Patient Administration - Army Publishing Directorate - U.S. Army

(20) Does the MSAO coordinate with the chief, food service division to ensure proper security procedures and
controls are set up to safeguard the cash fund and money collected by dining facility cashiers?
(21) When a cash register is used in the dining facility, is the person authorized to clear the cash register designated
in writing?
(22) Are adequate security containers available to safeguard MSA funds documents?
(23) Are MSA cash collections deposited with the servicing bank weekly or when the fund reaches a total of $500?
(24) Is cashing checks in excess of the person’s debt prohibited?
(25) Are accounting procedures for inpatient/outpatient services established?
(26) Are current procedures established to ensure collections are distributed to the appropriate account?
(27) Are current procedures provided in negotiating prices with civilian providers and health care services?
d. Supersession. There was no previous checklist.
e. Comments. Comments regarding this checklist should be addressed to the Commander, USAMEDCOM, ATTN:
MCHO-CL-P, 2050 Worth Road, Suite 10, Fort Sam Houston, TX 78234-6010.
C–4. Care from civilian sources, Army personnel
a. Purpose. The purpose of this checklist is to assist Army MTFs in evaluating the key management controls listed
below. It is not intended to cover all controls.
b. Instructions. Answers must be based on the actual testing of key management controls (for example, document
analysis, direct observation, sampling, simulation, other). Answers which indicate deficiencies must be explained and
corrective action indicated in supporting documentation. These management controls must be evaluated at least once
every 5 years. Certification that this evaluation has been conducted must be accomplished on DA Form 11-2-R.
c. Test questions.
(1) Are billings for medical/dental care in excess of $500 supported by authorization of the approving authority?
(2) Is an eligibility check performed on all claims submitted for payment? (DEERS for AD personnel and orders for
RC personnel.)
(3) Is the 30 day standard for processing claims included in an SOP.
(4) Are all claims for inpatient services priced for DRG payment?
(5) Are all claims for ambulatory services priced for CHAMPUS CMAC prior to payment?
d. Supersession. There was no previous checklist.
e. Comments. Comments regarding this checklist should be addressed to the Commander, USAMEDCOM, ATTN:
MCHO-CL-P, 2050 Worth Road, Suite 10, Fort Sam Houston, TX 78234-6010.
C–5. Patient eligibility for care in Army treatment facilities
a. Purpose. The purpose of this checklist is to assist Army MTFs in evaluating the key management controls listed
below. It is not intended to cover all controls.
b. Instructions. Answers must be based on the actual testing of key management controls (for example, document
analysis, direct observation, sampling, simulation, other). Answers which indicate deficiencies must be explained and
corrective action indicated in supporting documentation. These management controls must be evaluated at least once
every 5 years. Certification that this evaluation has been conducted must be accomplished on DA Form 11-2-R.
c. Test questions.
(1) Are all patients seeking medical care checked for eligibility status, and are procedures outlined in an SOP?
(2) Are foreign nationals provided care per chapter 3 of this regulation?
(3) Are beneficiaries of other Federal agencies provided care per chapter 3 of this regulation?
(4) Are patients who do not appear in the DEERS data base provided care as “civilian emergencies” or “Designee of
the Secretary of the Army”?
d. Supersession. There was no previous checklist.
e. Comments. Comments regarding this checklist should be addressed to the Commander, USAMEDCOM, ATTN:
MCHO-CL-P, 2050 Worth Road, Suite 10, Fort Sam Houston, TX 78234-6010.
118 AR 40–400 27 January 2010