Title AFMS Electronic DD 2569 DatabaseSession T-2-1430.ppt

2010 UBO/UBU Conference Click to edit Master title style Click to edit Master title style Click to edit Master title style Click to edit Master title style 2010 UBO/UBU Conference Title: AFMS Electronic DD 2569 Database Session: T-2-1430 Overview Background Problem Statement Mapping Business Process Benefits AFMS Deployment Plan E-2569 POC List Demo Summary Questions * DD 2569 Form – Third Party Collection (TPC) Program – Record of Other Health Insurance (OHI) All non-AD patients must fill out update annually when OHI exist IAW Title 10 USC, Sections 1095 1079B; Executive Order 9397 This form identifies third-party health insurance carriers that can be billed for services performed by the Medical Group Reimbursements fund clinic renovations, equipment upgrades, new pharmaceutical items and other improvements ($170M/annually) Must Ensure DD2569 Compliance – No Exceptions 32 CFR §220.2(d): “Copy of completed signed DoD insurance declaration form will be provided to payers upon request” DoD 6010-15M: “To achieve 100% contact rate, each MTF shall use DD Form 2569…may be retained in hard copy or electronic format …” AFI 41-120: “The MTF/CC will ensure MTF staff query 100% of the eligible population regarding OHI info at all patient entry points…” Other Agencies Inspections/Audits – verifies DD 2569 process at MTFs * Background Problem External Factors TMA Pharmacy Rate Reduction - effective Jan 10 (FY09/FY10: -$11.6M) Recession/Unemployment Rate - 8.5% to 10.6% (-9,434 patients w/ OHI) BRAC Realignments – FY10 Civ ER: $10.8M (96% WHMC); overall reduction services GAO Report “The single biggest obstacle to increasing collections is inadequate identification of patients with third-party insurance. DoD does not have effective systems or processes for obtaining and updating this information. This weakness dramatically reduces the possibility of collecting from third-party insurers and recouping the cost of providing reimbursable care. (GAO-04-322R; 2004)”