Leave no one behind.
When 60 Minutes of CBS aired a special investigation of the Veteran’s Affairs office three years ago, they captured the sentiments of many veterans when they quoted a popular expression, “Delay. Deny. And hope that I die.”
At ERN/The National Council of Reimbursement Advocacy (ERN/NCRA), we champion the cause of redressing uncompensated medical care to veterans. ERN/TRAF knows that a medical provider’s ability to heal our country’s heroes is a direct result of cash flow. In recent years, denials of emergency and poststabilization services and care (transfers) at non-VA facilities have been on the rise:
- The VA does not respond timely to requests for authorization or transfer as required by federal law nor do they recognize statutorily “deemed” authorized services.
- The VA attempts to deny claims after the point of stabilization when: 1.) VA beds were not available, 2.) No attempts to transfer the veteran are documented and/or 3.) No decision maker consulted the treating doctor.
New legislation passed January 20, 2012 strengthens the requirement for the VA to pay for emergency treatment provided to a veteran at a non-VA facility up to the time the veteran 1.) Can be safely transferred to a VA or other Federal facility and such facility is capable of accepting the transfer, or 2.) Until such transfer was actually accepted, so long as the non-VA facility made and documented reasonable attempts to transfer the veteran to a VA or other Federal facility.
To help healthcare providers understand and benefit from Federal prompt payment laws, ERN/NCRA has created a comprehensive half day session that teaches providers how to enforce prompt payment to non-VA facilities for emergency and post-stabilization services and care.
In this session, participants will learn how to redress power inequities that exist between the VA and civilian emergency providers. In just four (4) hours, you will learn:
- How the VA Healthcare System works.
- Federal laws that relate to timely VA emergency and poststabilization reimbursement and prevent improper denials of medically necessary care.
- How to get claims adjudicated beyond stabilization when the VA fails to respond to authorization requests orally or in writing.
- How to impose the VA’s responsibility to accept transfer of patients once the veteran is stabilized.
- The VA prompt payment guidelines, methodology, claims payment and inter-transfer facility policy under the FREEDOM OF INFORMATION ACT and MORE!
Best of all, you’ll get answers to your specific questions, as we open up deliberations with your Master Trainer!
YOU ARE NOT POWERLESS TO INITIATE CHANGE IN THIS NATIONAL CRISIS.
Register now, to learn how to appeal and protest payor rejections to render just reimbursement, so that your healthcare delivery system may continue to leave “no patient behind.”
For one low price—$349.00 per person—each participant will get: 1.) Hundreds of pages of informational and practical instructional materials 2.) Sample Letters, Affidavits and Case Study Examples and 3.) Denial Simulation Exercises.
Minimum of 10 attendees required.