Keeping Up with a VA Verification

The Moving Parts of VA Verification The VA verification process is not one and done. There are many moving parts. Once a clinic receives an authorization, the clinic must create a process to document and communicate all of the requirements and limitations, as outlined in the authorization, to the treating provider. The process should include...
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Verification with a Twist

Follow the Rules Typical verification starts with the insurance card the patient provides upon arrival or during the initial phone call. The clinic either calls the payer using the number on the back of the patient’s card or logs in to a payer’s website to verify both eligibility and coverage. VA patients, on the other...
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Verifying VA Coverage & Benefits

There are six regional networks for VA community care. Within those regions are assigned third party administrators that manage the coverage and benefits. It is absolutely vital that a clinic create a verification process prior to rendering service to a VA beneficiary. This tutorial will walk the clinic through the necessary steps to obtaining referrals...
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Reference Documents Workers’ Compensation Verification

 Reference Documents In this module we discussed some of the specific forms that may be required for federal injury claims. Listed below are sample forms that are common when requesting medical authorization as well as directions on billing procedures. As always, we recommend that you check the carrier website for the most current versions. CA-16...
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ChiroHealthUSA Reference Tools

Download Reference Documents If you haven’t realized it by now, we love CHUSA, and more reasons to love them are these helpful tools they have supplied for your use. Download, save and review these tools as you implement CHUSA in your practice for legal discounts. The proper use of the Election to Self-Pay form and...
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Workers’ Compensation Disclosures & HIPAA

HIPAA Allowed Disclosures in Workers’ Comp The HIPAA Privacy Rule does not apply to workers’ compensation insurers, workers’ compensation administrative agencies, or employers except to the extent they may otherwise be covered entities. However, The Privacy Rule acknowledges the need for insurers and other entities involved in the workers’ compensation systems to have access to...
OOPS, this page contains content reserved for KMC University members. We’d love to welcome you to the KMC University family because there is an amazing amount of helpful content in the trainings and resources of the KMC University Library. Click here to learn more.