Guest guest Posted December 1, 2010 Report Share Posted December 1, 2010 From my understanding a patient has to have a Part B for charges to go on the cost report. I guess I might be confused. I didn’t think we could put any Part A services on the cost report? Lori Davies - Financial Coordinator Porter Adventist Hospital Transplant Services Denver, Colorado Work Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Simon (Manager), Sent: Wednesday, December 01, 2010 3:24 PM To: TxFinancialCoordinators Subject: Medicare Part B only I'm wondering if anyone knows who covers transplant evaluation if pt carries Medicare Part B but does not have Medicare Part A. The pt has Part B because the state is paying the premiums for it but will not pay the premiums for Part A as the patient does not have work credit history for premium free. It's my understanding that Part A is required to be put on the cost report, so in this scenario I don't believe it can go on the cost report. However, I wouldn't think that Part B would cover the work up either due to no diagnosis or other reasons. Does anyone know?? Thanks, Confidentiality Notice: This e-mail message, including any attachments,is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. ***************************************************************************** This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it. ***************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2010 Report Share Posted December 1, 2010 To consider service a Medicare organ (for cost report), it’s Part A that’s needed. All pre-transplant evaluation services are also under Part A care – that’s why claims are billed directly to Medicare becz you can’t receive a Part A payment directly on an outpatient claim hence it all accumulates for the cost report. I don’t have the exact regulation handy but it’s very clearly indicated somewhere and I recall it well becz I read and read and read it several years ago in trying to understand how costs were identified. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Davies, Lori Sent: Wednesday, December 01, 2010 2:32 PM To: TxFinancialCoordinators Subject: RE: Medicare Part B only From my understanding a patient has to have a Part B for charges to go on the cost report. I guess I might be confused. I didn’t think we could put any Part A services on the cost report? Lori Davies - Financial Coordinator Porter Adventist Hospital Transplant Services Denver, Colorado Work Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Simon (Manager), Sent: Wednesday, December 01, 2010 3:24 PM To: TxFinancialCoordinators Subject: Medicare Part B only I'm wondering if anyone knows who covers transplant evaluation if pt carries Medicare Part B but does not have Medicare Part A. The pt has Part B because the state is paying the premiums for it but will not pay the premiums for Part A as the patient does not have work credit history for premium free. It's my understanding that Part A is required to be put on the cost report, so in this scenario I don't believe it can go on the cost report. However, I wouldn't think that Part B would cover the work up either due to no diagnosis or other reasons. Does anyone know?? Thanks, Confidentiality Notice: This e-mail message, including any attachments,is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. *****************************************************************************This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.***************************************************************************** Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2010 Report Share Posted December 1, 2010 Slight correction below to a key word J From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Sheila Kantor Sent: Wednesday, December 01, 2010 2:38 PM To: 'TxFinancialCoordinators ' Subject: RE: Medicare Part B only To consider service a Medicare organ (for cost report), it’s Part A that’s needed. All pre-transplant evaluation services are also under Part A care – that’s why claims aren’t billed directly to Medicare becz you can’t receive a Part A payment directly on an outpatient claim hence it all accumulates for the cost report. I don’t have the exact regulation handy but it’s very clearly indicated somewhere and I recall it well becz I read and read and read it several years ago in trying to understand how costs were identified. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Davies, Lori Sent: Wednesday, December 01, 2010 2:32 PM To: TxFinancialCoordinators Subject: RE: Medicare Part B only From my understanding a patient has to have a Part B for charges to go on the cost report. I guess I might be confused. I didn’t think we could put any Part A services on the cost report? Lori Davies - Financial Coordinator Porter Adventist Hospital Transplant Services Denver, Colorado Work Fax From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Simon (Manager), Sent: Wednesday, December 01, 2010 3:24 PM To: TxFinancialCoordinators Subject: Medicare Part B only I'm wondering if anyone knows who covers transplant evaluation if pt carries Medicare Part B but does not have Medicare Part A. The pt has Part B because the state is paying the premiums for it but will not pay the premiums for Part A as the patient does not have work credit history for premium free. It's my understanding that Part A is required to be put on the cost report, so in this scenario I don't believe it can go on the cost report. However, I wouldn't think that Part B would cover the work up either due to no diagnosis or other reasons. Does anyone know?? Thanks, Confidentiality Notice: This e-mail message, including any attachments,is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. *****************************************************************************This communication is for the use of the intended recipient only. It may contain information that is privileged and confidential. If you are not the intended recipient of this communication, any disclosure, copying, further distribution or use thereof is prohibited. If you have received this communication in error, please advise me by return e-mail or by telephone and delete/destroy it.***************************************************************************** Quote Link to comment Share on other sites More sharing options...
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