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VA Code in Flight Submission - MCCF eInsurance Compliance (BRD Only)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11056
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 03-13-2015.
In an ongoing effort to increase revenue, the Chief Business Office’s (CBO) eBusiness Solutions Office will implement best practices related to insurance capture and verification, insurance reporting and site parameters. Best practices related to insurance capture and verification will allow the capture of detailed free text insurance reviews and sharing of these entries with all other revenue personnel. As a result, Veterans Health Administration (VHA) insurance verification clerks will have the software changes necessary to capture, store and display individualized patient insurance information. Modification of insurance reports will allow better alignment with Consolidated Patient Account Centers’ (CPACs) Internal Controls and Office of Inspector General (OIG) audits. With additional new data fields and filtering capabilities, insurance verification staff will be able to identify, track and trend missed insurance revenue opportunities. In addition, these enhancements will incorporate industry standard card scanning capabilities and a Windows Graphical User Interface (GUI) for Veterans Health Information Systems and Technology Architecture (VistA). This will provide VHA insurance intake and verification clerks with the ability to capture new insurance information for Veterans electronically. The enhancements requested will support an appointment driven business process that captures and verifies insurance information and demographic data through paperless technology combined with VistA integration.

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