Outpatient Prospective Payment System (OPPS): Centers for Medicare & Medicaid Services (CMS) implements quarterly updates to OPPS. Information related to the January 2014 update is available directly from CMS. Please note: Medicare specific coding requirements must be followed (with the exception of DHA developed APCs) in order to receive TRICARE reimbursement under the OPPS.
Enhanced Recoupment Features: Sign-in to myTRICARE Secure now!
Revised Professional Claim Form: Beginning January 6, 2014, providers may begin submitting the 02/12 1500 Claim Form.
Sole Community Hospitals: Important information regarding reimbursement.
Ambulance Fee Schedule: Effective October 1, 2013 TRICARE will reimburse ambulance claims using Medicare's Ambulance Fee Schedule (AFS). New billing guidelines can be located in the TRICARE Reimbursement Manual.
Applied Behavior Analysis (ABA): Learn the latest changes in TRICARE coverage for ABA Services.
Abortion Claims Coverage: New details about submitting abortion claims.
XPressClaim: Remember that you can submit corrected claims through XPressClaim too!
EDI Submitters - Prevent your TRICARE claims from rejecting with the Invalid Member ID (H65) edit.
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