Page:United States Statutes at Large Volume 116 Part 4.djvu/160

 116 STAT. 2588 10 USC 1095c note. Deadline. Deadline. PUBLIC LAW 107-314—DEC. 2, 2002 Subtitle B—Reports SEC. 711. CLAIMS INFORMATION. (a) CORRESPONDENCE TO MEDICARE CLAIMS INFORMATION REQUIREMENTS.— Section 1095c of title 10, United States Code, is amended by adding at the end the following new subsection: "(d) CORRESPONDENCE TO MEDICARE CLAIMS INFORMATION REQUIREMENTS. — The Secretary of Defense, in consultation with the other administering Secretaries, shall limit the information required in support of claims for payment for health care items and services provided under the TRICARE program to that information that is identical to the information that would be required for claims for reimbursement for those items and services under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) except for that information, if any, that is uniquely required by the TRICARE program. The Secretary of Defense shall report to the Committee on Armed Services of the Senate and the Committee on Armed Services of the House of Representatives any information that is excepted under this provision, and the justification for that exception.". (b) APPLICABILITY.—The Secretary of Defense, in consultation with the other administering Secretaries referred to in section 1072(3) of title 10, United States Code, shall apply the limitations required under subsection (d) of section 1095c of such title (as added by subsection (a)) with respect to contracts entered into under the TRICARE program on or after October 1, 2002. (c) COMPTROLLER GENERAL REPORT ON TRICARE CLAIMS PROC- ESSING. — Not later than March 31, 2003, the Comptroller General shall submit to Congress an evaluation of the continuing impediments to cost effective claims processing under the TRICARE program. The evaluation shall include a discussion of the following: (1) The extent of progress implementing improvements in claims processing, particularly regarding the application of best industry practices. (2) The extent of progress in simplifying claims processing procedures, including the elimination of, or reduction in, the complexity of the Health Care Service Record requirements. (3) The cost effectiveness of the data collection and fraud prevention capabilities of existing claims processing practices. (4) Recommendations for improving the claims processing system that will reduce processing and administration costs, create greater competition, and improve fraud-prevention activities. SEC. 712. COMPTROLLER GENERAL REPORT ON PROVISION OF CARE UNDER THE TRICARE PROGRAM. Not later than March 31, 2003, the Comptroller General shall submit to Congress an evaluation of the nature of, reasons for, extent of, and trends regarding network provider instability under the TRICARE program, and the effectiveness of efforts by the Department of Defense and managed care support contractors to measure and mitigate such instability. The evaluation shall include a discussion of the following: (1) The adequacy of measurement tools of TRICARE network instability and their use by the Department of Defense

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