Briefing: Using the Resources of the UBO Web Site Date: 21 March 2007 Time: 1510 - 1600

1. Briefing: Using the Resources of the UBO Web Site Date: 21 March 2007 Time: 1510 - 1600

2. Presentation Objectives • Maximize the value of information on the UBO Web Site • Increase awareness of the UBO Web Site • Increase use of the UBO Web Site to Support UBO Operations • Identify improvements/enhancements for the Web Site

3. Mission of the OCFO UBO Website • Serve as the key, corporate-level source, for the sharing of policy, business process, and other functional information needed to support DoD UBO business operations • Policy Documents • Business Rules • Rate Tables • Training Presentations • News Letters • Reference Documents • System Information • Relevant Links

4. UBO Website URLs • UBO Web Site is available to all UBO staff with Internet access • Office of the Chief Financial Officer (OCFO) Site • http://www.tricare.mil/ocfo/mcfs/ubo/index.cfm • Backup Site for large files, MS Access files, etc. • https://my.altarum.org/sites/ubo/default.aspx

5. Major Areas of the OCFO UBO Website • UBO Homepage • About the UBO • Billing • HIPAA • Performance Measurements • Policy Guidance • MHS Rates • National Provider Identifier (NPI) • Newsletters • Patient Categories/PACCAT Tables • Standard Insurance Table/Other Health Insurance • Systems • Annual Conferences • Learning Center

6. UBO Homepage • Upcoming teleconferences • Upcoming conferences • Latest newsletter • Frequently Asked Questions • Selected reference documents • Important links

7. Key Links on the UBO Site • UBU • TPOCS • CHCS • MHS Helpdesk • MEPRS Portal • CHCS Field Services • Data Quality • DoD Forms

8. About the UBO • Mission • Definitions for the three UBO Programs • Third Party Collections • Medical Services Account • Medical Affirmative Claims • Advisory Working Group • Minutes • Meeting attachments

9. Billing Billing documents and guidance • MSA • MAC • TPC • E- Billing • Links to billing forms

10. HIPAA • HIPAA information resources • Training presentations • Guidance documents • Reference documents • Links to related resource sites

11. Performance Measurements • Key Performance Indicators • Metrics • Performance Measurement Goals FY 2007 TPC Collections Goals

12. Policy Guidance • Policy letters • Users Guide (formerly Functional Business Rules for Itemized Billing) • UBO Manual

13. MHS Rates • Ambulance • Anesthesia • UBO CHAMPUS Maximum Allowable Charge (CMAC) • Cosmetic Surgery • Dental • Durable Medical Equipment • International Military Education and Training (IMET)/Inter-Agency Rate (IAR) • Immunization • Inpatient Adjusted Standardized Amount (ASA) • MAC • Overseas Billing • Pharmacy

14. Access to UBO CMAC Zipped Files • OCFO limits the file formats that can be posted on the OCFO UBO Website • CMAC files are available in a zipped format from our alternate UBO site. CMAC files can be found in the Shared Documents folder on the alternate site. All users may access the site by entering the username/password/domain information below when prompted -Continued-

15. Access to UBO CMAC Zipped Files • For Users Running Windows XP:username: aa-sharepoint\ubo userpassword: ub0support • For Users Running Windows 2000 and Windows 98:username: ubo userpassword: ub0supportdomain: aa-sharepoint • Note: The third character in the password is a zero • To access the alternate site click here! The CMAC files are available under the Shared Documents folder • Please note: These files are very large and will take a few minutes to download

16. National Provider Identifier • National Provider Identifier (NPIs) will be required on claim forms after May 23, 2007 • UB-92 Form Replaced by UB-04 • Revised CMS 1500 Form • User Guidance for New Forms • Other Documents to Assist with Transition to NPIs and New Forms

17. Newsletters • Quarterly Newsletters back to Oct 04 • Oct - Dec 2006 UBO Newsletter Contents: • UBO/UBU 2007 Conference is Coming!!! • UBO Manual is Official • New DD Form 2569 Coming • Revised CMS 1500 and UB-04 Claim Forms – Just Around the Corner • SIT/OHI – A Special Thanks • SIT/OHI User Teleconferences • New 2007 CPT Codes • VA/DoD Sharing Agreement Inpatient Billing Guidance Signed • Advise Pay Patients of MTF Pharmacy Cost Before Filling Prescriptions • HIPAA Taxonomy Codes/Provider Specialty Codes • Ban on Subsistence for Active Duty Extended • Possible Problems with DME Rate File Narratives • What Is IMET? • 99199 – APV Institutional Fee – Why So Much Work? • PATCAT Codes – CHCS Operational Release of FY 2007 Table • PATCAT Code Web-Based Training Coming Soon • Teleconference Training Download Oct - Dec 06 Newsletter doc 768.0 KB

18. Patient Categories Current and previous PATCAT Tables

19. Standard Insurance Table/Other Health Insurance • SIT and OHI Business Rules • Post Conversion User Guide to Entering and Updating SIT/OHI Information • Other Guidance from the UBO Verification Point of Contact

20. Systems • CHCS Notes • TPOCS Documents • Future Systems – Coming soon • CMBB • EWS-R • System Change Request Form

21. Annual Conference OCFO regulations prohibit the posting of documents that could be used to build a list of names for any UBO function • Therefore we have removed the annual conference presentations from the OCFO Website • If you need a copy of an annual conference presentation or agenda – contact the UBO Helpdesk • UBO.helpdesk@altarum.org • 703-575-5385

22. Learning Center Currently Available Presentations • Billing for APV Institutional Fees under the Medical Services Account Program • 2006 ASA's for Direct Care Inpatient Billing • MAC Enhancement • SIT/OHI Pre-Conversion Activities • 2006 Outpatient Itemized Billing Update • Cosmetic Surgery Estimator Tool Version 2 • TPC Metrics Reporting System Introduction • Provider Specialty Code Table Update • August 2006 Rate Update • FY 2007 ICD-9 CM Updates • VA-DoD Resource Sharing Inpatient Services Billing Rates • The New DD Form 2569 and New UBO Manual

23. Your Recommendations • Content • Presentation • Organization