General Surgery Coding Alert - 2015 Issue 32
Tricare Claims: 5 Tips Lead You to Tricare Billing Success
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Article Overview
This article reviews common Tricare billing topics that affect claim submission and compliance for practices treating military beneficiaries. It covers general guidance on filing timeliness, covered therapy services, preventive visit cost-sharing, secondary payer situations, and handling claims that use unlisted or unspecified services. The piece is useful for billing staff, coders, and providers who work with Tricare claims and want a high-level understanding of the payer’s administrative expectations.
Why This Topic Matters
Tricare claims can be delayed or denied when filing deadlines, coverage rules, payer order, or documentation requirements are missed. Understanding these broad billing topics helps practices reduce avoidable claim problems and stay aligned with payer-specific processes.
Article Sections
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Tip 1: File Tricare Claims on Time
Explains the article’s general emphasis on claim submission timing and the importance of meeting Tricare filing windows.
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Tip 2: Bill for Speech Therapy — Sometimes
Discusses Tricare coverage considerations for speech therapy services and the types of therapy-related claims addressed in the article.
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Tip 3: Remember: Well Visits Won’t Trigger Copays
Summarizes preventive care visit billing under Tricare and how cost-sharing concerns are discussed in the article.
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Tip 4: Consider Tricare A Secondary Payer — Usually
Covers coordination of benefits when Tricare is paired with other coverage and the payer-order topic raised by the article.
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Tip 5: Describe Unlisted Codes on Tricare Claims
Addresses the article’s discussion of claims that use unlisted or unspecified services and the documentation topic associated with them.
What You Will Learn
- How Tricare claim filing timing is addressed in the article
- Which broad service categories are discussed in relation to Tricare coverage
- How preventive care visits are treated under Tricare in general terms
- What the article says about Tricare’s role when other insurance is present
- Why documentation is discussed for claims involving unlisted or unspecified services
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Providers billing Tricare patients
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