Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 79345 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Closed Meeting of the Department of 

Defense Wage Committee 

AGENCY: Department of Defense. 

ACTION: Notice of closed meetings. 

SUMMARY: Pursuant to the provisions of 

section 10 of Public Law 92–463, the 

Federal Advisory Committee Act, notice 

is hereby given that closed meetings of 

the Department of Defense Wage 

Committee will be held. 

DATES: January 11, 2011, and Tuesday, 

January 25, 2011, at 10 a.m. 

ADDRESSES: 1400 Key Boulevard, Level 

A, Room A101, Rosslyn, Virginia. 

FOR FURTHER INFORMATION CONTACT: 

Chairman, Department of Defense Wage 

Committee, 4000 Defense Pentagon, 

Washington, DC 20301–4000. 

SUPPLEMENTARY INFORMATION: Under the 

provisions of section 10(d) of Public 

Law 92–463, the Department of Defense 

has determined that the meeting meets 

the criteria to closed meetings to the 

public because the matters to be 

considered are related to internal rules 

and practices of the Department of 

Defense and the detailed wage data to be 

considered were obtained from officials 

of private establishments with a 

guarantee that the data will be held in 

confidence. 

However, members of the public who 

may wish to do so are invited to submit 

material in writing to the chairman 

concerning matters believed to be 

deserving of the Committee’s attention. 

Additional information concerning 

the meetings may be obtained by writing 

to the Chairman, Department of Defense 

Wage Committee, 4000 Defense 

Pentagon, Washington, DC 20301–4000. 

Dated: December 14, 2010. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2010–31790 Filed 12–17–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Docket ID: DOD–2010–OS–0167] 

Privacy Act of 1974; System of 

Records 

AGENCY: Office of the Secretary of 

Defense, DoD. 

ACTION: Notice to Alter a System of 

Records 

SUMMARY: The Office of the Secretary of 

Defense proposes to alter a system of 

records in its inventory of record 

systems subject to the Privacy Act of 

1974 (5 U.S.C. 552a), as amended. 

DATES: This proposed action would be 

effective without further notice on 

January 19, 2011 unless comments are 

received which result in a contrary 

determination. 

ADDRESSES: You may submit comments, 

identified by docket number and/ 

Regulatory Information Number (RIN) 

and title, by any of the following 

methods: 

• Federal Rulemaking Portal: http:// 

www.regulations.gov.Follow the 

instructions for submitting comments. 

• Mail: Federal Docket Management 

System Office, Room 3C843, 1160 

Defense Pentagon, Washington, DC 

20301–1160. 

Instructions: All submissions received 

must include the agency name and 

docket number or Regulatory 

Information Number (RIN) for this 

Federal Register document. The general 

policy for comments and other 

submissions from members of the public 

is to make these submissions available 

for public viewing on the Internet at 

http://www.regulations.gov as they are 

received without change, including any 

personal identifiers or contact 

information. 

FOR FURTHER INFORMATION CONTACT: 

Chief, OSD/JS Privacy Office, Freedom 

of Information Directorate, Washington 

Headquarters Services, 1155 Defense 

Pentagon, Washington, DC 20301–1155, 

or Ms. Cindy Allard at (703) 588–6830. 

SUPPLEMENTARY INFORMATION: The Office 

of the Secretary of Defense notices for 

systems of records subject to the Privacy 

Act of 1974 (5 U.S.C. 552a), as amended, 

have been published in the Federal 

Register and are available from the FOR

FURTHER INFORMATION CONTACT address 

above. The proposed system report, as 

required by 5 U.S.C. 552a(r) of the 

Privacy Act of 1974, as amended, was 

submitted on December 10, 2010, to the 

House Committee on Oversight and 

Government Reform, the Senate 

Committee on Governmental Affairs, 

and the Office of Management and 

Budget (OMB) pursuant to paragraph 4c 

of Appendix I to OMB Circular No. A– 

130, ‘‘Federal Agency Responsibilities 

for Maintaining Records About 

Individuals,’’ dated February 8, 1996 

(February 20, 1996, 61 FR 6427). 

Dated: December 10, 2010. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

DHA 12 

SYSTEM NAME: 

Third Party Collection System (March 

29, 2005, 70 FR 15847). 

CHANGES: 

SYSTEM LOCATION: 

Delete entry and replace with 

‘‘Defense Health Services Systems, Suite 

1599, 5203 Leesburg Pike, Falls Church, 

VA 22041–3891.’’ 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Delete entry and replace with 

‘‘Members of the uniformed services 

(and their dependents) and retired 

military members (and their 

dependents) who receive or have 

received health services approved by 

the Department of Defense, contractors 

participating in military deployments or 

related operations who receive or have 

received medical or dental care at a 

military treatment facility, Department 

of Defense civilian employees (to 

include non-appropriated fund 

employees) who receive or have 

received medical or dental care at a 

military treatment facility, and other 

individuals who receive or have 

received medical or dental care at a 

military treatment facility.’’ 

CATEGORIES OF RECORDS IN THE SYSTEM: 

Delete entry and replace with 

‘‘Individual Data: This includes patient 

name, Social Security Number (SSN)(or 

foreign identification), whether 

treatment was outpatient or inpatient, 

outpatient visit date and time, date of 

birth, mailing address, home telephone 

number, family member prefix, and 

relationship to policy holder; sponsor or 

insurance policy holder name, Social 

Security Number (SSN), and date of 

birth; other covered family member 

name(s), Social Security Number (SSN), 

and date(s) of birth; and, if applicable, 

Medicare and Medicaid coverage data. 

INSURANCE POLICY INFORMATION DATA: 

This includes policy number or 

identification, card holder 

identification, group number, group 

name, enrollment plan/code, policy 

effective date, policy category, policy 

end date, insurance company name, 

address and telephone number, 

insurance type, policy holder, whether 

policy holder is insured through their 

employer, and drug coverage data 

regarding authority to bill for 

pharmaceuticals. 


jlentini on DSKJ8SOYB1PROD with NOTICES
79346 Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 

EMPLOYER INFORMATION DATA: 

This includes employer name, 

address, and telephone number. 

BILLING INFORMATION DATA: 

This includes bill type (military 

treatment facility, clinic, pharmacy, 

laboratory/radiology, ambulance), name 

and location of military treatment 

facility, whether treatment was 

outpatient or inpatient, outpatient visit 

date and time, inpatient admission and 

discharge dates and time, patient 

identification number, patient name, 

provider code/description, office visit 

code description, Medical Expense and 

Performance Reporting System code/ 

description, diagnosis code/description, 

billing amount, user who created the 

bill, date bill was created, and status of 

bill and source of billing data. 

ACCOUNTING INFORMATION DATA: 

This includes control number, 

transaction code, debit amount, credit 

amount, check number, Batch posting 

number, balance, patient identification, 

patient name, encounter date, 

comments, entry date and follow-up 

date. 

INSURANCE COMPANY DATA: 

This contains tables for insurance 

company, policy, provider, fees, codes, 

rates, and procedure maintenance.’’ 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Delete entry and replace with ‘‘10 

U.S.C. 1095, Health care services 

incurred on behalf of covered 

beneficiaries: collection from third-party 

payers; 10 U.S.C. 1079b, Procedures for 

charging fees for care provided to 

civilians; retention and use of fees 

collected; 42 U.S.C. Chapter 32, ‘‘Third 

Party Liability For Hospital and Medical 

Care;’’ 28 CFR Part 43, ‘‘Recovery of 

Costs of Hospital and Medical Care and 

Treatment Furnished by the United 

States;’’ 45 CFR parts 160 and 164, 

Health and Human Services, General 

Administrative Requirements and 

Security & Privacy; 32 CFR part 220, 

Collection from Third Party Payers of 

Reasonable Charges for Healthcare 

Services; DoD 6010.15–M, Chapter 3, 

Medical Services Account; and E.O. 

9397 (SSN), as amended.’’ 

PURPOSE(S): 

Delete entry and replace with ‘‘To 

establish a standard patient accounting 

system for health care billing practices. 

It shall assist military treatment 

facilities in the collection, tracking, and 

reporting of data required for the 

Department of Defense Third Party 

Collection Program billing process by 

the adoption of standard commercial 

medical coding and billing practices to 

military treatment facilities. 

The Defense Finance Accounting 

Service (DFAS) uses this information to 

bill person(s) or organization(s) liable 

for payment on behalf those receiving 

care at a military treatment facility.’’ 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

Delete entry and replace with ‘‘In 

addition to those disclosures generally 

permitted under 5 U.S.C. 552a(b) of the 

Privacy Act of 1974, as amended, these 

records may specifically be disclosed 

outside the Department of Defense as a 

routine use pursuant to 5 U.S.C. 

552a(b)(3) as follows: 

To interface with all commercial 

insurance carriers and parties against 

whom recovery has been sought by the 

Department of Defense Military Health 

System, as well as all parties involved 

in support of the collection activities for 

health care approved by the Department 

of Defense. 

To the National Data Clearinghouse, 

an electronic healthcare clearinghouse, 

for purposes of converting the data to an 

industry-wide format prior to 

forwarding the billing information to the 

insurance companies for payment. 

The DoD ‘Blanket Routine Uses’ set 

forth at the beginning of Office of the 

Secretary of Defense’s compilation of 

systems of records notices apply to this 

system. 

Note 1: This system of records contains 

individually identifiable health information. 

The Department of Defense Health 

Information Privacy Regulation (DoD 

6025.18–R) issued pursuant to the Health 

Insurance Portability and Accountability Act 

of 1996, applies to most such health 

information. DoD 6025.18–R may place 

additional procedural requirements on the 

uses and disclosures of such information 

beyond what is found in the Privacy Act of 

1974 or mentioned in this system of records 

notice. 

Note 2: Personal identity, diagnosis, 

prognosis or treatment information of any 

patient maintained in connection with the 

performance of any program or activity 

relating to substance abuse education, 

prevention, training, treatment, 

rehabilitation, or research, which is 

conducted, regulated, or directly or indirectly 

assisted by any department or agency of the 

United States is, except as per 42 U.S.C. 

290dd–2, treated as confidential and 

disclosed only for the purposes and under 

the circumstances expressly authorized 

under 42 U.S.C. 290dd–2.’’ 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Delete entry and replace with ‘‘Paper 

file folders and electronic storage 

media.’’ 

RETRIEVABILITY: 

Delete entry and replace with 

‘‘Records are retrieved by the sponsor or 

patient name, Social Security Number 

(SSN), Department of Defense Benefits 

Number, third party payer identification 

number assigned to individual, family 

member prefix (a two-digit code 

identifying the person’s relationship to 

the Military Sponsor), and/or Patient 

Control Number.’’ 

SAFEGUARDS: 

Delete entry and replace with 

‘‘Physical access to system location 

restricted by cipher locks, visitor escort, 

access rosters, and photo identification. 

Adequate locks on doors and server 

components secured in a locked 

computer room with limited access. 

Each system end user device protected 

within a locked storage container, room, 

or building outside of normal business 

hours. All visitors and other persons 

that require access to facilities that 

house servers and other network devices 

supporting the system that do not have 

authorization for access escorted by 

appropriately screened/cleared 

personnel at all times. 

Access to the system is role-based and 

a valid user account is required. The 

system provides two-factor 

authentication, using either a Common 

Access Card and Personal Identification 

Number or a unique logon identification 

and password. Where a unique logon 

identification and password is used, 

passwords must be renewed every sixty 

(60) days. Authorized personnel must 

have appropriate Information Assurance 

training, Health Insurance Portability 

and Accountability Act training, and 

Privacy Act of 1974 training.’’ 

RETENTION AND DISPOSAL: 

Delete entry and replace with 

‘‘Records are destroyed five years after 

the end of the year in which the record 

was closed.’’ 

SYSTEM MANAGER(S) AND ADDRESS: 

Delete entry and replace with 

‘‘Program Manager, Defense Health 

Services Systems, Suite 1500, 5203 

Leesburg Pike, Falls Church, VA 22041– 

3891.’’ 

NOTIFICATION PROCEDURE: 

Delete entry and replace with 

‘‘Individuals seeking to determine 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 79347 

whether this system contains 

information about themselves should 

address written inquires to the 

TRICARE Management Activity, 

Department of Defense, ATTN: TMA 

Privacy Officer, Suite 810, 5111 

Leesburg Pike, Falls Church VA 22041– 

3206. 

Request should contain participant’s 

and/or sponsor’s full name, their Social 

Security Number (SSN), and current 

address and telephone number and the 

names of the military treatment facility 

or facilities in which they have received 

medical treatment. 

If requesting health information of a 

minor (or legally incompetent person), 

the request must be made by a custodial 

parent, legal guardian, or party acting in 

loco parentis of such individual(s). 

Written proof of the capacity of the 

requestor may be required.’’ 

RECORD ACCESS PROCEDURES: 

Delete entry and replace with 

‘‘Individuals seeking access to records 

about themselves contained in this 

system should address written inquiries 

to TRICARE Management Activity, 

Attention: Freedom of Information Act 

Requester Service Center, 16401 East 

Centretech Parkway, Aurora, CO 80011– 

9066. 

Requests should contain participant’s 

and/or sponsor’s full name, their Social 

Security Number (SSN), and current 

address and telephone number and the 

names of the military treatment facility 

or facilities in which they have received 

medical treatment. 

If requesting health information of a 

minor (or legally incompetent person), 

the request must be made by a custodial 

parent, legal guardian, or party acting in 

loco parentis of such individual(s). 

Written proof of the capacity of the 

requestor may be required.’’ 

CONTESTING RECORD PROCEDURES: 

Delete entry and replace with ‘‘The 

Office of the Secretary of Defense rules 

for accessing records, for contesting 

contents and appealing initial agency 

determinations are published in Office 

of the Secretary of Defense 

Administrative Instruction 81 (32 CFR 

part 311) or may be obtained from the 

system manager.’’ 

RECORD SOURCE CATEGORIES: 

Delete entry and replace with 

‘‘Information is obtained from an 

automated medical records system, the 

Composite Health Care System 

(specifically, the Ambulatory Data 

Module), which is automatically sent to 

the Third Party Collection System. 

Other information may be obtained from 

the AHLTA System and the Theater 

Data Medical Stores System.’’ 

* * * * * 

DHA 12 

SYSTEM NAME: 

Third Party Collection System. 

SYSTEM LOCATION: 

Defense Health Services Systems, 

Suite 1599, 5203 Leesburg Pike, Falls 

Church, VA 22041–3891. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

Members of the uniformed services 

(and their dependents) and retired 

military members (and their 

dependents) who receive or have 

received health services approved by 

the Department of Defense, contractors 

participating in military deployments or 

related operations who receive or have 

received medical or dental care at a 

military treatment facility, Department 

of Defense civilian employees (to 

include non-appropriated fund 

employees) who receive or have 

received medical or dental care at a 

military treatment facility, and other 

individuals who receive or have 

received medical or dental care at a 

military treatment facility. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

INDIVIDUAL DATA: 

This includes patient name, Social 

Security Number (SSN) (or foreign 

identification), whether treatment was 

outpatient or inpatient, outpatient visit 

date and time, date of birth, mailing 

address, home telephone number, 

family member prefix, and relationship 

to policy holder; sponsor or insurance 

policy holder name, Social Security 

Number (SSN), and date of birth; other 

covered family member name(s), Social 

Security Number (SSN), and date of 

birth; and, if applicable, Medicare and 

Medicaid coverage data. 

INSURANCE POLICY INFORMATION DATA: 

This includes policy number or 

identification, card holder 

identification, group number, group 

name, enrollment plan/code, policy 

effective date, policy category, policy 

end date, insurance company name, 

address and telephone number, 

insurance type, policy holder, whether 

policy holder is insured through their 

employer, and drug coverage data 

regarding authority to bill for 

pharmaceuticals. 

EMPLOYER INFORMATION DATA: 

This includes employer name, 

address, and telephone number. 

BILLING INFORMATION DATA: 

This includes bill type (military 

treatment facility, clinic, pharmacy, 

laboratory/radiology, ambulance), name 

and location of military treatment 

facility, whether treatment was 

outpatient or inpatient, outpatient visit 

date and time, inpatient admission and 

discharge dates and time, patient 

identification number, patient name, 

provider code/description, office visit 

code description, Medical Expense and 

Performance Reporting System code/ 

description, diagnosis code/description, 

billing amount, user who created the 

bill, date bill was created, and status of 

bill and source of billing data. 

ACCOUNTING INFORMATION DATA: 

This includes control number, 

transaction code, debit amount, credit 

amount, check number, Batch posting 

number, balance, patient identification, 

patient name, encounter date, 

comments, entry date and follow-up 

date. 

INSURANCE COMPANY DATA: 

This contains tables for insurance 

company, policy, provider, fees, codes, 

rates, and procedure maintenance. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

10 U.S.C. 1095, Health care services 

incurred on behalf of covered 

beneficiaries: collection from third-party 

payers; 10 U.S.C. 1079b, Procedures for 

charging fees for care provided to 

civilians; retention and use of fees 

collected; 42 U.S.C. Chapter 32, ‘‘Third 

Party Liability For Hospital and Medical 

Care;’’ 28 CFR part 43, ‘‘Recovery of 

Costs of Hospital and Medical Care and 

Treatment Furnished by the United 

States;’’ 45 CFR parts 160 and 164, 

Health and Human Services, General 

Administrative Requirements and 

Security & Privacy; 32 CFR part 220, 

Collection from Third Party Payers of 

Reasonable Charges for Healthcare 

Services; DoD 6010.15–M, Chapter 3, 

Medical Services Account; and E.O. 

9397 (SSN), as amended. 

PURPOSE(S): 

To establish a standard patient 

accounting system for health care billing 

practices. It shall assist military 

treatment facilities in the collection, 

tracking, and reporting of data required 

for the Department of Defense Third 

Party Collection Program billing process 

by the adoption of standard commercial 

medical coding and billing practices to 

military treatment facilities. 

The Defense Finance Accounting 

Service (DFAS) uses this information to 

bill person(s) or organization(s) liable 

for payment on behalf those receiving 

care at a military treatment facility. 


jlentini on DSKJ8SOYB1PROD with NOTICES
79348 Federal Register / Vol. 75, No. 243 / Monday, December 20, 2010 / Notices 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

In addition to those disclosures 

generally permitted under 5 U.S.C. 

552a(b) of the Privacy Act, as amended, 

these records may specifically be 

disclosed outside the Department of 

Defense as a routine use pursuant to 5 

U.S.C. 552a(b)(3) as follows: 

To interface with all commercial 

insurance carriers and parties against 

whom recovery has been sought by the 

Department of Defense Military Health 

System, as well as all parties involved 

in support of the collection activities for 

health care approved by the Department 

of Defense. 

To the National Data Clearinghouse, 

an electronic healthcare clearinghouse, 

for purposes of converting the data to an 

industry-wide format prior to 

forwarding the billing information to the 

insurance companies for payment. 

The DoD ‘Blanket Routine Uses’ set 

forth at the beginning of Office of the 

Secretary of Defense’s compilation of 

systems of records notices apply to this 

system. 

Note 1: This system of records contains 

individually identifiable health information. 

The Department of Defense Health 

Information Privacy Regulation (DoD 

6025.18–R) issued pursuant to the Health 

Insurance Portability and Accountability Act 

of 1996, applies to most such health 

information. DoD 6025.18–R may place 

additional procedural requirements on the 

uses and disclosures of such information 

beyond what is found in the Privacy Act of 

1974 or mentioned in this system of records 

notice. 

Note 2: Personal identity, diagnosis, 

prognosis or treatment information of any 

patient maintained in connection with the 

performance of any program or activity 

relating to substance abuse education, 

prevention, training, treatment, 

rehabilitation, or research, which is 

conducted, regulated, or directly or indirectly 

assisted by any department or agency of the 

United States is, except as per 42 U.S.C. 

290dd–2, treated as confidential and 

disclosed only for the purposes and under 

the circumstances expressly authorized 

under 42 U.S.C. 290dd–2. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Paper file folders and electronic 

storage media. 

RETRIEVABILITY: 

Records are retrieved by the sponsor 

or patient name, Social Security 

Number, Department of Defense 

Benefits Number, third party payer 

identification number assigned to 

individual, family member prefix (a 

two-digit code identifying the person’s 

relationship to the Military Sponsor), 

and/or Patient Control Number. 

SAFEGUARDS: 

Physical access to system location 

restricted by cipher locks, visitor escort, 

access rosters, and photo identification. 

Adequate locks on doors and server 

components secured in a locked 

computer room with limited access. 

Each system end user device protected 

within a locked storage container, room, 

or building outside of normal business 

hours. All visitors and other persons 

that require access to facilities that 

house servers and other network devices 

supporting the system that do not have 

authorization for access escorted by 

appropriately screened/cleared 

personnel at all times. 

Access to the system is role-based and 

a valid user account is required. The 

system provides two-factor 

authentication, using either a Common 

Access Card and Personal Identification 

Number or a unique logon identification 

and password. Where a unique logon 

identification and password is used, 

passwords must be renewed every sixty 

(60) days. Authorized personnel must 

have appropriate Information Assurance 

training, Health Insurance Portability 

and Accountability Act training, and 

Privacy Act of 1974 training. 

RETENTION AND DISPOSAL: 

Records are destroyed five years after 

the end of the year in which the record 

was closed. 

SYSTEM MANAGER(S) AND ADDRESS: 

Program Manager, Defense Health 

Services Systems, Suite 1500, 5203 

Leesburg Pike, Falls Church, VA 22041– 

3891. 

NOTIFICATION PROCEDURE: 

Individuals seeking to determine 

whether this system contains 

information about themselves should 

address written inquires to the 

TRICARE Management Activity, 

Department of Defense, ATTN: TMA 

Privacy Officer, Suite 810, 5111 

Leesburg Pike, Falls Church, VA 22041– 

3206. 

Request should contain participant’s 

and/or sponsor’s full name, their Social 

Security Number (SSN), and current 

address and telephone number and the 

names of the military treatment facility 

or facilities in which they have received 

medical treatment. 

If requesting health information of a 

minor (or legally incompetent person), 

the request must be made by a custodial 

parent, legal guardian, or party acting in 

loco parentis of such individual(s). 

Written proof of the capacity of the 

requestor may be required. 

RECORD ACCESS PROCEDURES: 

Individuals seeking access to records 

about themselves contained in this 

system should address written inquiries 

to TRICARE Management Activity, 

Attention: Freedom of Information Act 

Requester Service Center, 16401 East 

Centretech Parkway, Aurora, CO 80011– 

9066. 

Requests should contain participant’s 

and/or sponsor’s full name, their Social 

Security Number (SSN), and current 

address and telephone number and the 

names of the military treatment facility 

or facilities in which they have received 

medical treatment. 

If requesting health information of a 

minor (or legally incompetent person), 

the request must be made by a custodial 

parent, legal guardian, or party acting in 

loco parentis of such individual(s). 

Written proof of the capacity of the 

requestor may be required. 

CONTESTING RECORD PROCEDURES: 

The Office of the Secretary of Defense 

rules for accessing records, for 

contesting contents and appealing 

initial agency determinations are 

published in Office of the Secretary of 

Defense Administrative Instruction 81 

(32 CFR part 311) or may be obtained 

from the system manager. 

RECORD SOURCE CATEGORIES: 

Information is obtained from an 

automated medical records system, the 

Composite Health Care System 

(specifically, the Ambulatory Data 

Module), which is automatically sent to 

the Third Party Collection System. 

Other information may be obtained from 

the AHLTA System and the Theater 

Data Medical Stores System. 

EXEMPTIONS CLAIMED FOR THE SYSTEM: 

None. 

[FR Doc. 2010–31789 Filed 12–17–10; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

TRICARE; Formerly Known as the 

Civilian Health and Medical Program of 

the Uniformed Services (CHAMPUS); 

Fiscal Year 2011 Diagnosis-Related 

Group (DRG) Updates 

AGENCY: Office of the Secretary, DoD. 

ACTION: Notice of DRG revised rates. 

SUMMARY: This notice describes the 

changes made to the TRICARE DRGVerDate Mar<15>2010 17:18 Dec 17, 2010 Jkt 223001 PO 00000 Frm 00015 Fmt 4703 Sfmt 4703 E:\FR\FM\20DEN1.SGM 20DEN1

jlentini on DSKJ8SOYB1PROD with NOTICES