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I have never been able to figure out ifOklahoma Medicaid will pick up any on the post transplant medications afterMedicare pays. Does anyone know the answer to this? St. Medical CenterFinancial CoordinatorTulsa, Oklahoma. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Jelali, TamaraSent: Tuesday, August 25, 20097:32 AMTo:TxFinancialCoordinators Subject: Out of State Medicaid Will OH Medicaid pick up thecost of the post transplant medications after Medicare pays the 80% if we arenon par w/ OH Medicaid. Please advise. Thank you,Tamara From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of sclarkleachSent: Monday, August 24, 200911:26 AMTo: TxFinancialCoordinators Subject: Re: Survey -- input helpful from you all .... I reviewthe chart and compose all letters of medical necessity and auth requests andhave either the advanced practice nurse or MD sign.Thanks,Sarita -LeachSeton Heart Specialty Care and TransplantSeton MedicalCenter Austin>> When a letter of medical necessity is needed in your center (pre & > post):> > * Who writes the letters of medical necessity for insurance> approval for transplant? If you write them, who helps you with the> text? Who signs them?> > * Who writes a letter of medical necessity that is requested for> insurance approval for a medical procedure that the insurance sees as> outside the scope of " usual " medical care (e.g., IVIG, Hep Bvaccines,> etc, etc - other examples welcome)?> > > > Thanks!> > > > Ms. Daryl Battin, MSW/LICSW> > Financial Coordinator/Social Worker> > Department of Transplantation -- Kidney> > Lahey Clinic, 41 Mall Road,Burlington MA 01805> > Ph: / FAX: > > Page: > > > > > See our web page at http://www.lahey.orgfor a full directory of Lahey sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT ISADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL ANDEXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intendedrecipient, your use of this message for any purpose is strictly prohibited. Ifyou have received this communication in error, please delete the message andnotify the sender so that we may correct our records.>CONFIDENTIAL: The information contained in thiscommunication, including its attachments may contain confidential informationand is intended only for the individual (s) or entity (ies) to whom it isaddressed . The information contained in this communication may also beprotected by legal privilege , federal law or other applicable law. If you arenot the intended recipient of this communication , you are hereby notified thatany distribution, dissemination or duplication of this communication isstrictly prohibited. If you have received this communication in error pleaseimmediately delete and destroy all copies of this message and pleaseimmediately notify us of the error by separate communication . Thank you. IMPORTANT NOTICE:This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this message. If you have received this communication in error, please notify the sender immediately and destroy the transmitted information.

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what is your phone number? Thanks ljm

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of , Sent: Tuesday, August 25, 2009 9:49 AMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid

I have never been able to figure out if Oklahoma Medicaid will pick up any on the post transplant medications after Medicare pays. Does anyone know the answer to this?

St. Medical Center

Financial Coordinator

Tulsa, Oklahoma.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Jelali, TamaraSent: Tuesday, August 25, 2009 7:32 AMTo: TxFinancialCoordinators Subject: Out of State Medicaid

Will OH Medicaid pick up the cost of the post transplant medications after Medicare pays the 80% if we are non par w/ OH Medicaid.

Please advise.

Thank you,

Tamara

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of sclarkleachSent: Monday, August 24, 2009 11:26 AMTo: TxFinancialCoordinators Subject: Re: Survey -- input helpful from you all ....

I review the chart and compose all letters of medical necessity and auth requests and have either the advanced practice nurse or MD sign.Thanks,Sarita -LeachSeton Heart Specialty Care and TransplantSeton Medical Center Austin>> When a letter of medical necessity is needed in your center (pre & > post):> > * Who writes the letters of medical necessity for insurance> approval for transplant? If you write them, who helps you with the> text? Who signs them?> > * Who writes a letter of medical necessity that is requested for> insurance approval for a medical procedure that the insurance sees as> outside the scope of "usual" medical care (e.g., IVIG, Hep B vaccines,> etc, etc - other examples welcome)?> > > > Thanks!> > > > Ms. Daryl Battin, MSW/LICSW> > Financial Coordinator/Social Worker> > Department of Transplantation -- Kidney> > Lahey Clinic, 41 Mall Road, Burlington MA 01805> > Ph: / FAX: > > Page: > > > > > See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.>

CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you. IMPORTANT NOTICE: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this message. If you have received this communication in error, please notify the sender immediately and destroy the transmitted information.

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, but I am not in the officeat the moment. I will be there after lunch. From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Moseley JoyceSent: Tuesday, August 25, 200910:27 AMTo:TxFinancialCoordinators Subject: RE: Out of State Medicaid what is your phone number? Thanksljm From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of , Sent: Tuesday, August 25, 20099:49 AMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid I have never been able to figure out if Oklahoma Medicaid will pickup any on the post transplant medications after Medicare pays. Doesanyone know the answer to this? St. MedicalCenterFinancial CoordinatorTulsa, Oklahoma.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Jelali, TamaraSent: Tuesday, August 25, 20097:32 AMTo: TxFinancialCoordinators Subject: Out of State Medicaid Will OH Medicaid pick up thecost of the post transplant medications after Medicare pays the 80% if we arenon par w/ OH Medicaid. Please advise.Thank you,TamaraFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of sclarkleachSent: Monday, August 24, 200911:26 AMTo: TxFinancialCoordinators Subject: Re: Survey -- input helpful from you all .... I reviewthe chart and compose all letters of medical necessity and auth requests andhave either the advanced practice nurse or MD sign.Thanks,Sarita -LeachSeton Heart Specialty Care and TransplantSeton Medical CenterAustin>> When a letter of medical necessity is needed in your center (pre & > post):> > * Who writes the letters of medical necessity for insurance> approval for transplant? If you write them, who helps you with the> text? Who signs them?> > * Who writes a letter of medical necessity that is requested for> insurance approval for a medical procedure that the insurance sees as> outside the scope of " usual " medical care (e.g., IVIG, Hep Bvaccines,> etc, etc - other examples welcome)?> > > > Thanks!> > > > Ms. Daryl Battin, MSW/LICSW> > Financial Coordinator/Social Worker> > Department of Transplantation -- Kidney> > Lahey Clinic, 41Mall Road, BurlingtonMA 01805> > Ph: / FAX: > > Page: > > > > > See our web page at http://www.lahey.orgfor a full directory of Lahey sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT ISADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL ANDEXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intendedrecipient, your use of this message for any purpose is strictly prohibited. Ifyou have received this communication in error, please delete the message andnotify the sender so that we may correct our records.>CONFIDENTIAL: The information contained in thiscommunication, including its attachments may contain confidential informationand is intended only for the individual (s) or entity (ies) to whom it isaddressed . The information contained in this communication may also beprotected by legal privilege , federal law or other applicable law. If you arenot the intended recipient of this communication , you are hereby notified thatany distribution, dissemination or duplication of this communication isstrictly prohibited. If you have received this communication in error pleaseimmediately delete and destroy all copies of this message and pleaseimmediately notify us of the error by separate communication . Thank you. IMPORTANT NOTICE: This message is intended only for the use of theindividual or entity to which it is addressed and may contain information thatis privileged, confidential and exempt from disclosure under applicable law. Ifyou have received this message in error, you are hereby notified that we do notconsent to any reading, dissemination, distribution or copying of this message.If you have received this communication in error, please notify the senderimmediately and destroy the transmitted information. IMPORTANT NOTICE:This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you have received this message in error, you are hereby notified that we do not consent to any reading, dissemination, distribution or copying of this message. If you have received this communication in error, please notify the sender immediately and destroy the transmitted information.

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Does anyone know if acquisition pays for all pre dental

exams?

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of ,

Sent: Tuesday, August 25, 2009 11:36 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

, but I am not in the office at the moment. I

will be there after lunch.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Moseley

Joyce

Sent: Tuesday, August 25, 2009 10:27 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

what is your phone number? Thanks ljm

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of ,

Sent: Tuesday, August 25, 2009 9:49 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

I have never been able to figure out if Oklahoma Medicaid will pick

up any on the post transplant medications after Medicare pays. Does

anyone know the answer to this?

St. Medical Center

Financial Coordinator

Tulsa, Oklahoma.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Jelali,

Tamara

Sent: Tuesday, August 25, 2009 7:32 AM

To: TxFinancialCoordinators

Subject: Out of State Medicaid

Will OH Medicaid pick up the cost of the post transplant

medications after Medicare pays the 80% if we are non par w/ OH Medicaid.

Please advise.

Thank you,

Tamara

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of sclarkleach

Sent: Monday, August 24, 2009 11:26 AM

To: TxFinancialCoordinators

Subject: Re: Survey -- input helpful from you

all ....

I review the chart and compose all letters of

medical necessity and auth requests and have either the advanced practice nurse

or MD sign.

Thanks,

Sarita -Leach

Seton Heart Specialty Care and Transplant

Seton Medical Center Austin

>

> When a letter of medical necessity is needed in your center (pre &

> post):

>

> * Who writes the letters of medical necessity for insurance

> approval for transplant? If you write them, who helps you with the

> text? Who signs them?

>

> * Who writes a letter of medical necessity that is requested for

> insurance approval for a medical procedure that the insurance sees as

> outside the scope of " usual " medical care (e.g., IVIG, Hep B

vaccines,

> etc, etc - other examples welcome)?

>

>

>

> Thanks!

>

>

>

> Ms. Daryl Battin, MSW/LICSW

>

> Financial Coordinator/Social Worker

>

> Department of Transplantation -- Kidney

>

> Lahey Clinic, 41 Mall Road, Burlington MA 01805

>

> Ph: / FAX:

>

> Page:

>

>

>

>

> See our web page at http://www.lahey.org

for a full directory of Lahey sites, staff, services and career opportunities.

>

> THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS

ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND

EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient,

your use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

>

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this communication

in error please immediately delete and destroy all copies of this message and

please immediately notify us of the error by separate communication . Thank

you.

IMPORTANT NOTICE: This message is intended only for the use

of the individual or entity to which it is addressed and may contain

information that is privileged, confidential and exempt from disclosure under

applicable law. If you have received this message in error, you are hereby

notified that we do not consent to any reading, dissemination, distribution or

copying of this message. If you have received this communication in error,

please notify the sender immediately and destroy the transmitted information.

IMPORTANT NOTICE: This message is

intended only for the use of the individual or entity to which it is addressed

and may contain information that is privileged, confidential and exempt from

disclosure under applicable law. If you have received this message in error,

you are hereby notified that we do not consent to any reading, dissemination, distribution

or copying of this message. If you have received this communication in error,

please notify the sender immediately and destroy the transmitted information.

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Evaluation (Initial Dentist Consultation & X-rays)covered, Treatment (Tooth Extraction and any other repair) not covered throughAcquisition. From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Jelali,TamaraSent: Tuesday, August 25, 2009 12:14 PMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid Doesanyone know if acquisition pays for all pre dental exams? From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of , Sent: Tuesday, August 25, 2009 11:36 AMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid , but I am not in the office atthe moment. I will be there after lunch. From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Moseley JoyceSent: Tuesday, August 25, 2009 10:27 AMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid what is your phone number? Thanks ljm From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of , Sent: Tuesday, August 25, 2009 9:49 AMTo: TxFinancialCoordinators Subject: RE: Out of State Medicaid I have never been able to figure out ifOklahoma Medicaid will pick up any on the post transplant medications afterMedicare pays. Does anyone know the answer to this? St. Medical CenterFinancial CoordinatorTulsa, Oklahoma.From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Jelali, TamaraSent: Tuesday, August 25, 2009 7:32 AMTo: TxFinancialCoordinators Subject: Out of State Medicaid WillOH Medicaid pick up the cost of the post transplant medications after Medicarepays the 80% if we are non par w/ OH Medicaid. Pleaseadvise.Thankyou,TamaraFrom:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of sclarkleachSent: Monday, August 24, 2009 11:26 AMTo: TxFinancialCoordinators Subject: Re: Survey -- input helpful from youall .... I review the chart and compose all letters of medical necessity and authrequests and have either the advanced practice nurse or MD sign.Thanks,Sarita -LeachSeton Heart Specialty Care and TransplantSeton Medical Center Austin>> When a letter of medical necessity is needed in your center (pre & > post):> > * Who writes the letters of medical necessity for insurance> approval for transplant? If you write them, who helps you with the> text? Who signs them?> > * Who writes a letter of medical necessity that is requested for> insurance approval for a medical procedure that the insurance sees as> outside the scope of " usual " medical care (e.g., IVIG, Hep Bvaccines,> etc, etc - other examples welcome)?> > > > Thanks!> > > > Ms. Daryl Battin, MSW/LICSW> > Financial Coordinator/Social Worker> > Department of Transplantation -- Kidney> > Lahey Clinic, 41 Mall Road, Burlington MA 01805> > Ph: / FAX: > > Page: > > > > > See our web page at http://www.lahey.orgfor a full directory of Lahey sites, staff, services and career opportunities.> > THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT ISADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL ANDEXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intendedrecipient, your use of this message for any purpose is strictly prohibited. Ifyou have received this communication in error, please delete the message andnotify the sender so that we may correct our records.>CONFIDENTIAL: The information contained inthis communication, including its attachments may contain confidentialinformation and is intended only for the individual (s) or entity (ies) to whomit is addressed . The information contained in this communication may also beprotected by legal privilege , federal law or other applicable law. If you arenot the intended recipient of this communication , you are hereby notified thatany distribution, dissemination or duplication of this communication isstrictly prohibited. If you have received this communication in error pleaseimmediately delete and destroy all copies of this message and pleaseimmediately notify us of the error by separate communication . Thank you. IMPORTANTNOTICE: This message is intended only for the use of the individual or entityto which it is addressed and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If you havereceived this message in error, you are hereby notified that we do not consentto any reading, dissemination, distribution or copying of this message. If youhave received this communication in error, please notify the sender immediatelyand destroy the transmitted information. IMPORTANTNOTICE: This message is intended only for the use of the individual or entityto which it is addressed and may contain information that is privileged,confidential and exempt from disclosure under applicable law. If you havereceived this message in error, you are hereby notified that we do not consentto any reading, dissemination, distribution or copying of this message. If youhave received this communication in error, please notify the sender immediatelyand destroy the transmitted information. CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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Paid for how?

Daryl Battin,

MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation -- Kidney

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

/ FAX:

Page:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Farid, Fahmy

Sent: Tuesday, August 25, 2009

12:39 PM

To: TxFinancialCoordinators

Subject: RE:

Out of State Medicaid

Evaluation

(Initial Dentist Consultation & X-rays) covered, Treatment (Tooth

Extraction and any other repair) not covered through Acquisition.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Jelali, Tamara

Sent: Tuesday, August 25, 2009

12:14 PM

To: TxFinancialCoordinators

Subject: RE:

Out of State Medicaid

Does anyone know if acquisition

pays for all pre dental exams?

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of ,

Sent: Tuesday, August 25, 2009

11:36 AM

To: TxFinancialCoordinators

Subject: RE:

Out of State Medicaid

, but I am not in the office at the moment. I

will be there after lunch.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Moseley Joyce

Sent: Tuesday, August 25, 2009

10:27 AM

To: TxFinancialCoordinators

Subject: RE:

Out of State Medicaid

what is your phone number? Thanks ljm

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of ,

Sent: Tuesday, August 25, 2009

9:49 AM

To: TxFinancialCoordinators

Subject: RE:

Out of State Medicaid

I have never been able to figure out if Oklahoma Medicaid will pick

up any on the post transplant medications after Medicare pays. Does

anyone know the answer to this?

St. Medical Center

Financial Coordinator

Tulsa, Oklahoma.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Jelali, Tamara

Sent: Tuesday, August 25, 2009

7:32 AM

To: TxFinancialCoordinators

Subject:

Out of State Medicaid

Will OH Medicaid pick up the

cost of the post transplant medications after Medicare pays the 80% if we are

non par w/ OH Medicaid.

Please advise.

Thank you,

Tamara

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of sclarkleach

Sent: Monday, August 24, 2009

11:26 AM

To: TxFinancialCoordinators

Subject:

Re: Survey -- input helpful from you all ....

I review

the chart and compose all letters of medical necessity and auth requests and

have either the advanced practice nurse or MD sign.

Thanks,

Sarita -Leach

Seton Heart Specialty Care and Transplant

Seton Medical

Center Austin

>

> When a letter of medical necessity is needed in your center (pre &

> post):

>

> * Who writes the letters of medical necessity for insurance

> approval for transplant? If you write them, who helps you with the

> text? Who signs them?

>

> * Who writes a letter of medical necessity that is requested for

> insurance approval for a medical procedure that the insurance sees as

> outside the scope of " usual " medical care (e.g., IVIG, Hep B

vaccines,

> etc, etc - other examples welcome)?

>

>

>

> Thanks!

>

>

>

> Ms. Daryl Battin, MSW/LICSW

>

> Financial Coordinator/Social Worker

>

> Department of Transplantation -- Kidney

>

> Lahey Clinic, 41 Mall Road,

Burlington MA 01805

>

> Ph: / FAX:

>

> Page:

>

>

>

>

> See our web page at http://www.lahey.org

for a full directory of Lahey sites, staff, services and career opportunities.

>

> THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS

ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND

EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended

recipient, your use of this message for any purpose is strictly prohibited. If

you have received this communication in error, please delete the message and

notify the sender so that we may correct our records.

>

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

.. Thank you.

IMPORTANT NOTICE:

This message is intended only for the use of the individual or entity to which

it is addressed and may contain information that is privileged, confidential

and exempt from disclosure under applicable law. If you have received this

message in error, you are hereby notified that we do not consent to any

reading, dissemination, distribution or copying of this message. If you have

received this communication in error, please notify the sender immediately and

destroy the transmitted information.

IMPORTANT NOTICE:

This message is intended only for the use of the individual or entity to which

it is addressed and may contain information that is privileged, confidential

and exempt from disclosure under applicable law. If you have received this

message in error, you are hereby notified that we do not consent to any

reading, dissemination, distribution or copying of this message. If you have

received this communication in error, please notify the sender immediately and

destroy the transmitted information.

CONFIDENTIAL: The information contained in this

communication, including its attachments may contain confidential information

and is intended only for the individual (s) or entity (ies) to whom it is

addressed . The information contained in this communication may also be

protected by legal privilege , federal law or other applicable law. If you are

not the intended recipient of this communication , you are hereby notified that

any distribution, dissemination or duplication of this communication is

strictly prohibited. If you have received this communication in error please

immediately delete and destroy all copies of this message and please

immediately notify us of the error by separate communication . Thank you.

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Acquisition

covers Evaluation (Initial Dentist Consultation & X-rays) covered but not Treatment

(Tooth Extraction and any other repair)

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Battin,

Daryl J.

Sent: Tuesday, August 25, 2009 1:47 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Paid for

how?

Daryl Battin,

MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation -- Kidney

Lahey Clinic, 41

Mall Road, Burlington MA 01805

Ph:

/ FAX:

Page:

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Farid,

Fahmy

Sent: Tuesday, August 25, 2009 12:39 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Evaluation

(Initial Dentist Consultation & X-rays) covered, Treatment (Tooth

Extraction and any other repair) not covered through Acquisition.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Jelali,

Tamara

Sent: Tuesday, August 25, 2009 12:14 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Does

anyone know if acquisition pays for all pre dental exams?

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of ,

Sent: Tuesday, August 25, 2009 11:36 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

, but I am not in the office at

the moment. I will be there after lunch.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Moseley

Joyce

Sent: Tuesday, August 25, 2009 10:27 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

what is your phone number? Thanks ljm

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of ,

Sent: Tuesday, August 25, 2009 9:49 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

I have never been able to figure out if

Oklahoma Medicaid will pick up any on the post transplant medications after

Medicare pays. Does anyone know the answer to this?

St. Medical Center

Financial Coordinator

Tulsa, Oklahoma.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Jelali,

Tamara

Sent: Tuesday, August 25, 2009 7:32 AM

To: TxFinancialCoordinators

Subject: Out of State Medicaid

Will

OH Medicaid pick up the cost of the post transplant medications after Medicare

pays the 80% if we are non par w/ OH Medicaid.

Please

advise.

Thank

you,

Tamara

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of sclarkleach

Sent: Monday, August 24, 2009 11:26 AM

To: TxFinancialCoordinators

Subject: Re: Survey -- input helpful from you

all ....

I review the chart and compose all letters of medical necessity and auth

requests and have either the advanced practice nurse or MD sign.

Thanks,

Sarita -Leach

Seton Heart Specialty Care and Transplant

Seton Medical Center Austin

>

> When a letter of medical necessity is needed in your center (pre &

> post):

>

> * Who writes the letters of medical necessity for insurance

> approval for transplant? If you write them, who helps you with the

> text? Who signs them?

>

> * Who writes a letter of medical necessity that is requested for

> insurance approval for a medical procedure that the insurance sees as

> outside the scope of " usual " medical care (e.g., IVIG, Hep B

vaccines,

> etc, etc - other examples welcome)?

>

>

>

> Thanks!

>

>

>

> Ms. Daryl Battin, MSW/LICSW

>

> Financial Coordinator/Social Worker

>

> Department of Transplantation -- Kidney

>

> Lahey Clinic, 41 Mall Road, Burlington MA 01805

>

> Ph: / FAX:

>

> Page:

>

>

>

>

> See our web page at http://www.lahey.org

for a full directory of Lahey sites, staff, services and career opportunities.

>

> THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS

ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND

EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended

recipient, your use of this message for any purpose is strictly prohibited. If

you have received this communication in error, please delete the message and

notify the sender so that we may correct our records.

>

CONFIDENTIAL: The information contained in

this communication, including its attachments may contain confidential

information and is intended only for the individual (s) or entity (ies) to whom

it is addressed . The information contained in this communication may also be

protected by legal privilege , federal law or other applicable law. If you are

not the intended recipient of this communication , you are hereby notified that

any distribution, dissemination or duplication of this communication is

strictly prohibited. If you have received this communication in error please

immediately delete and destroy all copies of this message and please

immediately notify us of the error by separate communication . Thank you.

IMPORTANT

NOTICE: This message is intended only for the use of the individual or entity

to which it is addressed and may contain information that is privileged,

confidential and exempt from disclosure under applicable law. If you have

received this message in error, you are hereby notified that we do not consent

to any reading, dissemination, distribution or copying of this message. If you

have received this communication in error, please notify the sender immediately

and destroy the transmitted information.

IMPORTANT

NOTICE: This message is intended only for the use of the individual or entity

to which it is addressed and may contain information that is privileged,

confidential and exempt from disclosure under applicable law. If you have

received this message in error, you are hereby notified that we do not consent

to any reading, dissemination, distribution or copying of this message. If you

have received this communication in error, please notify the sender immediately

and destroy the transmitted information.

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

.. Thank you.

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OK. I

will get it grammatically right this time: Acquisition covers Evaluation

(Initial Dentist Consultation & X-rays) but not Treatment (Tooth Extraction

and any other repair)

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Farid,

Fahmy

Sent: Tuesday, August 25, 2009 2:00 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Acquisition

covers Evaluation (Initial Dentist Consultation & X-rays) covered but not

Treatment (Tooth Extraction and any other repair)

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Tuesday, August 25, 2009 1:47 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Paid for how?

Daryl Battin,

MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation -- Kidney

Lahey Clinic,

41 Mall Road, Burlington MA 01805

Ph:

/ FAX:

Page:

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Farid, Fahmy

Sent: Tuesday, August 25, 2009 12:39 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Evaluation

(Initial Dentist Consultation & X-rays) covered, Treatment (Tooth

Extraction and any other repair) not covered through Acquisition.

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Jelali, Tamara

Sent: Tuesday, August 25, 2009 12:14 PM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

Does

anyone know if acquisition pays for all pre dental exams?

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of ,

Sent: Tuesday, August 25, 2009 11:36 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

, but I am not in the office at

the moment. I will be there after lunch.

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Moseley Joyce

Sent: Tuesday, August 25, 2009 10:27 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

what is your phone number? Thanks ljm

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of ,

Sent: Tuesday, August 25, 2009 9:49 AM

To: TxFinancialCoordinators

Subject: RE: Out of State Medicaid

I have never been able to figure out if Oklahoma

Medicaid will pick up any on the post transplant medications after Medicare

pays. Does anyone know the answer to this?

St. Medical Center

Financial Coordinator

Tulsa, Oklahoma.

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Jelali, Tamara

Sent: Tuesday, August 25, 2009 7:32 AM

To: TxFinancialCoordinators

Subject: Out of State Medicaid

Will

OH Medicaid pick up the cost of the post transplant medications after Medicare

pays the 80% if we are non par w/ OH Medicaid.

Please

advise.

Thank

you,

Tamara

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of sclarkleach

Sent: Monday, August 24, 2009 11:26 AM

To: TxFinancialCoordinators

Subject: Re: Survey -- input helpful from you

all ....

I review the chart and compose all letters of medical necessity and auth

requests and have either the advanced practice nurse or MD sign.

Thanks,

Sarita -Leach

Seton Heart Specialty Care and Transplant

Seton Medical Center Austin

>

> When a letter of medical necessity is needed in your center (pre &

> post):

>

> * Who writes the letters of medical necessity for insurance

> approval for transplant? If you write them, who helps you with the

> text? Who signs them?

>

> * Who writes a letter of medical necessity that is requested for

> insurance approval for a medical procedure that the insurance sees as

> outside the scope of " usual " medical care (e.g., IVIG, Hep B

vaccines,

> etc, etc - other examples welcome)?

>

>

>

> Thanks!

>

>

>

> Ms. Daryl Battin, MSW/LICSW

>

> Financial Coordinator/Social Worker

>

> Department of Transplantation -- Kidney

>

> Lahey Clinic, 41 Mall Road, Burlington MA 01805

>

> Ph: / FAX:

>

> Page:

>

>

>

>

> See our web page at http://www.lahey.org

for a full directory of Lahey sites, staff, services and career opportunities.

>

> THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS

ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND

EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended

recipient, your use of this message for any purpose is strictly prohibited. If

you have received this communication in error, please delete the message and

notify the sender so that we may correct our records.

>

CONFIDENTIAL: The information contained in

this communication, including its attachments may contain confidential

information and is intended only for the individual (s) or entity (ies) to whom

it is addressed . The information contained in this communication may also be

protected by legal privilege , federal law or other applicable law. If you are

not the intended recipient of this communication , you are hereby notified that

any distribution, dissemination or duplication of this communication is

strictly prohibited. If you have received this communication in error please

immediately delete and destroy all copies of this message and please

immediately notify us of the error by separate communication . Thank you.

IMPORTANT

NOTICE: This message is intended only for the use of the individual or entity

to which it is addressed and may contain information that is privileged,

confidential and exempt from disclosure under applicable law. If you have

received this message in error, you are hereby notified that we do not consent

to any reading, dissemination, distribution or copying of this message. If you

have received this communication in error, please notify the sender immediately

and destroy the transmitted information.

IMPORTANT

NOTICE: This message is intended only for the use of the individual or entity

to which it is addressed and may contain information that is privileged,

confidential and exempt from disclosure under applicable law. If you have

received this message in error, you are hereby notified that we do not consent

to any reading, dissemination, distribution or copying of this message. If you

have received this communication in error, please notify the sender immediately

and destroy the transmitted information.

CONFIDENTIAL: The information contained in

this communication, including its attachments may contain confidential

information and is intended only for the individual (s) or entity (ies) to whom

it is addressed . The information contained in this communication may also be

protected by legal privilege , federal law or other applicable law. If you are

not the intended recipient of this communication , you are hereby notified that

any distribution, dissemination or duplication of this communication is

strictly prohibited. If you have received this communication in error please

immediately delete and destroy all copies of this message and please

immediately notify us of the error by separate communication . Thank you.

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