CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie submitted a letter on 071011, ref SDS 14 UW5J, requesting that
040902 - UCSF explain the basis of charges, ref SDS 14 K65P, and submit the
040903 - total amount claimed to date, ref SDS 14 K65S, which responded to the
040904 - letter from UCSF received on 071010, which said Millie should contact
040905 - a 3rd party (Medicare) for explanation of UCSF charges, ref SDS 13
040906 - OH7R, and disclosed that UCSF is making a review to identify all
040907 - charges claimed for recovery against Millie. ref SDS 13 OH89
040909 -  ..
040910 - UCSF has not yet submitted their review of the account.
040912 -  ..
040913 - Millie continues to receive invoices from UCSF saying payment for
040914 - laboratory charges were denied by Medicare, indicating that UCSF is
040915 - charging Millie for the work.  An example is UCSF invoice dated 071010
040916 - for admission date on 070802 Hosp No 050454 account #12997919.
040917 - Curiously, the bill says date of service is 071001; not clear why
040918 - "admission date" is 070802 for services 2 months later on 071001?
040920 -  ..
040921 - UCSF invoices cause Millie concern that UCSF is charging for blood
040922 - tests because Kaiser wants to get paid for this work, rather than
040923 - UCSF, reported on 070830.  Bob's letter on 071010 seems to say that
040924 - Medicare pays for blood tests (labs), so there is no coinsurance.
040925 - ref SDS 13 OH7W
040927 -  ..
040928 - Millie decided to experiment on impact of UCSF billings by having
040929 - blood tests done at Kaiser labs, and so wrote to UCSF...
040930 -
040931 -    1.  Subject: Treatment Schedule Blood Tests October 18th
040932 -        Date: Mon, 15 Oct 2007 18:00:32 -0700
040938 -         ..
040939 -    2.  Jackie,
040941 -         ..
040942 -    3.  Just a reminder to schedule another lab for treatment on
040943 -        Thursday.
040945 -         ..
040946 -    4.  I know this is a sore subject, but if these payment problems
040947 -        with Kaiser would go away, I would like to have blood tests
040948 -        done at Kaiser, rather than UCSF.  In that case, you would need
040949 -        to make arrangements for a blood draw the day before on
040950 -        Wednesday, Oct 17th so that [the primary care physician]
040952 -        can place the order.  I was looking at the meeting with Bob
040953 -        Schwartz on Aug 30th.  That seems to say this whole thing
040954 -        started because Kaiser wants to do the blood tests. ref SDS 5
040955 -        T149
040957 -         ..
040958 -    5.  I remember we all talked about this on the first day of
040959 -        treatment, 070201, and decided to get blood tests at UCSF.
040960 -        ref SDS 2 XR40 [...in order to avoid problems set out in the
040961 -        record on 070830. ref SDS 5 T176]
040963 -         ..
040964 -    6.  I tried getting a blood test at Kaiser last May, and Brigid
040965 -        said this was a mistake, that testing at UCSF was the best
040966 -        course. [reported on 070517, ref SDS 3 CV6K, citing difficulty
040967 -        coordinating divided responsibilities between organizations.
040968 -        ref SDS 3 YG4N]
040969 -
040970 -              [On 071017 problems ordering blood tests at Kaiser the
040971 -              day before treatment at UCSF - Jackie faxes request for
040972 -              blood draw to Arlette at Kaiser in Walnut Creek, Millie's
040973 -              main treatment location. ref SDS 15 Q45F  Arlette is at
040974 -              lunch, delay finding out where to get blood drawn.
040975 -              ref SDS 15 4Q5M  Arlette advises UCSF blood draw request
040976 -              was ordered by the doctor; tells customer to coordinate
040977 -              with Kaiser to schedule blood draws. ref SDS 15 4Q7G
040978 -              Kaiser in Walnut Creek cannot do blood draw until next
040979 -              week, ref SDS 15 YE9G; Millie goes to Kaiser in Martinez
040980 -              for the blood draw; finds the order is not entered in the
040981 -              computer, ref SDS 15 OS3F; blood draw performed using
040982 -              order found in the computer for prior blood draw from
040983 -              last January. ref SDS 15 OS5K
040985 -               ..
040986 -              [On 071018 blood test results were not available for
040987 -              review during examination, ref SDS 16 HL7O, treatment at
040988 -              UCSF was delayed for an hour or so until Kaiser submitted
040989 -              blood test results via fax. ref SDS 16 6N9F
040991 -               ..
040992 -              [On 071019 UCSF clinical trial staff confuses Neutrophils
040993 -              in Kaiser's blood test report on 071017, for NEUTS used
040994 -              by UCSF to assess patient safety for treatment.
040995 -              ref SDS 17 EU5U
040997 -               ..
040998 -              [On 071024 letter to UCSF proposes returning to system of
040999 -              blood tests at UCSF in order to avoid problems of
041000 -              confusion and delay, provided UCSF demonstrates there are
041001 -              no extra charges in billings. ref SDS 18 EP5W
041003 -         ..
041004 -    7.  However, I keep seeing blood test charges in all the invoices.
041005 -        Rod says that Bob says I am not being billed for what is shown
041006 -        in the invoices.  So, I'm confused.  Bob's letter on October 10
041007 -        says UCSF charges 20% for coinsurance, but labs are excluded.
041008 -        ref SDS 13 OH7W  So, why are blood test charges in all the
041009 -        invoices I get?  [see example above, ref SDS 0 KN4F, If I am
041010 -        not being charged for labs, what is the basis of charges?
041011 -        (that's not a question for you) [repeating the question in
041012 -        Millie's letter to the doctor and the accounting department on
041013 -        071010, ref SDS 13 HZ9X, and the next day on 071011,
041014 -        ref SDS 14 K65S]  I realize Bob feels I should call Medicare.
041015 -        [UCSF letter on 071010, ref SDS 13 OH7R]  I have tried that for
041016 -        endless hours.  I remember Doctor Rugo saying she tried too,
041017 -        and none of us can get an answer. [UCSF letter on 070906,
041018 -        ref SDS 6 I49K]
041020 -         ..
041021 -    8.  In any case, I am willing to have blood tests done at Kaiser if
041022 -        that will end this problem, and we can continue as originally
041023 -        planned with Kaiser paying for the referral. [agreed between
041024 -        Kaiser and UCSF reported on 070105, when the doctor prescribed
041025 -        treatment at UCSF. ref SDS 1 PK68
041027 -         ..
041028 -    9.  Please let me know if we should go back and have the labs at
041029 -        Kaiser.
041030 -
041031 -              [On 071017 Jackie coordinated with Arlette to schedule
041032 -              blood tests at Kaiser late in the afternoon the day
041033 -              before treatment. ref SDS 15 Q45S
041035 -               ..
041036 -              [On 071017 problems ordering blood tests at Kaiser the
041037 -              day before treatment at UCSF - Jackie faxes request for
041038 -              blood draw to Arlette at Kaiser in Walnut Creek, Millie's
041039 -              main treatment location. ref SDS 15 Q45F  Arlette is at
041040 -              lunch, delay finding out where to get blood drawn.
041041 -              ref SDS 15 4Q5M  Arlette advises UCSF blood draw request
041042 -              was ordered by the doctor; tells customer to coordinate
041043 -              with Kaiser to schedule blood draws. ref SDS 15 4Q7G
041044 -              Kaiser in Walnut Creek cannot do blood draw until next
041045 -              week, ref SDS 15 YE9G; Millie goes to Kaiser in Martinez
041046 -              for the blood draw; finds the order is not entered in the
041047 -              computer, ref SDS 15 OS3F; blood draw performed using
041048 -              order found in the computer for prior blood draw from
041049 -              last January. ref SDS 15 OS5K
041051 -               ..
041052 -              [On 071018 blood test results were not available for
041053 -              review during examination, ref SDS 16 HL7O, treatment at
041054 -              UCSF was delayed for an hour or so until Kaiser submitted
041055 -              blood test results via fax. ref SDS 16 6N9F
041057 -               ..
041058 -              [On 071019 UCSF clinical trial staff confuses Neutrophils
041059 -              in Kaiser's blood test report on 071017, for NEUTS used
041060 -              by UCSF to assess patient safety for treatment.
041061 -              ref SDS 17 EU5U
041063 -               ..
041064 -              [On 071024 letter to UCSF proposes returning to
041065 -              performing blood tests at UCSF in order to avoid problems
041066 -              of confusion and delay, provided UCSF demonstrates there
041067 -              are no extra charges in billings. ref SDS 18 EP5W
041068 -
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041070 -
041071 -
041072 -
041073 -
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0411 -