COLLECTION OF COST-SHARE. (a) The PHP agrees to collect from the beneficiary or the parents or guardian of the beneficiary only those amounts applicable to the patient’s cost-share (copayment) as defined in 32 CFR 199.4, and services and supplies which are not a benefit.
(b) The PHP’s failure to collect or to make diligent effort to collect the beneficiary’s cost-share (copayment) as determined by policy is a violation of this agreement, may result in denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by DHA of this agreement pursuant to Article 13.
COLLECTION OF COST-SHARE. (a) The SUDRF agrees to collect from the TRICARE beneficiary or the parents or guardian of the TRICARE beneficiary only those amounts applicable to the patient’s deductible and/or cost- share, as defined in 32 CFR 199.4 and services and supplies that are not a benefit of TRICARE.
(b) The SUDRF’s failure to collect or to make diligent effort to collect the beneficiary’s cost- share as determined by TRICARE policy is a violation of this agreement, may result in the denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by TMA of this agreement pursuant to Article 12 of this agreement.
COLLECTION OF COST-SHARE. (a) The PHP agrees to collect from the beneficiary or the parents or guardian of the beneficiary only those amounts applicable to the patient’s cost-share (co-payment) as defined in 32 CFR 199.4, and services and supplies which are not a benefit.
(b) The PHP’s failure to collect or to make diligent effort to collect the beneficiary’s cost-share (co-payment) as determined by policy is a violation of this agreement, may result in denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by TMA of this agreement pursuant to Article 13.
COLLECTION OF COST-SHARE. (a) The hospice program agrees to collect from the TRICARE beneficiary only those amounts applicable to the patient’s cost-share as defined in 32 CFR 199.14(g)(8).
(b) The collection of cost-shares by individual hospice programs is optional under TRICARE. The waiver of cost-sharing will not be considered fraudulent billing under 32 CFR 199.9.
COLLECTION OF COST-SHARE. (a) The IOP agrees to collect from the beneficiary or the parents or guardian of the beneficiary only those amounts applicable to the patient’s cost-share (copayment) as defined in 32 CFR 199.4, and services and supplies which are not a benefit.
COLLECTION OF COST-SHARE. (a) The RTC agrees to collect from the TRICARE beneficiary or the parents or guardian of the TRICARE beneficiary only those amounts applicable to the patient’s cost-share/copayment, as defined in 32 CFR 199.4, and services and supplies that are not a benefit of TRICARE.
(b) The RTC’s failure to collect or to make diligent effort to collect the beneficiary’s cost-share as determined by TRICARE policy is a violation of this agreement, may result in the denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by DHA of this agreement pursuant to Article 13 of this agreement.
COLLECTION OF COST-SHARE. (a) The RTC agrees to collect from the TRICARE/CHAMPUS beneficiary or the parents or guardian of the TRICARE/CHAMPUS beneficiary only those amounts applicable to the patient’s cost-share/copayment, as defined in 32 CFR 199.4, and services and supplies that are not a benefit of TRICARE/CHAMPUS.
(b) The RTC’s failure to collect or to make diligent effort to collect the beneficiary’s cost-share as determined by TRICARE/CHAMPUS policy is a violation of this agreement, may result in the denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by TMA of this agreement pursuant to Article 13 of this agreement.
COLLECTION OF COST-SHARE. (a) The BC agrees to collect from the TRICARE beneficiary or the parents or guardian of the TRICARE beneficiary only those amounts applicable to the beneficiary cost-share as defined in 32 CFR 199.4 and services and supplies which are not a benefit of TRICARE.
(b) Failure of the BC to collect or to make diligent effort to collect the beneficiary’s cost-share as determined by TRICARE policy is a violation of this agreement, which may result in denial or reduction of payment, and, if willful, may be considered a false claim against the United States government. It may also result in termination by DHA of this agreement pursuant to Article 7.
COLLECTION OF COST-SHARE. (a) The SUDRF agrees to collect from the TRICARE/CHAMPUS beneficiary or the parents or guardian of the TRICARE/CHAMPUS beneficiary only those amounts applicable to the patient’s deductible and/or cost-share, as defined in 32 CFR 199.4, and services and supplies that are not a benefit of TRICARE/CHAMPUS.
(b) The SUDRF’s failure to collect or to make diligent effort to collect the beneficiary’s cost-share as determined by TRICARE/CHAMPUS policy is a violation of this agreement, may result in the denial or reduction of payment, and may result in a false claim against the United States. It may also result in termination by TMA of this agreement pursuant to Article 12 of this agreement.
COLLECTION OF COST-SHARE. (a) The BC agrees to collect from the TRICARE/CHAMPUS beneficiary or the parents or guardian of the TRICARE/CHAMPUS beneficiary only those amounts applicable to the beneficiary cost-share as defined in 32 CFR 199.4 and services and supplies which are not a benefit of TRICARE/CHAMPUS.
(b) Failure of the BC to collect or to make diligent effort to collect the beneficiary’s cost-share as determined by TRICARE/CHAMPUS policy is a violation of this agreement, which may result in denial or reduction of payment, and, if willful, may be considered a false claim against the United States government. It may also result in termination by TMA of this agreement pursuant to Article 7.
