Anatomy of a Standard Community-Care Reimbursement (In-Person or Telehealth)

Step 1 – Receive & Accept the Referral (HSRM) A VA clinician decides the veteran meets a drive-time, wait-time, or best-interest trigger under the MISSION Act. VA staff create a referral in HealthShare Referral Manager (HSRM); the system issues the 10-digit authorization number, lists approved CPT/HCPCS codes, and sets an episode date range. (va.gov, va.gov) […]