VA Hospital Claims: Deconstructing the Resolution Process
The US Department of Veterans Affairs (VA) augments its own healthcare resources by purchasing care from non-VA community providers. This is done under a variety of overlapping programs that combine to create a complex environment in which community providers must operate. In addition to the inherent complexity, there is substantial uncertainty related to the future of the VA purchased care programs and how hospital participation will be impacted over time. Given the realities of working with the VA, many hospitals have concluded that the processing, follow-up, and payment verification of these claims is a perfect candidate for outsourcing.
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