DSS Fee Basis Claims System

The DSS Fee Basis Claims System, developed by Document Storage Systems, Inc. (DSS), is a solution designed to assist the Department of Veterans Affairs (VA) in managing and processing fee basis claims. According to the vendor, this system aims to streamline the claims process, improve efficiency, and ensure accurate and timely reimbursement for medical services provided to eligible veterans by non-VA healthcare providers.

Key Features

Claims Management: The DSS Fee Basis Claims System provides a platform for processing and tracking fee basis claims submitted by non-VA healthcare providers. Users can easily enter and manage claim details, submit claims electronically, and track the lifecycle of a claim from submission to reimbursement.

Reimbursement Calculation: This system automates the reimbursement calculation process, accurately determining the amount to be reimbursed to non-VA healthcare providers based on established fee schedules and contractual agreements. According to the vendor, users can easily access and apply the appropriate reimbursement rates, taking into account factors such as the type of service provided and geographic location.

Provider Credentialing: The DSS Fee Basis Claims System includes functionality for provider credentialing, allowing users to verify the qualifications and credentials of non-VA healthcare providers before approving claims. Users can access and review provider profiles, validate credentials against relevant databases, and ensure compliance with applicable standards and regulations.

Claims Adjudication: This system facilitates the adjudication of fee basis claims, enabling users to review and make determinations regarding claim eligibility and reimbursement. Users can access relevant claim information, apply adjudication rules and policies, and communicate decisions to providers and claimants through the system.

Reporting and Analytics: The DSS Fee Basis Claims System offers reporting and analytics capabilities, providing users with insights into claim processing, reimbursement trends, and provider performance. Users can generate reports, create custom queries, and utilize visualizations and dashboards to make data-driven decisions and ensure compliance with regulatory requirements.