Guest guest Posted April 17, 2012 Report Share Posted April 17, 2012 HI ,Check and see if an Oral Surgeon (MD) will do it. Medicare pays for Oral Surgeons in some cases.Hope this helps,Thanks,BillReply-To: <TxFinancialCoordinators >Date: Tuesday, April 17, 2012 4:20 PMTo: <TxFinancialCoordinators >Subject: Medicare and Dental Services Hi team, I have a patient who needs to be listed for heart transplant, but the physician is requiring that his teeth be extracted prior to listing. He is too unstable to be discharged from the hospital and have these services performed at an outpatient facility. Does anyone know if Medicare would cover the extraction since it is medically necessary? I'm thinking not, but I'm hoping that some of you will prove me wrong and make me have a better day. Thanks, Garrison Transplant Financial Coordinator Cardiac Transplant Department Saint Luke's Hospital of Kansas City Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2012 Report Share Posted April 18, 2012 So then the extractions would be billed to the insurance and not the acquisition cost center? M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant Program100 Michigan NEMC 231Grand Rapids, MI 49503Phone: Pager: Fax: lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bill VaughanSent: Tuesday, April 17, 2012 4:29 PMTo: TxFinancialCoordinators Subject: Re: Medicare and Dental Services HI ,Check and see if an Oral Surgeon (MD) will do it. Medicare pays for Oral Surgeons in some cases. Hope this helps,Thanks,Bill Reply-To: <TxFinancialCoordinators >Date: Tuesday, April 17, 2012 4:20 PMTo: <TxFinancialCoordinators >Subject: Medicare and Dental Services Hi team,I have a patient who needs to be listed for heart transplant, but the physician is requiring that his teeth be extracted prior to listing. He is too unstable to be discharged from the hospital and have these services performed at an outpatient facility. Does anyone know if Medicare would cover the extraction since it is medically necessary? I'm thinking not, but I'm hoping that some of you will prove me wrong and make me have a better day. :)Thanks, GarrisonTransplant Financial CoordinatorCardiac Transplant DepartmentSaint Luke's Hospital of Kansas City Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2012 Report Share Posted April 18, 2012 Ah, true! If these charges are incurred during the hospital stay, that would be written off onto the cost center, correct? > > So then the extractions would be billed to the insurance and not the acquisition cost center? > > M. Christiansen, BAS, RN > Transplant Financial Case Manager > DeVos Heart and Lung Transplant Program > 100 Michigan NE > MC 231 > Grand Rapids, MI 49503 > Phone: Pager: Fax: > lisa.christiansen@... > > > From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bill Vaughan > Sent: Tuesday, April 17, 2012 4:29 PM > To: TxFinancialCoordinators > Subject: Re: Medicare and Dental Services > > > HI , > Check and see if an Oral Surgeon (MD) will do it. Medicare pays for Oral Surgeons in some cases. > > Hope this helps, > Thanks, > Bill > > > > Reply-To: <TxFinancialCoordinators <mailto:TxFinancialCoordinators@yahoogro\ ups.com>> > Date: Tuesday, April 17, 2012 4:20 PM > To: <TxFinancialCoordinators <mailto:TxFinancialCoordinators@yahoogro\ ups.com>> > Subject: Medicare and Dental Services > > > > Hi team, > I have a patient who needs to be listed for heart transplant, but the physician is requiring that his teeth be extracted prior to listing. He is too unstable to be discharged from the hospital and have these services performed at an outpatient facility. Does anyone know if Medicare would cover the extraction since it is medically necessary? I'm thinking not, but I'm hoping that some of you will prove me wrong and make me have a better day. > > Thanks, > Garrison > Transplant Financial Coordinator > Cardiac Transplant Department > Saint Luke's Hospital of Kansas City > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 18, 2012 Report Share Posted April 18, 2012 Hi ,The decision to transplant or not is based on teeth in the mouth. If they remove the teeth it will be treatment and billed to the patient and payer.Hope this helps,Thanks,BillReply-To: <TxFinancialCoordinators >Date: Wednesday, April 18, 2012 11:52 AMTo: <txfinancialcoordinators >Subject: RE: Medicare and Dental Services So then the extractions would be billed to the insurance and not the acquisition cost center? M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant Program100 Michigan NEMC 231Grand Rapids, MI 49503Phone: Pager: Fax: lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Bill VaughanSent: Tuesday, April 17, 2012 4:29 PMTo: TxFinancialCoordinators Subject: Re: Medicare and Dental Services! HI ,Check and see if an Oral Surgeon (MD) will do it. Medicare pays for Oral Surgeons in some cases. Hope this helps,Thanks,Bill Reply-To: <TxFinancialCoordinators >Date: Tuesday, April 17, 2012 4:20 PMTo: <TxFinancialCoordinators >Subject: Medicare and Dental Services Hi team,I have a patient who needs to be listed for heart transplant, but the physician is requiring that his teeth be extracted prior to listing. He is too unstable to be discharged from the hospital and have these services performed at an outpatient facility. Does anyone know if Medicare would cover the extraction since it is medically necessary? I'm thinking not, but I'm hoping that some of you will prove me wrong and make me have a better day. :)Thanks, GarrisonTransplant Financial CoordinatorCardiac Transplant DepartmentSaint Luke's Hospital of Kansas City! Quote Link to comment Share on other sites More sharing options...
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