living donor nephrectomy-bill acquisition charge if tx was not performed?

[Guest guest]

Good Morning everyone!

We attempted to do a tx last week but the recipient did not receive the

living donor's kidney because it was found after acquisition that the

donor had cancer of this kidney. But the acquisition of the kidney was

performed. Do I bill the acquisition charge?

[Guest guest]

Hi Robin,

The transplant was cancelled do to no fault

of the recipient. The recipients admission registration should be changed to

pre transplant and the charges for all services to the recipient for the

admission should be billed to the transplant center just like an evaluation

bill. It should be logged for inclusion on the cost report and the charges

written off to a contractual allowance. This is the same thing that would be

done if there was a positive crossmatch. Bottom line is a final decision was

made that the transplant would not happen at that time through no fault of the recipient.

Since there was no care, there was nothing to bill.

If the donor was treated for the cancer,

the bill for donor services would go to the donor. If the organ was removed

and the donor closed and sent home with no medical treatment for the cancer,

the donor bill would be logged for inclusion on the cost report and written off

to a contractual allowance.

Hope this helps,

Thanks,

Bill

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of robindisanto

Sent: Monday, December 08, 2008

9:15 AM

To:

TxFinancialCoordinators

Subject:

living donor nephrectomy-bill acquisition charge if tx was not performed?

Good Morning everyone!

We attempted to do a tx last week but the recipient did not receive the

living donor's kidney because it was found after acquisition that the

donor had cancer of this kidney. But the acquisition of the kidney was

performed. Do I bill the acquisition charge?

[Guest guest]

thank you so much Bill-it certainly helps! I will bill the living donor's charges (nephrectomy) to Medicare cost report. Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of VaughanSent: Monday, December 08, 2008 9:28 AMTo: TxFinancialCoordinators Subject: RE: living donor nephrectomy-bill acquisition charge if tx was not performed?Hi Robin,The transplant was cancelled do to no fault of the recipient. The recipients admission registration should be changed to pre transplant and the charges for all services to the recipient for the admission should be billed to the transplant center just like an evaluation bill. It should be logged for inclusion on the cost report and the charges written off to a contractual allowance. This is the same thing that would be done if there was a positive crossmatch. Bottom line is a final decision was made that the transplant would not happen at that time through no fault of the recipient. Since there was no care, there was nothing to bill.If the donor was treated for the cancer, the bill for donor services would go to the donor. If the organ was removed and the donor closed and sent home with no medical treatment for the cancer, the donor bill would be logged for inclusion on the cost report and written off to a contractual allowance.Hope this helps,Thanks,BillFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of robindisantoSent: Monday, December 08, 2008 9:15 AMTo: TxFinancialCoordinators Subject: living donor nephrectomy-bill acquisition charge if tx was not performed?Good Morning everyone! We attempted to do a tx last week but the recipient did not receive the living donor's kidney because it was found after acquisition that the donor had cancer of this kidney. But the acquisition of the kidney was performed. Do I bill the acquisition charge?

[Guest guest]

FYI Both recipients and living donor nephrectomy must be billed to V06 Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of VaughanSent: Monday, December 08, 2008 9:28 AMTo: TxFinancialCoordinators Subject: RE: living donor nephrectomy-bill acquisition charge if tx was not performed?Hi Robin,The transplant was cancelled do to no fault of the recipient. The recipients admission registration should be changed to pre transplant and the charges for all services to the recipient for the admission should be billed to the transplant center just like an evaluation bill. It should be logged for inclusion on the cost report and the charges written off to a contractual allowance. This is the same thing that would be done if there was a positive crossmatch. Bottom line is a final decision was made that the transplant would not happen at that time through no fault of the recipient. Since there was no care, there was nothing to bill.If the donor was treated for the cancer, the bill for donor services would go to the donor. If the organ was removed and the donor closed and sent home with no medical treatment for the cancer, the donor bill would be logged for inclusion on the cost report and written off to a contractual allowance.Hope this helps,Thanks,BillFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of robindisantoSent: Monday, December 08, 2008 9:15 AMTo: TxFinancialCoordinators Subject: living donor nephrectomy-bill acquisition charge if tx was not performed?Good Morning everyone! We attempted to do a tx last week but the recipient did not receive the living donor's kidney because it was found after acquisition that the donor had cancer of this kidney. But the acquisition of the kidney was performed. Do I bill the acquisition charge?

[Guest guest]

Bill, should I be billing for the acquisition of the kidney as well even though the recipient never received the kidney? Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of VaughanSent: Monday, December 08, 2008 9:28 AMTo: TxFinancialCoordinators Subject: RE: living donor nephrectomy-bill acquisition charge if tx was not performed?Hi Robin,The transplant was cancelled do to no fault of the recipient. The recipients admission registration should be changed to pre transplant and the charges for all services to the recipient for the admission should be billed to the transplant center just like an evaluation bill. It should be logged for inclusion on the cost report and the charges written off to a contractual allowance. This is the same thing that would be done if there was a positive crossmatch. Bottom line is a final decision was made that the transplant would not happen at that time through no fault of the recipient. Since there was no care, there was nothing to bill.If the donor was treated for the cancer, the bill for donor services would go to the donor. If the organ was removed and the donor closed and sent home with no medical treatment for the cancer, the donor bill would be logged for inclusion on the cost report and written off to a contractual allowance.Hope this helps,Thanks,BillFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of robindisantoSent: Monday, December 08, 2008 9:15 AMTo: TxFinancialCoordinators Subject: living donor nephrectomy-bill acquisition charge if tx was not performed?Good Morning everyone! We attempted to do a tx last week but the recipient did not receive the living donor's kidney because it was found after acquisition that the donor had cancer of this kidney. But the acquisition of the kidney was performed. Do I bill the acquisition charge?

[Guest guest]

HI Robin,

There will be no acquisition charge since

the transplant did not take place, just the charges from admission to

discharge.

Hope this helps,

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of DiSanto, Robin

Sent: Monday, December 08, 2008

11:46 AM

To:

'TxFinancialCoordinators '

Subject: RE:

living donor nephrectomy-bill acquisition charge if

tx was not performed?

Bill, should I be billing for the

acquisition of the kidney as well even though the recipient never received the

kidney?

Robin DiSanto

Financial

Counselor

Transplant Services

Baystate Medical Center

Phone(413)

794-2601

Fax

living donor nephrectomy-bill acquisition charge if tx was not performed?

Good

Morning everyone!

We attempted to do a tx last week but the recipient did not receive the

living donor's kidney because it was found after acquisition that the

donor had cancer of this kidney. But the acquisition of the kidney was

performed. Do I bill the acquisition charge?

[Guest guest]

thanks Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax RE: living donor nephrectomy-bill acquisition charge if tx was not performed?Bill, should I be billing for the acquisition of the kidney as well even though the recipient never received the kidney?Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax -----Original Message-----From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of VaughanSent: Monday, December 08, 2008 9:28 AMTo: TxFinancialCoordinators Subject: RE: living donor nephrectomy-bill acquisition charge if tx was not performed?Hi Robin,The transplant was cancelled do to no fault of the recipient. The recipients admission registration should be changed to pre transplant and the charges for all services to the recipient for the admission should be billed to the transplant center just like an evaluation bill. It should be logged for inclusion on the cost report and the charges written off to a contractual allowance. This is the same thing that would be done if there was a positive crossmatch. Bottom line is a final decision was made that the transplant would not happen at that time through no fault of the recipient. Since there was no care, there was nothing to bill.If the donor was treated for the cancer, the bill for donor services would go to the donor. If the organ was removed and the donor closed and sent home with no medical treatment for the cancer, the donor bill would be logged for inclusion on the cost report and written off to a contractual allowance.Hope this helps,Thanks,BillFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of robindisantoSent: Monday, December 08, 2008 9:15 AMTo: TxFinancialCoordinators Subject: living donor nephrectomy-bill acquisition charge if tx was not performed?Good Morning everyone! We attempted to do a tx last week but the recipient did not receive the living donor's kidney because it was found after acquisition that the donor had cancer of this kidney. But the acquisition of the kidney was performed. Do I bill the acquisition charge?