VA Addlt Authorizations
3 min
Purpose
To ensure accurate entry of VA (Veterans Affairs) insurance and authorization information for proper billing, compliance, and timely reimbursement.
When to Use
Use this process:
- When a VA patient is scheduled with an approved referral
- Before the patient’s first visit
- Whenever a new VA referral or authorization is received
Responsible Role
- Front Desk / Patient Coordinator: Creates the VA insurance policy, case, and authorization
- Billing Team (if applicable): Verifies accuracy and ensures claims are processed correctly
Creating a VA Account
- Select the patient.
- Go to Insurance.
- Choose Edit Policy.
- Update Eligibility with the newly approved visits.
- Select Coverage, then scroll down and enter the approved number of visits.
- Enter 0 in Rendered Outside Practice.
- Click Save.
- Go to Cases.
- Select the most recent case.
- Update the Date of Onset if the patient’s previous date is over a year old.
- Go to Authorizations.
- Click Add New Authorization.
- Enter the following information:
- Authorization Number: VA authorization number
- Date Requested: Enter the date a Request for Services was faxed to VA
- Service Type: 33 - Chiropractic
- Status: Approved
- Date Approved: Issued date on referral
- Approved From: Day patient came in for re-exam
- Approved To: 90, 60, or 180 days from re-exam date, depending on referral
- Total Authorized: Review VA referral, it may be 12visits, 6visits or 8visits
- Rendered Outside Practice: 0
- Click Save Authorization.