RE: Medicare coverage for Allo PSC transplant

[Guest guest]

MDS does not fall under the covered, or

non-covered category for an Allo. Per the Medicare guidelines, coverage for

conditions other than these specifically designated as covered or noncovered

are left to the individual intermediary’s discretion. Our facility has had

luck getting paid for diagnosis’s that do not show up as covered or

noncovered.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Callery, AnneMarie

Sent: Tuesday, September 30, 2008

3:44 PM

To:

TxFinancialCoordinators

Subject:

Medicare coverage for Allo PSC transplant

Hi all:

I was

wondering if anyone has experience with Medicare coverage of Allogeneic stem

cell transplant for the diagnosis of MDS.

It is my

understanding that this is non covered DX for this procedure.

Your input

is appreciated.

Thanks,

Anne Marie

Callery

Transplant

Financial Coordinator

Tufts Medical Center

800 Washington Street

Box 819

Boston, MA. 02111

T (617)

636-0692

F (617)

636-6041

acallerytuftsmedicalcenter (DOT) org

www.tuftsmedicalcenter.org

[Guest guest]

We also have been paid for this diagnosis. From what I was told by Medicare, if there is no LCD stating that it is non-covered it will be paid but possibly subject to review afterwards. We did not have a problem.

Tina Transplant Financial Coordinator Cannon BMT Program2300 St.,3N Parkview/BMT-OncologyNashville, TN 37203(615)342-3388 Phone(615)929-2847 Pager(615)342-7641 FaxTina.@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Spiegel, Sent: Tuesday, September 30, 2008 2:59 PMTo: TxFinancialCoordinators Subject: RE: Medicare coverage for Allo PSC transplant

MDS does not fall under the covered, or non-covered category for an Allo. Per the Medicare guidelines, coverage for conditions other than these specifically designated as covered or noncovered are left to the individual intermediary’s discretion. Our facility has had luck getting paid for diagnosis’s that do not show up as covered or noncovered.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Callery, AnneMarieSent: Tuesday, September 30, 2008 3:44 PMTo: TxFinancialCoordinators Subject: Medicare coverage for Allo PSC transplant

Hi all:

I was wondering if anyone has experience with Medicare coverage of Allogeneic stem cell transplant for the diagnosis of MDS.

It is my understanding that this is non covered DX for this procedure.

Your input is appreciated.

Thanks,

Anne Marie Callery

Transplant Financial Coordinator

Tufts Medical Center

800 Washington Street

Box 819

Boston, MA. 02111

T

F

acallerytuftsmedicalcenter (DOT) org

www.tuftsmedicalcenter.org

[Guest guest]

Thank you Tina and for your feedback

Did you have the patient sign an ABN ?

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

Sent: Thursday, October 02, 2008

7:10 AM

To: TxFinancialCoordinators

Subject: RE:

Medicare coverage for Allo PSC transplant

We also have been paid for this diagnosis.

From what I was told by Medicare, if there is no LCD stating that it is

non-covered it will be paid but possibly subject to review afterwards. We did

not have a problem.

Tina

Transplant Financial Coordinator

Cannon BMT Program

2300 St.,3N

Parkview/BMT-Oncology

Nashville, TN 37203

(615)342-3388 Phone

(615)929-2847 Pager

(615)342-7641 Fax

Tina.HCAHealthcare

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Spiegel,

Sent: Tuesday, September 30, 2008

2:59 PM

To: TxFinancialCoordinators

Subject: RE:

Medicare coverage for Allo PSC transplant

MDS does not fall under the covered, or non-covered category for an

Allo. Per the Medicare guidelines, coverage for conditions other than these

specifically designated as covered or noncovered are left to the individual

intermediary’s discretion. Our facility has had luck getting paid for

diagnosis’s that do not show up as covered or noncovered.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Callery, AnneMarie

Sent: Tuesday, September 30, 2008

3:44 PM

To: TxFinancialCoordinators

Subject:

Medicare coverage for Allo PSC transplant

Hi all:

I was

wondering if anyone has experience with Medicare coverage of Allogeneic stem

cell transplant for the diagnosis of MDS.

It is

my understanding that this is non covered DX for this procedure.

Your

input is appreciated.

Thanks,

Anne

Marie Callery

Transplant

Financial Coordinator

Tufts

Medical Center

800 Washington Street

Box 819

Boston, MA. 02111

T (617)

636-0692

F

acallerytuftsmedicalcenter (DOT) org

www.tuftsmedicalcenter.org