Concerns with VA Choice Program reimbursement
Thursday, June 8, 2017
Posted by: DCMS
The core function of the Duval County Medical Society is to ensure that physicians in our community are able to practice medicine to the best of their ability. This means helping members navigate governmental regulations, attain required Continuing Medical Education, advocate on behalf of physicians and their patients, and work with key stakeholders in order to improve the overall health of the community.
Today, I am specifically requesting your assistance in helping us to improve a situation we have learned is impacting many of your practices collect on thousands of dollars in reimbursement.
The Duval County Medical Society has learned that there is a wide-spread concern regarding reimbursement under the VA Choice program. Several local practices have indicated that they are holding claims Accounts Receivable for as long as a year for VA Choice patients. In addition, attempts to close these claims have resulted in telephone wait times of up to eight hours.
This matter has been brought to the attention of Congressman John Rutherford, who has specifically asked me for your assistance. Congressman Rutherford would like to take swift action to ensure that VA patients continue to have access to care under the VA Choice program, and that physicians and their practices are compensated swiftly and fairly.
If your practice has experienced these or similar issues with the VA Choice program, please let me know ASAP. A few practices are already sharing detailed data regarding A/R timelines, patient volume and wait times. If you are willing and able to share that information, the Congressman would appreciate the ability to use this data to help strengthen the case for quick action. However, if your organization is unwilling or unable to provide such specific data, then please consider sharing general information. The purpose is to demonstrate that this is truly a widespread concern across the region.
If you have further questions, please reach out to me at (904) 353-7536. I am excited that together, we have the opportunity to make an important impact on this issue.
DCMS Chief Executive Officer