Briefing:Using the Resources of the UBO Web Site

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

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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

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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

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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

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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

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UBO Homepage

• Upcoming teleconferences
• Upcoming conferences
• Latest newsletter
• Frequently Asked Questions
• Selected reference documents
• Important links

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Key Links on the UBO Site

• UBU
• TPOCS
• CHCS
• MHS Helpdesk
• MEPRS Portal
• CHCS Field Services
• Data Quality
• DoD Forms

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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

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Billing

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

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HIPAA

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

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Performance Measurements

• Key Performance Indicators
• Metrics
• Performance Measurement Goals

FY 2007 TPC Collections Goals
Service Inpatient Outpatient Combined
Army 22.7 27.5 50.2
Navy 9.6 19.4 29.0
Air Force 11.7 29.2 40.9
All DoD 44.0 76.1 120.1
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Policy Guidance

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

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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

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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-

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Access to UBO CMAC Zipped Files

• For Users Running Windows XPusername
  aa-sharepoint\ubo userpassword ub0support
• For Users Running Windows 2000 and Windows
  98username 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

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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

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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

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Patient Categories

• Current and previous PATCAT Tables

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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

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Systems

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

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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_at_altarum.org
• 703-575-5385

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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

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Your Recommendations

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