VA Updates Emergency Care Reimbursement, Payment Activities

By Thomas Beaton

– The VA has announced that it will expand provider payment eligibility for emergency treatment services and make  administrative and regulatory changes aimed at creating payment process improvements.

The January 9th, 2018 rule extends reimbursement for emergency providers that received partial payment after treating a veteran in a non-VA facility. The new rule now allows these providers to receive fuller payments based on the totality of services needed for emergency treatment.

“VA will begin processing claims for reimbursement of reasonable costs that were only partially paid by the Veteran’s other health insurance (OHI),” the agency said in a press release. “Reasonable costs may include hospital charges, professional fees and emergency transportation, such as ambulances.”

The announcement came just a week after the VA announced technical and administrative changes aimed at improving payments delivery to community-based providers.

VA proposed ambitious payment administrative goals which include increasing the numbers of claims processed by 300…

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