Xerox has won a contract to improve the healthcare claims pricing strategy for the U.S. Department of Veteran Affairs, Veterans Health Administration (VHA).
The company will aid the VHA to meet new federal guidelines for non-contracted home health and hospice services provided by non-VA medical providers.
The agreement includes the maintenance of VHA electronic home health and hospice pricing solutions to track key claims by using a a web portal pricing tool.
“Claims pricing is a growing segment of the VHA’s health services offerings. By implementing this reimbursement tool, the agency will see significant savings in benefits dollars,” said Mike Bowers, Xerox’s group president of Federal Government Solutions.“The pricing tool will help identify and free up federal funds for additional services to our veterans.”
This is the first time VHA will have the capability to price non-contracted home health and hospice claims under the new Medicare pricing methodologies.
Under a previous contract, Xerox provided the VA with support for purchased care claims; including priced anesthesia, outpatient, end-stage renal disease and ambulatory surgery center claims under Medicare rates instead of under VHA rates.
