Non-VA Hospital System (NVH)

<p>The Veterans Health Administration (VHA) pays for care provided to VA beneficiaries in non-VA hospitals through its contract hospitalization program as mandated by Congress in the late 1980s. The Non-VA Hospital System (NVH) software captures the patient's Demographics, Provider, Hospital Name and Location, Medicare Provider Number, Diagnoses and Procedures for which the patient received care during his/her inpatient stay. The data is received from either the patient or the medical center providing the care (normally on a UB-92 form). The billing office employee enters the information into Veterans Health Information Systems and Technology Architecture and sends information to the Austin Information Technology Center (AITC). The non-VA hospitals are reimbursed at Medicare rates based on the Prospective System (PPS). PPS uses the appropriate Diagnostic Related Groups (DRGs). Each DRG has a different rate-adjusted reimbursement based on the regional and urban/rural designation of the provider non-VA Hospitals. NVH is housed at the AITC and uses software developed by the AITC in conjunction with 3M and the Center for Medicare and Medicaid Services (CMS). It is a batch system written in Common Business Oriented Language, ALC, and Statistical Analysis Software. Processing occurs daily.</p>

美国退伍军人事务部（VHA）根据国会于20世纪80年代末颁布的法规，通过其合同医院住院计划，为在非VHA医院接受治疗的退伍军人受益人支付医疗费用。非VHA医院系统（NVH）软件记录了患者的人口统计学信息、提供者、医院名称与位置、医疗保险提供者编号以及患者在住院期间接受的治疗诊断和程序。数据来源于患者或提供医疗服务的医疗中心（通常以UB-92表格形式提交）。账单办公室的工作人员将信息输入退伍军人健康信息系统与技术架构，并将信息发送至奥斯汀信息技术中心（AITC）。非VHA医院根据前瞻性系统（PPS）的医疗保险费率获得赔偿。PPS采用相应的诊断相关分组（DRGs）。每个DRG根据提供者的地区和城乡性质，具有不同的费率调整赔偿。NVH位于AITC，并使用由AITC与3M公司和医疗保险与医疗补助服务中心（CMS）共同开发的软件。它是一个使用通用商业面向语言、ALC和统计分析软件编写的批量系统。处理工作每日进行。