Manual Table of Contents

TRICARE Reimbursement Manual 6010.58-M, February 2008, Change 8 (June 3, 2009)

  1. Collapse to hide TRICARE Reimbursement Manual contentsManualTRICARE Reimbursement Manual 6010.58-M, February 2008
    1. PDF FileTR08 TOC -- Master TOC (TRICARE Reimbursement Manual (TRM))
    2. PDF FileTR08 Foreword -- Foreword (TRICARE Reimbursement Manual (TRM))
    3. Expand to show TR08 Chap 1 TOC contentsPDF FileTR08 Chap 1 TOC -- General (TRICARE Reimbursement Manual (TRM))
      1. Expand to show TR08 Chap 2 TOC contentsPDF FileTR08 Chap 2 TOC -- Beneficiary Liability (TRICARE Reimbursement Manual (TRM))
        1. Expand to show TR08 Chap 3 TOC contentsPDF FileTR08 Chap 3 TOC -- Operational Requirements (TRICARE Reimbursement Manual (TRM))
          1. Expand to show TR08 Chap 4 TOC contentsPDF FileTR08 Chap 4 TOC -- Double Coverage (TRICARE Reimbursement Manual (TRM))
            1. Expand to show TR08 Chap 5 TOC contentsPDF FileTR08 Chap 5 TOC -- Allowable Charges (TRICARE Reimbursement Manual (TRM))
              1. Expand to show TR08 Chap 6 TOC contentsPDF FileTR08 Chap 6 TOC -- Diagnostic Related Groups (DRGs) (TRICARE Reimbursement Manual (TRM))
                1. Expand to show TR08 Chap 7 TOC contentsPDF FileTR08 Chap 7 TOC -- Mental Health (TRICARE Reimbursement Manual (TRM))
                  1. Expand to show TR08 Chap 8 TOC contentsPDF FileTR08 Chap 8 TOC -- Skilled Nursing Facilities (SNFs) (TRICARE Reimbursement Manual (TRM))
                    1. Expand to show TR08 Chap 9 TOC contentsPDF FileTR08 Chap 9 TOC -- Ambulatory Surgery Centers (ASCs) (TRICARE Reimbursement Manual (TRM))
                      1. Expand to show TR08 Chap 10 TOC contentsPDF FileTR08 Chap 10 TOC -- Birthing Centers (TRICARE Reimbursement Manual (TRM))
                        1. Expand to show TR08 Chap 11 TOC contentsPDF FileTR08 Chap 11 TOC -- Hospice (TRICARE Reimbursement Manual (TRM))
                          1. Collapse to hide TR08 Chap 12 TOC contentsPDF FileTR08 Chap 12 TOC -- Home Health Care (HHC) (TRICARE Reimbursement Manual (TRM))
                            1. PDF FileTR08 Chap 12 Sect 1 -- Home Health Benefit Coverage And Reimbursement - General Overview (TRICARE Reimbursement Manual (TRM))
                            2. PDF FileTR08 Chap 12 Sect 2 -- Home Health Care (HHC) - Benefits And Conditions For Coverage (TRICARE Reimbursement Manual (TRM))
                            3. PDF FileTR08 Chap 12 Sect 3 -- Home Health Benefit Coverage And Reimbursement - Assessment Process (TRICARE Reimbursement Manual (TRM))
                            4. PDF FileTR08 Chap 12 Sect 4 -- Home Health Benefit Coverage And Reimbursement - Prospective Payment Methodology (TRICARE Reimbursement Manual (TRM))
                            5. PDF FileTR08 Chap 12 Sect 5 -- Home Health Benefit Coverage And Reimbursement - Primary Provider Status And Episodes Of Care (TRICARE Reimbursement Manual (TRM))
                            6. PDF FileTR08 Chap 12 Sect 6 -- Home Health Benefit Coverage And Reimbursement - Claims And Billing Submission Under HHA PPS (TRICARE Reimbursement Manual (TRM))
                            7. PDF FileTR08 Chap 12 Sect 7 -- Home Health Benefit Coverage And Reimbursement - Pricer Requirements And Logic (TRICARE Reimbursement Manual (TRM))
                            8. PDF FileTR08 Chap 12 Sect 8 -- Home Health Benefit Coverage And Reimbursement - Medical Review Requirements (TRICARE Reimbursement Manual (TRM))
                            9. PDF FileTR08 Chap 12 Addendum A -- Definitions And Acronym Table (TRICARE Reimbursement Manual (TRM))
                            10. PDF FileTR08 Chap 12 Addendum B -- Home Health Consolidated Billing Code List - Non-Routine Supply (NRS) Codes (TRICARE Reimbursement Manual (TRM))
                            11. PDF FileTR08 Chap 12 Addendum C -- Home Health Consolidated Billing Code List - Therapy Codes (TRICARE Reimbursement Manual (TRM))
                            12. PDF FileTR08 Chap 12 Addendum D -- CMS Form 485 - Home Health Certification And Plan Of Care (POC) Data Elements (TRICARE Reimbursement Manual (TRM))
                            13. PDF FileTR08 Chap 12 Addendum E -- Primary Components Of A Home Care Patient Assessment (TRICARE Reimbursement Manual (TRM))
                            14. PDF FileTR08 Chap 12 Addendum F -- Outcome And Assessment Information Set (OASIS-B1) (TRICARE Reimbursement Manual (TRM))
                            15. PDF FileTR08 Chap 12 Addendum G1 -- OASIS Items Used For Assessments Of 60-Day Episodes Beginning Prior To January 1, 2008 (TRICARE Reimbursement Manual (TRM))
                            16. PDF FileTR08 Chap 12 Addendum G2 -- OASIS Items Used For Assessments Of 60-Day Episodes Beginning On Or After January 1, 2008 (TRICARE Reimbursement Manual (TRM))
                            17. PDF FileTR08 Chap 12 Addendum H -- International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes For Home Health Resource Group (HHRG) Assignment (TRICARE Reimbursement Manual (TRM))
                            18. PDF FileTR08 Chap 12 Addendum I -- Home Health Resource Group (HHRG) Worksheet (TRICARE Reimbursement Manual (TRM))
                            19. PDF FileTR08 Chap 12 Addendum J1 -- Health Insurance Prospective Payment System (HIPPS) Table For Pricer For Episodes Beginning Prior To January 1, 2008 (TRICARE Reimbursement Manual (TRM))
                            20. PDF FileTR08 Chap 12 Addendum J2 -- Health Insurance Prospective Payment System (HIPPS) Table For Pricer For Episodes Beginning On Or After January 1, 2008 (First Four Positions Of HIPPS Code) (TRICARE Reimbursement Manual (TRM))
                            21. PDF FileTR08 Chap 12 Addendum J3 -- Health Insurance Prospective Payment System (HIPPS) Table For Pricer For Episodes Beginning On Or After January 1, 2008 (All Five Positions Of HIPPS Code) (TRICARE Reimbursement Manual (TRM))
                            22. PDF FileTR08 Chap 12 Addendum K -- Home Assessment Validation and Entry (HAVEN) Reference Manual (TRICARE Reimbursement Manual (TRM))
                            23. PDF FileTR08 Chap 12 Addendum L (CY 2006) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Rate Updates - CY 2006 (TRICARE Reimbursement Manual (TRM))
                            24. PDF FileTR08 Chap 12 Addendum L (CY 2007) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Rate Updates - CY 2007 (TRICARE Reimbursement Manual (TRM))
                            25. PDF FileTR08 Chap 12 Addendum L (CY 2008) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Rate Updates - CY 2008 (TRICARE Reimbursement Manual (TRM))
                            26. PDF FileTR08 Chap 12 Addendum M (CY 2006) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Wage Index Updates - CY 2006 (TRICARE Reimbursement Manual (TRM))
                            27. PDF FileTR08 Chap 12 Addendum M (CY 2007) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Wage Index Updates - CY 2007 (TRICARE Reimbursement Manual (TRM))
                            28. PDF FileTR08 Chap 12 Addendum M (CY 2008) -- Annual Home Health Agency Prospective Payment System (HHA PPS) Wage Index Updates - CY 2008 (TRICARE Reimbursement Manual (TRM))
                            29. PDF FileTR08 Chap 12 Addendum N -- Data Elements Used In Determination Of Outlier Payments (TRICARE Reimbursement Manual (TRM))
                            30. PDF FileTR08 Chap 12 Addendum O -- Diagnoses Associated With Each Of The Diagnostic Categories Used In Case-Mix Scoring - CY 2008 (TRICARE Reimbursement Manual (TRM))
                            31. PDF FileTR08 Chap 12 Addendum P -- Diagnoses Included In The Diagnostic Categories Used For The Non-Routine Supplies (NRS) Case-Mix Adjustment Model (TRICARE Reimbursement Manual (TRM))
                            32. PDF FileTR08 Chap 12 Addendum Q -- Code Table For Converting Julian Dates To Two Position Alphabetic Values (TRICARE Reimbursement Manual (TRM))
                            33. PDF FileTR08 Chap 12 Addendum R -- Examples Of Claims Submission Under Home Health Agency Prospective Payment (HHA PPS) (TRICARE Reimbursement Manual (TRM))
                            34. PDF FileTR08 Chap 12 Addendum S -- Input/Output Record Layout (TRICARE Reimbursement Manual (TRM))
                            35. PDF FileTR08 Chap 12 Addendum T -- Decision Logic Used By The Pricer For Episodes Beginning On Or After January 1, 2008 (TRICARE Reimbursement Manual (TRM))
                          2. Expand to show TR08 Chap 13 TOC contentsPDF FileTR08 Chap 13 TOC -- Outpatient Prospective Payment System (OPPS)-Ambulatory Payment Classification (APC) (TRICARE Reimbursement Manual (TRM))
                            1. Expand to show TR08 Chap 14 TOC contentsPDF FileTR08 Chap 14 TOC -- Sole Community Hospitals (SCHs) (TRICARE Reimbursement Manual (TRM))
                              1. Expand to show TR08 Chap 15 TOC contentsPDF FileTR08 Chap 15 TOC -- Critical Access Hospitals (CAHs) (TRICARE Reimbursement Manual (TRM))
                                1. PDF FileTR08 Appendix A -- Acronyms And Abbreviations (TRICARE Reimbursement Manual (TRM))
                                2. PDF FileTR08 Index -- Index (TRICARE Reimbursement Manual (TRM))