VHA Script – Poststabilization Timeframe
May 24, 2020 7:06 pmASK YOURSELF: When was the patient stabilized in the emergency room or admitted as an inpatient? Was it during normal... View more
ASK YOURSELF: When was the patient stabilized in the emergency room or admitted as an inpatient? Was it during normal... View more
ASK YOURSELF: Who denied the claim? What is the professional’s license number with the State Medical Board? Were they a... View more
ASK YOURSELF: What was the patient’s presenting symptoms or chief complaint in the emergency room? Did the VA pay for... View more
ASK YOURSELF: What date was the claim initially billed? Was there any written communication (request for information, denial, underpayment) from... View more
ASK YOURSELF: Who denied the claim? Were they a licensed physician or a licensed health care professional who is competent... View more
ASK YOURSELF: What was the patient’s presenting symptoms or chief complaint in the emergency room? Did the plan pay for... View more
ASK YOURSELF: When was the patient stabilized in the emergency room or admitted as an inpatient? Was it during normal... View more
ASK YOURSELF: Which entity was billed initially (the plan or capitated provider?) What date was the claim was initially billed?... View more
ASK YOURSELF: Was the claim billed electronically or physically? What date was the claim initially billed? Do we have a... View more
ASK YOURSELF: Are we contracted with the plan? IF SO, WHAT IS THE EXPECTED REIMBURSEMENT? What date was the claim... View more