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RE: Medicare waiting period question

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No. The 90 days waiting period will not

apply when the patient reinitiated hemodialysis. Medicare becomes effective the

first of the month the patient reinitiated hemodialysis.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Fetzer,

Sent: Thursday, January 12, 2012

1:31 PM

To:

TxFinancialCoordinators

Subject:

Medicare waiting period question

Hello,

I have noticed 2 patients who both had

previous kidney transplants some years ago with Medicare at the time of

transplant, for 3 years post transplant and then it termed. Now

after several more years they are both back on hemodialysis (not

peritoneal) and both have Medicare again but Medicare does not seem to

have imposed the 3 month waiting period before becoming effective this time for

either one of them. If there was a previous kidney t/p that Medicare was

part of do they not have a waiting period the second time around? I'd

really appreciate your help since this will affect their COB period and when

Medicare becomes primary.

Thanks so much!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

Cleveland Clinic | 9500 Euclid Ave | Cleveland, OH

44195

|

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

Please consider the

environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

***********************************************************************This electronic transmission contains information from Methodist HealthSystem and should be considered confidential and privileged. Theinformation contained in the above messages is intended only for theuse of the individual(s) and entity(ies) named above. If you are not theintended recipient, be aware that any disclosure, copying, distribution,or use of this information is prohibited. If you receive this transmissionin error, please notify the sender immediately by return e-mail.Methodist Health System, its subsidiaries and affiliates hereby claim allapplicable privileges related to the transmission of this communication.

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Correct . There is no new qualifying period for subsequent Renal entitlements. There is always a new COB period if there’s a group plan in the picture on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Fetzer, Sent: Thursday, January 12, 2012 11:31 AMTo: TxFinancialCoordinators Subject: Medicare waiting period question Hello,I have noticed 2 patients who both had previous kidney transplants some years ago with Medicare at the time of transplant, for 3 years post transplant and then it termed. Now after several more years they are both back on hemodialysis (not peritoneal) and both have Medicare again but Medicare does not seem to have imposed the 3 month waiting period before becoming effective this time for either one of them. If there was a previous kidney t/p that Medicare was part of do they not have a waiting period the second time around? I'd really appreciate your help since this will affect their COB period and when Medicare becomes primary. Thanks so much! Fetzer | Financial Coordinator | Transplant Center Q7-303aCleveland Clinic | 9500 Euclid Ave | Cleveland, OH 44195 | =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

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Thank you ! I really appreciate your help!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

Cleveland Clinic | 9500 Euclid Ave | Cleveland, OH 44195 |

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Austria, Sent: Thursday, January 12, 2012 3:04 PMTo: TxFinancialCoordinators Subject: RE: Medicare waiting period question

No. The 90 days waiting period will not apply when the patient reinitiated hemodialysis. Medicare becomes effective the first of the month the patient reinitiated hemodialysis.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Fetzer, Sent: Thursday, January 12, 2012 1:31 PMTo: TxFinancialCoordinators Subject: Medicare waiting period question

Hello,

I have noticed 2 patients who both had previous kidney transplants some years ago with Medicare at the time of transplant, for 3 years post transplant and then it termed. Now after several more years they are both back on hemodialysis (not peritoneal) and both have Medicare again but Medicare does not seem to have imposed the 3 month waiting period before becoming effective this time for either one of them. If there was a previous kidney t/p that Medicare was part of do they not have a waiting period the second time around? I'd really appreciate your help since this will affect their COB period and when Medicare becomes primary.

Thanks so much!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

Cleveland Clinic | 9500 Euclid Ave | Cleveland, OH 44195 |

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

Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. T

hank you.

***********************************************************************This electronic transmission contains information from Methodist HealthSystem and should be considered confidential and privileged. Theinformation contained in the above messages is intended only for theuse of the individual(s) and entity(ies) named above. If you are not theintended recipient, be aware that any disclosure, copying, distribution,or use of this information is prohibited. If you receive this transmissionin error, please notify the sender immediately by return e-mail.Methodist Health System, its subsidiaries and affiliates hereby claim allapplicable privileges related to the transmission of this communication.

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

Please consider the environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitals

in America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org for

a complete listing of our services, staff and

locations.

Confidentiality Note: This message is intended for use

only by 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 the reader of this message is not the intended

recipient or the employee or agent responsible for

delivering the message to the intended recipient, you are

hereby notified that any dissemination, distribution or

copying of this communication is strictly prohibited. If

you have received this communication in error, please

contact the sender immediately and destroy the material in

its entirety, whether electronic or hard copy. Thank you.

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