Veterans Administration Guidelines
Click here for VA guidelines
Veterans Choice- Episode of Care Extended to One Year
Click here for the announcement from Health Net Federal Services.
Information on Treating Veterans
Many of our members reported difficulty navigating the issues of treating veterans and getting paid. For a summary of the information gained from NCCA research, CLICK HERE. If you find errors or have additional information that would be helpful to our members, please provide it for future updates on this information.
VA Patients Require Medicare Codes
Some time in 2014, a regional administrator took over the Veterans Administration of claims for services rendered off-site from the actual VA facilities.
The VA is administering this program under Medicare guidelines. You must file the claim as if it were a Medicare claim and you will only be reimbursed for services as if it were a Medicare patient. This means you must use Medicare codes and modifiers.
The NCCA has received several complaints about VA claims that originated with a referral from the VA but are not being paid. The source of the problem is that the VA makes the referral with no information about what will be reimbursed. Reimbursement is coming from another entity after treatment has already been rendered.
The NCCA is recommending that you try to get