RE: re: how much Medicare pays for transplant recipient

[Guest guest]

Yes Medicare will

pay 80% of the allowable charges

Beverly Antoine, LPN

Transplant Financial Coordinator

LSU-UMC

Laffayette, LA

bantoi@...

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

Sent: Tuesday, October 28, 2008

1:03 PM

To: TxFinancialCoordinators

Subject:

re: how much Medicare pays for transplant recipient

In the Medicare booklet it states that Medicare pays a

part of the cost

of tx for recipient. I have a patient with Medicare prime and another

medical plan with huge ded/out of pocket. I would like to know the

percentage that Medicare would pay...is it 80%? So I can tell the pt

what the 2nd insurance will have to pay.

[Guest guest]

Robin,

Medicare Part B pays @ 80%-pt is responsible for the 20% left plus calendar year

ded.

Part A pays according to DRG for inpt stays & the pt's responsibility depends on

where he/she is in their benefit period as outlined here

http://questions.medicare.gov/cgi-bin/medicare.cfg/php/enduser/std_adp.php?p_faq\

id=2100 (someone also posted this to the listserev last week in a different

format that compared the '08 rates to the new '09 rates, if you still have that,

Robin).

J. Aguiar

Mayo Clinic Arizona

________________________________

From: TxFinancialCoordinators on behalf of robindisanto

Sent: Tue 10/28/2008 1:02 PM

To: TxFinancialCoordinators

Subject: re: how much Medicare pays for transplant

recipient

In the Medicare booklet it states that Medicare pays a part of the cost

of tx for recipient. I have a patient with Medicare prime and another

medical plan with huge ded/out of pocket. I would like to know the

percentage that Medicare would pay...is it 80%? So I can tell the pt

what the 2nd insurance will have to pay.

[Guest guest]

Actually Part A covers the transplant

hospital visit, covers the entire visit with the exception of the IP deductible

$1024 for 2008; $1068 for 2009. Part B covers 80% for outpatient and

physicians.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Antoine, Beverly A.

Sent: Tuesday, October 28, 2008

4:50 PM

To: TxFinancialCoordinators

Subject: RE:

re: how much Medicare pays for transplant recipient

Yes Medicare will pay 80% of the allowable charges

Beverly Antoine,

LPN

Transplant

Financial Coordinator

LSU-UMC

Laffayette, LA

bantoilsuhsc (DOT) edu

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of robindisanto

Sent: Tuesday, October 28, 2008

1:03 PM

To: TxFinancialCoordinators

Subject:

re: how much Medicare pays for transplant recipient

In the

Medicare booklet it states that Medicare pays a part of the cost

of tx for recipient. I have a patient with Medicare prime and another

medical plan with huge ded/out of pocket. I would like to know the

percentage that Medicare would pay...is it 80%? So I can tell the pt

what the 2nd insurance will have to pay.

[Guest guest]

what does DRG stand for? Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax re: how much Medicare pays for transplant recipient> > > > In the Medicare booklet it states that Medicare pays a part of the cost > of tx for recipient. I have a patient with Medicare prime and another > medical plan with huge ded/out of pocket. I would like to know the > percentage that Medicare would pay...is it 80%? So I can tell the pt > what the 2nd insurance will have to pay.>

[Guest guest]

Hi Robin,

The “joke” is “Dirty

Rotten Government”, but it is either Diagnostic Related Group or

Diagnosis Related Group”, it is the inpatient payment system that

Medicare has in place. The lump sum payment that is paid for inpatient hospital

services.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of DiSanto, Robin

Sent: Friday, October 31, 2008

9:10 AM

To: 'TxFinancialCoordinators '

Subject: RE:

Re: how much Medicare pays for transplant recipient

what does DRG stand for?

Robin DiSanto

Financial

Counselor

Transplant Services

Baystate Medical Center

Phone(413)

794-2601

Fax

re: how much Medicare pays for

transplant recipient

>

>

>

> In the Medicare booklet it states that Medicare pays a part of the

cost

> of tx for recipient. I have a patient with Medicare prime and

another

> medical plan with huge ded/out of pocket. I would like to know the

> percentage that Medicare would pay...is it 80%? So I can tell the

pt

> what the 2nd insurance will have to pay.

>

[Guest guest]

thanks!!! that does help Bill! Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax re: how much Medicare pays for transplant recipient> > > > In the Medicare booklet it states that Medicare pays a part of the cost > of tx for recipient. I have a patient with Medicare prime and another > medical plan with huge ded/out of pocket. I would like to know the > percentage that Medicare would pay...is it 80%? So I can tell the pt > what the 2nd insurance will have to pay.>

[Guest guest]

Does anyone know what a " Patient access fee " is ?

Naqisah Beccles

Financial Coordinator

Albert Einstein Medical Center

Department of Surgery

>>> " Vaughan " 10/31/2008 9:58 AM >>>

Hi Robin,

The " joke " is " Dirty Rotten Government " , but it is either Diagnostic Related

Group or Diagnosis Related Group " , it is the inpatient payment system that

Medicare has in place. The lump sum payment that is paid for inpatient

hospital services.

Hope this helps,

Thanks,

Bill

_____

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of DiSanto, Robin

Sent: Friday, October 31, 2008 9:10 AM

To: 'TxFinancialCoordinators '

Subject: RE: Re: how much Medicare pays for

transplant recipient

what does DRG stand for?

Robin DiSanto

Financial Counselor

Transplant Services

Baystate Medical Center

Phone

Fax

re: how much Medicare pays for

transplant recipient

>

>

>

> In the Medicare booklet it states that Medicare pays a part of the

cost

> of tx for recipient. I have a patient with Medicare prime and

another

> medical plan with huge ded/out of pocket. I would like to know the

> percentage that Medicare would pay...is it 80%? So I can tell the

pt

> what the 2nd insurance will have to pay.

>

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