Jump to content
Using an Ad Blocker? Consider adding HadIt.com as an exception. Hadit.com is funded through advertising, ad free memberships, contributions and out of pocket. ×
VA Disability Compensation Benefits Forums - HadIt.com Veterans
  • 0

Va Press Release On

Berta

Asked by Berta,

 Share
This thread is over 365 days old and has been closed.

Please post your question as a New Topic by clicking this link and choosing which forum to post in.

For almost everything you are going to want to post in VA Claims Research.

If this is your first time posting. Take a moment and read our Guidelines. It will inform you of what is and isn't acceptable and tips on getting your questions answered. 

 

Remember, everyone who comes here is a volunteer. At one point, they went to the forums looking for information. They liked it here and decided to stay and help other veterans. They share their personal experience, providing links to the law and reference materials and support because working on your claim can be exhausting and beyond frustrating. 

 

This thread may still provide value to you and is worth at least skimming through the responses to see if any of them answer your question. Knowledge Is Power, and there is a lot of knowledge in older threads.

 

spacer.png

Question

Berta Grand Master

Berta 4,215

Posted
Posted

"VA Announces Use of Standard Payment Rates for Some Non-VA Care

WASHINGTON (Dec. 16, 2010) - The Department of Veterans Affairs (VA)

announced today it will begin using Medicare's standard payment rates

for certain medical procedures performed by non-VA providers on Feb. 16,

2011.

"This regulation will have no impact on the Veterans we care for," said

VA Under Secretary for Health Dr. Robert A. Petzel. "VA will now have

the ability to better plan budgets and place more money into access to

health care for the Veterans that VA is honored to serve."

The new adjustment was made in federal regulations and will affect the

following treatments VA provides to Veterans through contracted care:

ambulatory surgical center care, anesthesia, clinical laboratory,

hospital outpatient perspective payment systems, and end stage renal

disease (ESRD).

Veterans who are eligible for care will continue to receive the

uninterrupted care they need and have earned. Non-VA doctors and

facilities will still get paid for services they provide to eligible

Veterans but at rates set by the Centers for Medicare and Medicaid

Services (CMS) Prospective Payment Systems (PPS) and Fee Schedules.

Existing contracts will not be affected and the rule allows for new

contracts using the new rates.

Savings of approximately $1.8 billion over five years will allow VA to

continue to invest in such innovative programs as a wearable artificial

kidney, home dialysis and expanding access through stand-alone clinics.

"Adopting CMS pricing methodology for these schedules and services will

allow VA medical centers to use their resources more efficiently to meet

Veterans' needs," said Gary Baker, VA's health administration chief

business officer. "The adoption of Medicare rates will help ensure

consistent, predictable medical costs, while also helping to control

costs and expenditures."

The pricing methodology changes are a result of a rule change to 38 CFR

17.56, the federal regulation that governs VA when paying medical claims

for Veterans treated in community facilities. The proposed rule was

published on Feb. 18, 2010 and was opened for public comment April 19,

2010. The congressional review period for the final rule begins Dec. 17

and lasts 60 days.

VA is providing written notifications to Veterans and non-VA providers.

As additional information becomes available, it will be posted to the

VA's "Non-VA Purchased Care" Web site, www.nonvacare.va.gov."

Link to comment
Share on other sites
  • Answers 0
  • Created
  • Last Reply

Top Posters For This Question

Popular Days

Top Posters For This Question

Popular Days

0 answers to this question

Recommended Posts

There have been no answers to this question yet

 Share
Go to question listing

  • veterans-crisis-line.jpg
    The Veterans Crisis Line can help even if you’re not enrolled in VA benefits or health care.

    CHAT NOW

  • Advertisemnt

  • question-001.jpegLooking for Answers? Here are tips for finding the answers you seek.

     

    All VA Claims questions should be posted on our forums. To post, you must register. Registration is free. You can register for a free account here.

     

    You can read the forums without registering.

     

    Tips on posting on the forums.
     

    1. Post a clear title like ‘Need help preparing PTSD claim’ or “VA med center won’t schedule my surgery” instead of ‘I have a question.
    2. Knowledgeable people who don’t have time to read all posts may skip yours if your need isn’t clear in the title. I don’t read all posts every login and will gravitate towards those I have more info on.
    3. Use paragraphs instead of one massive, rambling introduction or story. Again – You want to make it easy for others to help. If your question is buried in a monster paragraph, there are fewer who will investigate to dig it out.

     

    Leading to:

     

    Post straightforward questions and then post background information.

     

    Examples:
     
    • A. I was previously denied for apnea – Should I refile a claim?
      • Adding Background information in your post will help members understand what information you are looking for so they can assist you in finding it.
    • I was diagnosed with apnea in service and received a CPAP machine, but the claim was denied in 2008. Should I refile?
       
    • B. I may have PTSD- how can I be sure?
      • See how the details below give us a better understanding of what you’re claiming.
        • I was involved in a traumatic incident on base in 1974 and have had nightmares ever since, but I did not go to mental health while enlisted. How can I get help?

     

    This gives members a starting point to ask clarifying questions like “Can you post the Reasons for Denial from your claim?” etc.

     

    Note:

     

    • Your first posts on the board may be delayed before they appear as they are reviewed.
    • This process does not take long.
    • Your first posts on the board may be delayed before they appear as they are reviewed. The review requirement will usually be removed by the 6th post. However, we reserve the right to keep anyone on moderator preview.
    • This process allows us to remove spam and other junk posts before hitting the board. We want to keep the focus on VA Claims, and this helps us do that.

  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×
×
  • Create New...

Important Information

{terms] and Guidelines

  I accept
<——>