1. From Registration to Accounts Receivable – The Whole Can of Worms 2007 UBO/UBU Conference 1 Briefing:MSA Best Practices and Acronym Bingo Date:20 Mar 2007 Time:1010 - 1100

2. 2007 UBO/UBU Conference From Registration to Accounts Receivable 2 Bingo Master 1.Who is the UBO Program Manager? Lt Col Jeanne Yoder 2.This person is appointed and a committee established at each MTF to prevent fraud, waste, abuse, and mismanagement: Compliance Officer 3.When a military member voluntarily consents to payroll deduction what form do we have them sign? DD139 4.According to the UBO Manual, it is a requirement for the MSAO to be on written orders by the: Commander 5.The document carried by a foreign officer that specifically states the individual details regarding their travel, medical care, etc. is their: Individual Travel Orders (ITO) 6.The Federal Law that protects a patient's health information and privacy is: Health Insurance Portability and Accountability Act of 1996 (HIPAA) 7.This person is responsible for "all" billing and collecting functions of the MTF/MEDCEN. This person is the: Medical Services Accountable Officer (MSAO) 8.This office most often consists of the MSA/TPC/MAC: Uniform Business Office (UBO) 9.How long can an MSAO be absent from the position before the Commander is required to consider re-appointing someone to the position? Thirty days 10.The monthly report summarizing the previous month’s A/R, the current month sales, transfers, collections, SF1080's, and current A/R: Monthly Medical Services Activity Detail Report (1860R)

3. 2007 UBO/UBU Conference From Registration to Accounts Receivable 3 Bingo Master 11.Oct 01 to Sep 30 would be considered a: Fiscal Year (FY) 12.When was the last version of the UBO manual released? November 2006 13.These handling fees are charged for the copying of medical records. Copying Charges 14.To process and refund an overpayment, what form do we use? Public Voucher for Refund (SF1049) 15.Cash, US Treasury Checks, Certified Checks, Bank Drafts, Personal Checks, Traveler Checks, US Postal Money Orders, Credit Cards, and Military Payment Certificates are all known as: Negotiable Instruments 16.An individual that has no entitlement to care in the Military Health Care System ( a non- beneficiary patient) is called a: Civilian Emergency 17.An elective procedure performed to reshape "NORMAL" structures of the body in order to improve the patient's appearance or self-esteem is: Cosmetic Surgery 18.A procedure performed to reshape "ABNORMAL" structures of the body which are caused by congenital defects, developmental abnormalities, trauma, infection, tumors, or disease in order to improve the patient's appearance or self-esteem: Reconstructive Surgery 19.Cosmetic surgery procedures may not exceed what percentage of any privileged providers case load, and may be performed on a space available basis only? 20% 20.When a Civilian Emergency is registered in the ED, what initial entry determines the rate that will download to the MSA office? The PATCAT must be entered correctly

4. 2007 UBO/UBU Conference From Registration to Accounts Receivable 4 Bingo Master 21.This is an automated database of military sponsors, their family members, and others worldwide who are entitled under the law to TRICARE benefits: (DEERS) Defense Enrollment Eligibility Reporting System 22.Twenty-six countries of Europe and North America formed this agreement of international alliance to ensure the peace and security of the North Atlantic region. This treaty was originally signed April 4, 1949 and the countries represented are called NATO countries: North Atlantic Treaty Organization 23.A formal classification of diagnostic and therapeutic procedures performed by physicians and other health care providers: (CPT) Current Procedural Terminology 24.The classification of specific conditions and groups of conditions: (ICD) International Classification of Diseases 25.The fund established for the safeguarding of a patient's funds and valuables: Patient's Trust Fund (PTF)

5. 2007 UBO/UBU Conference From Registration to Accounts Receivable 5 Sample Bingo Card PATIENT CATEGORY (PAT CAT) PUBLIC VOUCHER FOR REFUNDS SF1049 MONTHLY MEDICAL SERVICES ACTIVITY DETAIL RPT 1860R COMPLIANCE OFFICER DD139PATIENT TRUST FUND (PTF) COMMANDER RECONSTRUCTIVE SURGERY CIVILIAN EMERGENCYDEERSCOSMETIC SURGERY LT COL JEANNE YODER NEGOTIABLE INSTRUMENTS INDIVIDUAL TRAVEL ORDERS (ITO) THIRTY DAYSCOPYING CHARGES MSAO