Argos Health

Last year, the Argos team recovered $3.5 million more in reimbursement for a health system by advocating for one critical change: adding another VA payer into the EHR and billing system. The change didn’t initially make intuitive sense to the health system, which argued that the VA should be treated as a single entity. With […]

The VA has a language all its own for the hospital claims process. What’s more, many of the VA terms are confusing, easily mistaken one for another, or even mean something different in another financial sector. In other hospital service lines, small semantics issues may be fairly easily remedied. For VA hospital claims, however, confusing […]

With the passage of the MISSION Act in 2018, the Veterans Community Care Network was launched to make it easier for veterans to access care from their local community hospitals. In turn, two deceptively simple terms governed how those hospitals could be reimbursed for the services they provided: Authorization and Notification. “Deceptively simple” is the […]

In a 2020 report to Congress, the Dept. of Veterans Affairs declared its intention to aim for the timely processing of 90% of all claims. How often had they achieved it in FY2019? Barely more than half the time. In the hospital revenue cycle management arena, VA reimbursement could be considered playing the long game. […]