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RE: HIPAA issue

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We do not have a separate release.

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 Branham, Michele

Sent: Friday, June 29, 2012 8:57 AM

To: TxFinancialCoordinators

Subject: HIPAA issue

How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the

TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. "

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.

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We do not either at Medstar town University Hospital. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Branham, MicheleSent: Friday, June 29, 2012 8:57 AMTo: TxFinancialCoordinators Subject: HIPAA issue How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. " CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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Do you include the psychosocial

eval when you send the eval results for listing approval?

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit

rejoices in God my Savior. "

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Farid,

Fahmy

Sent: Friday, June 29, 2012 9:06 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

We do not either at Medstar town

University Hospital.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Branham,

Michele

Sent: Friday, June 29, 2012 8:57 AM

To: TxFinancialCoordinators

Subject: HIPAA issue

How

do your facilities address sending the psychosocial evaluations when requesting

listing authorizations? Is there a separate release form the

TFC’s

have patients sign? This would be the psychosocial eval completed

by the facilities social workers only. Thanks for your input

Michele

Branham,

Sr.

Transplant Financial Coordinator

Spiritual

Ambassador

- Phone;

- Fax

Luke 1:46-47 " My soul

Glorifies the Lord and my Spirit rejoices in God my Savior. "

CONFIDENTIAL:

The information contained in this communication, including its attachments may

contain confidential information and is intended only for the individual (s) or

entity (ies) to whom it is addressed . The information contained in this

communication may also be protected by legal privilege , federal law or other

applicable law. If you are not the intended recipient of this communication ,

you are hereby notified that any distribution, dissemination or duplication of

this communication is strictly prohibited. If you have received this

communication in error please immediately delete and destroy all copies of this

message and please immediately notify us of the error by separate communication

.. Thank you.

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Yes, we always include the psychosocial eval. DonovanTransplant Financial CoordinatorSUNY Upstate Medical University750 East StreetSyracuse, New York 13210Phone: 315 464-6290Fax: 315 464-6288Donovanl@...The information contained in this email is confidential intended only for the use of the party to whom it is addressed. If you are not the intended recipient, please be aware that you are strictly prohibited from sharing, distributing, or copying this email. If you have received this email by mistake, please notify the sender. Thank you.>>> "Branham, Michele" 6/29/2012 9:41 AM >>> Do you include the psychosocial eval when you send the eval results for listing approval?Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 "My soul Glorifies the Lord and my Spirit rejoices in God my Savior."From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Farid, FahmySent: Friday, June 29, 2012 9:06 AMTo: TxFinancialCoordinators Subject: RE: HIPAA issue We do not either at Medstar town University Hospital. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Branham, MicheleSent: Friday, June 29, 2012 8:57 AMTo: TxFinancialCoordinators Subject: HIPAA issue How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your inputMichele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 "My soul Glorifies the Lord and my Spirit rejoices in God my Savior."CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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Yes.

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 Branham, Michele

Sent: Friday, June 29, 2012 9:42 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

Do you include the psychosocial eval when you send the eval results for listing approval?

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. "

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Farid, Fahmy

Sent: Friday, June 29, 2012 9:06 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

We do not either at Medstar town University Hospital.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Branham, Michele

Sent: Friday, June 29, 2012 8:57 AM

To: TxFinancialCoordinators

Subject: HIPAA issue

How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the

TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. "

CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information

contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this

communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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.

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Yes, I include it but do not get a separate release form. 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 Branham, MicheleSent: Friday, June 29, 2012 9:42 AMTo: TxFinancialCoordinators Subject: RE: HIPAA issue Do you include the psychosocial eval when you send the eval results for listing approval? Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. " From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Farid, FahmySent: Friday, June 29, 2012 9:06 AMTo: TxFinancialCoordinators Subject: RE: HIPAA issue We do not either at Medstar town University Hospital. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Branham, MicheleSent: Friday, June 29, 2012 8:57 AMTo: TxFinancialCoordinators Subject: HIPAA issue How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. " CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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Always. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Branham, MicheleSent: Friday, June 29, 2012 9:42 AMTo: TxFinancialCoordinators Subject: RE: HIPAA issue Do you include the psychosocial eval when you send the eval results for listing approval? Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. " From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Farid, FahmySent: Friday, June 29, 2012 9:06 AMTo: TxFinancialCoordinators Subject: RE: HIPAA issue We do not either at Medstar town University Hospital. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Branham, MicheleSent: Friday, June 29, 2012 8:57 AMTo: TxFinancialCoordinators Subject: HIPAA issue How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input Michele Branham,Sr. Transplant Financial CoordinatorSpiritual Ambassador - Phone; - FaxLuke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. " CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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Also, to clarify – If the insurance does not require the entire work up to authorize the transplant then I only send what is needed to get the auth in place.

Deidra

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 Deidra M. Simano

Sent: Friday, June 29, 2012 9:43 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

Yes.

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 Branham, Michele

Sent: Friday, June 29, 2012 9:42 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

Do you include the psychosocial eval when you send the eval results for listing approval?

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. "

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Farid, Fahmy

Sent: Friday, June 29, 2012 9:06 AM

To: TxFinancialCoordinators

Subject: RE: HIPAA issue

We do not either at Medstar town University Hospital.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Branham, Michele

Sent: Friday, June 29, 2012 8:57 AM

To: TxFinancialCoordinators

Subject: HIPAA issue

How do your facilities address sending the psychosocial evaluations when requesting listing authorizations? Is there a separate release form the

TFC’s have patients sign? This would be the psychosocial eval completed by the facilities social workers only. Thanks for your input

Michele Branham,

Sr. Transplant Financial Coordinator

Spiritual Ambassador

- Phone; - Fax

Luke 1:46-47 " My soul Glorifies the Lord and my Spirit rejoices in God my Savior. "

CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information

contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this

communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

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.

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.

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