Guest guest Posted December 18, 2000 Report Share Posted December 18, 2000 Hi Everyone Another question. If Medicare becomes primary about two years after transplant (Kidney) will Medicare then take over as primary payor for immunosuppressives even though they were not primary payor at the time of the transplant? I am having trouble with Stadtlanders getting paid in this situation. Has anyone else had trouble with Stadtlanders or other pharmacies not sending out patients meds because of unpaid balances? Happy Holidays to all Buccheri hartford Transplant Program Happy Holidays to all >>> LAguiar@... 12/13/00 01:34PM >>> hepatomas is a maligancy, but the challenge that I am being given is what if the malignancy happen as a result of the hepatitis c, than would anyone know if Medicare would or could this be a covered transplant. Has this scenario happened to anyone. [(Aguiar, )] Again, only if the HCC is an incidental finding @ the time of tx (meaning the pathologist is overheard saying " Oh, look what I found " while examining the explanted liver). If the pt has confirmed HCC pre-tx, regardless of the etiology (i.e., HCV), that's not considered " incidental " . Good question for the Medicare speaker in SLC, though, don't you think? J. Aguiar Beth Israel Deaconess, Boston Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2000 Report Share Posted December 18, 2000 i agree, the problem is when the 36 or 44 months are up, then the EGHP will be primary and everyone will be confused!! RE: FW: Support > > Hi Everyone > > Another question. If Medicare becomes primary about two years after > transplant (Kidney) will Medicare then take over as primary payor for > immunosuppressives even though they were not primary payor at the time of > the transplant? I am having trouble with Stadtlanders getting paid in this > situation. Has anyone else had trouble with Stadtlanders or other > pharmacies not sending out patients meds because of unpaid balances? > > Happy Holidays to all > Buccheri > hartford Transplant Program > > Happy Holidays to all > > >>> LAguiar@... 12/13/00 01:34PM >>> > hepatomas is a maligancy, but the challenge that I am being given is what > if > the malignancy happen as a result of the hepatitis c, than would anyone > know > if Medicare would or could this be a covered transplant. Has this > scenario > happened to anyone. > [(Aguiar, )] Again, only if the HCC is an incidental finding @ the > time > of tx (meaning the pathologist is overheard saying " Oh, look what I found " > while examining the explanted liver). If the pt has confirmed HCC pre-tx, > regardless of the etiology (i.e., HCV), that's not considered > " incidental " . > > > Good question for the Medicare speaker in SLC, though, don't you > think? > > J. Aguiar > Beth Israel Deaconess, Boston > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 18, 2000 Report Share Posted December 18, 2000 I say yes that Medicare will be prime for the remainder of the 36 month period, but no longer. But Stantlander should start to bill Medicare for primary and not the patient. Karla Christensen > RE: FW: Support > > Hi Everyone > > Another question. If Medicare becomes primary about two years after > transplant (Kidney) will Medicare then take over as primary payor for > immunosuppressives even though they were not primary payor at the time of > the transplant? I am having trouble with Stadtlanders getting paid in this > situation. Has anyone else had trouble with Stadtlanders or other > pharmacies not sending out patients meds because of unpaid balances? > > Happy Holidays to all > Buccheri > hartford Transplant Program > > Happy Holidays to all > > >>> LAguiar@... 12/13/00 01:34PM >>> > hepatomas is a maligancy, but the challenge that I am being given is what > if > the malignancy happen as a result of the hepatitis c, than would anyone > know > if Medicare would or could this be a covered transplant. Has this > scenario > happened to anyone. > [(Aguiar, )] Again, only if the HCC is an incidental finding @ the > time > of tx (meaning the pathologist is overheard saying " Oh, look what I found " > while examining the explanted liver). If the pt has confirmed HCC pre-tx, > regardless of the etiology (i.e., HCV), that's not considered > " incidental " . > > > Good question for the Medicare speaker in SLC, though, don't you > think? > > J. Aguiar > Beth Israel Deaconess, Boston > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2000 Report Share Posted December 19, 2000 We also have had numerous issues with that particular drug company. But, there are a few others that are willing to work with the transplant patients. Very much like the old "S" used to be. -----Original Message-----From: anne Buccheri Sent: Monday, December 18, 2000 11:31 AMTo: LAguiar@...; TxFinancialCoordinatorsegroupsSubject: RE: FW: SupportHi EveryoneAnother question. If Medicare becomes primary about two years after transplant (Kidney) will Medicare then take over as primary payor for immunosuppressives even though they were not primary payor at the time of the transplant? I am having trouble with Stadtlanders getting paid in this situation. Has anyone else had trouble with Stadtlanders or other pharmacies not sending out patients meds because of unpaid balances? Happy Holidays to all Buccherihartford Transplant ProgramHappy Holidays to all>>> LAguiar@... 12/13/00 01:34PM >>>hepatomas is a maligancy, but the challenge that I am being given is what ifthe malignancy happen as a result of the hepatitis c, than would anyone knowif Medicare would or could this be a covered transplant. Has this scenariohappened to anyone.[(Aguiar, )] Again, only if the HCC is an incidental finding @ the timeof tx (meaning the pathologist is overheard saying "Oh, look what I found"while examining the explanted liver). If the pt has confirmed HCC pre-tx,regardless of the etiology (i.e., HCV), that's not considered "incidental". Good question for the Medicare speaker in SLC, though, don't you think? J. AguiarBeth Israel Deaconess, Boston Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2000 Report Share Posted December 19, 2000 I have had lengthy discussions with out transplant nurses and physicians about Statlanders and the use of another pharmaceutical company. I have had numerous problems with Statlanders and this is just on our liver patients. Is anyone familiar with Sangstat and their pharmacy program? Sandy Cedars Sinai RE: FW: Support Hi Everyone Another question. If Medicare becomes primary about two years after transplant (Kidney) will Medicare then take over as primary payor for immunosuppressives even though they were not primary payor at the time of the transplant? I am having trouble with Stadtlanders getting paid in this situation. Has anyone else had trouble with Stadtlanders or other pharmacies not sending out patients meds because of unpaid balances? Happy Holidays to all Buccheri hartford Transplant Program Happy Holidays to all >>> LAguiar@... 12/13/00 01:34PM >>> hepatomas is a maligancy, but the challenge that I am being given is what if the malignancy happen as a result of the hepatitis c, than would anyone know if Medicare would or could this be a covered transplant. Has this scenario happened to anyone. [(Aguiar, )] Again, only if the HCC is an incidental finding @ the time of tx (meaning the pathologist is overheard saying " Oh, look what I found " while examining the explanted liver). If the pt has confirmed HCC pre-tx, regardless of the etiology (i.e., HCV), that's not considered " incidental " . Good question for the Medicare speaker in SLC, though, don't you think? J. Aguiar Beth Israel Deaconess, Boston Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 19, 2000 Report Share Posted December 19, 2000 Sangstat Pharmacy Program~ There are two locations for " The Transplant Pharmacy " 1] The Transplant Pharmacy Orlando, Florida Telephone 888/296-6166 Fax 888/294-3955 Pharmacist: Caroline ext 5304 Customer Service: Judy O'Brien ext 5302 Lehman ext 5307 Pat Dearth ext 5316 2] The Transplant Pharmacy Menlo Park, California Telephone 888/800-7264 Fax 888/800-8322 Pharmacist: Alma Woo 888/800-7828 Customer Service: Rinehart Of the above two locations, I like to use the Florida location & with success. Both locations will research insurance benefits, provide overnight delivery to the transplant facility before the patient's transplant discharge in order to allow time for patient education on drug management. But you need to make sure you initiate the enrollment either before or at the time of the transplant and provide the patient's demographic and insurance information. This allows time for The Transplant Pharmacy for research and to make sure The Transplant Pharmacy is in-network and can provide the service. ~ In addition, I use Stadtlanders with success. Again, it is important that you provide Stadtlanders with complete patient demographic, insurance and some clinical information, ie: date/type of dialysis and diagnosis, etc. Stadtlanders Pittsburg, PA Enrollment: Telephone 800/238-7828 Fax 800/221-0504 Pharmacy: Telephone 800/598-2136 Fax 800/426-9613 Bill Idle > I have had lengthy discussions with out transplant nurses and physicians > about Statlanders and the use of another pharmaceutical company. I have had > numerous problems with Statlanders and this is just on our liver patients. > > Is anyone familiar with Sangstat and their pharmacy program? > > Sandy > Cedars Sinai > RE: FW: Support > > > Hi Everyone > > Another question. If Medicare becomes primary about two years after > transplant (Kidney) will Medicare then take over as primary payor for > immunosuppressives even though they were not primary payor at the time of > the transplant? I am having trouble with Stadtlanders getting paid in this > situation. Has anyone else had trouble with Stadtlanders or other pharmacies > not sending out patients meds because of unpaid balances? > > Happy Holidays to all > Buccheri > hartford Transplant Program Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 20, 2000 Report Share Posted December 20, 2000 we have begun using a company called Chronimed, also with good results so far. if you called them today with the pt's demographics and insurance info they would do the research and let you know within an hour or two whether they could service the pt. The patient would get his drugs the next day. They have more than one service center but the one we use is in minnetonka, mn. The 800 number for their client relations manager there is and his name is Steve . Rusty Ward Financial Coordinator Liver Transplant Program haroldw@... >>> widle@... 12/19 6:47 PM >>> Sangstat Pharmacy Program~ There are two locations for " The Transplant Pharmacy " 1] The Transplant Pharmacy Orlando, Florida Telephone 888/296-6166 Fax 888/294-3955 Pharmacist: Caroline ext 5304 Customer Service: Judy O'Brien ext 5302 Lehman ext 5307 Pat Dearth ext 5316 2] The Transplant Pharmacy Menlo Park, California Telephone 888/800-7264 Fax 888/800-8322 Pharmacist: Alma Woo 888/800-7828 Customer Service: Rinehart Of the above two locations, I like to use the Florida location & with success. Both locations will research insurance benefits, provide overnight delivery to the transplant facility before the patient's transplant discharge in order to allow time for patient education on drug management. But you need to make sure you initiate the enrollment either before or at the time of the transplant and provide the patient's demographic and insurance information. This allows time for The Transplant Pharmacy for research and to make sure The Transplant Pharmacy is in-network and can provide the service. ~ In addition, I use Stadtlanders with success. Again, it is important that you provide Stadtlanders with complete patient demographic, insurance and some clinical information, ie: date/type of dialysis and diagnosis, etc. Stadtlanders Pittsburg, PA Enrollment: Telephone 800/238-7828 Fax 800/221-0504 Pharmacy: Telephone 800/598-2136 Fax 800/426-9613 Bill Idle > I have had lengthy discussions with out transplant nurses and physicians > about Statlanders and the use of another pharmaceutical company. I have had > numerous problems with Statlanders and this is just on our liver patients. > > Is anyone familiar with Sangstat and their pharmacy program? > > Sandy > Cedars Sinai > RE: FW: Support > > > Hi Everyone > > Another question. If Medicare becomes primary about two years after > transplant (Kidney) will Medicare then take over as primary payor for > immunosuppressives even though they were not primary payor at the time of > the transplant? I am having trouble with Stadtlanders getting paid in this > situation. Has anyone else had trouble with Stadtlanders or other pharmacies > not sending out patients meds because of unpaid balances? > > Happy Holidays to all > Buccheri > hartford Transplant Program Quote Link to comment Share on other sites More sharing options...
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