,The Non-VA Care Medical and Pharmacy System (FEE) automates the Veterans Health Administration (VHA) Fee for Service program. It authorizes and pays private physicians, hospitals, and pharmacists for products and services provided to Veterans approved for the program. Veterans are reimbursed through VistA Fee for medically-related expenses including travel. Information is entered into the VistA Fee system through Veterans Health Information Systems and Technology Architecture (VistA) online menus. VistA Fee is run at the Austin Information Technology Center and interfaces with the Financial Management System (FMS), the Beneficiary Identification and Records Locator System (BIRLS), and the VHA Work Measurement database (VWM), to produce payments, accounting updates, and reports. VistA Fee facilitates money management, master record updating, and input error resolution. Daily reports indicating all payments processed and erroneous input transactions are transmitted to approximately 170 Veterans Affairs Medical Centers (VAMCs). Letters are sent to Veterans on a monthly basis detailing payments made on their behalf to Non-VA Care Service providers. Monthly, quarterly, semi-annual and annual reports are sent to the Veterans Affairs Central Office (VACO) and VAMCs. The Non-VA Care Fee Basis Medical System is commonly referred to as Central FEE.,

Health Care: All Veterans who received either VA inpatient care, VA outpatient care, purchased (fee basis) care, VA long-term services and support, or VA pharmacy care were included. VA Health Care enrollees who did not seek care from VA during the current year were not included. Veterans who only sought care from a VHA Vet Center were not included. Veterans Health Administration (VHA) provides Health Care.

,The Community Nursing Home (CNH) database contains a list of all Community Nursing Home facilities under local contract to Veterans Health Administration (VHA). CNH facilities are not managed by VA. Instead, CNH facilities are private or public facilities licensed by the state where they provide the patient services. Each day all Veterans Affairs Medical Center (VAMC) that have a contract with a CNH enter information about the CNH into the Fee Basis module of Veterans Health Information Systems and Technology Architecture. This information is sent via MailMan to the VA Austin Information Technology Center where it is collected in a queue. A quarterly batch process is run on the queue. VAMCs that have sent invalid data or VAMCs that have contracts and did not send data are notified. Valid data is processed and used to update the database. Quarterly reports are sent to the CNHs, VAMCs, Veterans Integrated Service Networks (VISNs), Geriatrics & Extended Care Strategic Health Care Group, and VA Central Office (VACO).,

,This database is part of the National Medical Information System (NMIS). The National Health Care Practitioner Database (NHCPD) supports Veterans Health Administration Privacy Act requirements by segregating personal information about health care practitioners such as name and social security number from patient information recorded in the National Patient Care Database for Ambulatory Care Reporting and Primary Care Management Module.,

,The Medical Care Cost Recovery National Database (MCCR NDB) provides a repository of summary Medical Care Collections Fund (MCCF) billing and collection information used by program management to compare facility performance. It stores summary information for Veterans Health Administration (VHA) receivables including the number of receivables and their summarized status information. This database is used to monitor the status of the VHA's collection process and to provide visibility on the types of bills and collections being done by the Department. The objective of the VA MCCF Program is to collect reimbursement from third party health insurers and co-payments from certain non-service-connected (NSC) Veterans for the cost of medical care furnished to Veterans. Legislation has authorized VHA to: submit claims to and recover payments from Veterans' third party health insurance carriers for treatment of non-service-connected conditions; recover co-payments from certain Veterans for treatment of non-service-connected conditions; and recover co-payments for medications from certain Veterans for treatment of non-service-connected conditions. All of the information captured in the MCCR NDB is derived from the Accounts Receivable (AR) modules running at each medical center. MCCR NDB is not used for official collections figures; instead, the Department uses the Financial Management System (FMS).,

,Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a health care benefit program designed for the dependents of certain Veterans. Administered by the Health Administration Center (HAC), Denver, Colorado, CHAMPVA shares the cost of necessary health care services and supplies with eligible beneficiaries. The CHAMPVA Eligibility & Payment Functions (CVA) database is used by HAC for the administration of the CHAMPVA program.,

,The Report of VA Medical Training Programs Database is used to track medical center health services trainees and VA physicians serving as faculty. The database also tracks the number of U.S. and international medical residents on-duty at a Veterans Affairs Medical Center (VAMC). Information in the database comes from all VAMCs that have residency programs. The Office of Academic Affiliations distributes worksheets and memos to participating VAMCs annually. VAMC personnel enter the information electronically into the database located at the Academic Information Management Center (AIMC) in St. Louis, Missouri. The main user of this database is the Office of Academic Affiliations which uses the reports from the system to assist in its decision making.,

,The VA National Bed Control System records the levels of operating, unavailable and authorized beds at each VAMC, and it tracks requests for changes in these levels. For changes in operating, unavailable and authorized bed levels, the Director of a Medical Center or his/her authorized delegate enters a bed change request into the Bed Control Database. A Bed Control Database trigger automatically notifies the respective Veterans Integrated Support Network (VISN) director. The VISN director's designated staff reviews the request and either approves, disapproves, or cancels it through the Bed Control Database. If a medical center request is approved by the VISN director, a Bed Control Database trigger notifies staff in the Assistant Deputy Under Secretary for Health for Operations and Management (10N) to review and take action, followed by the appropriate VHA Program Office and then the Under Secretary for Health. Once a request has been approved, cancelled, or disapproved by either the Deputy Under Secretary for Health for Operations and Management, VHA Program Office, or the Under Secretary for Health, the medical center director and the appropriate VISN director are automatically notified of the action. The approval process is tracked and visible to the authorized user of the system. When changes are approved, the database updates its bed level information accordingly. Pertinent justification and documents associated with each bed change request are stored in the database.,

On a monthly basis the Department of Veteran's Affairs transmits a file of all Veterans and Veterans spouses receiving a VA pension and/or compensation benefit payment. The interface calculates the VA chargeable income for SSI purposes and posts this amount to the SSR. VA income discrepancies create diaries for field office development. The purpose of this interface is to eliminate SSI overpayments caused by inaccurate recipient reporting of VA compensation (type C unearned income) or VA pension (type E unearned income) by obtaining the correct amounts from VA and posting the income to the SSR. It also enables SSA to efficiently implement a Medicare outreach program, identify income limits for certain individuals, and determine an individuals potential eligibility for Medicare Savings Programs (MSP) and identify these individuals to the States. OEEAS is responsible for the front-end Pre-Edit program that filters the incoming VA file and generates a report containing erroneous values. OASSIS is responsible for the VA/SSR interface and calculation.

,The Veterans Health Administration (VHA) Resident Supervision Handbook (VHA Handbook 1400.1) requires facility directors to report annually the status of their residency training programs to their Veterans Integrated Service Network (VISN) Director. VISN Directors review and then forward those reports to the VHA Chief Academic Affiliations Officer. This database enables electronic, paperless reporting of this information from VA Medical Centers to the VISN and from the VISN to the Office of Academic Affiliations.,