Collection From Third Part Payers of Reasonable Charges for Health Care Services
other · US Department of Defense · Rule · Published 2002-09-12 · Effective 2002-10-01 · 67 FR 57739
Document
Document number
02-23244
Federal Register citation
67 FR 57739
CFR reference
32 CFR 220
Type
Rule
Action
Final rule.
Category
other
Sub-agency
US Department of Defense
Publication date
2002-09-12
Effective date
2002-10-01
DOD docket
0720-AA67
Abstract
This final rule implements provisions of the National Defense Authorization Act for Fiscal Year 2000, which amended the statutory obligation of the third payers to replace the "reasonable cost" basis of the Third Party Collection Program with a "reasonable charge" basis, and also authorized methods to be used for the computation of reasonable charges. DoD is adopting the "reasonable charge" basis and generally will use CHAMPUS payment rates as the reasonable charges under the Program. This rule also implements Section 732 of the National Defense Authorization Act for Fiscal Year 2002. This section specifically addresses the charging of fees for care to civilians who are not covered beneficiaries.