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REIMBURSEMENT UPDATE

Medicare Reimbursement: Revenue Code 0815

As a reminder, Revenue Code 0819 retired at the end of 2016. As of January 1, 2017 transplant centers must use Revenue Code 0815 in both the inpatient and outpatient settings. Please use Revenue Code 0815 to report all charges for allogeneic donor search and cell acquisition costs. Beginning January 1, 2017, CMS requires all allogeneic transplant claims to include Revenue Code 0815 or they will be returned.

Transplant center-specific Medicare Reimbursement Reports will be available at the BMT Tandem Meetings and will be sent via e-mail in late February. Please contact Alicia Silver at alicia.silver@nmdp.org or 763-406-8669 with questions.

Payer Policy Team Updates

We are excited to welcome two new staff members to the Payer Policy Team!

Desiree Cremeen joins us as a Transplant Center Relations Manager. Desiree comes from the University of Minnesota where she was a Transplant Financial Coordinator and was previously a Case Manager at NMDP/Be The Match.

Roxane Farley is our new Administrative Specialist and comes to our team from Boston Scientific where she had 10+ years of experience in a similar role.

Kristen Edsall is departing from her role as Payer Relations Manager as of January 13. We thank Kristen for her tremendous contributions to our team and wish her luck in her new position at Optum.

ASBMT/CIBMTR Tandem Meetings

Join the Payer Policy Team at Tandem this February! Highlights include, “Implementing Quality & Value in HCT”, Jugna Shah’s presentation on CMS Billing and an NMDP/Be The Match session on the Economics of BMT vs. New Therapies “Costs”. See you in Orlando!

Patient Financial Resource Spotlight

Financial Planning Before Transplant: This fact sheet can help patients learn about planning for transplant costs and includes useful financial planning worksheets. Download resource (PDF).

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If you have any questions or need additional information, please contact the Payer Policy Team at PayerPolicy@nmdp.org. All of our resources are available on our website: Network.BeTheMatchClinical.org/Reimbursement.

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