$TXT Created by  at DEVESS.FO-ALBANY.DOMAIN.EXT  (KIDS) on Thursday, 05/10/12 at 21:50
=============================================================================
Run Date: NOV 01, 2012                     Designation: PRCA*4.5*281
Package : PRCA - ACCOUNTS RECEIVABLE          Priority: Mandatory
Version : 4.5                                   Status: Under Development
=============================================================================

Associated patches: (v)PRCA*4.5*262<<= must be installed BEFORE `PRCA*4.5*281'
                    (u)LEX*2*80    <<= must be installed BEFORE `PRCA*4.5*281'
                    (u)ICD*18*57   <<= must be installed BEFORE `PRCA*4.5*281'

Subject: AR ICD-10 CLASS 1 REMEDIATION

Category: 
  - Routine
  - Enhancement (Mandatory)
  - Other

Description:
============

 The International Classification of Diseases, Tenth Revision (ICD-10) 
 Class 1 Software Remediation project replaces the 30-year-old set of 
 diagnosis and procedure codes (ICD-9-CM) that medical personnel use. 
 Dates of service, or dates of discharge for inpatients, that occur on or 
 after the implementation date will use the ICD-10 code set. Clinical 
 Modification (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 
 codes to more than 68,000. Procedure Coding System (ICD-10-PCS) procedure 
 codes increase from about 3,800 ICD-9 codes to nearly 87,000. Both 
 systems also expand the number of characters allotted to seven 
 alpha-numeric characters. This value does not include the decimal point, 
 which follows the third character for the ICD-10-CM code set. There is no 
 decimal point in the ICD-10-PCS code set.
  
 These code sets have the potential to reveal more about quality of care, 
 so that data can be used in a more meaningful way to better understand 
 complications, better design clinically robust algorithms, and better 
 track the outcomes of care. ICD-10-CM also incorporates greater 
 specificity and clinical detail to provide information for clinical 
 decision making and outcomes research.
  
 The purpose of this patch is to replace direct global reads into the ICD 
 OPERATION/PROCEDURE file (#80.1) and the ICD DIAGNOSIS file (#80) with a 
 DRG API $$CODEC^ICDEX instead.
  
 This patch updates one routine in the CBO Data Extract process. A DRG 
 Grouper API is being used to retrieve the ICD-9/ICD-10 procedure code or 
 ICD-9/ICD-10 diagnosis code for the data extract process to format and 
 place it in a flat file via a nightly process. The nightly process in the 
 Accounts Receivable Nightly Process Background Job option will then FTP 
 the data directly to the Boston Allocation Resource Center (ARC).
  
 The patch has been further enhanced to include an ICD procedure and 
 diagnosis code qualifier. The ICD code qualifier will identify the coding 
 system of the ICD procedure and diagnosis code, for example, 1 for 
 ICD-9-CM, 2 for ICD-9 Proc, 30 for ICD-10-CM, and 31 for ICD-10-PCS.
  
 ICD CODING SYSTEMS file (#80.4)
  
    1            ICD-9-CM
    2            ICD-9 Proc
    30           ICD-10-CM
    31           ICD-10-PCS
  
  
 The VistA AR package provides a Regional Counsel (RC) referral process, 
 whereby billing data is electronically transmitted for review by legal 
 counsel (Regional Counsel or Department of Justice).
  
 Note 1: The RC/DOJ Action Menu is used for this purpose. The Refer to 
 RC/DOJ and Review/Refer TP Bills to RC options are used to trigger the 
 transmissions to the RC database.
  
 Note 2: Additional details regarding these transmissions are documented 
 in the ICD-10 AR SDD.
  
 Note 3: The RC referral process currently includes the decimal in the ICD 
 diagnosis and procedure codes, and supports a maximum length of 10 
 characters for the codes. The ICD-10 diagnosis and ICD-10 procedure short 
 descriptions have been expanded in the ICD-10 code set to the maximum 
 length of 60 characters. The Regional Counsel database is able to 
 accommodate the 60 character ICD-10 short description without making any 
 modifications to their database. Due to differences in code set versions 
 for ICD-9 and ICD-10 the Regional Counsel (RC) referral process is being 
 tested for ICD-10 impact to insure that the process works with the 
 addition of code set version ICD-10.
  
 The VistA AR Regional Counsel referral process shall support ICD-10 
 diagnoses and ICD-10 procedures for bills that have ICD-10 data 
 associated with them.
  
   * ICD-10 diagnosis codes (up to 8 characters, including the decimal 
     after the 3rd character)
   * ICD-10 diagnosis short descriptions (up to 60 characters)
   * ICD-10 procedure codes (consisting of 7 characters, with no 
     decimal)
   * ICD-10 procedure short descriptions (up to 60 characters)
  
 The VistA AR Regional Counsel referral process shall continue to support 
 ICD-9 diagnoses and ICD-9 procedures for bills that have ICD-9 data 
 associated with them.
   
   * ICD-9 diagnosis codes (up to 5 characters, including the decimal 
     after the 3rd character)
   * ICD-9 diagnosis short descriptions (up to 24 characters)
   * ICD-9 procedure codes (up to 5 characters, including the decimal 
     after the 3rd character)
   * ICD-9 procedure short descriptions (up to 24 characters)
  
  
 Patch Components
 ================
  
  
 Files & Fields Associated:
  
 File Name (#)          Field Name (#)       New/Modified/Deleted
 -------------          --------------       --------------------  
 N/A
  
 Forms Associated:
  
 Form Name              File (#)              New/Modified/Deleted
 ---------              --------              --------------------
 N/A
  
 Mail Groups Associated:
  
 Mail Group Name                  New/Modified/Deleted
 ---------------                  --------------------
 N/A
  
 Options Associated:
  
 Option Name     Type             New/Modified/Deleted
 -----------     ----             --------------------
 N/A
  
 Protocols Associated:
  
 Protocol Name                    New/Modified/Deleted
 -------------                    --------------------
 N/A
  
 Security Keys Associated:
  
 Security Key Name
 -----------------
 N/A
  
 Templates Associated:
  
 Template Name    Type      File Name (#)    New/Modified/Deleted
 -------------    ----      ------------     --------------------
 N/A
  
 Other:
  
 Documentation Retrieval Instructions:
 -------------------------------------
 Updated documentation describing the new functionality introduced by this 
 patch is available.
  
 The preferred method is to FTP the files from 
 ftp://download.vista.domain.ext/.
 This transmits the files from the first available FTP server. Sites may 
 also elect to retrieve software directly from a specific server as 
 follows:
  
 Albany         ftp.fo-albany.domain.ext  <ftp://ftp.fo-albany.domain.ext>
 Hines          ftp.fo-hines.domain.ext   <ftp://ftp.fo-hines.domain.ext>
 Salt Lake City ftp.fo-slc.domain.ext     <ftp://ftp.fo-slc.domain.ext>
  
  
 The documentation will be in the form of Adobe Acrobat files.
  
 Documentation can also be found on the VA Software Documentation Library 
 at: http://www4.domain.ext/vdl/
  
 File Description                     File Name                    FTP Mode
  
 AR Technical Manual                  PRCA_4_5_P281_TM.pdf         binary
 AR User Manual - Title Page          title.pdf                    binary
 AR User Manual - Glossary            glossary.pdf                 binary
 AR Release Notes (PRCA*4.5*281)      ICD-10_RN_PRCA_4_5_281.pdf   binary
  
 Additional Information:
 N/A
  
  
 New Service Requests (NSRs):
 -----------------------------
 NSR 20070902, ICD-10-CM Conversion
  
 Patient Safety Issues (PSIs):
 ------------------------------
 N/A
  
  
 Remedy Ticket(s) & Overviews:
 -----------------------------
 N/A
  
  
 Test Sites:
 -----------
 TBD
  
  
 Patch Installation:
  
  
 Pre/Post Installation Overview
 ------------------------------
  
 Installation Instructions
 -------------------------
 This patch may be installed with users on the system although it is 
 recommended that it be installed during non-peak hours to minimize
 potential disruption to users.  This patch should take less than 5 minutes
 to install.
  
  
 Pre-Installation Instructions
 -----------------------------
 1.  Choose the PackMan message containing this patch.
  
 2.  Choose the INSTALL/CHECK MESSAGE PackMan option.
  
 3.  From the Kernel Installation and Distribution System Menu, select
     the Installation Menu.  From this menu, you may elect to use the
     following option. When prompted for the INSTALL, enter the patch #
     (PRCA*4.5*281):
  
     a. Backup a Transport Global - This option will create a backup
        message of any routines exported with this patch. It will not
        back up any other changes such as DDs or templates.
  
     b. Compare Transport Global to Current System - This option will
        allow you to view all changes that will be made when this patch
        is installed.  It compares all components of this patch
        (routines, DDs, templates, etc.).
  
     c. Verify Checksums in Transport Global - This option will allow
        you to ensure the integrity of the routines that are in the
        transport global.
  
 4.  From the Installation Menu, select the Install Package(s) option and
     choose the patch to install. Enter PRCA*4.5*281.
  
 5.  When prompted Want KIDS to Rebuild Menu Trees Upon Completion of
     Install? NO//, respond NO.
  
 6.  When prompted Want KIDS to INHIBIT LOGONs during the install? NO//,
     respond NO.
  
 7.  When prompted Want to DISABLE Scheduled Options, Menu Options, and
     Protocols? NO//, respond NO.
  
 8.  If prompted Delay Install (Minutes):  (0 - 60): 0//, respond 0.
  
 Post-Installation Instructions
 ------------------------------
 N/A

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;4.5;Accounts Receivable;**[Patch List]**;Mar 20, 1995;Build 6

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: RCXVDC4
    Before: B17742675   After: B31186754  **201,227,228,248,251,256,262,281**
 
Routine list of preceding patches: 262

=============================================================================
User Information:
Entered By  : WANG,CHI                      Date Entered  : NOV 02, 2011
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================


Packman Mail Message:
=====================

$END TXT
