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Policy: BlueCross Blue Shield of Rhode Island covers interim billing for payment of services provided by an acute rehabilitation/skilled nursing facility, hospice or home health agency. Interim billing is covered for acute care hospitals only if the hospital is covered at a per diem rate.
TRICARE uses the Outpatient Prospective Payment System (OPPS) to pay claims filed for hospital-based outpatient services. While the TRICARE OPPS closely mirrors Medicareâs OPPS method, there are some necessary differences to accommodate the uniqueness of the TRICARE program.