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 …
VA Hospital Claims: Why Success is All in the Follow-Up
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 …
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10 Reasons Why VA Hospital Claims are Rejected
Does your Patient Financial Services team know the difference between a denied VA community care hospital claim and a rejected one? Although the terms sound interchangeable, the answer holds critical …
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A Revenue Cycle Guide to VA Emergency Claims
One of our experts explains the complexity of VA emergency claims this way: If we were to examine our claims inventory by date, searching for the nagging cases lingering open the longest, it’s a …
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The Five Biggest Challenges to Getting Out-of-state Medicaid Claims Paid
It’s a given that dealing with Medicaid is going to be challenging. Trying to get claims paid can be demanding, frustrating, time-consuming, and just overall maddening. And that’s when you’re dealing …
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The Reality of the New VA Hospital Claims Appeal Process
The U.S. Department of Veterans Affairs (VA) is notorious for communication problems and complicated processes. Its new claims appeal process was supposed to improve communications between providers …
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