a. MSC At least once each week, MSCs must Responsibility for Monitoring run the Pending Exam Report in VTA, and the Status of follow up on any examination requests that the report shows have been Examination pending more than 35 days. Requests If a paper claims folder exists, upon return from the examination provider, b. MSC Action Upon Return of MSCs must Claims Folder From Exam create a DCS in VBMS Provider secure the DCS to the front of the top volume of the claims folder forward the claims folder to the appropriate scanning vendor according to current VCIP Shipping Procedures, and update the COVERS record to reflect appropriate scanning vendor location, according to the table below. If the claims folder is sent to ... Then the COVERS location should reflect ... SMS in Janesville, WI DCSS1 SMS in Clinton, IA DCSS1 CACI in Newnan, GA DCSC1 CACI in Mt. Vernon, KY MSCs must complete the actions above no later than the end of the first Note: workday following the day the claims folder was returned from the exam facility. When VHA or a contract examiner completes an examination, the c. Process for Uploading corresponding examination report is automatically uploaded into the Examination appropriate eFolder in Virtual VA or VBMS. Reports into eFolders MSCs must ensure a copy of the examination report is uploaded Important: into the participant’s eFolder. d. Actions MSCs must take the actions described in the below as soon as of an all MSCs Must IDES participant’s examination reports are complete and have been uploaded Take Once All into the participant’s eFolder. Examination Reports Are Complete Step Action 1 Update the EXAM END DATE field on the MSC tab in VTA to reflect the date when of the participant’s examination reports all became available to the participant’s MSC.
a. MSC Responsibility for Monitoring the Status of Examination Requests At least once each week, MSCs must run the Pending Exam Report in VTA, and follow up on any examination requests that the report shows have been pending more than 35 days. b. MSC Action Upon Return of Claims Folder From Exam Provider If a paper claims folder exists, upon return from the examination provider, MSCs must create a DCS in VBMS secure the DCS to the front of the top volume of the claims folder forward the claims folder to the appropriate scanning vendor according to current VCIP Shipping Procedures, and update the COVERS record to reflect appropriate scanning vendor location, according to the table below. If the claims folder is sent to ... Then the COVERS location should reflect ... SMS in Janesville, WI DCSS1 SMS in Clinton, IA DCSS1 CACI in Newnan, GA DCSC1 CACI in Mt. Vernon, KY Note: MSCs must complete the actions above no later than the end of the first workday following the day the claims folder was returned from the exam facility. c. Process for Uploading Examination Reports into eFolders When VHA or a contract examiner completes an examination, the corresponding examination report is automatically uploaded into the appropriate eFolder in Virtual VA or VBMS. Important: MSCs must ensure a copy of the examination report is uploaded into the participant’s eFolder. d. Actions MSCs Must Take Once All Examination Reports Are Complete MSCs must take the actions described in the below as soon as all of an IDES participant’s examination reports are complete and have been uploaded into the participant’s eFolder. Step Action 1 Update the EXAM END DATE field on the MSC tab in VTA to reflect the date when all of the participant’s examination reports became available to the participant’s MSC.
10-21-15_Key%20Changes_M21-1III_i_2_SecD.docx