Claims Strategy and Process Transformation Advisory Services

THE MISSION

Always Striving For More

VetCV's Strategic Services Mission is to support the Government, the Department of Government Efficiency, and private sector Organizations by delivering expert consulting services that identify and eliminate waste, streamline processes, and drive measurable improvements.
With a focus on VA healthcare, TRICARE claims management, population health, and provider practice management, we provide innovative solutions to optimize resources, reduce costs, and improve care outcomes. By enhancing efficiency and care delivery, we help fulfill the VA’s mission of caring for Veterans and their families and TRICARE beneficiaries while serving as good stewards of the people’s resources.

'Medical care is estimated to account for only 10-20 percent of the modifiable contributors to healthy outcomes for a population. The other 80 to 90 percent are sometimes broadly called the SDoH: health-related behaviors, socioeconomic factors, and environmental factors.'
Email us at teamvetcv@vetcv.com or just give us a call at 850.441.2008

HOW WE HELP

Cost savings and process improvement opportunities that utilize industry best practices

At VetCV, our expert team specializes in Claims Strategy and Process Transformation to help organizations optimize resources, reduce costs, and deliver better outcomes for Veterans. Through our proven approach, we streamline claims processing, enhance financial management, and eliminate inefficiencies while ensuring Veteran needs remain the top priority.

Our tailored solutions focus on improving productivity, closing care gaps, and maximizing the impact of available resources. Partner with VetCV to drive measurable improvements, improve provider satisfaction, and enhance care outcomes for Veterans and their families.

  • Optimize healthcare funding strategy and processes to improve resource allocation and reduce expenses.
  • Streamline claims processing by increasing electronic submissions, reducing dual processing, and lowering transaction costs.
  • Enhance receivable management to prevent waste from incorrect payments and recover overbilled charges.
  • Implement audit strategies to manage the financial process from start to finish efficiently.
  • Simplify additional services authorization with pre-approved care menus to reduce delays and back-and-forth communication.
  • Improve remittance advice and payment identification processes to ensure providers understand payments and adjustments.
  • Capture and amplify Veteran feedback using VetCV as a vehicle to ensure Veteran needs are heard and addressed.
  • Adopt civilian productivity standards to maximize the efficiency of VA providers and resources.
  • Eliminate care gaps by implementing individual care plans and ensuring VA accountability for execution.
  • Expand care plans to address Veterans’ behavioral, environmental, and social needs for improved health outcomes.
  • Improve access to care by helping our VetCV community gain better access to care by quickly locating nearby VA and civilian care practices, as well as hospitals that welcome Veterans and their families, ensuring they receive the support they deserve when and where they need it. The VetCV Provider Network reaches over 223,000 Physicians and Advanced Practice Providers in the U.S.

THE PEOPLE

MEET THE EXPERTS

OUR HISTORY

Years of Actual Experience

With decades of combined experience in healthcare management, claims processing, technology innovation, and Veteran support services, the VetCV leadership team brings unmatched expertise to addressing the unique challenges faced by Veterans and their families. Our VetCV Vault technology is breaking new ground in mental health and suicide risk detection, leveraging advanced data analytics and AI to identify risks early and connect individuals to the care they need.
Additionally, through our collaboration with MedCV, we harness the power to reach over 223,000 physicians nationwide, creating a robust network to direct patients to quality care throughout the U.S. This combination of innovation, expertise, and partnerships positions VetCV as a leader in transforming healthcare access and outcomes for Veterans and their families.

NIELS ANDERSEN
President & CEO/Founder
U.S. Navy Veteran

MARK GOTO, MD
Chief Medical Advisor
CAPT, U.S. Navy Ret.

BRAD HUSSUNG
SVP Claims Strategy & Process Transformation

JACKIE GARRICK, MSW
SVP Veteran Wellness & Policy
U.S. Army Veteran

JOHN REZEN, MBA, MHA, FACHE
SVP Population Health
CAPT, U.S. Navy Ret.

JIM ROGERS, MS
SVP Cyber Strategy
U.S. Navy Veteran

DON TAYLOR, MHA
SVP Healthcare Leadership & Management
Col, U.S. Air Force Ret.

WE'D LIKE TO HELP

REACH US

Send us a quick email or call us so we can learn about what's important to you.
850.441.2008

YOUR SERVICE

Contact
4400 Bayou Blvd., Ste. 32A
Pensacola, FL 32503
e: teamvetcv@vetcv.com