VA officials in response to the report said they have already put numerous fixes in place to deal with the problems from two years ago and should implement the rest of the Inspector General’s recommendations later this year. “Inappropriately denied or rejected non-VA emergency care claims present a risk of substantial, undue financial burden on veterans.”Ĭomplicating the problem was mistakes in VA’s process of notifying veterans about their rejected medical payment claims, which lead to thousands of veterans missing out on a chance to appeal the decisions.
“It is critical that VHA staff process claims for non-VA emergency care in an accurate and timely fashion,” the report stated.
They also found lax oversight within VA, with numerous cases of supervisors not reviewing decisions for quality or accuracy checks. Have treatment goals focused on comfort rather than cure. The VA criteria for hospice care states that veterans must: Be diagnosed with a life-limiting illness. That means if you meet the clinical need for the service, you are eligible. Investigators found cases of claims being incorrectly rejected because paperwork was filed too late, because of errors in outside-care eligibility, and because processors missed clinical records ordering the outside care. Hospice is part of the VA’s standard medical benefits package.
0 kommentar(er)
