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RE: New question to the group

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I have a patient that has Medicare part A only at this time, and will not be

eligible for part B until July 1st of this year. This is the only insurance this

patient has now. He is a Veteran that has received services at the VA. The

patient is being referred to our transplant facility for the liver work-up and

transplant. We could have all testing performed there with only minimal

medical charges (write - off) here if the physicians agree, but would he count

as a medicare reimbursable liver on the cost report? My administrator would

like for me to find out before we accept this patient. Please help....

_____

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I have a patient that has Medicare part A only at this time, and will not be

eligible for part B until July 1st of this year. This is the only insurance this

patient has now. He is a Veteran that has received services at the VA. The

patient is being referred to our transplant facility for the liver work-up and

transplant. We could have all testing performed there with only minimal

medical charges (write - off) here if the physicians agree, but would he count

as a medicare reimbursable liver on the cost report? My administrator would

like for me to find out before we accept this patient. Please help....

_____

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Since Medicare would be the primary payer for services rendered @ your facility, or any facility outside of the VA, then he would count as a Medicare pt when it comes to the actual tx surgery.

J. Aguiar

Mayo Clinic Arizona

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of IngramSent: Wednesday, March 12, 2008 11:50 AMTo: TxFinancialCoordinators Subject: RE: New question to the group

I have a patient that has Medicare part A only at this time, and will not be eligible for part B until July 1st of this year. This is the only insurance this patient has now. He is a Veteran that has received services at the VA. The patient is being referred to our transplant facility for the liver work-up and transplant. We could have all testing performed there with only minimal medical charges (write - off) here if the physicians agree, but would he count as a medicare reimbursable liver on the cost report? My administrator would like for me to find out before we accept this patient. Please help....Thanks, Ingram, TFCTransplant Financial Case ManagerMethodist University Hospital1265 Union AveMemphis, TN 38104 faxingrambmethodisthealth (DOT) org

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Since Medicare would be the primary payer for services rendered @ your facility, or any facility outside of the VA, then he would count as a Medicare pt when it comes to the actual tx surgery.

J. Aguiar

Mayo Clinic Arizona

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of IngramSent: Wednesday, March 12, 2008 11:50 AMTo: TxFinancialCoordinators Subject: RE: New question to the group

I have a patient that has Medicare part A only at this time, and will not be eligible for part B until July 1st of this year. This is the only insurance this patient has now. He is a Veteran that has received services at the VA. The patient is being referred to our transplant facility for the liver work-up and transplant. We could have all testing performed there with only minimal medical charges (write - off) here if the physicians agree, but would he count as a medicare reimbursable liver on the cost report? My administrator would like for me to find out before we accept this patient. Please help....Thanks, Ingram, TFCTransplant Financial Case ManagerMethodist University Hospital1265 Union AveMemphis, TN 38104 faxingrambmethodisthealth (DOT) org

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