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TRICARE Reimbursement Manual 6010.64-M, April 2021
Chap 13
Outpatient Prospective Payment System (OPPS)-Ambulatory Payment Classification (APC)
Revision: C-2, Apr 23, 2024
Section/Addendum  Subject/Addendum Title
1
Outpatient Prospective Payment System (OPPS)-Ambulatory Payment Classification (APC)
2
Billing And Coding Of Services Under Ambulatory Payment Classifications (APC) Groups
3
Prospective Payment Methodology
4
Claims Submission And Processing Requirements
5
Medical Review And Allowable Charge Review Under the Outpatient Prospective Payment System (OPPS)
A
Development Schedule For TRICARE Outpatient Code Editor (OCE)/Ambulatory Payment Classification (APC) Quarterly Update
B
Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Notification Process For Quarterly Updates
C
Approval Of OPPS - Outpatient Code Editor (OCE)/APC And No Government Pay List (NGPL) Quarterly Update Process
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