Why it's so difficult to collect on VA hospital claims in 2021

With the implementation of the MISSION Act in June 2019, the U.S. Department of Veterans Affairs created a program to provide easier access to non-VA facilities for veterans.

Since the launch of the Community Care Network, providers have found themselves dealing with the VA more and more. Just as this new program was getting off the ground, however, COVID-19 led to hospital staffing shortages, the retirement of experienced employees and reduced productivity due to remote work arrangements.

VA claims can be a significant source of hospital revenue, but they require specialized knowledge to bill and collect.

Hospital CFOs and revenue cycle leaders can benefit from this white paper to learn:

  • How the various VA community care programs operate
  • Why working with the VA is not the same as working with a typical insurer
  • How the VA denial and appeal process differs from that of other payers
  • Why outsourcing may be the best way to ensure every possible dollar is collected on these claims