VA Partners with CMS to Improve Health Care Protections for Veterans - Organizational Excellence
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VA Partners with CMS to Improve Health Care Protections for Veterans

Our Nation's men and women put their lives on the line for our protection, and while we may never truly know their heartache or pain, we can honor their selfless dedication by working each day to ensure they receive the highest quality health care.

Graphic showing sharing of information between VA and CMS

A new partnership between VA and Centers for Medicare & Medicaid Services (CMS) will share data, data analytics tools, and best practices for identifying and preventing fraud, waste and abuse across federal health programs to improve care to our nation's Veterans.

This partnership matches VA providers and VA community care providers who have signed a Veteran Care Agreement against the database of Medicare providers and suppliers whose Medicare billing privileges have been revoked by CMS.

CMS revokes billing privileges for several reasons, including abusive billing practices, felony convictions or improper prescribing practices. VA will carefully review matches to determine employees' continued suitability for VA employment and providers' continuing participation in community care programs and will take action to protect Veterans.

"By identifying questionable providers, VA is ensuring the best possible care to our nation's Veterans," Karen Gwinn, Fraud, Waste and Abuse Advisor in the Office of Compliance and Business Integrity shared.

This project is led by The Office of Business Oversight (OBO) Program Integrity Office with assistance from The Office of Compliance and Business Integrity (CBI), The Office of Community Care (OCC), and Workforce Management and Consulting (WMC).

This partnership data sharing will begin in 2020 and helps to ensure quality care in a patient centered environment for all Veterans.