fiscal year in DA Circular 40-XX-330; submits billings for those charges, including
invoices of patients and centralized billings for reimbursement at the departmental level;
processes all collections received, including payments from individuals and monies
collected for subsistence in dining halls; and trains and supervises medical services
(3) A commissioned officer, deputy, and assistants are not required to be
bonded. A warrant officer or civilian employee appointed as the MSAO is required to be
bonded by the Army position schedule bond.
b. Deputy Medical Services Accountable Officer. The MTF commander may
appoint by written order a deputy who must qualify under the same criteria as those
established for the MSAO. The deputy provides assistance to and assumes the duties of
the MSAO during the latter's absence for 30 days or less. During such absence, the
MSAO retains responsibility for the actions and decisions of the deputy. For an absence
of more than 30 days, the commander appoints a replacement.
c. MSA Ledger Clerks and Cashiers. The number of medical services account
personnel varies with the patient capacity of the MTF, the locations of various activities,
and the resulting workload. Military and civilian personnel are assigned on either a part-
time or full-time basis as MSA ledger clerks, MSA cashiers, and dining hall cashiers.
Section II. MEDICAL SERVICES ACCOUNT FORMS AND FILES
a. DA Form 3153 (MSA Patient Ledger Card). DA Form 3153 (see figure 4-1)
is used for entries concerning charges for services rendered. These include, but are not
limited to, inpatient and outpatient care and can also be used for recording charges for
administrative services provided civilian firms. The payment of these charges is also
entered on this form.