This is not the first time the VA has been mandated to pay for emergency non-VA services for its members.
In 2009, Congress passed the Emergency Care Fairness Act to require the VA to make payments as a secondary payer to non-VA providers for emergency treatment for veterans. The VA has refused to pay the claims since the legislation passed, reports Crescent-News.
The U.S. Court of Appeals for Veterans Claims said Friday the VA had “unlawfully refused” to adjust its reimbursement practices under the legislation.
Veterans who have been denied reimbursement for medical treatment administered outside of the VA-system are encouraged to re-submit their claims.
More articles on legal and revenue cycle management issues:
2,000 women in class-action lawsuit against Hopkins gynecologist may not receive payment: 5 things to know
Va. judge rules against LifePoint Health hospital in balance billing dispute
Fla. officials: Psychiatric hospital wrongly denied care to patients holding out-of-network insurance
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