Briefing: Back to Basics – MSA 101 Date: 19 March 2007 Time: 0900 - 0950

1. Briefing: Back to Basics – MSA 101 Date: 19 March 2007 Time: 0900 - 0950

2. Objectives • Identify the duties, responsibilities, and expectations of the Medical Services Accounts Officer • Identify and explain the Nightly Reports • Identify who and what is billed under MSA • Explain how MSA Accounts are created

3. Duties, Responsibilities, and Expectations MSA officer is responsible for: 1. Billing and collecting of funds for medical services and subsistence from DoD beneficiaries, others authorized treatment in MTFs, and civilian emergency patients 2. Coordinating with the Patient Administration department to ensure that all patients are aware of expected inpatient hospitalization or charges for outpatient visits/services • Generating and maintaining complete and reliable record of financial transactions. including medical service charges, collections, accounts receivables, and deposits —Continued—

4. Duties, Responsibilities, and Expectations 4. Making every effort to collect accounts receivable before they become delinquent 5. Safeguarding funds and controlled forms from loss or theft 6. Obtaining and administering a change fund 7. NOT using undeposited collections or personal money as a change fund —Continued—

5. Duties, Responsibilities, and Expectations 8. Depositing collections as reimbursements to the proper appropriation 9. Preparing and submitting financial reports 10. Establishing internal controls to ensure security of funds and segregation of duties

6. Nightly Reports • CFM Cashier Functions Menu • OFM Office Functions Menu • MSR Cashier/MSA Reports Menu • C7A USCG DD7A Billing Menu • MRM Monthly Reports Menu • NPM Nightly Processing Menu • RSM Reprint Reports Menu • IFM Insurance Processing Menu • OIB Outpatient Itemized Billing Menu • Select MSA System Menu Option: NPM • NRR Nightly Run Recovery Process • RUN Nightly Run • CLQ Clear Print Queue Files • PRT Print Nightly Reports • TSR Transfer Summary Reprint • Select Nightly Processing Menu Option: NRR • Select Nightly Run Report(s) for Printing • Batch DD139's • Batch Delinquent Letters • Batch Invoice and Receipts • Transfer DD139's • Transfer Delinquent Letters • Transfer Invoice and Receipts • Transfer Summary

7. Who and What Are Billed Medical Services Accounts is the billing venue for medical care/services provided to pay patients and other miscellaneous services provided by the MTF

8. Who Is Billed • Active Duty Members (Elective Cosmetic Surgery) • Family Members • Non-Prime Active Duty Family Members • Family Members of Retirees • Inter-Agency Billing (USCG, NOAA, PHS) • Other Government Agencies (e.g., FBA, FAA, VA) • International Military Education & Training (IMET) • Civilian Emergencies • Foreign Military and Their Family Members • NATO Military and Their Family Members • DoD Civilians and Contractors (OCONUS only)

9. What Is Billed • Family Member Hospitalization Charges • Copying Charges • Cash Sale of Meals • Inpatient Medical Care • Outpatient Medical Care • Ancillary Services (Pharmacy, Radiology & Laboratory) • Ambulance Charges • Elective Cosmetic Surgery • Dental Care/Services

10. Creating MSAs • MS Accounts are either system generated or manually created • System generated accounts • Admissions into the MTF • Outpatient encounters entered into ADM • Ancillary services • Manually generated accounts are created in the MSA Office by the billers

11. Creating MSAs System-generated accounts: • Admissions into the MTF Charges are generated when the coding is completed by PAD in the Encoder Grouper which creates the DRG for the Admission. Based on the Patient Category, CHCS MSA calculates the appropriate charge for the DRG identified • Outpatient encounters entered into ADM Charges are generated based on the CPT-4, HCPCS, or CDT codes entered into ADM and AFTER they are released by CCE • Ancillary services Charges are generated when the service is performed and entered into CHCS by the ancillary service providing the service

12. Creating MSAs • Manually generated accounts are accounts created in the MSA Office by the billers • The MSA Biller can manually create an MSA in the CHCS MSA module using the following menu path: CFM Cashier Functions Menu OPE Outpatient Accounts Edit OTP One Time Charges Post Account numbers for manually created accounts are automatically assigned by CHCS MSA. Once a manual account is created, it must be handled in the same manner as a system-generated account