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DOD/DODOASHA

RIN: 0720-AB49

Publication ID: Fall 2011

Title: ●TRICARE; TRICARE Sanction Authority for Third-Party Billing Agents
Abstract: The rule provides 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.
Agency: Department of Defense(DOD)	Priority: Substantive, Nonsignificant
RIN Status: First time published in the Unified Agenda	Agenda Stage of Rulemaking: Final Rule Stage
Major: No	Unfunded Mandates: No
CFR Citation: 32 CFR 199
Legal Authority: 5 USC 301    10 USC ch 55

Legal Deadline:  None

Timetable: Action Date FR Cite NPRM  09/20/2011  76 FR 58202    NPRM Comment Period End  11/21/2011     Final Action  05/00/2012

Regulatory Flexibility Analysis Required: No	Government Levels Affected: None
Federalism: No
Included in the Regulatory Plan: No
RIN Data Printed in the FR: No
Agency Contact: Joy Saly Department of Defense Office of Assistant Secretary for Health Affairs 1200 Defense Pentagon, Washington, DC 20301 Phone:303 676-3742