Veterans Administration Case Study
Strategic Partnership on VA Accounts Helps Hospital System Boost Collections by $1 Million in Five Months
The Challenge
A multi-hospital system based in Texas wanted to improve the performance for its Veterans Administration (VA) patient inventory. Recent legislation to increase access to care for veterans has increased the administrative requirements for hospitals and providers of care. The client has a strong internal process for pre-scheduled outpatient and inpatient visits but wanted to improve its performance with emergency room notifications required by the VA. The system’s leadership wanted to partner with a company with a specialized focus and scalable staffing to meet the VA requirements.
Veterans Now Have Broader Access to Care
Veterans Affairs legislation is dynamic, and some recent changes have greatly expanded veterans’ access to care. The VA MISSION Act, authorized in 2018, gave veterans more choices for and better organization of their healthcare. The act led to refined Community Care Network legislation (2019), which in part made it easier for veterans to get care from community providers, VA staff, and third-party administrators closer to their homes.*
The Solution
Elevate Patient Financial SolutionsSM implemented its VA Notification and Billing program, devoting highly trained and experienced staff who understand the requirements and nuances of the VA program nationwide as well as specifics related to each Veterans Integrated Services Network region, such as VISN 17 in Texas.
ElevatePFS dedicated resources manage the required notifications for emergency visits within the appropriate timeframe and follow through to final disposition of claim to strengthen collections.
Resources
*U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Community Care, https://www.va.gov/COMMUNITYCARE/docs/pubfiles/factsheets/FactSheet_26-01.pdf
The Elevated Difference
The ElevatePFS team has a deep understanding of the complexities surrounding VA accounts, including the emergency care notification protocol – a service that few vendors offer. ElevatePFS also has unique access to insight from VISN leadership via longstanding, personal relationships with VISN contacts nationwide, including strong ties to VISN 17.
