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Duplicate Payments Made by Medicare and the Department of Veterans Affairs' Veterans Community Care Program

The Veterans Community Care Program (VCCP) authorizes the Department of Veterans Affairs (VA) to furnish hospital care and medical services to eligible veterans through agreements with non-VA providers. Duplicate claims may be improperly paid by both Medicare and the VCCP if claims for services are billed to both programs. Because Medicare regulations prohibit payment for services that are paid for either directly or indirectly by another Government entity, subject to a few exceptions, Medicare is not responsible for payment of claims for services in which the VCCP has paid for those services. The payments associated with these claims are considered overpayments. This audit is a collaborative effort with VA-OIG to determine whether the VCCP and Medicare paid duplicate claims for the same medical services.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
January 2021 Centers for Medicare and Medicaid Services Duplicate Payments Made by Medicare and the Department of Veterans Affairs' Veterans Community Care Program Office of Audit Services W-00-21-35865 2022