BriefingAir Force Medical Affirmative Claims (MAC) Process ：briefingair力医学肯定的索赔（MAC）的过程文档.pptVIP

2007 UBO/UBU Conference From Registration to Accounts Receivable From Registration to Accounts Receivable – The Whole Can of Worms 2007 UBO/UBUConference * Briefing: Air Force Medical Affirmative Claims (MAC) Process – How Should MAC Work? Date: 21 March 2007 Time: 0900 - 0950 * Objectives Today we will discuss: What MAC is Responsibilities Training Medical Staff on Program Creating Bills Elements of a Successful MAC Program Future of Air Force MAC Program * What Is MAC? Medical Affirmative Claims (MAC) Program outlined in DoD 6010.15, AFI 41-114, AFI 41-115, AFI 41-120, and AFI 51-502, Personnel and Government Recovery Claims (primarily SJA responsibility) Dollars recouped from liability insurance for retirees, family members, and AD who receive treatment at government expense as a result of injury (includes food poisoning) or illness sustained as a result of an injury Dollars for MTF treatment deposited directly into MTF OM—separate from TPC/MSA (sales code 94) Civilian medical care costs deposited into General Treasury unless MTF pays for care * What Is MAC? MAC (Cont’d) Types of tort insurance billed Automobile No-fault and/or personal injury protection (PIP) Boat and airplane Products and/or manufacturers Premises General casualty (slip/fall) or umbrella (covers a variety of personal properties) Homeowners’ and/or Renters’ Medical malpractice (other than federal) * Responsibilities – Yours and SJA’s Responsibilities Have a written MOU between MTF and SJA that outlines notification, preparation, and follow-up procedures MTF provides updated fund cite to SJA at FY start MTF identifies all injuries to base SJA using the AF 1488, Daily Log of Patients Treated for Injuries SJA determines if injury and subsequent treatment represents a potential recoverable claim and then pursues payment to Federal Medical Care Recovery Act * Responsibilities – Yours and SJA’s Responsibilities (cont’d) MTF prepares AF 438, Medical Care–Third Party Liability MTF provides bill