RE: Medicare COB at time of transplant

[Guest guest]

You are correct. You could always suggest to the CM that you would be happy to conference call w/the Medicare COB contractor so they can explain the rule to the CM. 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 Fetzer, Sent: Friday, March 16, 2012 11:12 AMTo: TxFinancialCoordinators Subject: Medicare COB at time of transplant Hello everyone, I was just on the phone with a patient and his insurance company together and the Case Manager stated that Medicare automatically becomes primary at the time of transplant in spite of the COB period. I thought the transplant event does not change the COB and that if it has not been 30 months Medicare will remain secondary until the 30-month mark. Any thoughts??? I would greatly appreciate your help on this one! Thanks so much and Happy St. 's Day! Fetzer | Financial Coordinator | Transplant Center Q7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

[Guest guest]

Hi ,The insurance company is wrong. The COB is 30 months from the entitling event and just because Medicare is in second place at the time of transplant does not make Medicare Primary. Nice try on their part.Hope this helps,Thanks,BillReply-To: <TxFinancialCoordinators >Date: Fri, 16 Mar 2012 14:12:08 -0400To: <TxFinancialCoordinators >Subject: Medicare COB at time of transplant

Hello everyone, I was just on the phone with a patient and his insurance company together and the Case Manager stated that Medicare automatically becomes primary at the time of transplant in spite of the COB period. I thought the transplant event does not change the COB and that if it has not been 30 months Medicare will remain secondary until the 30-month mark. Any thoughts??? I would greatly appreciate your help on this one! Thanks so much and Happy St. 's Day!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 ===================================

Please consider the environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitals

in America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org for

a complete listing of our services, staff and

locations.

Confidentiality Note: This message is intended for use

only by the individual or entity to which it is addressed

and may contain information that is privileged,

confidential, and exempt from disclosure under applicable

law. If the reader of this message is not the intended

recipient or the employee or agent responsible for

delivering the message to the intended recipient, you are

hereby notified that any dissemination, distribution or

copying of this communication is strictly prohibited. If

you have received this communication in error, please

contact the sender immediately and destroy the material in

its entirety, whether electronic or hard copy. Thank you.

[Guest guest]

Hi ,The insurance company is wrong. The COB is 30 months from the entitling event and just because Medicare is in second place at the time of transplant does not make Medicare Primary. Nice try on their part.Hope this helps,Thanks,BillReply-To: <TxFinancialCoordinators >Date: Fri, 16 Mar 2012 14:12:08 -0400To: <TxFinancialCoordinators >Subject: Medicare COB at time of transplant

Hello everyone, I was just on the phone with a patient and his insurance company together and the Case Manager stated that Medicare automatically becomes primary at the time of transplant in spite of the COB period. I thought the transplant event does not change the COB and that if it has not been 30 months Medicare will remain secondary until the 30-month mark. Any thoughts??? I would greatly appreciate your help on this one! Thanks so much and Happy St. 's Day!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 ===================================

Please consider the environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitals

in America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org for

a complete listing of our services, staff and

locations.

Confidentiality Note: This message is intended for use

only by the individual or entity to which it is addressed

and may contain information that is privileged,

confidential, and exempt from disclosure under applicable

law. If the reader of this message is not the intended

recipient or the employee or agent responsible for

delivering the message to the intended recipient, you are

hereby notified that any dissemination, distribution or

copying of this communication is strictly prohibited. If

you have received this communication in error, please

contact the sender immediately and destroy the material in

its entirety, whether electronic or hard copy. Thank you.

[Guest guest]

Hi ,That is an excellent idea.Thanks,BillReply-To: <TxFinancialCoordinators >Date: Fri, 16 Mar 2012 11:20:14 -0700To: <TxFinancialCoordinators >Subject: RE: Medicare COB at time of transplant

You are correct. You could always suggest to the CM that you would be happy to conference call w/the Medicare COB contractor so they can explain the rule to the CM. 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 Fetzer, Sent: Friday, March 16, 2012 11:12 AMTo: TxFinancialCoordinators Subject: Medicare COB at time of transplant Hello everyone, I was just on the phone with a patient and his insurance company together and the Case Manager stated that Medicare automatically becomes primary at the time of transplant in spite of the COB period. I thought the transplant event does not change the COB and that if it has not been 30 months Medicare will remain secondary until the 30-month mark. Any thoughts??? I would greatly appreciate your help on this one! & nb!

sp;Thanks so much and Happy St. 's Day! Fetzer | Financial Coordinator | Transplant Center Q7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,con!

fidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

[Guest guest]

Hi ,That is an excellent idea.Thanks,BillReply-To: <TxFinancialCoordinators >Date: Fri, 16 Mar 2012 11:20:14 -0700To: <TxFinancialCoordinators >Subject: RE: Medicare COB at time of transplant

You are correct. You could always suggest to the CM that you would be happy to conference call w/the Medicare COB contractor so they can explain the rule to the CM. 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 Fetzer, Sent: Friday, March 16, 2012 11:12 AMTo: TxFinancialCoordinators Subject: Medicare COB at time of transplant Hello everyone, I was just on the phone with a patient and his insurance company together and the Case Manager stated that Medicare automatically becomes primary at the time of transplant in spite of the COB period. I thought the transplant event does not change the COB and that if it has not been 30 months Medicare will remain secondary until the 30-month mark. Any thoughts??? I would greatly appreciate your help on this one! & nb!

sp;Thanks so much and Happy St. 's Day! Fetzer | Financial Coordinator | Transplant Center Q7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mail Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,con!

fidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

[Guest guest]

I have faxed the CMS COB pages to the employer

group – as along as group coverage for the patient.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

Page:

FAX:

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

Sent: Friday, March 16, 2012 2:23

PM

To: TxFinancialCoordinators

Subject: RE:

Medicare COB at time of transplant

Thank you for the information! I was

not sure enough of myself to argue the point but I can now!!!

Thanks again!

Happy St. Patty's

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

Sent: Friday, March 16, 2012 2:21

PM

To: TxFinancialCoordinators

Subject: Re:

Medicare COB at time of transplant

Hi ,

The insurance company is wrong. The COB is 30 months from the

entitling event and just because Medicare is in second place at the time of

transplant does not make Medicare Primary. Nice try on their part.

Hope this helps,

Thanks,

Bill

From:

" Fetzer, "

Reply-To: <TxFinancialCoordinators >

Date: Fri, 16 Mar 2012 14:12:08

-0400

To: <TxFinancialCoordinators >

Subject:

Medicare COB at time of transplant

Hello everyone,

I was just on the phone with a

patient and his insurance company together and the Case Manager stated that

Medicare automatically becomes primary at the time of transplant in spite of

the COB period. I thought the transplant event does not change the COB

and that if it has not been 30 months Medicare will remain secondary until the

30-month mark. Any thoughts??? I would greatly appreciate your help

on this one!

Thanks so much and Happy St.

's Day!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

9500 Euclid Ave | Cleveland,

OH 44195

| /Fax 216/636-9239

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

Please

consider the environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

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

Please consider the

environment before printing this e-mail

Cleveland Clinic is ranked one of the top hospitalsin America by U.S.News World Report (2010). Visit us online at http://www.clevelandclinic.org fora complete listing of our services, staff andlocations. Confidentiality Note: This message is intended for useonly by the individual or entity to which it is addressedand may contain information that is privileged,confidential, and exempt from disclosure under applicablelaw. If the reader of this message is not the intendedrecipient or the employee or agent responsible fordelivering the message to the intended recipient, you arehereby notified that any dissemination, distribution orcopying of this communication is strictly prohibited. Ifyou have received this communication in error, pleasecontact the sender immediately and destroy the material inits entirety, whether electronic or hard copy. Thank you.

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