RE: Medicare application

[Guest guest]

Ask the other facility to hold their billing? 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 Danner, SaraSent: Wednesday, June 13, 2012 2:10 PMTo: TxFinancialCoordinators Subject: Medicare application Kidney recip was just signed up for Medicare A/B on day of living donor transplant. Donor has complication from surgery and had a chest xray at an outside facility. This is to be billed to recip’s Medicare, but what happens since his Medicare paperwork was just submitted recently and isn’t yet in place? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

[Guest guest]

That was my thought…..seemed too easy. J Thanks! From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Wednesday, June 13, 2012 4:15 PMTo: TxFinancialCoordinators Subject: RE: Medicare application Ask the other facility to hold their billing? 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 Danner, SaraSent: Wednesday, June 13, 2012 2:10 PMTo: TxFinancialCoordinators Subject: Medicare application Kidney recip was just signed up for Medicare A/B on day of living donor transplant. Donor has complication from surgery and had a chest xray at an outside facility. This is to be billed to recip’s Medicare, but what happens since his Medicare paperwork was just submitted recently and isn’t yet in place? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

[Guest guest]

Hi Sara,

Actually your facility is responsible for

the outside bill. They would not have the ability to bill the recipients

Medicare. They would send the bill to you for payment and you would put on the

cost report. That is how we handle outside donor claims.

Pat

M Hogan

Transplant

Financial Coordinator

Lahey

Clinic

41 Mall Rd

Burlington, MA 01805

Phone:

Fax:

Member

of Transplant Financial Coordinators Association

TFCA

Secretary

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Danner, Sara

Sent: Wednesday, June 13, 2012

5:10 PM

To:

TxFinancialCoordinators

Subject:

Medicare application

Kidney recip was

just signed up for Medicare A/B on day of living donor transplant. Donor

has complication from surgery and had a chest xray at an outside

facility. This is to be billed to recip’s Medicare, but what

happens since his Medicare paperwork was just submitted recently and

isn’t yet in place?

Sara Danner |

Transplant Financial Coordinator | Memorial

Medical Center

| Springfield, IL

Phone: | Fax: | E-mail: danner.sara@...

CHOOSE GREAT. CHOOSE MEMORIAL.

This message (including any attachments)

contains confidential information intended for a specific individual and

purpose, and is protected by law. If you are not the intended recipient, you

should delete this message. Any disclosure, copying, or distribution of this

message, or the taking of any action based on it, is strictly prohibited.

See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT 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.

[Guest guest]

I thought donor complications were billed to recip’s Medicare (facility and physician charges) per CMS. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, M. Liver TransplantSent: Wednesday, June 13, 2012 4:32 PMTo: TxFinancialCoordinators Subject: [Caution: Message contains Suspicious URL content] RE: Medicare application Hi Sara, Actually your facility is responsible for the outside bill. They would not have the ability to bill the recipients Medicare. They would send the bill to you for payment and you would put on the cost report. That is how we handle outside donor claims. Pat M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: Member of Transplant Financial Coordinators AssociationTFCA SecretaryFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Wednesday, June 13, 2012 5:10 PMTo: TxFinancialCoordinators Subject: Medicare application Kidney recip was just signed up for Medicare A/B on day of living donor transplant. Donor has complication from surgery and had a chest xray at an outside facility. This is to be billed to recip’s Medicare, but what happens since his Medicare paperwork was just submitted recently and isn’t yet in place? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT 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.

[Guest guest]

Here is a boiled down message re: new rules for complications from the Transplant Manager’s Listserv - they circulated this in late May. FYI. CMS recently issued clarification regarding the billing of post donor complications. Specifically, the language is modified in the Medicare Benefit Policy Manual (100-02), Chapter 11, Section 140.9. One item of note is the treatment of post discharge donor complications. The revised language states:Complications that arise after the date of the donor’s discharge will be billed under the recipient’s health insurance claim number. This is true of both facility cost and physician services. Billings for donor complications will be reviewed. In the past, transplant facilities have included the facility charges for post discharge donor complications within organ acquisition on the cost report. Effective November 28, 2011, these should be billed under the recipient's Medicare number and no longer claimed as organ acquisition. Here's the link to the transmittal.https://www.cms.gov/transmittals/downloads/R2334CP.pdf Routine Followup is as follows as I understand it:1) Facility charges (through 180 days post) go to Organ Acquisition 2) Surgeon's pro fee is included in the 90 day global 3) Surgeon's pro fee after 90 days is billable directly to Part B under the recipient's HICN (billing will be reviewed)4) Pro fees for follow up through 90 days post by MDs other than the surgeon are billable directly to Part B 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 Danner, SaraSent: Wednesday, June 13, 2012 2:45 PMTo: TxFinancialCoordinators Subject: RE: Medicare application I thought donor complications were billed to recip’s Medicare (facility and physician charges) per CMS. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, M. Liver TransplantSent: Wednesday, June 13, 2012 4:32 PMTo: TxFinancialCoordinators Subject: [Caution: Message contains Suspicious URL content] RE: Medicare application Hi Sara, Actually your facility is responsible for the outside bill. They would not have the ability to bill the recipients Medicare. They would send the bill to you for payment and you would put on the cost report. That is how we handle outside donor claims. Pat M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: Member of Transplant Financial Coordinators AssociationTFCA SecretaryFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Wednesday, June 13, 2012 5:10 PMTo: TxFinancialCoordinators Subject: Medicare application Kidney recip was just signed up for Medicare A/B on day of living donor transplant. Donor has complication from surgery and had a chest xray at an outside facility. This is to be billed to recip’s Medicare, but what happens since his Medicare paperwork was just submitted recently and isn’t yet in place? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT 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.

[Guest guest]

Thanks ! I thought that was one of the rules that changed recently. I appreciate your help. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Wednesday, June 13, 2012 5:12 PMTo: TxFinancialCoordinators Subject: [Caution: Message contains Suspicious URL content] RE: Medicare application Here is a boiled down message re: new rules for complications from the Transplant Manager’s Listserv - they circulated this in late May. FYI. CMS recently issued clarification regarding the billing of post donor complications. Specifically, the language is modified in the Medicare Benefit Policy Manual (100-02), Chapter 11, Section 140.9. One item of note is the treatment of post discharge donor complications. The revised language states:Complications that arise after the date of the donor’s discharge will be billed under the recipient’s health insurance claim number. This is true of both facility cost and physician services. Billings for donor complications will be reviewed. In the past, transplant facilities have included the facility charges for post discharge donor complications within organ acquisition on the cost report. Effective November 28, 2011, these should be billed under the recipient's Medicare number and no longer claimed as organ acquisition. Here's the link to the transmittal.https://www.cms.gov/transmittals/downloads/R2334CP.pdf Routine Followup is as follows as I understand it:1) Facility charges (through 180 days post) go to Organ Acquisition 2) Surgeon's pro fee is included in the 90 day global 3) Surgeon's pro fee after 90 days is billable directly to Part B under the recipient's HICN (billing will be reviewed)4) Pro fees for follow up through 90 days post by MDs other than the surgeon are billable directly to Part B 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 Danner, SaraSent: Wednesday, June 13, 2012 2:45 PMTo: TxFinancialCoordinators Subject: RE: Medicare application I thought donor complications were billed to recip’s Medicare (facility and physician charges) per CMS. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, M. Liver TransplantSent: Wednesday, June 13, 2012 4:32 PMTo: TxFinancialCoordinators Subject: [Caution: Message contains Suspicious URL content] RE: Medicare application Hi Sara, Actually your facility is responsible for the outside bill. They would not have the ability to bill the recipients Medicare. They would send the bill to you for payment and you would put on the cost report. That is how we handle outside donor claims. Pat M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: Member of Transplant Financial Coordinators AssociationTFCA SecretaryFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Wednesday, June 13, 2012 5:10 PMTo: TxFinancialCoordinators Subject: Medicare application Kidney recip was just signed up for Medicare A/B on day of living donor transplant. Donor has complication from surgery and had a chest xray at an outside facility. This is to be billed to recip’s Medicare, but what happens since his Medicare paperwork was just submitted recently and isn’t yet in place? Sara Danner | Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail: danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT 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.