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Managerial Cost Accounting System
,VA's Managerial Cost Accounting System is the designated Managerial Cost Accounting (MCA) System of the Department of Veterans Affairs. This system is the Department's only means of complying with Public Laws (e.g., PL 101-576 - the Chief Financial Officers Act of 1990) that mandate the use of a MCA system that can assign costs to the product level. MCA cost data is used at all levels of the VA for important functions, such as cost recovery (billing), budgeting and resource allocation. Additionally, the system contains a rich repository of clinical information which is used to promote a more proactive approach to the care of high risk (i.e., diabetes and acute coronary patients) and high cost patients. The data in MCA is also used to calculate and measure the productivity of physicians and other care providers.,
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Medical Care Cost Recovery National Database (MCCR NDB)
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,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).,
Title XVI/Veteran's Administration (VA) Interface
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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.
Non-VA Care Medical System (Fee)
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,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.,
Performance and Operational Web-Enabled Reports (POWER)
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,The Performance and Operational Web-Enabled Reports (POWER) system is a state-of-the-art data warehouse containing data on Veterans Health Administration (VHA) performance metrics that are obtained daily from the individual Veterans Health Information Systems and Technology Architecture (VistA) systems.The POWER system was developed to measure the key performance indicators across VHA facilities and is helping to improve VHA's Medical Care Collections Fund (MCCF) revenue operational performance by providing accurate, reliable, and up-to-date performance measure information. POWER leverages a data warehouse to maintain data used in VHA performance measure calculations. The site provides Web-based analytical reporting capabilities, allowing users to view data by dimensions, such as, National, Consolidated Patient Account Center (CPAC), Veterans Integrated Service Network (VISN), or Station locations and by month. The data can also be displayed in tables, graphs and spreadsheets. It should be noted that POWER is not an accounting system; rather, it is a strategic and operational performance reporting system.The POWER system supports VHA's efforts to improve its revenue business operations by providing accurate and reliable performance information on the following metrics: Collections, Gross Days Revenue Outstanding (GDRO), Percentage of Accounts Receivable (AR) Greater than 90 Days, Days to Bill, Total Billings, Percentage of Collections to Billings, and Cost to Collect. POWER is VHA's revenue performance metric dashboard monitoring system that tracks MCCF performance by National, CPAC, VISN and Station.,
Medicare Modernization Act (MMA) IRS Medicare Part D
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SSA uses the Internal Revenue Service (IRS) information in determing the eligibility of Medicare recipients to receive subsidy payments for Medicare premiums. SSA will Match IRS unearned income records to determine if the beneficiary is below the poverty level and then therefore entitled to subsidy payments.
Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA)
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,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.,
Department of Veterans Affairs - Office of Information Technology Program Management Accountability Dashboard Summary
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,This reports shows a summary level view of projects that comprise VA�s IT development activities.,
VETS Case Management System (VCMS)
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"This dataset contains information on claims of potential violations of the Uniformed Services Employment Reemployment Rights Act (USERRA) and Veterans Preference (VP). The VETS’ Case Management System (VCMS) allows USERRA claimants to submit claims to VETS involving potential USERRA and Veterans Preference violations. Claimants may also monitor the status of their claim, request withdrawal and referral actions, and upload evidence and other documents directly to their assigned investigator through the VCMS. VETS’ investigators use the VCMS as the case file of record to conduct investigations based on the claims submitted by claimants. The VCMS maintains secure copies of all investigative files, and case elements, and produces data regarding investigations for formal reporting requirements. This system contains 100 relational tables. DOL-VETS produce annual and quarterly Reports to Congress on USERRA. The source data for those reports are run using SQL, and we keep the data pulls in a secure SharePoint site for audit purposes. Those ""official"" data pulls are done quarterly on the 1st of the month after the end of the quarter." The VCMS was put into production on April 1, 2020 and fully replaced all paper and other electronic USERRA case management systems and processes for newly filed claims. The VCMS is entirely electronic, and incorporates all aspects of the investigative and referral processes, making case investigations more efficient and fungible. The VCMS will continue to be updated and improved to create greater efficiency and effectiveness during the upcoming five years (starting in FY 2020).