RE: Live Donor Follow up and Complication Billing Changes

[Guest guest]

Bill,

We currently have our donors come in for follow up visits at 1 week, 6 weeks and 6 months for determination of recovery. We also ask that they come in at 1

year and 2 years for our own benefit (UNOS reporting purposes). So, are we okay to bill hospital and physician charges to the KACC for the first 6 months since that is deemed our “recovery period”?

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Bill Vaughan

Sent: Wednesday, May 02, 2012 9:10 AM

To: TxFinancialCoordinators

Subject: Live Donor Follow up and Complication Billing Changes

Hi All,

We have been asked to review these changes and comment. We have reviewed the change and are interpreting it to be as follows:

If there are donor complications, the hospital and physician charges are billed to the recipients primary payer Medicare of Commercial, with no deductibles or coinsurance being billed to the donor.

If it is a routine follow up visit, those that I refer to as a " well baby visit " , both hospital and physician charges are billed to the transplant center and paid at 100% of Medicare.

I will be changing my Power Point for the TFCA meeting this year. I hope to see you all there.

Hope this helps,

Thanks,

Bill

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