From Registration to Accounts Receivable – The Whole Can of Worms 2007 UBO/UBU Conference 1 Briefing:How to Use Management Reports Part 2 - MSA Date:22 March 2007 Time:

2007 UBO/UBU Conference From Registration to Accounts Receivable 2 Objectives List and explain all reports that generate from the MSA that should be review by management to oversee the operation of the MSA Office What do these reports mean and how can they be used to manage the program? Discuss the purpose and use of each Discuss ad hoc reports and provide sample reports

2007 UBO/UBU Conference From Registration to Accounts Receivable 3 MSA Daily Reports Select Office Functions Menu Option: 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: MSR Cashier/MSA Reports Menu

2007 UBO/UBU Conference From Registration to Accounts Receivable 4 MSA Daily Reports 139 Produce DD139 AAR Active Accounts Receivable Report CCR Cash Collection Detail Report CRA Clinical Records Pending DRG Billing Report FCV Final Cash Collection Voucher IRR Invoice and Receipt NRR Notify Roster PCT Patient Category Billing Table RCC Copying Charges Roster REC DRG Billing Report of Current/Recalculated Charges SDS DRG-Eligible Indicated Same Day Surgery Report STM Consent Statement TWO Accts Subject to Transfer/Write-off VCL Voucher Control Listing WRT Accounts Written-Off

2007 UBO/UBU Conference From Registration to Accounts Receivable 5 MSA Daily Reports CCR Cash Collection Detail Report Identifies all collections made in the MSA Office by Cashier. The MSA Officer uses this report to balance the collections received by each cashier NRR Notify Roster Identifies changes made by the Patient Admin Dept that may potential affect the billing of the patient. Also identifies potential refunds created by overpayments posted that day. Billers should be required to work this report at least weekly, depending on the size of the MTF

2007 UBO/UBU Conference From Registration to Accounts Receivable 6 MSA Daily Reports TWO Accts Subject to Transfer/Write-off Identifies accounts that have met the time parameters / requirements set by the MTF WRT Accounts Written-Off Accounts written off by the billers. MSA Officer should review this report to ensure that only authorized write-off are being performed

2007 UBO/UBU Conference From Registration to Accounts Receivable 7 MSA Monthly 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: MRM Monthly Reports Menu

2007 UBO/UBU Conference From Registration to Accounts Receivable 8 Monthly Reports CBR Central Billing/Local Collection MMD Monthly Medical Services Activity Detail Report MMR Monthly Medical Services Activity Report Select Monthly Reports Menu Option: MMR Monthly Medical Services Activity Report

2007 UBO/UBU Conference From Registration to Accounts Receivable 9 MSA Monthly Reports Monthly Medical Services Activity Report (MMSAR) Reflects the monthly billing and collections activities for each Fiscal Year, identifying the beginning A/R balance, amount of sales, amount written-off or transferred, amount of collections posted, the ending A/R balance, amount deposited to the DOs account, and any amount that has been collected by not deposited This is the accountability report for the Collection Agent / Treasurer. The amounts reflected on this report for the accounts written-off/transferred, collected, and ending A/R must balance with the individual accounts also generated in MSA MMD Monthly Medical Services Activity Detail Report A detailed report of all transactions

2007 UBO/UBU Conference From Registration to Accounts Receivable 10 MSA Monthly Reports MSA MEDICAL SERVICES ACCOUNTS REPORT MONTHLY MEDICAL SERVICES ACTIVITY FISCAL YEAR Jul Jul 2005 BALANCE ACCOUNTS OUTSTANDING FUNDS TOTAL FUNDS SALES ACCT REC CURRENT TRANS/OUT TOT FUNDS BALANCE COLL BUT DEPOSITED CODE PRIOR MONTH MONTH SALES WRT OFF COLLECTED ACCT REC UNDEPOSITED W/DO OPERATIONS & MAINTENANCE, NAVY ( ) CC FMR 75, , , , , FOR -3, , , FRR 139, , , , MS , , TPC , , V , , V , , V V24 63, , , , MISCELLANEOUS RECEIPTS (17R3210 )INT GRAND TOTAL 274, , , , ,

2007 UBO/UBU Conference From Registration to Accounts Receivable 11 MSA Monthly Reports Select MSA system menu option: ofm Office Functions Menu AAS Schedule of Accounts by Age TRPTPC Reimbursement Percentages BCP Balance Check DAR Detail Schedule of Accounts by Age ERS Rate Schedule Enter/Edit FDF Fund Description Edit EXC Outpatient Charge Exclusion Enter/Edit MPF MSA Parameters Definition NMRNotify Messages Review/Clear RDS Rate Detail Summary RSS Rate Schedule Summary SRC Statement of Receivables and Collections VRS View Rate Schedule Detail Select Office Functions Menu Option: DAR Detail Schedule of Accounts by Age

2007 UBO/UBU Conference From Registration to Accounts Receivable 12 MSA Monthly Reports Select Detail Aging Report Segment(s) for Printing: Current status 1 to 30 days 31 to 60 days 61 to 90 days 91 to 120 days 121 days or greater ALL segments Select by placing “*” next to segment to be selected (“*” generated by “delete” key)

2007 UBO/UBU Conference From Registration to Accounts Receivable 13 MSA Monthly Reports Detail Schedule of Accounts by Age Reflects ALL outstanding MSA accounts. It is important to ensure that this report is “worked” by the billers At the end of each month the biller(s) should be required to research accounts over 120 days and provide an explanation EX: Patient is making monthly payments on multiple accounts, OHI provided by pay patient now awaiting payment from insurance company, awaiting payment from foreign military patient/embassy

2007 UBO/UBU Conference From Registration to Accounts Receivable 14 MSA Monthly Reports 139Produce DD139 AARActive Accounts Receivable Report CCRCash Collection Detail Report CRAClinical Records Pending DRG Billing Report FCVFinal Cash Collection Voucher IRRInvoice and Receipt NRRNotify Roster PCTPatient Category Billing Table RCCCopying Charges Roster RECDRG Billing Report of Current/Recalculated Charges SDSDRG-Eligible Indicated Same Day Surgery Report STMConsent Statement TWOAccts Subject to Transfer/Write-off VCLVoucher Control Listing WRTAccounts Written-Off Select Monthly Reports Menu Option: VCL Voucher Control Listing

2007 UBO/UBU Conference From Registration to Accounts Receivable 15 MSA Monthly Reports VCL Voucher Control Listing Control Number Log Select desired control number series Series: I INVOICE AND RECEIPT V DD1131 D DD139 T TRANSFERRED TO FINANCE C SF1080 S DD7 A DD7A N SF1049 E TRANSFER SUMMARY REPORT Select by placing “*” next to series to be selected ( “*” generated by “delete” key)

2007 UBO/UBU Conference From Registration to Accounts Receivable 16 MSA Monthly Reports VCL Voucher Control Listing Each report provides a detailed listing of all transactions processed and all vouchers / documents generated during the month Each of these reports should be generated the first working day of the following month and retained for audit purposes

2007 UBO/UBU Conference From Registration to Accounts Receivable 17 INPATIENT TPC 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: IFM Insurance Processing Menu

2007 UBO/UBU Conference From Registration to Accounts Receivable 18 INPATIENT TPC REPORTS IAP Insurance Account Processing OPM Output Products Menu QRP TPC Quarterly Output Products Menu IOR Insurance and OHI Report Menu TRI TPC Batch Post Closing of Transferred Accounts XDL Clear Delinquent Letter Print Queue CPQ Clear UB92 Print Queue 25R Identify UB92 for Reprint VAP APV Prior Authorization Menu Select Insurance Processing Menu Option: OPM Output Products Menu

2007 UBO/UBU Conference From Registration to Accounts Receivable 19 DAILY INPATIENT TPC REPORTS AARTPC Accounts Receivable Report BILForm UB92 CRAClinical Records Pending DRG Billing Report CSDInsurance Claim Summary by Date Range DLPPrint Delinquent Letters IOPTPC Negative Balance Report LOGInsurance Payment Log MMRTPC Monthly Activity Report NOTInsurance Notify Roster OFFTPC Writeoff Report PCTPatient Category Billing Table QRSPrint Queue/ Preview Roster RECTPC M M S A Reconciliation Report SDSDRG-Eligible Indicated Same Day Surgery Report TRFOutstanding Insurance Transfer List UNKReport of Policies with Unknown Companies URRInsurance Precert/UR Roster WRKTPC Insurance Worksheet

2007 UBO/UBU Conference From Registration to Accounts Receivable 20 MONTHLY INPATIENT TPC REPORTS AARTPC Accounts Receivable Report BILForm UB92 CRAClinical Records Pending DRG Billing Report CSDInsurance Claim Summary by Date Range DLPPrint Delinquent Letters IOP TPC Negative Balance Report LOG Insurance Payment Log MMRTPC Monthly Activity Report NOTInsurance Notify Roster OFFTPC Write-off Report PCTPatient Category Billing Table QRSPrint Queue/ Preview Roster RECTPC M M S A Reconciliation Report SDSDRG-Eligible Indicated Same Day Surgery Report TRFOutstanding Insurance Transfer List UNKReport of Policies with Unknown Companies URRInsurance Precert/UR Roster WRKTPC Insurance Worksheet

2007 UBO/UBU Conference From Registration to Accounts Receivable 21 QUARTERLY INPATIENT TPC REPORTS IAPInsurance Account Processing OPMOutput Products Menu QRPTPC Quarterly Output Products Menu IORInsurance and OHI Report Menu TRITPC Batch Post Closing of Transferred Accounts XDLClear Delinquent Letter Print Queue CPQClear UB92 Print Queue 25RIdentify UB92 for Reprint VAPAPV Prior Authorization Menu Select Insurance Processing Menu Option: QRP TPC Quarterly Output Products Menu

2007 UBO/UBU Conference From Registration to Accounts Receivable 22 QUARTERLY INPATIENT TPC REPORTS DSADRG Billing Analysis ASCII Format DSLDRG Billing Analysis Report EPRTPC Report of Program Results Detail GSCTPC Aging Schedule Report HAGTPC Aging Schedule Detail Report PRRTPC Report of Program Results SARTPC Collection Source Analysis TYRTPC Insurance Type Report