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 …
The VA Hospital Claims Glossary
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 …
Authorization and Notification: The Two Most Critical Words for VA Claims Reimbursement
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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