In such cases, a report on the results of the evaluation and any motion taken shall be submitted to the Director, OCHAMPUS, or a designee. TRICARE Hospital Outpatient Prospective Payment System . OPPS is a hospital outpatient prospective cost system, based on nationally established APC cost amounts and standardized for geographic wage variations that features working and capital-related prices which might be instantly related and integral to performing a procedure or furnishing a service in a hospital outpatient division. The short-term suspension of processing (to defend the government’s interests) of claims for care furnished by a specific supplier or claims submitted by or on behalf of a selected CHAMPUS beneficiary pending action by the Director, OCHAMPUS, or a designee, in a case of suspected fraud or abuse. Psychiatrists or other physicians; clinical psychologists, certified psychiatric nurse specialists, certified scientific social staff, licensed marriage and household therapists, TRICARE certified psychological health counselors, pastoral counselors beneath a physician’s supervision, and supervised mental health counselors underneath a doctor’s supervision. Mental health therapeutic absence.
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