Sec. 725. COMPTROLLER GENERAL REPORTS ON TRICARE RECOVERY AUDIT PROGRAM AND AVAILABILITY OF COMPOUNDED PHARMACEUTICALS
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## SEC. 725 COMPTROLLER GENERAL REPORTS ON TRICARE RECOVERY AUDIT PROGRAM AND AVAILABILITY OF COMPOUNDED PHARMACEUTICALS ###
(a)Recovery Audit Program ####
(1)Report Not later than one year after the date of the enactment of this Act, the Comptroller General of the United States shall submit to the congressional defense committees a report that evaluates the similarities and differences of Medicare and the TRICARE program with respect to identifying and recovering improper payments. ####
(2)Elements The report shall contain an evaluation of the following: #####
(A)Claims processing efforts of both Medicare and the TRICARE program to prevent improper payments by denying claims prior to payment. #####
(B)Claims processing efforts of both Medicare and the TRICARE program to correct improper payments post-payment. #####
(C)The effectiveness of post-payment audit programs of both Medicare and the TRICARE program to identify and correct improper payments that are returned to Medicare or the TRICARE program, respectively. ###
(b)Compounded Pharmaceuticals ####
(1)Report Not later than September 30, 2014, the Comptroller General shall submit to the congressional defense committees a report on the availability of compounded pharmaceuticals in the military health care system. ####
(2)Elements The report under paragraph
(1)shall include the following: #####
(A)A description of the number of prescriptions for compounded pharmaceuticals processed, and the types of compounded pharmaceuticals dispensed, during fiscal year 2013 in pharmacy venues. #####
(B)A description of the categories of eligible beneficiaries who received compounded pharmaceuticals in each pharmacy venue during fiscal year 2013. #####
(C)A description of the claims reimbursement methodology used by the manager of the TRICARE pharmacy benefits program to reimburse pharmacy providers for compounded pharmaceuticals, and an assessment of the manner in which such methodology compares with reimbursement methodologies used by other health programs of the Federal Government. #####
(D)A review of the existing accreditation standards, as of the date of the report, intended to assure the safety and efficacy of compounded pharmaceuticals available through the military health care system. ####
(3)Pharmacy venue defined In this subsection, the term “pharmacy venue” means facilities of the uniformed services, retail pharmacies, and the national mail-order pharmacy program, as described in section 1074g(a)(2)(E) of title 10, United States Code. # TITLE VIII ACQUISITION POLICY, ACQUISITION MANAGEMENT, AND RELATED MATTERS ## Subtitle A Acquisition Policy and Management