AAHomecare to Tricare: Reprocess claims

Tuesday, January 31, 2017

WASHINGTON – AAHomecare is calling on the contractors administering Tricare military health plans nationwide to reprocess claims for HME for the last six months of 2016. Congress directed Medicare to do just that in a provision included in the 21st Century Cures Act passed in December. “Congress recognized the need to provide relief for home medical equipment companies operating under drastic Medicare reimbursement cuts,” said Tom Ryan, president and CEO of AAHomecare. “It’s clear from current statutes and regulations that this relief is also applicable to the Tricare program.” AAHomecare argues that since Tricare reimbursement rates are pegged to Medicare reimbursement rates by law and by current network agreements, these plans are obligated to follow suit. The association has sent a letter to the three contractors administering the Tricare plans and the Department of Defense outlining its argument.