Re: Mammos & Paps--am I on some other planet here?

[Guest guest]

It is

part of our protocol also.

What we

find is that our physicians want to do everything here so we have to get the

auths. However, all your nurses need to do is to send a letter to the local MD

stating this is needed for transplant approval and can they coordinate the

care.

Debbie Mast

Supervisor, Senior

Transplant Financial Coordinator

Stanford Hospital and Clinics

750 Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung,

Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

2:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol & how

you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

It is

part of our protocol also.

What we

find is that our physicians want to do everything here so we have to get the

auths. However, all your nurses need to do is to send a letter to the local MD

stating this is needed for transplant approval and can they coordinate the

care.

Debbie Mast

Supervisor, Senior

Transplant Financial Coordinator

Stanford Hospital and Clinics

750 Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung,

Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

2:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol & how

you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

It is

part of our protocol also.

What we

find is that our physicians want to do everything here so we have to get the

auths. However, all your nurses need to do is to send a letter to the local MD

stating this is needed for transplant approval and can they coordinate the

care.

Debbie Mast

Supervisor, Senior

Transplant Financial Coordinator

Stanford Hospital and Clinics

750 Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung,

Heart/Lung, Liver, Kidney, Pancreas, Intestinal Transplant Programs

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

2:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol & how

you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

Hi Meredith,

I am going to ask a dumb question

(something that I am good at). Have you asked the nurse coordinators if

the acceptance criteria/evaluation protocol includes the requirement for a “recent”

mam/pap. If so, there should be something somewhere, or the patient should

not be listed (if they are then the center is out of compliance with their own

Policies, not good when CMS inspects). If not, then the PCP’s

office should be queried.

I am under the impression that most

transplant centers have that basic screening as part of their listing

requirements.

Hope this helps,

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

Hi Meredith,

I am going to ask a dumb question

(something that I am good at). Have you asked the nurse coordinators if

the acceptance criteria/evaluation protocol includes the requirement for a “recent”

mam/pap. If so, there should be something somewhere, or the patient should

not be listed (if they are then the center is out of compliance with their own

Policies, not good when CMS inspects). If not, then the PCP’s

office should be queried.

I am under the impression that most

transplant centers have that basic screening as part of their listing

requirements.

Hope this helps,

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

Hi Meredith,

I am going to ask a dumb question

(something that I am good at). Have you asked the nurse coordinators if

the acceptance criteria/evaluation protocol includes the requirement for a “recent”

mam/pap. If so, there should be something somewhere, or the patient should

not be listed (if they are then the center is out of compliance with their own

Policies, not good when CMS inspects). If not, then the PCP’s

office should be queried.

I am under the impression that most

transplant centers have that basic screening as part of their listing

requirements.

Hope this helps,

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

[Guest guest]

Hi,

Please be careful with this. If it is

a part of the protocol and the patient does not have it. We do not

believe that you can “require” the patient to get the testing and

pay for it. You can have the PCP utilize their own referral system but

you should require the bills to come to the transplant center.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, Deborah

Sent: Wednesday, February 27, 2008

5:45 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

It is part of our protocol also.

What we find is that our

physicians want to do everything here so we have to get the auths.

However, all your nurses need to do is to send a letter to the local MD stating

this is needed for transplant approval and can they coordinate the care.

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Stanford Hospital and Clinics

750

Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

2:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood Avenue

Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

Hi,

Please be careful with this. If it is

a part of the protocol and the patient does not have it. We do not

believe that you can “require” the patient to get the testing and

pay for it. You can have the PCP utilize their own referral system but

you should require the bills to come to the transplant center.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, Deborah

Sent: Wednesday, February 27, 2008

5:45 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

It is part of our protocol also.

What we find is that our

physicians want to do everything here so we have to get the auths.

However, all your nurses need to do is to send a letter to the local MD stating

this is needed for transplant approval and can they coordinate the care.

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Stanford Hospital and Clinics

750

Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

2:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood Avenue

Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

Hi,

Please be careful with this. If it is

a part of the protocol and the patient does not have it. We do not

believe that you can “require” the patient to get the testing and

pay for it. You can have the PCP utilize their own referral system but

you should require the bills to come to the transplant center.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, Deborah

Sent: Wednesday, February 27, 2008

5:45 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

It is part of our protocol also.

What we find is that our

physicians want to do everything here so we have to get the auths.

However, all your nurses need to do is to send a letter to the local MD stating

this is needed for transplant approval and can they coordinate the care.

Debbie Mast

Supervisor, Senior Transplant Financial Coordinator

Stanford Hospital and Clinics

750

Welch Road, Suite 104

Palo Alto, CA 94304

Trustee, TFCA

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas,

Intestinal Transplant Programs

Phone: Fax:

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

2:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood Avenue

Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

You should not have a flak from your

nurses. Though it is usually ordered by the PCP, those are 99.99% part of

the transplant protocol to have a documented Pap and Mammo. Just let your

coordinator know you will not be able to get a reauthorization or an

authorization for listing if that Case Manager does not received those

information. The case manager will not be calling the PCP for this information.

They will be calling the Transplant Center since they are assuming the

Transplant Center will have that information since it is part of the Transplant

protocol.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

4:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

***********************************************************************

This electronic transmission contains information from Methodist Health

System and should be considered confidential and privileged. The

information contained in the above messages is intended only for the

use of the individual(s) and entity(ies) named above. If you are not

the intended recipient, be aware that any disclosure, copying,

distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by

return e-mail. Methodist Health System, its subsidiaries and

affiliates hereby claim all applicable privileges related to the

transmission of this communication.

[Guest guest]

You should not have a flak from your

nurses. Though it is usually ordered by the PCP, those are 99.99% part of

the transplant protocol to have a documented Pap and Mammo. Just let your

coordinator know you will not be able to get a reauthorization or an

authorization for listing if that Case Manager does not received those

information. The case manager will not be calling the PCP for this information.

They will be calling the Transplant Center since they are assuming the

Transplant Center will have that information since it is part of the Transplant

protocol.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

4:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

***********************************************************************

This electronic transmission contains information from Methodist Health

System and should be considered confidential and privileged. The

information contained in the above messages is intended only for the

use of the individual(s) and entity(ies) named above. If you are not

the intended recipient, be aware that any disclosure, copying,

distribution, or use of this information is prohibited. If you receive

this transmission in error, please notify the sender immediately by

return e-mail. Methodist Health System, its subsidiaries and

affiliates hereby claim all applicable privileges related to the

transmission of this communication.

[Guest guest]

You should not have a flak from your

nurses. Though it is usually ordered by the PCP, those are 99.99% part of

the transplant protocol to have a documented Pap and Mammo. Just let your

coordinator know you will not be able to get a reauthorization or an

authorization for listing if that Case Manager does not received those

information. The case manager will not be calling the PCP for this information.

They will be calling the Transplant Center since they are assuming the

Transplant Center will have that information since it is part of the Transplant

protocol.

Austria

Specialty Contracting

Methodist Health System

1441 North Beckley Avenue

Dallas,Texas 75203

Phone:

Fax:

From:

TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

4:41 PM

To:

TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY

14642

(fax)

(pager)

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!

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this transmission in error, please notify the sender immediately by

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[Guest guest]

Thanks for responding

so quickly!

Basically, the

problem I am having right now is with someone who is already listed and has

been for several years. I sent updated clinical to her insurance recently

to get the auth recertified for another year, and they called me back wanting

to see a recent mammo/pap. The last one we have was done a while ago, and

per call to PCP they state that they do not have record of any more recent. So

naturally one would think that we would just ask the PCP to coordinate this for

the patient & let us know when it is scheduled so we can track down the

report…

I swear, I am

speaking another language or something…

I am waiting on a

response back about what our protocol is… since Bill, I love your email—as

always, thanks for the great tip. I’m sure the mammo/pap is a

part of our protocol and I can’t wait to confirm this and then remind our

administrator about being compliant with our own protocols… though I’m

not sure if the continued acceptance criteria will be different that initial

listing criteria… I’ll have to see.

I just am sick of the

nurses giving me a hard time when I’m just trying to do my job.

Will have to see how

this all plays out over the rest of the week.

For now, I’m

going home. I hear it’s snowing like crazy outside & I’m

sure it will take me forever to get home!

Goodnight!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To:

TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP office’s

job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

Thanks for responding

so quickly!

Basically, the

problem I am having right now is with someone who is already listed and has

been for several years. I sent updated clinical to her insurance recently

to get the auth recertified for another year, and they called me back wanting

to see a recent mammo/pap. The last one we have was done a while ago, and

per call to PCP they state that they do not have record of any more recent. So

naturally one would think that we would just ask the PCP to coordinate this for

the patient & let us know when it is scheduled so we can track down the

report…

I swear, I am

speaking another language or something…

I am waiting on a

response back about what our protocol is… since Bill, I love your email—as

always, thanks for the great tip. I’m sure the mammo/pap is a

part of our protocol and I can’t wait to confirm this and then remind our

administrator about being compliant with our own protocols… though I’m

not sure if the continued acceptance criteria will be different that initial

listing criteria… I’ll have to see.

I just am sick of the

nurses giving me a hard time when I’m just trying to do my job.

Will have to see how

this all plays out over the rest of the week.

For now, I’m

going home. I hear it’s snowing like crazy outside & I’m

sure it will take me forever to get home!

Goodnight!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To:

TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP office’s

job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

Thanks for responding

so quickly!

Basically, the

problem I am having right now is with someone who is already listed and has

been for several years. I sent updated clinical to her insurance recently

to get the auth recertified for another year, and they called me back wanting

to see a recent mammo/pap. The last one we have was done a while ago, and

per call to PCP they state that they do not have record of any more recent. So

naturally one would think that we would just ask the PCP to coordinate this for

the patient & let us know when it is scheduled so we can track down the

report…

I swear, I am

speaking another language or something…

I am waiting on a

response back about what our protocol is… since Bill, I love your email—as

always, thanks for the great tip. I’m sure the mammo/pap is a

part of our protocol and I can’t wait to confirm this and then remind our

administrator about being compliant with our own protocols… though I’m

not sure if the continued acceptance criteria will be different that initial

listing criteria… I’ll have to see.

I just am sick of the

nurses giving me a hard time when I’m just trying to do my job.

Will have to see how

this all plays out over the rest of the week.

For now, I’m

going home. I hear it’s snowing like crazy outside & I’m

sure it will take me forever to get home!

Goodnight!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong

Memorial Hospital

601

Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To:

TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

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

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP office’s

job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial

Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

HI Meredith,

Travel safely. When you next ask the

question and you get flak, which you will. Ask the coordinator if he/she

wants the patient to be transplanted. Tell her that the insurance company

can and will deny if the request is not met and that you are only doing what is

in the best interest of the patient.

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

6:06 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Thanks for responding so quickly!

Basically, the problem I am having right now is with

someone who is already listed and has been for several years. I sent

updated clinical to her insurance recently to get the auth recertified for

another year, and they called me back wanting to see a recent mammo/pap.

The last one we have was done a while ago, and per call to PCP they state that

they do not have record of any more recent. So naturally one would think

that we would just ask the PCP to coordinate this for the patient & let us

know when it is scheduled so we can track down the report…

I swear, I am speaking another language or

something…

I am waiting on a response back about what our protocol

is… since Bill, I love your email—as always, thanks for the great

tip. I’m sure the mammo/pap is a part of our protocol and I

can’t wait to confirm this and then remind our administrator about being

compliant with our own protocols… though I’m not sure if the

continued acceptance criteria will be different that initial listing

criteria… I’ll have to see.

I just am sick of the nurses giving me a hard time when

I’m just trying to do my job.

Will have to see how this all plays out over the rest of

the week.

For now, I’m going home. I hear it’s

snowing like crazy outside & I’m sure it will take me forever to get

home!

Goodnight!

Meredith

Gray

Liver

Transplant Financial Coordinator

University

of Rochester

Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

HI Meredith,

Travel safely. When you next ask the

question and you get flak, which you will. Ask the coordinator if he/she

wants the patient to be transplanted. Tell her that the insurance company

can and will deny if the request is not met and that you are only doing what is

in the best interest of the patient.

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

6:06 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Thanks for responding so quickly!

Basically, the problem I am having right now is with

someone who is already listed and has been for several years. I sent

updated clinical to her insurance recently to get the auth recertified for

another year, and they called me back wanting to see a recent mammo/pap.

The last one we have was done a while ago, and per call to PCP they state that

they do not have record of any more recent. So naturally one would think

that we would just ask the PCP to coordinate this for the patient & let us

know when it is scheduled so we can track down the report…

I swear, I am speaking another language or

something…

I am waiting on a response back about what our protocol

is… since Bill, I love your email—as always, thanks for the great

tip. I’m sure the mammo/pap is a part of our protocol and I

can’t wait to confirm this and then remind our administrator about being

compliant with our own protocols… though I’m not sure if the

continued acceptance criteria will be different that initial listing

criteria… I’ll have to see.

I just am sick of the nurses giving me a hard time when

I’m just trying to do my job.

Will have to see how this all plays out over the rest of

the week.

For now, I’m going home. I hear it’s

snowing like crazy outside & I’m sure it will take me forever to get

home!

Goodnight!

Meredith

Gray

Liver

Transplant Financial Coordinator

University

of Rochester

Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

HI Meredith,

Travel safely. When you next ask the

question and you get flak, which you will. Ask the coordinator if he/she

wants the patient to be transplanted. Tell her that the insurance company

can and will deny if the request is not met and that you are only doing what is

in the best interest of the patient.

Thanks,

Bill

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

Sent: Wednesday, February 27, 2008

6:06 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Thanks for responding so quickly!

Basically, the problem I am having right now is with

someone who is already listed and has been for several years. I sent

updated clinical to her insurance recently to get the auth recertified for

another year, and they called me back wanting to see a recent mammo/pap.

The last one we have was done a while ago, and per call to PCP they state that

they do not have record of any more recent. So naturally one would think

that we would just ask the PCP to coordinate this for the patient & let us

know when it is scheduled so we can track down the report…

I swear, I am speaking another language or

something…

I am waiting on a response back about what our protocol

is… since Bill, I love your email—as always, thanks for the great

tip. I’m sure the mammo/pap is a part of our protocol and I

can’t wait to confirm this and then remind our administrator about being

compliant with our own protocols… though I’m not sure if the

continued acceptance criteria will be different that initial listing

criteria… I’ll have to see.

I just am sick of the nurses giving me a hard time when

I’m just trying to do my job.

Will have to see how this all plays out over the rest of

the week.

For now, I’m going home. I hear it’s

snowing like crazy outside & I’m sure it will take me forever to get

home!

Goodnight!

Meredith

Gray

Liver

Transplant Financial Coordinator

University

of Rochester

Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester,

NY 14642

(fax)

(pager)

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 Vaughan

Sent: Wednesday, February 27, 2008

5:48 PM

To: TxFinancialCoordinators

Subject: RE:

Mammos & Paps--am I on some other planet here?

Hi Meredith,

I am going to ask a dumb question (something that I am good at).

Have you asked the nurse coordinators if the acceptance

criteria/evaluation protocol includes the requirement for a

“recent” mam/pap. If so, there should be something somewhere,

or the patient should not be listed (if they are then the center is out of

compliance with their own Policies, not good when CMS inspects). If not,

then the PCP’s office should be queried.

I am under the impression that most transplant centers have that

basic screening as part of their listing requirements.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Gray, Meredith M

Sent: Wednesday, February 27, 2008

5:41 PM

To: TxFinancialCoordinators

Subject:

Mammos & Paps--am I on some other planet here?

Help me, please; my nurses are

making me crazy!

Every time I inform the nurse

coordinator that the insurance has requested to see a “recent mammo &

pap” for a patient who I am trying to get authorized for liver txp

(either initially or to recertify txp auth for continued listing), all I get is

flak…

Check out this comment I just got

via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP

office’s job??”

Do the other centers out there

require these tests be on record in the patient’s chart if the woman is

over 50???!!

My goodness! I would think

that we want to know this stuff!!!!!

I’m just so frustrated

& I want to know if this is a part of other centers’ protocol &

how you handle things like this…

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood

Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

[Guest guest]

Many of our patients do not get listed because they have not provided the results for these tests. Bev>>> "Gray, Meredith M" 2/27/2008 5:41 PM >>>Help me, please; my nurses are making me crazy!Every time I inform the nurse coordinator that the insurance has requested to see a “recent mammo & pap†for a patient who I am trying to get authorized for liver txp (either initially or to recertify txp auth for continued listing), all I get is flak…Check out this comment I just got via email from one of my nurses: “Why do they keep asking US for this when it is her PCP office’s job??â€Do the other centers out there require these tests be on record in the patient’s chart if the woman is over 50???!!My goodness! I would think that we want to know this stuff!!!!!I’m just so frustrated & I want to know if this is a part of other centers’ protocol & how you handle things like this…Thanks!Meredith GrayLiver Transplant Financial CoordinatorUniversity of Rochester Strong Memorial Hospital601 Elmwood Avenue Box 602Rochester, NY 14642 (fax) (pager)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!

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Many of our patients do not get listed because they have not provided the results for these tests. Bev>>> "Gray, Meredith M" 2/27/2008 5:41 PM >>>Help me, please; my nurses are making me crazy!Every time I inform the nurse coordinator that the insurance has requested to see a “recent mammo & pap†for a patient who I am trying to get authorized for liver txp (either initially or to recertify txp auth for continued listing), all I get is flak…Check out this comment I just got via email from one of my nurses: “Why do they keep asking US for this when it is her PCP office’s job??â€Do the other centers out there require these tests be on record in the patient’s chart if the woman is over 50???!!My goodness! I would think that we want to know this stuff!!!!!I’m just so frustrated & I want to know if this is a part of other centers’ protocol & how you handle things like this…Thanks!Meredith GrayLiver Transplant Financial CoordinatorUniversity of Rochester Strong Memorial Hospital601 Elmwood Avenue Box 602Rochester, NY 14642 (fax) (pager)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!

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Many of our patients do not get listed because they have not provided the results for these tests. Bev>>> "Gray, Meredith M" 2/27/2008 5:41 PM >>>Help me, please; my nurses are making me crazy!Every time I inform the nurse coordinator that the insurance has requested to see a “recent mammo & pap†for a patient who I am trying to get authorized for liver txp (either initially or to recertify txp auth for continued listing), all I get is flak…Check out this comment I just got via email from one of my nurses: “Why do they keep asking US for this when it is her PCP office’s job??â€Do the other centers out there require these tests be on record in the patient’s chart if the woman is over 50???!!My goodness! I would think that we want to know this stuff!!!!!I’m just so frustrated & I want to know if this is a part of other centers’ protocol & how you handle things like this…Thanks!Meredith GrayLiver Transplant Financial CoordinatorUniversity of Rochester Strong Memorial Hospital601 Elmwood Avenue Box 602Rochester, NY 14642 (fax) (pager)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!

[Guest guest]

Yes, we require the same at our Kidney Center.

Medicare will pay for one pap every two years. I pay for the other thru KA.

Mamo the same. I verify if the insurance will pay full charges, if not we

schedule thru our center and pay with KA since is is required for listing.

Amellia Gay

ETMC Tyler Texas

>>> " Gray, Meredith M " 2/27/2008 4:41 PM >>>

Help me, please; my nurses are making me crazy!

Every time I inform the nurse coordinator that the insurance has

requested to see a " recent mammo & pap " for a patient who I am trying to

get authorized for liver txp (either initially or to recertify txp auth

for continued listing), all I get is flak...

Check out this comment I just got via email from one of my nurses:

" Why do they keep asking US for this when it is her PCP office's job?? "

Do the other centers out there require these tests be on record in the

patient's chart if the woman is over 50???!!

My goodness! I would think that we want to know this stuff!!!!!

I'm just so frustrated & I want to know if this is a part of other

centers' protocol & how you handle things like this...

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

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[Guest guest]

Meredith when I first became a TFC years ago I only got this once or twice and my response was, " Would you prefer to transplant someone with cervical or breast cancer?" I also informed the coordinators that the insurance company is like a bank and the authorization is like a check. I have not had any problems since..... It is now a requirement for the initial and annual evals across ALL transplant programs Good luckBEVERLY A LARSON wrote: Many of our patients do not get listed because they have not provided the results for these tests. Bev>>> "Gray, Meredith M" 2/27/2008 5:41 PM >>>Help me, please; my nurses are making me crazy!Every time I inform the nurse coordinator that the

insurance has requested to see a “recent mammo & pap†for a patient who I am trying to get authorized for liver txp (either initially or to recertify txp auth for continued listing), all I get is flak…Check out this comment I just got via email from one of my nurses: “Why do they keep asking US for this when it is her PCP office’s job??â€Do the other centers out there require these tests be on record in the patient’s chart if the woman is over 50???!!My goodness! I would think that we want to know this stuff!!!!!I’m just so frustrated & I want to know if this is a part of other centers’ protocol & how you handle things like this…Thanks!Meredith GrayLiver Transplant Financial CoordinatorUniversity of Rochester Strong Memorial Hospital601 Elmwood Avenue Box 602Rochester, NY 14642 (fax) (pager)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!

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[Guest guest]

Bessie,

That was a really good answer.

>>> Bessie Plummer 02/28/08 11:44 AM >>>

Meredith when I first became a TFC years ago I only got this once or

twice and my response was, " Would you prefer to transplant someone with

cervical or breast cancer? " I also informed the coordinators that the

insurance company is like a bank and the authorization is like a check.

I have not had any problems since.....

It is now a requirement for the initial and annual evals across ALL

transplant programs

Good luck

BEVERLY A LARSON wrote:

Many of our patients do not get listed because they have not provided

the results for these tests. Bev

>>> " Gray, Meredith M " 2/27/2008 5:41 PM >>>

Help me, please; my nurses are making me crazy!

Every time I inform the nurse coordinator that the insurance has

requested to see a “recent mammo & pap†for a patient who I am

trying to get authorized for liver txp (either initially or to recertify

txp auth for continued listing), all I get is flakâ€|

Check out this comment I just got via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP office’s

job??â€

Do the other centers out there require these tests be on record in the

patient’s chart if the woman is over 50???!!

My goodness! I would think that we want to know this stuff!!!!!

I’m just so frustrated & I want to know if this is a part of other

centers’ protocol & how you handle things like thisâ€|

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

---------------------------------

Never miss a thing. Make Yahoo your homepage.

[Guest guest]

Bessie,

That was a really good answer.

>>> Bessie Plummer 02/28/08 11:44 AM >>>

Meredith when I first became a TFC years ago I only got this once or

twice and my response was, " Would you prefer to transplant someone with

cervical or breast cancer? " I also informed the coordinators that the

insurance company is like a bank and the authorization is like a check.

I have not had any problems since.....

It is now a requirement for the initial and annual evals across ALL

transplant programs

Good luck

BEVERLY A LARSON wrote:

Many of our patients do not get listed because they have not provided

the results for these tests. Bev

>>> " Gray, Meredith M " 2/27/2008 5:41 PM >>>

Help me, please; my nurses are making me crazy!

Every time I inform the nurse coordinator that the insurance has

requested to see a “recent mammo & pap†for a patient who I am

trying to get authorized for liver txp (either initially or to recertify

txp auth for continued listing), all I get is flakâ€|

Check out this comment I just got via email from one of my nurses:

“Why do they keep asking US for this when it is her PCP office’s

job??â€

Do the other centers out there require these tests be on record in the

patient’s chart if the woman is over 50???!!

My goodness! I would think that we want to know this stuff!!!!!

I’m just so frustrated & I want to know if this is a part of other

centers’ protocol & how you handle things like thisâ€|

Thanks!

Meredith Gray

Liver Transplant Financial Coordinator

University of Rochester Strong Memorial Hospital

601 Elmwood Avenue Box 602

Rochester, NY 14642

(fax)

(pager)

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!

---------------------------------

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