RE: TX aborted; who pays surgeons/anesthesia chgs?

[Guest guest]

Hi Robin,

Just to double check, the cancer was not

discovered until the donor was open and the surgeon could see the kidney, is

that correct? And, at that point the transplant was cancelled? Or,

was the kidney removed and then the cancer was discovered?

The reason that it is an issue is that if

the kidney was removed as the beginning of treatment for the cancer then the

donor is responsible.

If the cancer was discovered after the

kidney was removed and then the transplant cancelled, the center is responsible

and the organ recovery costs go on the cost report including all physician and

surgeon fees.

I also hope that during the informed

consent process for the donor for evaluation and surgery that the donor

understood that if treatment was required, that the donor not the center is

responsible.

Hope this helps,

Thanks,

Bill

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

Sent: Friday, December 19, 2008

9:11 AM

To: 'TxFinancialCoordinators '

Cc: DiSanto, Robin

Subject:

TX aborted; who pays surgeons/anesthesia chgs?

We recently had a tx aborted due to donor

having cancer of the kidney. I am under the understanding that the surgeons'

charges for removal of kidney as well as anesthesia charges are to be paid by

our tx center..is this correct?

Robin

DiSanto

Financial Counselor

Transplant Services

Baystate Medical Center

Phone

Fax

Re: Kurt Wiesel

Carol Reid wanted me to verify something with you. I

emailed you on 12/3/08 about the transplant that was aborted for Gentile.

Donor was Kurt Wiesel. I was told by my transplant e-group that all bills

had to be paid by us by both recipient/donor. A bill just came in for

anesthesiology on Kurt Wiesel for $2530.00. Can you confirm that this is

how the billing should be done?The bill has the procedure code 00862 for

$2530.00. Should this go to V06 account? Thanks

Robin

DiSanto

Financial Counselor

Transplant Services

Baystate Medical Center

Phone

Fax

[Guest guest]

An ultrasound and CAT scan was performed prior to scheduled transplant and there was a suspicion of cancer then. The recipient opted on waiting to see what the findings were before she received anesthesia. After the kidney was removed from donor it took the entire day for pathology to identify that it was cancer. Then the transplant was cancelled. Therefore, ALL CHARGES for DONOR/RECIPIENT (inpatient hospital charges, anethesia and surgery costs) must be paid by the transplant center. Correct, Bill? Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax Re: Kurt WieselCarol Reid wanted me to verify something with you. I emailed you on 12/3/08 about the transplant that was aborted for Gentile. Donor was Kurt Wiesel. I was told by my transplant e-group that all bills had to be paid by us by both recipient/donor. A bill just came in for anesthesiology on Kurt Wiesel for $2530.00. Can you confirm that this is how the billing should be done?The bill has the procedure code 00862 for $2530.00. Should this go to V06 account? ThanksRobin DiSantoFinancial CounselorTransplant ServicesBaystate Medical CenterPhoneFax

[Guest guest]

Hi Robin,

From what you are describing, the recovery

surgery was not to be a part of the cancer treatment because there was no

diagnosis. The decision to not transplant was only made after pathology

finished its testing and made a diagnosis. In this case, the center is

responsible for all donor and recipient charges. Yes to your direct

question.

Had there been a needle biopsy (if that is

even done) and the decision was made that there was cancer and then the kidney

was removed as a part of treatment for cancer, then the donor would have been

responsible for the surgery. Additionally, the recipient’s charges,

if the recipient was admitted, would have been the responsibility of the Transplant Center.

Hope this helps,

Thanks,

Bill

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

Sent: Friday, December 19, 2008

9:32 AM

To: 'TxFinancialCoordinators '

Subject: RE:

TX aborted; who pays surgeons/anesthesia chgs?

An ultrasound and CAT scan was performed

prior to scheduled transplant and there was a suspicion of cancer then.

The recipient opted on waiting to see what the findings were before she

received anesthesia. After the kidney was removed from donor it took the

entire day for pathology to identify that it was cancer. Then the

transplant was cancelled.

Therefore, ALL CHARGES for DONOR/RECIPIENT (inpatient hospital

charges, anethesia and surgery costs) must be paid by the transplant center.

Correct, Bill?

Robin DiSanto

Financial

Counselor

Transplant Services

Baystate Medical Center

Phone(413)

794-2601

Fax

Re: Kurt Wiesel

Carol

Reid wanted me to verify something with you. I emailed you on 12/3/08

about the transplant that was aborted for Gentile. Donor was Kurt

Wiesel. I was told by my transplant e-group that all bills had to be paid

by us by both recipient/donor. A bill just came in for anesthesiology on

Kurt Wiesel for $2530.00. Can you confirm that this is how the billing

should be done?The bill has the procedure code 00862 for $2530.00. Should this

go to V06 account? Thanks

Robin DiSanto

Financial

Counselor

Transplant

Services

Baystate Medical Center

Phone(413)

794-2601

Fax (413)

794-2603

[Guest guest]

thanks Bill! Robin DiSanto Financial Counselor Transplant Services Baystate Medical Center Phone Fax Re: Kurt WieselCarol Reid wanted me to verify something with you. I emailed you on 12/3/08 about the transplant that was aborted for Gentile. Donor was Kurt Wiesel. I was told by my transplant e-group that all bills had to be paid by us by both recipient/donor. A bill just came in for anesthesiology on Kurt Wiesel for $2530.00. Can you confirm that this is how the billing should be done?The bill has the procedure code 00862 for $2530.00. Should this go to V06 account? ThanksRobin DiSantoFinancial CounselorTransplant ServicesBaystate Medical CenterPhoneFax