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Latest News

FY14 Pharmacy Rates Update:
The Pharmacy rates page has been updated with new rates, effective 18 August 2014. (posted 8-11-14)

CY14 Outpatient Rates:
The CY14 Outpatient Rates have been approved and posted on the MHS rates page and are effective for dates of service on or after 1 July 2014. (posted 7-14-2014)

CY14 Cosmetic Surgery Estimator (CSE):
The CY14 Cosmetic Surgery Estimator has been released and is effective 1 July 2014. Login credentials are available to MSA staff only and are provided by the UBO Service Program Managers. See the Cosmetic Surgery page for supplemental materials.

FY14 Inpatient Rates for MAC Billing:
The FY14 Inpatient Rates have been approved and published by the Office of Management and Budget for MAC billing. They are available on the MHS rates page and are effective for dates of service on or after 12 June 2014. (posted 6-12-2014)

DHA UBO Online Training Modules:
Online training is available on the Learning Center, Data and Billing in Sync: 1500 (02/12)/837P, a comprehensive guide to filling out the item numbers in the Professional Claim form. (posted 01-08-2014)

DHA UBO User Guide Updates:
The UBO User Guide has been updated and may be downloaded from the Policy/Guidance page at UBO User Guide. View the Document Change History for sections that were revised, added and deleted. (posted 06-13-2014)

FY14 DRG Case Weights:
The FY14 DRG Case Weights with Long Stay Outliers is available on the Inpatient rates page. (posted 11-20-2013)

CY13 Outpatient Rates for MAC billing:
The CY13 Outpatient Rates have been approved and published by the Office of Management and Budget for MAC billing. They are available at MHS rates page and are effective for dates of service on or after 22 October 2013. (posted 10-23-2013)

Training

August Webinar:
UBO Compliance Program Requirements

Dates & Times
26 August 2014 0800 - 0900
28 August 2014 1400 - 1500

Note: Learning Center webinars are broadcast in Eastern Daylight Time (EDT).

For full participation instructions, presentation materials, as well as information on upcoming and past webinars, visit the UBO Web-Based Training page.

E-mail us! If you have webinar or other Learning Center questions or sugestions, please send us a note at UBO.LearningCenter@altarum.org. We look forward to hearing from you and welcome all feedback and suggestions.


FYI

In accordance with DHA Privacy guidance, personal identifiers, such as names and personal e-mail addresses, have been removed from the documents on this site.

Non-DHA UBO links and references to other Web sites are provided as a convenience for visitors to the DHA UBO Web site. The DHA UBO Program Office does not assume responsibility for information referenced and available outside of the DHA UBO Web site.

Contact us:

For questions or comments, please e-mail UBO.Helpdesk@altarum.org, or leave a message for the Helpdesk staff at (571) 733-5935. Phone messages will be returned within one business day.


Privacy and Civil Liberties Office

"On October 1, 2013, the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. These activities include those previously managed by TRICARE Management Activity (TMA), which was disestablished on the same date. During the next several months, all TMA websites will change to reflect the new DHA. We appreciate your patience during this transition."

Important Links

FAQs

This section is updated with questions we get from you. Send questions or suggestions to UBO.Helpdesk@altarum.org, with the subject, "FAQs."


Q: How do you bill for elective cosmetic procedures combined with a medically necessary procedure?

A: Elective cosmetic procedures are billed using the Cosmetic Surgery Estimator (CSE). If a patient receives both a medically necessary procedure and an elective cosmetic procedure during the same surgical encounter, a discount is applied. The current discount is 50% of the facility fee and 50% of the anesthesia fee for the primary elective procedure. If additional elective procedures are performed, the additional procedures would not receive this discount.

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