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Hi all……just following up. Does anyone have any information on this? Thanks!

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Sara

Sent: Friday, January 07, 2011 4:29 PM

To: TxFinancialCoordinators

Subject: Allowable Cost???

Is it allowable to have an ambulance transport a patient to a transplant center if called in for a deceased donor kidney transplant? The patient lives hours away and has to have transportation arranged ahead of time for various

appointments and such. But, in a situation where a kidney may be offered in the middle of the night, would it be acceptable to arrange an ambulance to bring the patient in? And, is this an allowable cost on the cost report? Thanks for your input!

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message.

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Sara,

I am not sure if it is an allowable expense on the cost report but i can tell

you from experience that most health plans will not cover when coming in for a

kidney transplant as the time from procurement to transplant is much longer than

the other organs allowing a patient to get to the facility and it isn't

considered medically necessary.

Many plans wil cover for other organs since the lead time to transplant is

short.

________________________________

From: TxFinancialCoordinators

[TxFinancialCoordinators ] On Behalf Of Danner, Sara

[danner.sara@...]

Sent: Monday, January 10, 2011 5:29 PM

To: TxFinancialCoordinators

Subject: RE: Allowable Cost???

Hi all……just following up. Does anyone have any information on this? Thanks!

Sara Danner | Transplant Financial Coordinator | Memorial Medical Center |

Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sara

Sent: Friday, January 07, 2011 4:29 PM

To: TxFinancialCoordinators

Subject: Allowable Cost???

Is it allowable to have an ambulance transport a patient to a transplant center

if called in for a deceased donor kidney transplant? The patient lives hours

away and has to have transportation arranged ahead of time for various

appointments and such. But, in a situation where a kidney may be offered in the

middle of the night, would it be acceptable to arrange an ambulance to bring the

patient in? And, is this an allowable cost on the cost report? Thanks for your

input!

________________________________

This message (including any attachments) contains confidential information

intended for a specific individual and purpose, and is protected by law. If you

are not the intended recipient, you should delete this message. Any disclosure,

copying, or distribution of this message, or the taking of any action based on

it, is strictly prohibited.

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I dont believe it would be an allowable cost. In our center, the patients with

medicaid transport have to have someone that will bring them in when they

receive the call to come in for the transplant.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Danner, Sara " 1/10/2011 7:29 PM >>>

Hi all......just following up. Does anyone have any information on this?

Thanks!

Sara Danner | Transplant Financial Coordinator | Memorial Medical Center |

Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Sara

Sent: Friday, January 07, 2011 4:29 PM

To: TxFinancialCoordinators

Subject: Allowable Cost???

Is it allowable to have an ambulance transport a patient to a transplant center

if called in for a deceased donor kidney transplant? The patient lives hours

away and has to have transportation arranged ahead of time for various

appointments and such. But, in a situation where a kidney may be offered in the

middle of the night, would it be acceptable to arrange an ambulance to bring the

patient in? And, is this an allowable cost on the cost report? Thanks for your

input!

________________________________

This message (including any attachments) contains confidential information

intended for a specific individual and purpose, and is protected by law. If you

are not the intended recipient, you should delete this message. Any disclosure,

copying, or distribution of this message, or the taking of any action based on

it, is strictly prohibited.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/

Thank you.

===========================================================

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When we identify a situation like this our

transplant social worker meets with the patient & family to discuss the

need for a “patient advocate” or advocates who can and will provide

the support that the patient will need after transplant.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Tuesday, January 11, 2011

8:44 AM

To: TxFinancialCoordinators

Subject: RE:

Allowable Cost???

I dont believe it would be an allowable cost. In our

center, the patients with medicaid transport have to have someone that will

bring them in when they receive the call to come in for the transplant.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX

75701

phone

fax

wlfolsom@...

>>> " Danner, Sara " 1/10/2011

7:29 PM >>>

Hi all......just following up. Does anyone have any information on this?

Thanks!

Sara Danner | Transplant Financial Coordinator | Memorial

Medical Center

| Springfield, IL

Phone: | Fax: | E-mail: danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Sara

Sent: Friday, January 07, 2011 4:29 PM

To: TxFinancialCoordinators

Subject: Allowable Cost???

Is it allowable to have an ambulance transport a patient to a transplant center

if called in for a deceased donor kidney transplant? The patient lives hours

away and has to have transportation arranged ahead of time for various

appointments and such. But, in a situation where a kidney may be offered in the

middle of the night, would it be acceptable to arrange an ambulance to bring

the patient in? And, is this an allowable cost on the cost report? Thanks for

your input!

________________________________

This message (including any attachments) contains confidential information

intended for a specific individual and purpose, and is protected by law. If you

are not the intended recipient, you should delete this message. Any disclosure,

copying, or distribution of this message, or the taking of any action based on

it, is strictly prohibited.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/

Thank you.

===========================================================

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Thank you everyone for your input!

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Cochrane, Barbara E

Sent: Tuesday, January 11, 2011 12:16 PM

To: TxFinancialCoordinators

Subject: RE: Allowable Cost???

When we identify a situation like this our transplant social worker meets with the patient & family to

discuss the need for a “patient advocate” or advocates who can and will provide the support that the patient will need after transplant.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Tuesday, January 11, 2011 8:44 AM

To: TxFinancialCoordinators

Subject: RE: Allowable Cost???

I dont believe it would be an allowable cost. In our center, the patients with medicaid transport have to have someone that will bring them in when they receive the call to come in for the transplant.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Danner, Sara " 1/10/2011 7:29 PM >>>

Hi all......just following up. Does anyone have any information on this? Thanks!

Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

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

Sent: Friday, January 07, 2011 4:29 PM

To: TxFinancialCoordinators

Subject: Allowable Cost???

Is it allowable to have an ambulance transport a patient to a transplant center if called in for a deceased donor kidney transplant? The patient lives hours away and has to have transportation arranged ahead of time for various appointments and such. But, in

a situation where a kidney may be offered in the middle of the night, would it be acceptable to arrange an ambulance to bring the patient in? And, is this an allowable cost on the cost report? Thanks for your input!

________________________________

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution

of this message, or the taking of any action based on it, is strictly prohibited.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/

Thank you.

===========================================================

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message.

Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

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Hi Sara,I am sorry that it took a while, I had to look it up. Travel costs to the hospital are not allowable. Please see the section pasted below: 140.16 - Noncovered Transplant Related Items and Services(Rev. 1, 10-01-03)A3-3178.17The following list represents some of the transplant related items and services which are not covered and for which no program payment can be made:Travel, room, and board expenses incurred by a live donor;Travel, room, and board expenses (to any transplant center) incurred by the recipient;Reimbursement for the kidney itself when the live donor or the cadaver donor’s next of kin sells the kidney;Transportation of the potential cadaveric donor to the transplant hospital (only transportation of the organ is reimbursable as part of the organ procurement charge); orPronouncement of death and burial expenses for the cadaveric donor. I have also included the Intermediary Manual Section that contains it. Hope this helps,Thanks,Bill From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Monday, January 10, 2011 8:30 PMTo: TxFinancialCoordinators Subject: RE: Allowable Cost??? Hi all……just following up. Does anyone have any information on this? Thanks! Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of SaraSent: Friday, January 07, 2011 4:29 PMTo: TxFinancialCoordinators Subject: Allowable Cost??? Is it allowable to have an ambulance transport a patient to a transplant center if called in for a deceased donor kidney transplant? The patient lives hours away and has to have transportation arranged ahead of time for various appointments and such. But, in a situation where a kidney may be offered in the middle of the night, would it be acceptable to arrange an ambulance to bring the patient in? And, is this an allowable cost on the cost report? Thanks for your input! This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

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New Manual Section 140 Transplantation.doc

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