medicare beneficiary at the time of transplant, and the transplant took place in a Medicare-certified facility, Part B and not D is responsible for immuno coverage. If the pt does not have B coverage when he or she needs the immunos, Ds won't ride to the rescue, nor will they pick up the 20% coinsurance on a B drug. Now that we are three and a half years into D, most plans now routinely ask whether Medicare was in place at the time of transplant. Those that don't ask will eventually discover their mistake and want their money back. Harsh but true.

onFinancial CounselorLegacy Transplant ServicesGood Samaritan Hospital1040 NW 22nd Ave Suite 480Portland OR 97210tel fax lmorriso@...

Medicare payment

Hi Group:

Does anyone know a good way to determine if Medicare paid for a transplant twenty years ago? Trying to figure out if immuno's are covered Part B or D.

Thanks:

McCardell

University of Utah Hospital

[Guest guest]

I think it has always been part B for immunos this was set up in the 60's per

what I was told Senator Dole's mother was on dialysis and this is why kidney

patients who are on dialysis qualify for Medicare and Soc Sec at time of

dialysis it was set up under part B at that time because there was no

prescription coverage for medicare patients.

Medicare payment

Hi Group:

Does anyone know a good way to determine if Medicare paid for a transplant

twenty years ago? Trying to figure out if immuno's are covered Part B or D.

Thanks:

McCardell

University of Utah Hospital

[Guest guest]

It doesn’t matter

who pays for the transplant, it

matters whether or not the patient had at

least Medicare Part A at the time the transplant took place (and

whether or not the transplant was performed in a Medicare-approved facility).

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

P Think Green before printing this e-mail.

This message

contains information which may be confidential and privileged. Unless you are

the addressee (or authorized to receive for the addressee), you may not use,

copy or disclose to anyone the message or any information contained in the

message (including attachments). If you have received the message in error,

please advise sender by reply email and delete the message. Thank you!

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of McCardell

Sent: Thursday, May 28, 2009 12:26

PM

To: 'TxFinancialCoordinators '

Subject:

Medicare Payment

Hi.

Does anyone know a good way to find out if Medicare paid for a transplant that

was performed twenty years ago? The hospital that performed the

transplant doesn't keep financial records that far back.

Thanks,

University of Utah Health Care

[Guest guest]

That is… if you

want to know who pays for the immunos, B or D…

I assume that’s

why you are trying to figure out who paid for the transplant….

Forgive me if you

need to know for some other reason…

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

P Think Green before printing this e-mail.

This message

contains information which may be confidential and privileged. Unless you are

the addressee (or authorized to receive for the addressee), you may not use,

copy or disclose to anyone the message or any information contained in the

message (including attachments). If you have received the message in error,

please advise sender by reply email and delete the message. Thank you!

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Gray, Meredith M

Sent: Thursday, May 28, 2009 12:28

PM

To: TxFinancialCoordinators

Subject: RE:

Medicare Payment

It doesn’t matter who

pays for the transplant, it matters whether or not the patient had at least Medicare Part A at the time the transplant

took place (and whether or not the transplant was performed in a

Medicare-approved facility).

Meredith

Gray

Liver

Transplant Financial Coordinator

University

of Rochester

Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

P Think Green before printing this e-mail.

This message contains information

which may be confidential and privileged. Unless you are the addressee (or

authorized to receive for the addressee), you may not use, copy or disclose to

anyone the message or any information contained in the message (including

attachments). If you have received the message in error, please advise

sender by reply email and delete the message. Thank you!

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of McCardell

Sent: Thursday, May 28, 2009 12:26

PM

To: 'TxFinancialCoordinators '

Subject:

Medicare Payment

Hi.

Does anyone know a good way to find out if Medicare paid for a transplant that

was performed twenty years ago? The hospital that performed the

transplant doesn't keep financial records that far back.

Thanks,

University of Utah Health Care

[Guest guest]

Thank you for this information.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Gray, Meredith MSent: Thursday, May 28, 2009 10:28 AMTo: TxFinancialCoordinators Subject: RE: Medicare Payment

It doesn’t matter who pays for the transplant, it matters whether or not the patient had at least Medicare Part A at the time the transplant took place (and whether or not the transplant was performed in a Medicare-approved facility).

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

P Think Green before printing this e-mail.

This message contains information which may be confidential and privileged. Unless you are the addressee (or authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any information contained in the message (including attachments). If you have received the message in error, please advise sender by reply email and delete the message. Thank you!

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of McCardellSent: Thursday, May 28, 2009 12:26 PMTo: 'TxFinancialCoordinators 'Subject: Medicare Payment

Hi. Does anyone know a good way to find out if Medicare paid for a transplant that was performed twenty years ago? The hospital that performed the transplant doesn't keep financial records that far back.

Thanks,

University of Utah Health Care