Veterans choice program contractors overpaid by $100 million in bulk payments anxiety attack treatment at home

The VA office of inspector general (OIG) audited the veterans health administration’s (VHA’s) office of community care (OCC) to determine the accuracy of bulk payments made to third party administrators (tpas) under contracts that include care provided through the veterans choice program. The OIG found about $66.1 million in duplicate payments and $35.3 million in three other payment error types, for a total of $101.4 million in estimated overpayments to the tpas from march 4, 2016, to march 31, 2017.

In 2016, the OCC implemented a method to process health care claim payments to tpas on an aggregated basis, referred to as bulk payments. This process did not have effective internal controls in place to detect improper claims.


Because of ineffective internal controls, the OCC failed to identify improper claims being submitted by the tpas.

The OIG recommended that VHA continue to support processes to prevent duplicate payments and ensure that controls are in place to prevent duplicate payments to tpas through all current and future payment methodologies for community care. The OIG further recommended that OCC and VA’s office of general counsel continue to work collaboratively with all relevant government authorities to determine a process for reimbursement of overpayments by tpas.

Has anyone looked into “which veterans actually received consent from almighty VA administrators to even use the CHOICE program?” im hearing its the good ole boys-that actually got consent. I’m sure the policy referring veterans to “alternate pain therapy through CHOICE, was to drs. That work for VA and hold interests in all the rehab programs that popped up suddenly after VA stopped treating pain. Anxiety attack what it feels like of course VA gets kick backs from these referrals. And these rehab centers have learned well how to over bill for services, because they were VA employees.

I couldn’t get the necessary $20,000.00 surgery from my CHOICE back dr. Because some other administrators denied the procedure 2 days before to be done. Specialist even attempted to make phone calls to said administrators with documented proof of needed surgery, with necessary referrals from VA itself, no RETURN PHONE CALLS TO SPECIALISTS. Anxiety test free is it any wonder why outside providers don’t want to accept CHOICE, they are stonewalled, denied procedures for veterans and now no payments?

I worked for one of the private contractors. I was horrified by the treatment I witnessed the VA subject our veterans to. I was also horrified by the disorganization I endured while employed by the private contractor. I was outspoken about the mishandling on both sides, the VA and my employer. I made enemies because I am first and foremost a patient advocate, and our veterans were my priority. No one listened to me and I was laid off along with hundreds of others, and management was asked to stay on being promised a large raise and bonus. Some of the things I was forced to deal with were VA doctors refusing to provide service for veterans with cancer, VA doc’s telling AIDS veterans they were cured, denying behavioral health services for veterans who were raped by their CO, or being told not to tell what happened. I was astonished at the number of our military women who had been raped but said nothing or were coerced into silence. Men too, but predominately women. Our company did not train employees to do their jobs, so we were flailing in the dark, each doing something different. Nanoxia ncore retro review no wonder we were overpaid on some, never paid on others. I could go on and on, but now that the contractors are no longer in a lengthy contract with the VA, I fear for the veterans treatment by the VA. Anxiety attack meaning in arabic our government is so corrupt, we should just allow our veterans to go to whomever they need to see and send the bill to a central payor. Removes all the underhanded greedy middlemen and gives the veteran a REAL choice. God bless anyone who served, and I will NEVER stop fighting for you.

Unfortunately each VA is run independent of the others, they pick and choose who gets care and how much money they will allow for each treatment or diagnosis. Many veterans we’re forced to get off pain meds by going for alternative treatments such as chiropractic care, acupuncture, biofeedback, etc. Many times it was helpful, but they were only allowed a certain number of treatments, then you need another authorization which takes weeks to months. In the mean time the veterans we’re in pain again and without medication.

To be honest, I had allies at the VA who truly did everything they could to assist getting the vets the care they needed. Not everyone was bad, nor where I worked. Many of the contracted employees were forced to take so many calls per hour, or got bonuses based on numbers. The bottom line was numbers for the VA and the contractors. Hypoxic brain injury after cardiac arrest how many vets can the VA deny care for and save a buck. How many vets can the contractors schedule an appointment for. Oops, you didn’t know you had an appointment because you didn’t get a call or letter? Ok, we will reschedule and bill again for that.

I hope more contractors will speak out and lay bare the truth so the vets have full disclosure when suing the VA. I personally am not a litigious type to go after a company, but this is our government rolling over those who served our country up to and including giving their life. You have every right to hold their feet to the fire and demand change by suing them. I hope the contractors are also sued because the orders came from the top, and they are overdue to be accountable for their greedy actions.