title: TRICARE; TRICARE sanction authority for third-party billing agents. Final rule.
abstract: This final rule will provide the Director, TRICARE Management Activity (TMA), or designee, with the authority to sanction third-party billing agents by invoking the administrative remedy of exclusion or suspension from the TRICARE program. Such sanctions may be invoked in situations involving fraud or abuse on the part of third-party billing agents that prepare or submit claims presented to TRICARE for payment.
mesh_terms: D000067:Accounts Payable and Receivable; D003284:Contract Services; D005607:Fraud / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D006264:Health Benefit Plans, Employee / Q000331:legislation & jurisprudence*; D006801:Humans; D008889:Military Personnel / Q000331:legislation & jurisprudence*; D014481:United States