Re: DLI after MDS ALLO Medicare patient

[Guest guest]

DLI isn’t directly addressed in the Medicare coverage rules. However, our center has never had a DLI reimbursement issue with Medicare in cases where allogeneic transplantation itself was clearly a covered service. GoldsteinBusiness Manager, Stanford BMT Program300 Pasteur Drive, H0101Stanford, CA 94305~ - direct~650.725-3117 - fax~ - BMT office ***This email and any attachments may contain confidential information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its content is prohibited. If you have received this email in error, please immediately notify Stanford University Medical Center at . ~Thank You.*** From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of not4allisSent: Friday, July 06, 2012 9:47 AMTo: TxFinancialCoordinators Subject: DLI after MDS ALLO Medicare patient Hello!We have transplanted a patient with MDS and Medicare on the CIBMTR study. Our docs would now like to give this patient a DLI for failure to engraft.Are there any other centers out there who have had to do this? AND does Medicare pay for this?I could not see that the study/Medicare covers DLI for diagnosis of MDS after Allo.Any advice will be greatly appreciated!!!Thank you!Kim Transplant Financial CoordinatorBMT Jewish HospitalSt. Louis

[Guest guest]

Thank you !

Has your center ever given a DLI to a patient with MDS?

Kim

>

> DLI isn't directly addressed in the Medicare coverage rules. However, our

center has never had a DLI reimbursement issue with Medicare in cases where

allogeneic transplantation itself was clearly a covered service.

>

> Goldstein

> Business Manager, Stanford BMT Program

> 300 Pasteur Drive, H0101

> Stanford, CA 94305

> ~ - direct

> ~650.725-3117 - fax

> ~ - BMT office

>

>

> [cid:image001.png@...]

>

> ***This email and any attachments may contain confidential information for the

use of the designated recipient(s) named above. If you are not the intended

recipient, you are hereby notified that you have received this communication in

error and that any review, disclosure, dissemination, distribution or copying of

it or its content is prohibited. If you have received this email in error,

please immediately notify Stanford University Medical Center at .

~Thank You.***

>

>

>

> From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of not4allis

> Sent: Friday, July 06, 2012 9:47 AM

> To: TxFinancialCoordinators

> Subject: DLI after MDS ALLO Medicare patient

>

>

>

> Hello!

>

> We have transplanted a patient with MDS and Medicare on the CIBMTR study. Our

docs would now like to give this patient a DLI for failure to engraft.

>

> Are there any other centers out there who have had to do this? AND does

Medicare pay for this?

>

> I could not see that the study/Medicare covers DLI for diagnosis of MDS after

Allo.

>

> Any advice will be greatly appreciated!!!

>

> Thank you!

>

> Kim

> Transplant Financial Coordinator

> BMT

> Jewish Hospital

> St. Louis

>

>

[Guest guest]

Kim, We’ve given DLI to patients with MDS, but none of those were Medicare patients. We’ve only been doing allo BMT for Medicare patients since early 2011 because of the Coverage with Evidence Development (CED) ruling, and none of those patients have needed DLI (yet). We’ve given DLI to Medicare patients with various types of leukemia and those were paid. GoldsteinBusiness Manager, Stanford BMT Program300 Pasteur Drive, H0101Stanford, CA 94305~ - direct~650.725-3117 - fax~ - BMT office ***This email and any attachments may contain confidential information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its content is prohibited. If you have received this email in error, please immediately notify Stanford University Medical Center at . ~Thank You.*** From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of not4allisSent: Friday, July 06, 2012 10:01 AMTo: TxFinancialCoordinators Subject: Re: DLI after MDS ALLO Medicare patient Thank you !Has your center ever given a DLI to a patient with MDS?Kim>> DLI isn't directly addressed in the Medicare coverage rules. However, our center has never had a DLI reimbursement issue with Medicare in cases where allogeneic transplantation itself was clearly a covered service.> > Goldstein> Business Manager, Stanford BMT Program> 300 Pasteur Drive, H0101> Stanford, CA 94305> ~ - direct> ~650.725-3117 - fax> ~ - BMT office> > > [cid:image001.png@...]> > ***This email and any attachments may contain confidential information for the use of the designated recipient(s) named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its content is prohibited. If you have received this email in error, please immediately notify Stanford University Medical Center at . ~Thank You.***> > > > From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of not4allis> Sent: Friday, July 06, 2012 9:47 AM> To: TxFinancialCoordinators > Subject: DLI after MDS ALLO Medicare patient> > > > Hello!> > We have transplanted a patient with MDS and Medicare on the CIBMTR study. Our docs would now like to give this patient a DLI for failure to engraft.> > Are there any other centers out there who have had to do this? AND does Medicare pay for this?> > I could not see that the study/Medicare covers DLI for diagnosis of MDS after Allo.> > Any advice will be greatly appreciated!!!> > Thank you!> > Kim > Transplant Financial Coordinator> BMT> Jewish Hospital> St. Louis> >

[Guest guest]

This will be our first one since that ruling. I'll let you know what happens.

> >

> > DLI isn't directly addressed in the Medicare coverage rules. However, our

center has never had a DLI reimbursement issue with Medicare in cases where

allogeneic transplantation itself was clearly a covered service.

> >

> > Goldstein

> > Business Manager, Stanford BMT Program

> > 300 Pasteur Drive, H0101

> > Stanford, CA 94305

> > ~ - direct

> > ~650.725-3117 - fax

> > ~ - BMT office

> >

> >

> > [cid:image001.png@]

> >

> > ***This email and any attachments may contain confidential information for

the use of the designated recipient(s) named above. If you are not the intended

recipient, you are hereby notified that you have received this communication in

error and that any review, disclosure, dissemination, distribution or copying of

it or its content is prohibited. If you have received this email in error,

please immediately notify Stanford University Medical Center at .

~Thank You.***

> >

> >

> >

> > From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of not4allis

> > Sent: Friday, July 06, 2012 9:47 AM

> > To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

> > Subject: DLI after MDS ALLO Medicare patient

> >

> >

> >

> > Hello!

> >

> > We have transplanted a patient with MDS and Medicare on the CIBMTR study.

Our docs would now like to give this patient a DLI for failure to engraft.

> >

> > Are there any other centers out there who have had to do this? AND does

Medicare pay for this?

> >

> > I could not see that the study/Medicare covers DLI for diagnosis of MDS

after Allo.

> >

> > Any advice will be greatly appreciated!!!

> >

> > Thank you!

> >

> > Kim

> > Transplant Financial Coordinator

> > BMT

> > Jewish Hospital

> > St. Louis

> >

> >

>