HSRM Portal for VA Referrals Most clinics develop a manual process for managing their VA referrals and authorizations—they simply create a workflow and flag these within their practice management software. A manual process is sufficient if you have two or three VA patients, but if you are in an area where you receive several referrals…
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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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Medicaid coverage and eligibility can be a moving target since states base policies on current legislation and available funds. Because of the variety of restrictions, it’s vital to confirm benefits for every patient and every visit, in order to bill correctly and compliantly. This tutorial provides guidance on locating information online and additional information on…
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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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Support Tool Once a clinic has determined the type of coverage and located state and federal online provider resources, it is time to verify the benefits. Although the state and federal website portals offer great resources when it comes to manuals and forms, they do not provide the information necessary to ensure reimbursement for the…
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Support Tool Hopefully, the information offered in this module has provided the clinic a reason to implement personal injury verification. The module contains helpful tools to help you succeed with this task. Download and customize the Support Tool titled Personal Injury Insurance Verification Form. Save the Support Tool to your desktop or to a folder…
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