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Briefing: OCONUS Billing Date: 21 March 2007 Time: 0800 - 1200. Objectives. Identify who is to be billed DoD civilians/contractors Inter-agency billing NATO, Partners for Peace, and other foreign Military Monthly reporting requirements
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Briefing: OCONUS Billing Date: 21 March 2007 Time: 0800 - 1200
Objectives • Identify who is to be billed DoD civilians/contractors Inter-agency billing NATO, Partners for Peace, and other foreign Military • Monthly reporting requirements • Identify and address issue unique to billing offices located overseas
Who Is Billed? • DoD Civilians Must obtain DD2569/Assignment of Benefits (Filing with a 3rd Party Payer is a courtesy NOT a requirement) 100% financially responsible Rate: IAR • DoD Contractors Must obtain DD2569/Assignment of Benefits (Filing with a 3rd Party Payer is a courtesy NOT a requirement) 100% financially responsible Rate: FRR • Inter-Agency CHCS MSA DD7 and DD7A Reports Navy MTFs – BUMED Inter-Agency ad hoc report Submission of monthly bills to NAVMED East and NAVMED West
Billing NATO, Partners for Peace, and Other Foreign Military • Written agreements between NATO and Partners for Peace countries and the United States • Normally cover CONUS only unless involved in exercise/operation OCONUS • Foreign Military must be on official orders • Obtain a copy of orders, billing guidance/requirements identified
Reporting Requirements Monthly reports • Monthly Medical Services Accounts Report • MSA Aging Accounts Receivables
Problems/Issues/Concerns • K61 PATCAT removed from MSA DD7A report • Insurance companies requiring “special” information to be provided on claims • Over-the-counter scripts printing on the claim being denied by insurance companies • Facility fees for same-day surguries/procedures • Labs and rads • Electronic billing
Problems/Issues/Concerns • Credit card sales • Separation of duties – Collection Agent and Billing Clerk • Write-off procedures • MSA billing issues • Proper access to CHCS “keys” • Payment plans for pay patients