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Office of Inspector General - United States Department of ...

VA Office of Inspector General Office OF AUDITS AND EVALUATIONS Veterans Health Administration Audit of the Timeliness and Accuracy of Choice Payments Processed Through the Fee Basis Claims System December 21, 2017 15-03036-47 Corrected Copy: Error on Report page 4 corrected as of January 24, 2018. ACRONYMS CCN Community Care Network CFR Code of Federal Regulations CLIN Contract Line Item Number CPT Current Procedural Terminology DAIC Department of Audits and Internal Controls EOB Explanation of Benefits FBCS Fee Basis Claims System FSC Financial Services Center FY Fiscal Year GAO Government Accountability Office MCCF Medical Care Collection Fund OCC Office of Community Care OHI Other Health Insurance OIG Office of Inspector General PC3 Patient-Centered Community Care SOP Standard Operating Procedure SLA Service Level Agreement TPA Third Party Administrator VA Department of Veterans Affairs VACAA Veterans Access, Choice.

The VA Office of Inspector General, pursuant to the requirement in Public Law 113-146, released on September 12, 2017 to the Secretary of Veterans Affairs a memorandum titled “Accuracy and Timeliness of Payments Made

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