Question about CMS2728 form

[Guest guest]

Hello,

We have a patient who just had his kidney transplant. Per our social worker a CMS2728 was completed in 2010 with applying for ESRD checked yes. The patient believed he was on it, therefore seemingly wanted it. My research did not find Medicare effective for him ever and the dialysis center confirmed he is not on Medicare as well. Should we have him apply again? Do we have to complete another 2728?

Thank you in advance for your assistance with this!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

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

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[Guest guest]

Yes he should apply. They’ll roll his Part A back 12 months and start B in the month of filing. Technically a new 2728 is not required but our local SSA claims rep asks us to file a supplemental b/c it’s easier for her to have the info handy. 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: Wednesday, June 13, 2012 8:02 AMTo: TxFinancialCoordinators Subject: Question about CMS2728 form Hello,We have a patient who just had his kidney transplant. Per our social worker a CMS2728 was completed in 2010 with applying for ESRD checked yes. The patient believed he was on it, therefore seemingly wanted it. My research did not find Medicare effective for him ever and the dialysis center confirmed he is not on Medicare as well. Should we have him apply again? Do we have to complete another 2728? Thank you in advance for your assistance with this! Fetzer | Financial Coordinator | Transplant Center Q7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mailCleveland 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]

Yes he should apply. They’ll roll his Part A back 12 months and start B in the month of filing. Technically a new 2728 is not required but our local SSA claims rep asks us to file a supplemental b/c it’s easier for her to have the info handy. 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: Wednesday, June 13, 2012 8:02 AMTo: TxFinancialCoordinators Subject: Question about CMS2728 form Hello,We have a patient who just had his kidney transplant. Per our social worker a CMS2728 was completed in 2010 with applying for ESRD checked yes. The patient believed he was on it, therefore seemingly wanted it. My research did not find Medicare effective for him ever and the dialysis center confirmed he is not on Medicare as well. Should we have him apply again? Do we have to complete another 2728? Thank you in advance for your assistance with this! Fetzer | Financial Coordinator | Transplant Center Q7-303a9500 Euclid Ave | Cleveland, OH 44195 | /Fax 216/636-9239 =================================== Please consider the environment before printing this e-mailCleveland 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]

Thank you ! That really helps us a lot!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

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

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Wednesday, June 13, 2012 11:46 AMTo: TxFinancialCoordinators Subject: RE: Question about CMS2728 form

Yes he should apply. They’ll roll his Part A back 12 months and start B in the month of filing. Technically a new 2728 is not required but our local SSA claims rep asks us to file a supplemental b/c it’s easier for her to have the info handy.

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: TxFinancial Coordinators [mailto:TxFinancialCoordinators ] On Behalf Of Fetzer, Sent: Wednesday, June 13, 2012 8:02 AMTo: TxFinancialCoordinators Subject: Question about CMS2728 form

Hello,

We have a patient who just had his kidney transplant. Per our social worker a CMS2728 was completed in 2010 with applying for ESRD checked yes. The patient believed he was on it, therefore seemingly wanted it. My research did not find Medicare effective for him ever and the dialysis center confirmed he is not on Medicare as well. Should we have him apply again? Do we have to complete another 2728?

Thank you in advance for your assistance with this!

Fetzer | Financial Coordinator | Transplant Center Q7-303a

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

< p>===================================

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 communi cation in error, please contact the sender immediately and destroy the material in its 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 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.