Showing 2 ideas for tag "ineligible"

Department of Veterans Affairs

Veterans Eligibility; BETTER WEED OUT & FLAG INELIGIBLE Pts

We need rigorous training for frontline staff determining eligibility for health & other benefits. The VA has strict procedures for determining eligibility including what documents are acceptible. However, at least in our VISN (12), review of eligibility seems to indicate sloppy procedures. E.g. 1 pt alone who is NOT EVEN A VET was seen at least as early as 1997 on a HUMANITARIAN EMERGENCY status. Once in the system,... more »

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Department of Veterans Affairs

Randomly Check Accuracy of Eligibility Claims

Create a local Quality Assurance Panel in each VA to randomly check the accuracy of claims for eligibility. If we can identify where the holes are in each VA, we will then know how to close that hole.

For each pt who fraudulently applies for and is granted eligibility for health care benefits, there is a cascade effect: pt not only gets inpt stays, costly medications, dental work, etc. but can then apply for housing,... more »

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