
IMPORTANT INSTALLATION NOTE:
----------------------------
This patch is part of a multi-package build. There are three patches 
associated with the FY16 HAPE Revenue Enhancement project - 
IB*2.0*568,PRCA*4.5*315 and PSO*7.0*463. All three patches are to be 
installed together as a bundle, IB_2_568_PRCA_PSO_BUNDLE_T1.KID
 

Description
-----------
The Chief Business Office (CBO) is requesting system enhancements to
The Veterans Health Information Systems and Technology Architecture
(VistA) Integrated Billing (IB), Accounts Receivable (AR), and 
Outpatient Pharmacy (PSO) software modules.  

The mission of the Department of Veterans Affairs (VA), Office of 
Information & Technology (OI&T), is to provide benefits and services 
to veterans of the United States Armed Forces. In meeting these 
goals, OIT strives to provide high quality, effective, and efficient 
Information Technology (IT) services to those responsible for 
providing care to the veterans at the point-of-care, as well as 
throughout all the points of the veterans health care. The VA depends
on Information Management/Information Technology (IM/IT) systems to 
meet mission goals.

The overall FY16 HAPE Revenue Enhancement project has been further 
divided into three sub-projects:

NSR #20150506
The Revenue Eligibility Enhancements Project effort for the Chief 
Business Office (CBO), bundles several NSRs with similar business 
needs into a single requirements document.  Successfully addressing 
the requirements contained within this document will enable the 
Department of Veterans Affairs (VA) to appropriately bill certain 
subsets of billable events by correcting, automating, or enhancing 
current Veterans Health Information Systems and Technology 
Architecture (VistA) systems.

NSR #20150507
The Revenue Operations Enhancements Project combines serveral NSRs, 
as well. This effort enables the Department of Veterans Affairs (VA)
to improve revenue operation functionality related to repayment plans, 
late charge capture, bill suspension reasons, the billing of 
deactivated providers, and the display of appeal rights and 
responsibilities on the Veterans Beneficiary travel Bill of Collections
form.  Implementation of the proposed enhancements will make a 
significant positive impact on stakeholders and target users.

NSR #20150505
The Revenue Reporting Enhancements Project will enable the VA to 
improve tracking and reporting of revenue, and will support revenue 
reporting business rules and guidelines.


IB*2.0*568 patch enhancements, pertinent to the above NSRs, include:

1.) When generating the RNB (Reasons Not Billable) report, the 
Integrated Billing system shall populate the charges for all types 
of services provided. Charges will not be screened by any billable 
criteria but willindicate the full amount as if the care was to be 
billed.

2.) The sub-option Claims Tracking Parameter Edit [IBT EDIT TRACKING 
PARAMETERS], that currently has no key, will be locked with a new 
Security Key called IB PARAMETER EDIT. 

3.) The option MCCR Site Parameter Display/Edit [IBJ MCCR SITE 
PARAMETERS], which is currently locked with the IB SUPERVISOR Security
Key, will be instead locked with the new key.

4.) The Integrated Billing system shall create claims tracking entries
for previously unbilled Prosthetics/DME items when new billable 
insurance is entered into the patients insurance file.  

5.) A new coverage limitation field shall be created in the insurance 
file for Prosthetics.  Like the other existing coverage limitation 
fields in the insurance file (Inpatient, Outpatient, Pharmacy etc.), 
this field will have the following options:
	0=NOT COVERED
	1=COVERED
	2=CONDITIONALCOVERAGE
Once selected, they will show in the patient insurance file as Yes, 
No, or Conditional.

6.) The system shall automatically assign an RNB [NO PROSTHETIC 
COVERAGE (CV22)] for Prosthetics/DME items if the patient has no 
coverage for Prosthetics in his/her insurance file.

7.) The system shall have a new option to add Prosthetics items to 
Manual and Nightly Claims Tracking. 

8.) Users will be able to select Suspended Type from the menu to 
display in the First Party Follow- Up [IBJD FOLLOW-UP FIRST PARTY] 
report. 

9.) First Party Follow- Up [IBJD FOLLOW-UP FIRST PARTY] report shall 
be modified to incorporate reason for suspension.

10.) A new warning message will print to the screen in the Enter/Edit 
Billing Information option if an ATTENDING, REFERRING or RENDERING 
Provider has a PERSON CLASS - NEW PERSON file (#200) - that was 
expirated at the time of the Date of Service.

11.) On the Third Party Joint Inquiry screen, one (1) character space 
shall be added to the Type field so that it will accommodate five 
characters (a one-character classification indicator, a forward slash 
(/), a one-character component indicator, a forward slash (/), and a 
one-character care type) (X/X/X).  If a bill contains prescriptions, 
then an "R" shall be concatenated to the fifth character sub-type 
position of the "Type" field. If a bill contains prosthetics, then a 
P shall be concatenated to fifth character sub-type position of the 
Type field.The Type field shall contain five (5) characters as 
follows:
1. I for Inpatient or O for Outpatient,
2. / forward slash character
3. P for Professional or I for Institutional
4. / forward slash character
5. P for Prosthetics or R for Prescriptions

12.) Three new Third Party Insurance Rate Types shall be created in 
the VistA IB Suite for the billers to choose from when billing for 
encounters. They are as follows:
	HUMANITARIAN REIMB. INS. 
	DENTAL REIMB. INS.
	INELIGIBLE REIMB. INS.

13.) Each of the new rate types above will have the Insurer as the 
responsible party.

14.) Billers (revenue staff) should be able to identify any remaining 
charges to the patient after the Third Party payments are received for 
Emergency Humanitarian, Ineligible and Dental services so they can 
accomplish balance billing. 



Concurrent Development / Dependencies:
--------------------------------------
N/A
 
 
Patch Components:
-----------------
 
Files & Fields Associated:
 
File Name (Number)    Field Name (Number)     New/Modified/Deleted
------------------    -------------------     --------------------
N/A

Options Associated:
 
Option Name                     Type          New/Modified/Deleted
-----------                     ----          --------------------
IBT SUP MANUALLY QUE PRSTHTCS   ROUTINE       NEW

Protocols Associated:
 
Protocol Name                                  New/Modified/Deleted
-------------                                  --------------------
N/A

Templates Associated:
 
Template Name                Type   File Name (Number)      New/Mod/Del
-------------                ----   ------------------      -----------
IBJT ACTIVE LIST             LIST                           NEW
IBJT INACTIVE LIST           LIST                           NEW

New Service Requests (NSRs):
----------------------------
20150505 - Revenue Reporting Enhancements
20150506 - Revenue Eligibility Enhancements
20150507 - Revenue Operations Enhancements


Patient Safety Issues (PSIs):
------------------------------
N/A
 
 
Remedy Ticket(s) & Overviews:
-----------------------------
N/A 
 
Test Sites:
----------
Durham VAMC


Software and Documentation Retrieval Instructions:
----------------------------------------------------
Patches for this installation are combined in host file 
IB_2_568_PRCA_PSO_BUNDLE_T1.KID.

Installation of this host file should be coordinated among the packages 
affected since only one installation is necessary.

The patches are:

     IB*2.0*568
     PRCA*4.5*315
     PSO*7.0*463
     

Sites may retrieve the KID build in one of the following ways:

(1) The preferred method is to FTP the files from 
DNS.DNS      .DNS    which will transmit the files from the first 
available FTP server.

(2) Sites may also elect to retrieve the patch directly from a specific
server as follows:

  OIFO               FTP ADDRESS                  DIRECTORY
  --------------     ------------------------     ------------------
  Albany             DNS.URL            anonymous.software
  Hines              DNS.DNS     .URL             anonymous.software
  Salt Lake City     DNS.URL               anonymous.software


Sites may retrieve documentation directly using Secure File Transfer 
Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following
OI Field Offices:
 
Albany:          DNS.URL       
Hines:           DNS     .URL       
Salt Lake City:  DNS.URL       
 
Documentation can also be found on the VA Software Documentation 
Library at:
http://URL            /
 
Title                                              File Name   FTP Mode
-----------------------------------------------------------------------
Integrated Billing User Guide                      ib_2_0_um.doc Binary
Integrated Billing Technical Manual/Security Guide ib_2_0_tm.doc Binary
Integrated Billing Deployment, Installation, 
     Back-Out, and Rollback Guide   
              FY16RevenueIBVIP_Deployment_Installation_Guide.doc Binary 


 
Patch Installation:
 
Pre/Post Installation Overview:
-------------------------------
The post installation routine, IBY568PO, is not automatically deleted
as part of the installation process. You may delete it after
installation if you desire.
 
Pre-Installation Instructions:
------------------------------
N/A

Installation Instructions:
--------------------------
This process will install new and updated routines and other 
components listed above. There is a post-install routine that will add 
entries to a number of files.

The patch will be released in conjunction with an Accounts Receivable
patch, PRCA*4.5*315 and an Outpatient Pharmacy patch, PSO*7.0*463.

  ************************ NOTE ************************
  IF A USER IS ON THE SYSTEM AND USING THESE PROGRAMS 
  AN EDITED ERROR WILL OCCUR.  
  The patch should be installed when NO Outpatient 
  Pharmacy users are on the system.
  ******************************************************

 Installation will take less than 1 minute.

 Suggested time to install: non-peak requirement hours.

 
  1. Obtain the file IB_2_568_PRCA_PSO_BUNDLE_T1.KID.
    
  2. From the Kernel Installation & Distribution System menu, select
     the Installation menu.
  
  3. Use Load a Distribution using IB_2_568_PRCA_PSO_BUNDLE_T1.KID when
     prompted to Enter a Host File name.  You may need to append a
     directory name.
  
  4. From this menu, you may select to use the following options
     (when prompted for INSTALL NAME, enter IB*2.0*568):
         a.  Verify Checksums in Transport Global - This option will 
             allow you to ensure the integrity of the routines that 
             are in the transport global.
         b.  Print Transport Global - This option will allow you to 
             view the components of the KID build.
         c.  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, DD's, templates, etc.).
         d.  Backup a Transport Global - This option will create a 
             backup message of any routines exported with this patch. 
             It will not backup any other changes such as DD's or 
             templates.
   
  5. When prompted "Want KID to INHIBIT LOGONs during the install? 
     NO//"  respond NO.
   
  6. When prompted "Want to DISABLE Scheduled Options, Menu Options, 
     and Protocols? NO//" respond NO. 


 
Post-Installation Instructions:
-------------------------------
There are no special tasks to perform after this patch installation.