RE: Medicare Replacement Plans

[Guest guest]

HI Pat,

Unless the center has a letter from CMS

directly indicating that it may include the organ as a Medicare Organ, then it

must be handled like a commercial transplant. If it is a Medicare

Advantage Plan, they are supposed to pay like Medicare which includes the

average cost for a transplanted kidney from the Cost Report. Contracting

will have to work with the Cost Report staff and then with the payer.

Hope this helps, and that all are having a

wonderful and wonderfilled holiday season,

Thanks,

Bill

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Kreci,

Sent: Tuesday, December 30, 2008

10:47 AM

To: TxFinancialCoordinators

Subject:

Medicare Replacement Plans

Hello everyone, and I am hoping

everyone is having a wonderful holiday season and have a Happy New Year!

I have a question primarily for Bill

but I am sure everyone may wonder, or we may have had this question before and

I just don’t remember. If a patient has a Medicare

replacement plan, is this considered a Medicare transplant on the cost report

or is considered a commercial insurance ? Thanks in advance!

Kreci

Transplant Financial Coordinator

Southwest

Fla Regional Medical

Center

2727 Winkler Ave

Ft Myers, FL 33901

fax

This email may contain CONFIDENTIAL PATIENT

INFORMATION, which may also be legally PRIVILEGED, and which is intended to be

read and or used only by the individual entity named above. If the reader

of this e-mail is NOT the intended recipient, you are hereby notified that you

are in possession of confidential and privileged information. Any

disclosure, dissemination, distribution, copying or the taking of any action in

reliance of the contents of this information is strictly prohibited.

If you have received this e-mail in error, please immediately notify the sender

by telephone, and return the original. Redisclosure of this information

is prohibited without the written authorization of the patient to whom it

pertains.

[Guest guest]

Thanks so much Bill, and same for you !

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

Sent: Tuesday, December 30, 2008

11:15 AM

To: TxFinancialCoordinators

Subject: RE:

Medicare Replacement Plans

HI Pat,

Unless the center has a letter from CMS directly indicating that it

may include the organ as a Medicare Organ, then it must be handled like a

commercial transplant. If it is a Medicare Advantage Plan, they are

supposed to pay like Medicare which includes the average cost for a

transplanted kidney from the Cost Report. Contracting will have to work

with the Cost Report staff and then with the payer.

Hope this helps, and that all are having a wonderful and

wonderfilled holiday season,

Thanks,

Bill

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Kreci,

Sent: Tuesday, December 30, 2008

10:47 AM

To: TxFinancialCoordinators

Subject:

Medicare Replacement Plans

Hello everyone, and I am hoping

everyone is having a wonderful holiday season and have a Happy New Year!

I have a question primarily for Bill

but I am sure everyone may wonder, or we may have had this question before and

I just don’t remember. If a patient has a Medicare

replacement plan, is this considered a Medicare transplant on the cost report

or is considered a commercial insurance ? Thanks in advance!

Kreci

Transplant Financial Coordinator

Southwest

Fla Regional Medical

Center

2727 Winkler

Ave

Ft Myers,

FL 33901

fax

This email may contain CONFIDENTIAL PATIENT

INFORMATION, which may also be legally PRIVILEGED, and which is intended to be

read and or used only by the individual entity named above. If the reader

of this e-mail is NOT the intended recipient, you are hereby notified that you

are in possession of confidential and privileged information. Any

disclosure, dissemination, distribution, copying or the taking of any action in

reliance of the contents of this information is strictly prohibited.

If you have received this e-mail in error, please immediately notify the sender

by telephone, and return the original. Redisclosure of this information

is prohibited without the written authorization of the patient to whom it

pertains.