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

[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)

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[Guest guest]

As a renal transplant nurse coordinator who does too much with the financial

end, yes. We want to know pap and mammo status. Its basic cancer screening. The

reason the nurse is probably saying that is, the transplant center does not

order it because the PCP should be doing it on a yearly basis anyway. The pt

should be proactive and get their own pap and mammo every year anyway. The nurse

is probably requesting it from the PCP .. We will order the pap and mammo as

part of the eval if the pt and PCP has not kept up with the yearly screening,

which happens ALL the time. .

The nurse may be overworked. Are you able to access the electronic medical

record or hard copy and get the mammo and pap report yourself? Mammos are over

40 and under with a family history of breast cancer. Paps are for everyone with

a uterus and GYN if they have ovaries only. If they have had a total

hysterectomy, we ask GYN to clear them once for transplant (meaning no female

parts to get cancer)

Patti Montemayor, RN CCTC

Transplant Coordinator

and White Hospital

2401 S. 31st Street

Temple, TX 76508

254/724-8448

FAX 254/724-8772

>>> plmmrb@... 2/28/2008 10:44 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 â€*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:

â€*Why do they keep asking US for this when it is her PCP officeâ€*s job??â€

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

patientâ€*s chart if the woman is over 50???!!

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

Iâ€*m just so frustrated & I want to know if this is a part of other centersâ€*

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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