RE: Kidney Transplant Listing Criteria

[Guest guest]

We don’t list them until all of their evaluation/work up has been done and the patient is presented to the selection committee for final approval. I guess I thought that was how it had to be. Of course, people who are listed and need to have their annual follow ups done, would stay listed at their status and have the eval follow ups directed to the acquisition center. Is this correct? Another question along these lines… if you have someone at a status 7, would you direct their annual follow up eval services to the acquisition center since they are still technically listed? 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 Jelali, TamaraSent: Wednesday, February 22, 2012 4:15 PMTo: TxFinancialCoordinators Subject: Kidney Transplant Listing Criteria I am requesting any information that is out there regarding listing criteria for kidney transplant. Is there any information out there that states that you CAN list a patient status 7 / internal hold while they complete their work up? Or on the other hand is there literature out there that indicates you CANNOT list a patient status 7 / internal hold while they complete their work up? Any links or information would be helpful. Tamara JelaliFinancial Coordinatorat town University Hospital(P) (F) (Pager) TXJ01@... 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.

[Guest guest]

We also don’t list until the eval is completed and final approval is given by each member of the approval committee. I don’t think there is any rule against

it, but the insurances frown upon it. I think the most important thing is to have a policy for listing patients and follow it the same way for all patients. That is what CMS will look for in an audit.

To address the question about annual follow up eval – yes, you can cost report any service that is work up/eval. You cost report the eval before patient’s

are listed and then any annual services required to re-screen after listing to make sure that they are still an appropriate candidate. Just be sure to separate and exclude any services that are treatment vs. screening.

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 lisa.christiansen@...

Sent: Wednesday, February 22, 2012 4:57 PM

To: txfinancialcoordinators

Subject: RE: Kidney Transplant Listing Criteria

We don’t list them until all of their evaluation/work up has been done and the patient is presented to the selection committee for final

approval. I guess I thought that was how it had to be. Of course, people who are listed and need to have their annual follow ups done, would stay listed at their status and have the eval follow ups directed to the acquisition center. Is this correct?

Another question along these lines… if you have someone at a status 7, would you direct their annual follow up eval services to the

acquisition center since they are still technically listed?

M. Christiansen, BAS, RN

Transplant Financial Case Manager

DeVos Heart and Lung Transplant Program

100 Michigan NE

MC 231

Grand Rapids, MI 49503

Phone:

Pager: Fax:

lisa.christiansen@...

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Jelali, Tamara

Sent: Wednesday, February 22, 2012 4:15 PM

To: TxFinancialCoordinators

Subject: Kidney Transplant Listing Criteria

I am requesting any information that is out there regarding listing criteria for kidney transplant. Is there any information

out there that states that you CAN list a patient status 7 / internal hold while they complete their work up? Or on the other hand is there literature out there that indicates you CANNOT list a patient status 7 / internal hold while they complete their work

up? Any links or information would be helpful.

Tamara Jelali

Financial Coordinator

at town University Hospital

(P)

(F)

(Pager)

TXJ01@...

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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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[Guest guest]

Never heard of that. We do not

list patients until they have completed the evaluation and have been approved to

be listed.

Michele Branham,

Transplant

Financial Coordinator

Spiritual

Ambassador

Florida Hospital

Transplant Center

-

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 Jelali,

Tamara

Sent: Wednesday, February 22, 2012 4:15 PM

To: TxFinancialCoordinators

Subject: Kidney Transplant Listing Criteria

I am requesting any information

that is out there regarding listing criteria for kidney transplant. Is

there any information out there that states that you CAN list a patient status

7 / internal hold while they complete their work up? Or on the other hand

is there literature out there that indicates you CANNOT list a patient status 7

/ internal hold while they complete their work up? Any links or

information would be helpful.

Tamara Jelali

Financial Coordinator

at town University

Hospital

(P)

(F)

(Pager)

TXJ01@...

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.

[Guest guest]

Same here. Jodi MacFarland-Transplant Financial CoordinatorSaint 's Kidney Transplant Center310 Lafayette SE Ste 315Grand Rapids, MI 49503Phone: Fax: cartejom@...www.mercyhealthgrandrapids.com>>> "Branham, Michele" 02/23/2012 8:52 AM >>> Never heard of that. We do not list patients until they have completed the evaluation and have been approved to be listed.Michele Branham,Transplant Financial CoordinatorSpiritual AmbassadorFlorida Hospital Transplant Center - 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 Jelali, TamaraSent: Wednesday, February 22, 2012 4:15 PMTo: TxFinancialCoordinators Subject: Kidney Transplant Listing Criteria I am requesting any information that is out there regarding listing criteria for kidney transplant. Is there any information out there that states that you CAN list a patient status 7 / internal hold while they complete their work up? Or on the other hand is there literature out there that indicates you CANNOT list a patient status 7 / internal hold while they complete their work up? Any links or information would be helpful.Tamara JelaliFinancial Coordinatorat town University Hospital(P) (F) (Pager) TXJ01@...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.