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Health Net Federal Services Awarded Department of Veterans Affairs CBO Outpatient Recovery Audit Contract

^{Published on 2010-10-22 05:43:53 - Market Wire}
 

RANCHO CORDOVA, Calif.--([ BUSINESS WIRE ])--[ Health Net Federal Services ], LLC, part of the Government Contracts segment of [ Health Net, Inc. ] (NYSE:HNT), today announced it was awarded a contract by the Department of Veterans Affairs (VA) to provide Chief Business Office (CBO) Outpatient Recovery Audit Services of VA payments made for the Outpatient Non-VA Fee Care Program, the Civilian Health and Medical Program (CHAMPVA), and the Spinal Bifida (SB) and Children of Women Vietnam Veterans (CWVV) programs. The new contract is effective September 1, 2010, and has a one-year initial term with two additional one-year option periods.

"We have performed inpatient recovery audits for VA for more than 10 years and look forward to providing the first outpatient recovery audit to help ensure payments are reasonable, consistent and proper. This will help VA to maximize care to Veterans."

The purpose of the contract is to identify and recover improper outpatient care payments based on billing and procedural inconsistency as compared to health industry standards and VA policy, law and regulations. The reviews include collecting and analyzing payment and medical documentation for VA payments, determining improper payments, reporting results, establishing debts and completing follow-up recovery actions.

aHealth Net is privileged to support VAa™s CBO Outpatient Recovery Audit Services,a said Health Neta™s VA Programs Officer, Donna Hoffmeier. aWe have performed inpatient recovery audits for VA for more than 10 years and look forward to providing the first outpatient recovery audit to help ensure payments are reasonable, consistent and proper. This will help VA to maximize care to Veterans.a

About Health Neta™s VA Programs

Health Net is proud to partner with VA to provide high quality, cost-effective health care programs serving Veterans nationwide. Health Net operates several VA Community Based Outpatient Clinics and satellite clinics throughout the U.S., and continuously strives for excellent patient access, quality health care and patient satisfaction.

In addition, Health Net provides national claims repricing services as a subcontractor for five regional VA contracts. The Preferred Pricing Program helps VA Medical Centers achieve savings available through discount agreements with Health Neta™s nationwide provider network for a variety of health care services, including hospitalization, outpatient care, ambulatory surgery, behavioral health and ancillary services.

In partnership with Three Wire Systems, a Service-Disabled Veteran-Owned Small Business, Health Net supports the VetAdvisor^® Support Program in VAa™s VISN 12, the Great Lakes Health Care System. This program assists Operation Enduring Freedom/Iraqi Freedom Veterans in their reintegration to civilian life through mental health outreach and health coaching services.

For more information about Health Neta™s VA Programs, visit the companya™s websites at [ www.hnfs.net/va ] and MHN Government Services (MHNGS) at [ www.mhngs.com ].

About Health Net

Health Net Federal Services, LLC, a subsidiary of Health Net, Inc., has a long history of providing cost-effective, quality managed health care programs for government agencies, including the Departments of Defense and Veterans Affairs. As the managed care support contractor for the TRICARE North Region, Health Net provides health care services to nearly 3.0 million uniformed services beneficiaries, active and retired, and their families.

Health Net, Inc. is among the nationa™s largest publicly traded managed health care companies. Its mission is to help people be healthy, secure and comfortable. The companya™s health plans and government contracts subsidiaries provide health benefits to approximately 6.0million individuals across the country through group, individual, Medicare, Medicaid and TRICARE and Veterans Affairs programs. Health Neta™s behavioral health subsidiary, MHN, provides mental health benefits to approximately 5.5 million individuals in all 50 states. The companya™s subsidiaries also offer managed health care products related to prescription drugs, and offer managed health care product coordination for multi-region employers and administrative services for medical groups and self-funded benefits programs.

For more information on Health Net, Inc., please visit the companya™s website at [ http://www.healthnet.com ]. For more information on Health Net Federal Services, please visit[ http://www.healthnetfederalservices.com/ ]or on[ Facebook ].