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Policy and Guidance

Please view the following publications, policies and guidance. If you have questions, please email the UBO Help Desk or leave a message at 1-703-817-4030. Phone messages will be returned within one business day.

File Description
Annual Review of Compliance Program Effectiveness Checklist The UBO Compliance Officer will regularly review the implementation and execution of the compliance program elements. This review will be conducted as least annually and will include an assessment of each of the basic elements individually, as well as the overall success of the program. It will help identify any weaknesses in your compliance program and implement appropriate changes. A copy of this review should be provided to the Base Commander and UBO Service Manager.
DHA-PM 6015.01: Military Medical Treatment Facility (MTF) Uniform Business Office (UBO) Operations This Defense Health Agency-Procedures Manual (DHA-PM), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (ah), establishes the Defense Health Agency’s (DHA) procedures to: Provide guidelines for the operation of MTF UBOs. It prescribes uniform billing procedures and accounting practices for the management and follow-up of patient accounts, including collecting, depositing, posting, and reconciliation. Prescribe procedures for the Third Party Collections (TPCs), Medical Services Account (MSA), and Medical Affirmative Claims (MAC) programs, such as identification of beneficiaries who have other health insurance (OHI), coordination of benefits, and recovery of claims.
MAC Claim Post-Submission Review Worksheet Use this review worksheet to help establish a consistent UBO billing submission framework.
Memorandum Template for a Uniform Business Office Compliance Plan Use this template to develop your memorandum to create a UBO Compliance Plan.
Memorandum: Compliance Plan Implementation Policy This memorandum implements the Defense Health Agency's compliance plan.
Memorandum: Revision of Compliance Audit Requirements This policy implements recommendations by the Department of Defense Inspector General (DoD IG) and United States Army Audit Agency's report of July 18, 2007, on the Outpatient Third Party Collection Program (D-2007-108).
MSA Claim Post-Submission Review Worksheet Use this review worksheet to help establish a consistent UBO billing submission framework.
Sample Compliance Committee Charter Use this sample charter to develop the Compliance Committee Charter for your MTF.
TPCP Claim Post-Submission Review Worksheet Use this review worksheet to help establish a consistent UBO billing submission framework.
UBO Compliance Audit Checklist This Compliance Audit Checklist Template is an element of our MTF’s Internal Control Review and is part of your compliance program. It covers the basic points of TPC, MSA, and MAC programs. It can also be used in business case analysis/reengineering initiatives for the Uniform Business Office.
UBO Compliance Plan Template This Compliance Plan is a template, not a final document. You should edit it to include your MTF’s specific processes, procedures, policies, and information as appropriate.
UBO Compliance Plan/Code of Conduct Receipt Each employee/service member/contractor should complete and sign this acknowledging they have received and read the Compliance Plan and Code of Conduct.
Uniform Business Office User Guide (May 2018) This user guide provides functional guidance on data collection and Uniform Business Office (UBO) practices and billing procedures for military treatment facilities (MTFs). This is a living document that is updated by the Defense Health Agency (DHA) UBO Program Office as necessary.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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