Briefing: Back to Basics � MSA 101 by HC120209175444

VIEWS: 0 PAGES: 12

									                   2010 UBO/UBU Conference

Health Budgets &
Financial Policy




                   Briefing: Back to Basics – MSA 101




                   Date: 22 March 2010
                   Time: 0815 – 0950



                                                        1
2010 UBO/UBU Conference
Turning Knowledge Into Action                               Objectives


       Medical Service Accounts (MSA):

          –    Identify the duties and responsibilities of the MSA
               Officer

          –    Identify and explain the Nightly Reports

          –    Identify who and what services are billed under MSA

          –    Explain how MSA accounts are created



                                                                     2
2010 UBO/UBU Conference
Turning Knowledge Into Action                         The MSA Officer


       Responsibilities

          –    Billing and collection of funds for medical services
               and subsistence from DoD beneficiaries, other
               authorized treatment in the MTF, and civilian
               emergencies

          –    Coordinating with Patient Administration to ensure all
               patients are aware of inpatient charges or outpatient
               visits/services

          –    Generating and maintaining a complete and reliable
               record of financial transactions, including medical
               rates, collections, accounts receivable, and deposits


                                                                        3
2010 UBO/UBU Conference
Turning Knowledge Into Action                                  The MSA Officer


       Responsibilities

          –    Committed effort to collect receivables prior to
               delinquency of account

          –    Safeguard funds and controlled forms from loss or
               theft

          –    Obtain and administer a change fund
                      Do not use non-deposited collections or personal money as a
                       change fund




                                                                                     4
2010 UBO/UBU Conference
Turning Knowledge Into Action                         The MSA Officer


       Responsibilities

          –    Deposit collections as reimbursement to the proper
               appropriation

          –    Prepare and submit financial reports

          –    Establish internal controls to ensure security of funds
               and segregation of duties




                                                                         5
2010 UBO/UBU Conference
Turning Knowledge Into Action                                       Nightly Reports


       Nightly Reports

          –    Daily reports run from Composite Health Care System
               (CHCS) Menu Path
                      Medical Service Accounts Module (MSA)
                      Nightly Processing Menu (NPM)
                      Print Nightly Reports (PRT)
                      Select Nightly Run Report (s) for Printing
                           –    Batch DD139s
                           –    Batch Delinquent Letters
                           –    Batch Invoice and Receipts
                           –    Transfer DD 139s
                           –    Transfer Delinquent Letters
                           –    Transfer Invoice and Receipts
                           –    Transfer Summary
                                                                                  6
2010 UBO/UBU Conference
Turning Knowledge Into Action                                   Who Is Billed?


       Who is billed

          –    Active Duty (AD) Members (Elective Cosmetic Surgery)
          –    Retired Members (Elective Cosmetic Surgery)
          –    Family Members
                      Non-Prime AD
                      Retirees
          –    Inter-Agency Billing (USCG-NOAA-PHS)
          –    Other Government Agencies (FBA, FAA, VA)
          –    International Military for Education & Training (IMET)
          –    Foreign Military & Family Members
          –    NATO Military & Family Members
          –    DoD Civilians & Contractors (OCONUS)



                                                                             7
2010 UBO/UBU Conference
Turning Knowledge Into Action            What Services Are Billed?


       What services are billed

          –    Family Member Hospitalization Charges
          –    Copying Charges
          –    Cash Sale of Meals
          –    Inpatient Medical Care
          –    Outpatient Medical Care
          –    Ancillary Services (Pharmacy, Radiology &
               Laboratory)
          –    Ambulance Services
          –    Elective Cosmetic Surgery
          –    Dental Services

                                                                 8
2010 UBO/UBU Conference
Turning Knowledge Into Action                    How MSA Accounts Are Created


       Creating an MSA account

          –    System-generated accounts
                      Admissions in MTF
                           –    Charges are generated when coding is completed by PAD in
                                the Encode Grouper which creates DRG for admission. Based
                                on Patient Category (PAT CAT) in CHCS MSA calculates the
                                appropriate charge for the DRG identified

                      Outpatient encounters entered in ADM
                           –    Charges are generated based on the CPT4, HCPCS, or CPT
                                codes entered into ADM and after they are released by CCE

                      Ancillary services
                           –    Charges are generated when service is performed and entered
                                into CHCS by the ancillary service


                                                                                              9
2010 UBO/UBU Conference
Turning Knowledge Into Action              How MSA Accounts Are Created


       Manually generated accounts

          –    Created in CHCS MSA module by the billing staff
               using the following menu path:
                      Cashier Function Menu (CFM)
                      Outpatient Accounts Edit (OPE)
                      One Time Charges Post (OTP)

          –    Account numbers are automatically assigned by
               CHCS once the account is created and is handled in
               the same manner as a system-generated account




                                                                      10
2010 UBO/UBU Conference
Turning Knowledge Into Action                                    Quiz


       True or False:

          –    Personal money can be used in a pinch to subsidize
               change fund.

          –    The Resource Manager/Comptroller is responsible for
               generating and maintaining a complete and reliable
               record of MSA financial transactions.

          –    Nightly reports are run weekly.

          –    Active Duty Members are billed for elective cosmetic
               surgery



                                                                      11
2010 UBO/UBU Conference
Turning Knowledge Into Action                                      Quiz


       True or False:

          –    Family Member hospitalization charges are only billed
               to TRICARE Prime enrollees

          –    DoD civilians are not billed for treatment for non-work-
               related illnesses or injuries within CONUS

          –    The One Time Charges Post (OTP) is used to create
               a manually generated account in CHCS

          –    Safeguarding funds is the responsibility of the MSA
               Officer and billing staff



                                                                          12

								
To top