Blog

Operating a hospital or health system means layers upon layers of challenges, from managing staff to developing the right clinical programs and improving patient experiences. Among those challenges, navigating complex Veterans Administration (VA) claims stands out as a particularly intricate task. For healthcare providers managing their claims in-house, it’s crucial to understand the complexities inherent […]

With 2022 officially behind us and New Year’s resolutions in full effect (or already fallen off), and everyone back in the saddle for 2023, the VA continues to alter their operating landscape. With the passage of the MISSION Act in 2018 and the PACT Act in 2022, Veterans sought care from Community Providers in record […]

As the new year approaches, it’s time to review the guideposts that unite your legal strategy to ensure you are pursuing, securing, and resolving maximum revenue for your Motor Vehicle Accidents and Third-Party Liability claims. For the past two years, MVA accidents declined as the number of drivers on the road decreased due to the […]

The Department of Veterans Affairs partners with health systems to support Veteran care. As commercial carriers moved into the 21st century, hospitals are still struggling with old VA processes impacting reimbursement. Download the white paper and learn the intricacies of the VA to successfully capture revenue for these complex claims.  

With the introduction of the Maintaining Internal System and Strengthening Integrated Outside Networks (“MISSION”) Act, the VA restructured and streamlined their Authorization process. At the same time, when the VA stood up the Community Care Network (“CCN”), the VA also strengthened the Notification system for Emergency Care. While these processes are known throughout the community, […]

Veterans who receive care outside the Department of Veteran Affairs (“VA”) hospitals saw their eligibility requirements change drastically in the past 20 years. Originally, the VA restricted veterans from visiting non-VA affiliated facilities for any type of treatment. Veterans could only go to VA hospitals if they wanted their treatment covered by their benefits. Now […]

The Veterans Administration had a busy summer in 2019. First, the Veteran Integrated Service Network allowed all facilities within their network to work claims regardless of where they originate within the network. The VISN map can be found here and select Region. Second, the VA began their Cerner implementation, which is scheduled to take 10 […]