It is vital that providers identify what portion of the law applies to them and immediately make changes to be compliant.
Library members, visit the Helpdesk FAQ on your dashboard to watch a short but helpful video from KMC on this topic. Additionally, Library members can also find an extensive number of resources to guide them through proper billing for non-covered services. See the links below when you’re logged into your member dashboard.
Our Helpdesk has received an increase in calls about when an office can charge a patient for a non-covered service, or one that is bundled into a “per visit” or capitated plan.
Providers who render services to veterans within the Patient Centered Community Care (PC3) network can resolve referral and claim issues until September 30, 2022.
New regulations such as the 2022 No Surprises Act may place providers in the hot seat if they do not notify patients properly when care is no longer considered a covered service.
On April 1, 2022, the VA will utilize a new Credentials Verification Organization (CVO) to credential non-Community Care Network (CCN) providers. If you are a CCN provider, you may not need to do anything.