RE: Medicare and End of 30 Month Coordination Period

[Guest guest]

Dialysis is a part B service, so this is correct.

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603) 676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of cartejom

Sent: Friday, February 03, 2012 1:54 PM

To: TxFinancialCoordinators

Subject: Medicare and End of 30 Month Coordination Period

Hey everyone!!

I have a scenario I'm not sure what to do about.

We have a patient that is now past their 30 month Coordination Period. They have Part A only. Their insurance is still paying full for dialysis treatment, but is this a mistake? Or because he has part A (and Medicare should be primary now) will his insurance

not consider themselves secondary payer?

I hope that makes sense. I'm not sure how to advise this patient.

Thanks,

Jodi MacFarland-

Saint 's Kidney Transplant

IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for

any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

[Guest guest]

The patient needs to call medicare and his insurance and have it corrected.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> cartejom 2/3/2012 12:54 PM >>>

Hey everyone!!

I have a scenario I'm not sure what to do about.

We have a patient that is now past their 30 month Coordination Period. They have

Part A only. Their insurance is still paying full for dialysis treatment, but is

this a mistake? Or because he has part A (and Medicare should be primary now)

will his insurance not consider themselves secondary payer?

I hope that makes sense. I'm not sure how to advise this patient.

Thanks,

Jodi MacFarland-

Saint 's Kidney Transplant

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

http://www.etmc.org/mail/

Thank you.

===========================================================

[Guest guest]

Well since it's not open enrollment anymore he cannot sign up for Part B at this time correct? And once Medicare corrects this, he will have only 20% coverage for dialysis correct? Or do I have this wrong? Thanks you guys! Jodi MacFarland-Transplant Financial CoordinatorSaint 's Kidney Transplant Center310 Lafayette SE Ste 315Grand Rapids, MI 49503Phone: Fax: cartejom@...www.mercyhealthgrandrapids.com>>> "Whitney Folsom" 02/03/2012 1:56 PM >>> The patient needs to call medicare and his insurance and have it corrected.Whitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...>>> cartejom 2/3/2012 12:54 PM >>>Hey everyone!!I have a scenario I'm not sure what to do about. We have a patient that is now past their 30 month Coordination Period. They have Part A only. Their insurance is still paying full for dialysis treatment, but is this a mistake? Or because he has part A (and Medicare should be primary now) will his insurance not consider themselves secondary payer?I hope that makes sense. I'm not sure how to advise this patient.Thanks,Jodi MacFarland-Saint 's Kidney Transplant===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================

[Guest guest]

Sounds like his policy does not stipulate the payer will be secondary for all services at the end of the COB period. In his case then, A is primary for hospital services, and the group plan is primary for Part B-type services until/unless he enrolls in B on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of cartejomSent: Friday, February 03, 2012 10:54 AMTo: TxFinancialCoordinators Subject: Medicare and End of 30 Month Coordination Period Hey everyone!!I have a scenario I'm not sure what to do about. We have a patient that is now past their 30 month Coordination Period. They have Part A only. Their insurance is still paying full for dialysis treatment, but is this a mistake? Or because he has part A (and Medicare should be primary now) will his insurance not consider themselves secondary payer?I hope that makes sense. I'm not sure how to advise this patient.Thanks,Jodi MacFarland-Saint 's Kidney Transplant

[Guest guest]

Ok great. I just wondered if that was even possible. Thanks so much! Jodi Jodi MacFarland-Transplant Financial CoordinatorSaint 's Kidney Transplant Center310 Lafayette SE Ste 315Grand Rapids, MI 49503Phone: Fax: cartejom@...www.mercyhealthgrandrapids.com>>> "on, :LPH Trnsplnt" 02/03/2012 2:01 PM >>> Sounds like his policy does not stipulate the payer will be secondary for all services at the end of the COB period. In his case then, A is primary for hospital services, and the group plan is primary for Part B-type services until/unless he enrolls in B on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordi nators [mailto:TxFinancialCoordinators ] On Behalf Of cartejomSent: Friday, February 03, 2012 10:54 AMTo: TxFinancialCoordinators Subject: Medicare and End of 30 Month Coordination Period Hey everyone!!I have a scenario I'm not sure what to do about. We have a patient that is now past their 30 month Coordination Period. They have Part A only. Their insurance is still paying full for dialysis treatment, but is this a mistake? Or because he has part A (and Medicare should be primary now) will his insurance not consider themselves secondary payer?I hope that makes sense. I'm not sure how to advise this patient.Thanks,Jodi MacFarland-Saint 's Kidney Transplant