RE: donor counseling

Subject: RE: donor counseling

Here

at Pinnacle our Donor Coordinator as well explains this process to them.

Mindy

Soles

Transplant

Financial Coordinator

Pinnacle

Health Hospitals

205

S Front St.

burg,

Pa. 17105

Ph#

Fax#

[mailto:TxFinancialCoordinators ] On Behalf Of Todd,

L *HS

Sent: Wednesday, July 18, 2012 9:25 AM

To: 'TxFinancialCoordinators '

Subject: RE: donor counseling

Kim,

We do not meet with potential donors at UVA. We have a donor

coordinator who explains the complete donor process.

Todd

UVA Abdominal

Transplant Dept.

Financial

Coordinator

1300 Jefferson

Park Ave

Charlottesville,

Va 22908

[mailto:TxFinancialCoordinators ] On Behalf Of

Provencher

Sent: Wednesday, July 18, 2012 9:15 AM

Subject: donor counseling

Hello

Everyone,

I am a

new TFC, at the Maine Transplant Program, and I am in

the process of developing a process for our program.

I am

wondering how many of you meet with potential living donors to discuss the impact

a transplant would have on

their own

insurance, and if so do you use a particular form to go through this

process.

Thanks

for your time,

Kim

Provencher

July 18, 2012

Hi ,

Here at ETMC the living donor coordinator and social worker do most of the

interview. I only meet with them for a few minutes to explain the financial end.

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Provencher " 7/18/2012 8:15 AM >>>

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

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Thank you.

===========================================================

July 18, 2012

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor coordinator, meet with the donors explaining the billing process (because we don’t want them to get billed for any donor related services,

and inform them of the post follow-up as well).

We are finding that the donors are left in limbo – and with the shortage of organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place – we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

Subject: donor counseling

Hello Everyone,

I am a new

TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this process.

Thanks for your time,

Kim Provencher

July 18, 2012

, your process is how and I handle this situation at OUMC. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Wednesday, July 18, 2012 8:48 AMTo: TxFinancialCoordinators Subject: Re: donor counseling Hi ,Here at ETMC the living donor coordinator and social worker do most of the interview. I only meet with them for a few minutes to explain the financial end.Whitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...>>> " Provencher " 7/18/2012 8:15 AM >>>Hello Everyone, I am a new TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have on their own insurance, and if so do you use a particular form to go through this process. Thanks for your time, Kim Provencher===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================

July 18, 2012

Joanne,

Why would you run the donor's insurance? Is it just in case something is found

in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor

coordinator, meet with the donors explaining the billing process (because we

don't want them to get billed for any donor related services, and inform them of

the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of

organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators ] On Behalf Of

Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

July 18, 2012

Yes, our physicians are concerned for the donors. What we don’t want is to find something (i.e., abnormal ct) and say “ follow-up with your pcp” when they don’t have one, nor insurance to assist them. It’s really

a slippery slope and morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor coordinator, meet with the donors explaining the billing process (because we don't want them to get billed for any donor related services, and inform them of the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

July 18, 2012

Do you require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to

find something (i.e., abnormal ct) and say " follow-up with your pcp " when they

don't have one, nor insurance to assist them. It's really a slippery slope and

morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found

in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>>

7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor

coordinator, meet with the donors explaining the billing process (because we

don't want them to get billed for any donor related services, and inform them of

the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of

organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

July 18, 2012

That is what we are “discussing”. Currently – the donor’s financial situation is not in the decision making process – but the “what if’s” are troubling – and that is why we are revamping and trying to make it

more uniform.

I – personally – feel that is why the financial coordinators/counselors need to be in the mix of the screening donors - should the potential donor not have insurance – the coordinators/counselors can direct the

donor to sources (i.e., Medicaid, ICHIP – for Illinois pts-, private policies, etc). COUNSEL them, just as they would the recipient.

My understanding – is that the regulatory bodies (CMS, UNOS, etc) are heading in that direction, and will require the same services that we provide the recipients, we provide to the donors.

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:06 AM

Subject: RE: donor counseling

Do you require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to find something (i.e., abnormal ct) and say " follow-up with your pcp " when they don't have one, nor insurance to assist them. It's really a slippery slope and morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>> 7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor coordinator, meet with the donors explaining the billing process (because we don't want them to get billed for any donor related services, and inform them of the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com> [mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

July 18, 2012

Very well said Joanne. Our liver

program requires donors to have insurance. We have had “findings”

of illnesses on donors in the past which opens a whole can of worms for them

for possible pre-existing condition ( in some states ) and for any future life insurance

etc. I meet with all liver and kidney donors and go through this with

them. I am a big advocate of donors having insurance.

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 Joanne Cannone

Sent: Wednesday, July 18, 2012 10:13

AM

Subject: RE:

donor counseling

That is what we are “discussing”. Currently

– the donor’s financial situation is not in the decision making

process – but the “what if’s” are troubling – and

that is why we are revamping and trying to make it more uniform.

I – personally – feel that is why the financial

coordinators/counselors need to be in the mix of the screening donors -

should the potential donor not have insurance – the

coordinators/counselors can direct the donor to sources (i.e., Medicaid, ICHIP

– for Illinois

pts-, private policies, etc). COUNSEL them, just as they would the

recipient.

My understanding – is that the regulatory bodies (CMS, UNOS,

etc) are heading in that direction, and will require the same services that we

provide the recipients, we provide to the donors.

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at

Rush

1725 West on Street, Professional

Building III - Suite 1159

Chicago,

Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional

Building III - Suite 1156

Chicago,

Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012

9:06 AM

Subject: RE:

donor counseling

Do you

require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX

75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone "

7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to find

something (i.e., abnormal ct) and say " follow-up with your pcp " when

they don't have one, nor insurance to assist them. It's really a slippery slope

and morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street,

Professional Building III - Suite 1159

Chicago, Illinois

60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street,

Professional Building III - Suite 1156

Chicago, Illinois

60612

Office:

Fax:

[mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found

in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX

75701

phone

fax

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>>

7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor

coordinator, meet with the donors explaining the billing process (because we

don't want them to get billed for any donor related services, and inform them

of the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of

organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street,

Professional Building III - Suite 1159

Chicago, Illinois

60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street,

Professional Building III - Suite 1156

Chicago, Illinois

60612

Office:

Fax:

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

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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.

July 18, 2012

If anyone is willing to share their current financial clearance screen (or once it is developed) for the donors, I would greatly appreciate a sample!Thanks! M. Christiansen, BAS, RNTransplant Financial Case Manager DeVos Heart and Lung Transplant ProgramGrand Rapids, MI 49503lisa.christiansen@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Hogan, M. Liver TransplantSent: Wednesday, July 18, 2012 10:25 AMTo: TxFinancialCoordinators Subject: RE: donor counseling Very well said Joanne. Our liver program requires donors to have insurance. We have had “findings” of illnesses on donors in the past which opens a whole can of worms for them for possible pre-existing condition ( in some states ) and for any future life insurance etc. I meet with all liver and kidney donors and go through this with them. I am a big advocate of donors having insurance. M HoganTransplant Financial CoordinatorLahey Clinic 41 Mall RdBurlington, MA 01805Phone: Fax: Member of Transplant Financial Coordinators AssociationTFCA SecretaryFrom: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Joanne CannoneSent: Wednesday, July 18, 2012 10:13 AMTo: TxFinancialCoordinators Subject: RE: donor counseling That is what we are “discussing”. Currently – the donor’s financial situation is not in the decision making process – but the “what if’s” are troubling – and that is why we are revamping and trying to make it more uniform. I – personally – feel that is why the financial coordinators/counselors need to be in the mix of the screening donors - should the potential donor not have insurance – the coordinators/counselors can direct the donor to sources (i.e., Medicaid, ICHIP – for Illinois pts-, private policies, etc). COUNSEL them, just as they would the recipient. My understanding – is that the regulatory bodies (CMS, UNOS, etc) are heading in that direction, and will require the same services that we provide the recipients, we provide to the donors. JoAnne CannoneAdministrative Assistant to: C. Mendez, MDBarbara A. Pisani, DOCo-Medical Directors of The Advanced Heart Failure,Heart Transplant & Mechanical Circulatory Support Program at Rush1725 West on Street, Professional Building III - Suite 1159Chicago, Illinois 60612Office: Fax: J. March, MDAssociate Professor of SurgeryDepartment of Cardiovascular-Thoracic Surgery1725 West on Street, Professional Building III - Suite 1156Chicago, Illinois 60612Office: Fax: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Wednesday, July 18, 2012 9:06 AMTo: TxFinancialCoordinators Subject: RE: donor counseling Do you require that living donors have insurance coverage?Whitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...>>> " Joanne Cannone " 7/18/2012 9:03 AM >>>Yes, our physicians are concerned for the donors. What we don't want is to find something (i.e., abnormal ct) and say " follow-up with your pcp " when they don't have one, nor insurance to assist them. It's really a slippery slope and morally/ethically not safe.I guess we would like to be able to sleep at night!JoAnne CannoneAdministrative Assistant to: C. Mendez, MDBarbara A. Pisani, DOCo-Medical Directors of The Advanced Heart Failure,Heart Transplant & Mechanical Circulatory Support Program at Rush1725 West on Street, Professional Building III - Suite 1159Chicago, Illinois 60612Office: Fax: J. March, MDAssociate Professor of SurgeryDepartment of Cardiovascular-Thoracic Surgery1725 West on Street, Professional Building III - Suite 1156Chicago, Illinois 60612Office: Fax: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney FolsomSent: Wednesday, July 18, 2012 9:01 AMTo: TxFinancialCoordinators Subject: RE: donor counselingJoanne,Why would you run the donor's insurance? Is it just in case something is found in your workup the needs treatment?ThanksWWhitney Folsom, TFCETMC Transplant Program1100 E Lake St ste 340Tyler, TX 75701 phone faxwlfolsom@...<mailto:wlfolsom%40etmc.org>>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>> 7/18/2012 8:50 AM >>>Hi Kim,We are currently implementing a financial clearance screen for the donors.Our plan is to run donors insurance (if they have any) and with the donor coordinator, meet with the donors explaining the billing process (because we don't want them to get billed for any donor related services, and inform them of the post follow-up as well).We are finding that the donors are left in limbo - and with the shortage of organs, and long wait times, living donors are becoming more prevalent.Once we have a system in place - we will definitely share!JoAnne CannoneAdministrative Assistant to: C. Mendez, MDBarbara A. Pisani, DOCo-Medical Directors of The Advanced Heart Failure,Heart Transplant & Mechanical Circulatory Support Program at Rush1725 West on Street, Professional Building III - Suite 1159Chicago, Illinois 60612Office: Fax: J. March, MDAssociate Professor of SurgeryDepartment of Cardiovascular-Thoracic Surgery1725 West on Street, Professional Building III - Suite 1156Chicago, Illinois 60612Office: Fax: From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com> [mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>] On Behalf Of ProvencherSent: Wednesday, July 18, 2012 8:15 AMTo: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>Subject: donor counselingHello Everyone,I am a new TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have ontheir own insurance, and if so do you use a particular form to go through this process.Thanks for your time,Kim Provencher===========================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to:http://www.etmc.org/mail/ Thank you.======================================================================================================================This message is confidential, intended onlyfor the named recipient(s) and may containinformation that is privileged or exempt fromdisclosure under applicable law. If you arenot the intended recipient(s), you are notifiedthat the dissemination, distribution or copyingof this message is strictly prohibited. If youreceived this message in error, or are not thenamed recipient(s), please notify the senderand delete this e-mail from your computer.ETMC has implemented secure messaging forcertain types of messages. For more informationabout our secure messaging system, go to: http://www.etmc.org/mail/Thank you.===========================================================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.

July 18, 2012

So, would it be better that the uninsured potential donor be denied, but not

have had the cancer or whatever found? You are right, this is a very troubling

subject with pros and cons to both sides

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 9:12 AM >>>

That is what we are " discussing " . Currently - the donor's financial situation

is not in the decision making process - but the " what if's " are troubling - and

that is why we are revamping and trying to make it more uniform.

I - personally - feel that is why the financial coordinators/counselors need to

be in the mix of the screening donors - should the potential donor not have

insurance - the coordinators/counselors can direct the donor to sources (i.e.,

Medicaid, ICHIP - for Illinois pts-, private policies, etc). COUNSEL them,

just as they would the recipient.

My understanding - is that the regulatory bodies (CMS, UNOS, etc) are heading in

that direction, and will require the same services that we provide the

recipients, we provide to the donors.

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:06 AM

Subject: RE: donor counseling

Do you require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...<mailto:wlfolsom%40etmc.org><mailto:wlfolsom%40etmc.org>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>>

7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to find

something (i.e., abnormal ct) and say " follow-up with your pcp " when they don't

have one, nor insurance to assist them. It's really a slippery slope and

morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com>] On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com>

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found

in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

>>> " Joanne Cannone "

<Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu><mailto:Joanne_Cannone\

%40rush.edu>> 7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor

coordinator, meet with the donors explaining the billing process (because we

don't want them to get billed for any donor related services, and inform them of

the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of

organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%4\

0yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>] On Behalf

Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

To:

TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogr\

oups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

July 18, 2012

Personally, I don’t think the donor should be denied, but that is the current “discussion”

I believe the donor should be counseled by the Financial Coordinator/Counselor to obtain insurance – whether it be Medicaid, Private Insurance, etc., in the event of an issue, and to just have basic coverage.

We are fortunate to have a County Facility less then ½ mile away which handles all uninsured patients, and that’s where we would refer the donors, but again – once they are “happy” with the services at our facility-

transferring them to a County facility is difficult.

I believe we are only touching the tip of the iceberg regarding living donors, and now with the National Registry – it’s bound to become a real issue – and I see the regulatory bodies getting full hands on involved!!

Who said transplant is boring??

J

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:44 AM

Subject: RE: donor counseling

So, would it be better that the uninsured potential donor be denied, but not have had the cancer or whatever found? You are right, this is a very troubling subject with pros and cons to both sides

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone " 7/18/2012 9:12 AM >>>

That is what we are " discussing " . Currently - the donor's financial situation is not in the decision making process - but the " what if's " are troubling - and that is why we are revamping and trying to make it more uniform.

I - personally - feel that is why the financial coordinators/counselors need to be in the mix of the screening donors - should the potential donor not have insurance - the coordinators/counselors can direct the donor to sources (i.e., Medicaid, ICHIP - for

Illinois pts-, private policies, etc). COUNSEL them, just as they would the recipient.

My understanding - is that the regulatory bodies (CMS, UNOS, etc) are heading in that direction, and will require the same services that we provide the recipients, we provide to the donors.

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:06 AM

Subject: RE: donor counseling

Do you require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>> 7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to find something (i.e., abnormal ct) and say " follow-up with your pcp " when they don't have one, nor insurance to assist them. It's really a slippery slope and morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com> [mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...<mailto:wlfolsom%40etmc.org><mailto:wlfolsom%40etmc.org>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu><mailto:Joanne_Cannone%40rush.edu>> 7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor coordinator, meet with the donors explaining the billing process (because we don't want them to get billed for any donor related services, and inform them of the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com> [mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this process.

Thanks for your time,

Kim Provencher

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

Thank you.

===========================================================

This message is confidential, intended only

for the named recipient(s) and may contain

information that is privileged or exempt from

disclosure under applicable law. If you are

not the intended recipient(s), you are notified

that the dissemination, distribution or copying

of this message is strictly prohibited. If you

received this message in error, or are not the

named recipient(s), please notify the sender

and delete this e-mail from your computer.

ETMC has implemented secure messaging for

certain types of messages. For more information

about our secure messaging system, go to:

www.donateLIFEcalifornia.org/stanfordmed

Thank you.

===========================================================

July 18, 2012

I think the main thing is consistency. If you require your

donors to have coverage before you start the work-up, then all of your donors

should have coverage. We, for example, require our liver donors to have

coverage with a specific benefit level. Our kidney program, on the other hand,

does not require our donors to have coverage.

The coverage really should be to protect them should you find

something outside of transplant services.

Debbie Mast

Database Administrator/Financial Manager

Solid Organ Transplant/VAD Program

Stanford Hospital and Clinics

750 Welch Road, Suite 220

Palo Alto, CA 94304

Heart, Lung, Heart/Lung, Liver, Kidney, Pancreas, Intestinal

Transplant Programs

Trustee, TFCA

Phone: Fax:

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Joanne

Cannone

Sent: Wednesday, July 18, 2012 7:52 AM

Subject: RE: donor counseling

Personally, I don’t think the donor should be denied,

but that is the current “discussion”

I believe the donor should be counseled by the Financial

Coordinator/Counselor to obtain insurance – whether it be Medicaid,

Private Insurance, etc., in the event of an issue, and to just have basic

coverage.

We are fortunate to have a County Facility less then ½ mile

away which handles all uninsured patients, and that’s where we would

refer the donors, but again – once they are “happy” with the

services at our facility- transferring them to a County facility is difficult.

I believe we are only touching the tip of the iceberg

regarding living donors, and now with the National Registry – it’s

bound to become a real issue – and I see the regulatory bodies getting

full hands on involved!!

Who said transplant is boring?? J

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced

Heart Failure,

Heart Transplant & Mechanical

Circulatory Support Program at Rush

1725 West on Street, Professional

Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic

Surgery

1725 West on Street, Professional

Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Whitney

Folsom

Sent: Wednesday, July 18, 2012 9:44 AM

Subject: RE: donor counseling

So, would it be better that the uninsured potential donor be denied, but not

have had the cancer or whatever found? You are right, this is a very troubling

subject with pros and cons to both sides

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...

>>> " Joanne Cannone "

7/18/2012 9:12 AM >>>

That is what we are " discussing " . Currently - the donor's financial

situation is not in the decision making process - but the " what if's "

are troubling - and that is why we are revamping and trying to make it more

uniform.

I - personally - feel that is why the financial coordinators/counselors need to

be in the mix of the screening donors - should the potential donor not have

insurance - the coordinators/counselors can direct the donor to sources (i.e.,

Medicaid, ICHIP - for Illinois pts-, private policies, etc). COUNSEL them, just

as they would the recipient.

My understanding - is that the regulatory bodies (CMS, UNOS, etc) are heading

in that direction, and will require the same services that we provide the recipients,

we provide to the donors.

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators ]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:06 AM

Subject: RE: donor counseling

Do you require that living donors have insurance coverage?

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu>>

7/18/2012 9:03 AM >>>

Yes, our physicians are concerned for the donors. What we don't want is to find

something (i.e., abnormal ct) and say " follow-up with your pcp " when

they don't have one, nor insurance to assist them. It's really a slippery slope

and morally/ethically not safe.

I guess we would like to be able to sleep at night!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Whitney Folsom

Sent: Wednesday, July 18, 2012 9:01 AM

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com>

Subject: RE: donor counseling

Joanne,

Why would you run the donor's insurance? Is it just in case something is found

in your workup the needs treatment?

Thanks

W

Whitney Folsom, TFC

ETMC Transplant Program

1100 E Lake St ste 340

Tyler, TX 75701

phone

fax

wlfolsom@...<mailto:wlfolsom%40etmc.org><mailto:wlfolsom%40etmc.org>

>>> " Joanne Cannone " <Joanne_Cannone@...<mailto:Joanne_Cannone%40rush.edu><mailto:Joanne_Cannone%40rush.edu>>

7/18/2012 8:50 AM >>>

Hi Kim,

We are currently implementing a financial clearance screen for the donors.

Our plan is to run donors insurance (if they have any) and with the donor

coordinator, meet with the donors explaining the billing process (because we

don't want them to get billed for any donor related services, and inform them

of the post follow-up as well).

We are finding that the donors are left in limbo - and with the shortage of

organs, and long wait times, living donors are becoming more prevalent.

Once we have a system in place - we will definitely share!

JoAnne Cannone

Administrative Assistant to:

C. Mendez, MD

Barbara A. Pisani, DO

Co-Medical Directors of The Advanced Heart Failure,

Heart Transplant & Mechanical Circulatory Support Program at Rush

1725 West on Street, Professional Building III - Suite 1159

Chicago, Illinois 60612

Office:

Fax:

J. March, MD

Associate Professor of Surgery

Department of Cardiovascular-Thoracic Surgery

1725 West on Street, Professional Building III - Suite 1156

Chicago, Illinois 60612

Office:

Fax:

From: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>

[mailto:TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>]

On Behalf Of Provencher

Sent: Wednesday, July 18, 2012 8:15 AM

To: TxFinancialCoordinators <mailto:TxFinancialCoordinators%40yahoogroups.com><mailto:TxFinancialCoordinators%40yahoogroups.com>

Subject: donor counseling

Hello Everyone,

I am a new TFC, at the Maine Transplant Program, and I am in the process of

developing a process for our program.

I am wondering how many of you meet with potential living donors to discuss the

impact a transplant would have on

their own insurance, and if so do you use a particular form to go through this

process.

Thanks for your time,

Kim Provencher

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