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TRICARE Reimbursement Manual 6010.61-M, April 2015, Change 1, List of Affected Pages

  • TR15 Chap 1 Sect 16 -- Surgery (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 2 Sect 1 -- Cost-Shares And Deductibles For TRICARE Services Received Prior To January 1, 2018 And For TRICARE Services Received On Or After January 1, 2018 By TRICARE For Life (TFL) Beneficiaries (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 2 Addendum A -- Benefits And Beneficiary Payments Under The TRICARE Program For Services Received Prior To January 1, 2018; And For TRICARE Services Received On Or After January 1, 2018 By TRICARE For Life (TFL) Beneficiaries (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 2 Addendum B -- Pharmacy Benefits Program - Cost-Shares (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 4 Sect 2 -- Double Coverage Review And Processing Of Claims (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 4 Sect 4 -- Specific Double Coverage Actions (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 5 TOC -- Allowable Charges (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 5 Sect 3 -- CHAMPUS Maximum Allowable Charges (CMAC) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 5 Sect 4 -- Payment For Professional/Technical Components Of Diagnostic Services (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 6 TOC -- Diagnosis Related Groups (DRGs) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 6 Sect 4 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Applicability Of The DRG System) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 6 Sect 7 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Adjusted Standardized Amounts (ASAs)) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 6 Sect 8 -- Hospital Reimbursement - TRICARE Diagnosis Related Group (DRG)-Based Payment System (Adjustments To Payment Amounts) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 TOC -- Mental Health (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Sect 1 -- Hospital Reimbursement - TRICARE Inpatient Mental Health Per Diem Payment System (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Sect 2 -- Partial Hospitalization Program (PHP) And Intensive Outpatient Program (IOP) Reimbursement: Mental Health And Substance Use Disorder (SUD) Treatment (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Sect 3 -- Inpatient/Residential Substance Use Disorder Rehabilitation Facilities (SUDRFs) Reimbursement (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Sect 4 -- Psychiatric Residential Treatment Center (RTC) Reimbursement (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Addendum A -- Table Of Regional Specific Rates For Psychiatric Hospitals And Units With Low TRICARE Volume - FY 2016 - FY 2018 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 7 Addendum B -- Guidelines For The Calculation Of Individual Psychiatric Residential Treatment Center (RTC) Per Diem Rates (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 8 TOC -- Skilled Nursing Facilities (SNFs) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 8 Addendum B (FY 2016) -- Example Of Computation of Adjusted Prospective Payment System (PPS) Rates And Skilled Nursing Facility (SNF) Payment - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 8 Addendum D (FY 2016) -- Case-Mix Adjusted Federal Rates For Skilled Nursing Facilities (SNFs) - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 8 Addendum E (FY 2016) -- Wage Indexes For Urban Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 8 Addendum F (FY 2016) -- Wage Indexes For Rural Areas For Skilled Nursing Facilities (SNFs) Based On Core-Based Statistical Area (CBSA) Labor Market Areas - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 9 Sect 1 -- Ambulatory Surgical Center (ASC) Reimbursement (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 10 TOC -- Birthing Centers (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 10 Addendum A -- Birthing Center Rate Non-Professional Component (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 11 TOC -- Hospice (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 11 Sect 4 -- Hospice Reimbursement - Guidelines For Payment Of Designated Levels Of Care (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 11 Addendum A (FY 2016) -- Hospice Care Rates - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 11 Addendum B (FY 2016) -- Hospice Rate Information - Hospice Wage Indexes For Urban Areas - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 11 Addendum C (FY 2016) -- Hospice Rate Information - Hospice Wage Indexes For Rural Areas - FY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 TOC -- Home Health Care (HHC) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 Sect 1 -- Home Health Benefit Coverage And Reimbursement - General Overview (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 Sect 4 -- Home Health Benefit Coverage And Reimbursement - Prospective Payment Methodology (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 Sect 6 -- Home Health Benefit Coverage And Reimbursement - Claims And Billing Submission Under Home Health Agency Prospective Payment System (HHA PPS) (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 Addendum K (CY 2015) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Rate Updates - CY 2015 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 12 Addendum K (CY 2016) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Rate Updates - CY 2016 (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 13 Sect 1 -- General (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 13 Sect 2 -- Billing And Coding Of Services Under Ambulatory Payment Classifications (APC) Groups (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 13 Sect 3 -- Prospective Payment Methodology (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 13 Sect 4 -- Claims Submission And Processing Requirements (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 13 Addendum B -- Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Notification Process For Quarterly Updates (TRICARE Reimbursement Manual (TRM))
  • TR15 Chap 14 Sect 1 -- Sole Community Hospitals (SCHs) (TRICARE Reimbursement Manual (TRM))
  • TR15 Index -- Index (TRICARE Reimbursement Manual (TRM))
Affected Pages (PDF format)

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