
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/InformationTechnology (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.


PRCA*4.5*315 patch enhancements, pertinent to the above NSRs, include:

1.) By means of the new Enter / Edit Repayment Plan option, the user 
will create the Repayment Plan by debtor. Note: The Enter / Edit 
Repayment Plan menu option name will replace the Set up Repayment 
Plan menu option name.

2.) On the Enter / Edit Repayment Plan option, if the AR Debtor has 
Active bills, the system will now display a selectable list of bills 
for the debtor.

3.) On the Enter / Edit Repayment Plan option, when displaying a list 
of Active bills for the Debtor, the system will display steps to the 
user to set up the Repayment Plan.

4.) On the Enter /Edit Repayment Plan option, once a Repayment Plan 
has been created or modified, the summary of the Repayment Plan is 
displayed.

5.) On the Enter / Edit Repayment Plan option, the system checks to 
see if a Repayment Plan has already been created for the Veteran.  

6.) On the Enter / Edit Repayment Plan option, when choosing to Edit 
the Repayment Plan, all Active bills for the debtor will be displayed
allowing the user to add new Active bills to the Repayment Plan as well
as change the due date of first payment and/or the repayment amount due 
on the Repayment Plan. 

7.) On the Enter / Edit Repayment Plan option, if the Debtor does not 
have new Active bills that can be added to the Repayment Plan, the user 
will proceed to identify the repayment amount due and/or repayment 
amount due date on the Repayment Plan.

8.) On the Enter / Edit Repayment Plan option, a designated identifier 
will signify when an Active bill is part of a Repayment Plan. 

9.) On the Enter / Edit Repayment Plan option, the system will display 
previously made payments to the Repayment Plan.

10.) On the Enter / Edit Repayment Plan option, the User has the option 
to enter Debtor Comments during the setup process. 

11.) The AR Clerk will be able to select Suspended Type from the menu 
to display in the Status Listing For Bills [PRCAL STATUS LIST] report.

12.) Status Listing For Bills [PRCAL STATUS LIST] report shall be 
modified to incorporate reason for suspension.

13.) Provide the ability to lock the option to update late payment 
charges (Interest/Admin/Penalty Rates [PRCAF U ADMIN.RATE]) with a new
security key. 
 
14.) The system will allow the user to identify if the Bill of 
Collections letter applies to Veterans Beneficiary Travel (Form 1114).

15.) The system will print the Notice of Rights and Responsibilities 
when the Bill of Collections pertains to Veterans Beneficiary Travel.

16.) VistA AR Software Package shall discontinue generation of the 
Mailman message/bulletin, ARDC Detail Report for MON/ YYYY, without 
interrupting any other transfer data within ARDC.

17.) The VistA AR Software Package shall allow the generation of a 
report of bills containing the same information as the discontinued 
ARDC Detail Report for MON/YYYY with the following exceptions/ 
additions:
	The report shall include current status bills (New Bill, Active, 
        Returned for Amendment, Amended Bill, Open, and Suspended bills) 
        only;

	The report shall include a column for the Fund number associated 
	with each line item on the report; and 

	The report shall include a column for the RSC associated with 
        each line item on the report.

18.) Currently, when non-healthcare debt of $25 or greater is in a 
delinquent status for 180 days, VistA transmits this debt to TOP 
(via AITC and DMC) for initiation of the standard collection process.
To maintain compliance with The DATA Act of 2014, the 180-day date 
parameter shall be changed to 120 days.

19.)  A new audit trail is needed for detailing events or transactions 
that have occurred on healthcare debts referred for debt collection, to 
effectively support Veterans and reconcile accounts.

20.)  VistA shall provide enhanced reporting capability, usability 
features, and additional data elements for managing healthcare debts 
referred for debt collection to improve VHA's ability to provide support 
to Veterans and manage accounts.

21.)  Create report to track stop/reactivate debts. 

VistA shall provide 
a Stop/Reactivate report to identify healthcare debts that are placed 
in the corresponding status.

22.)  Improve automation in management of debt collection

. VistA shall 
utilize existing functionality, such as List Manager, and other 
automation capabilities to improve debt collection management"

23.)  The existing Medication Co-Pay Exemption Report [PRCAX CO-PAY 
EXEMPTION REPORT] shall be modified with the following field changes:
	Change PT ID from full Social Security Number (SSN) to LastN + 
             4SSN
	Add Rx#
	Add Drug Name (first 10 to 12 characters)
	Add Fill/Refill Date
	Add Effective Date of Exemption

24.)  A new Third Party Accounts Receivable category called 
EMERGENCY/HUMANITARIAN REIMB. shall be created in Accounts Receivables 
with the insurer as the responsible party. 

25.) A new Third Party Accounts Receivable category called INELIGIBLE 
HOSP. REIMB shall be created in Accounts Receivables with the insurer 
as the responsible party. 

26.) A one-character Type field shall be added to the Claims Matching 
Report that will indicate the third-party claim care-type (I for 
Inpatient, O for Outpatient, P for Prosthetics, and R for Prescription
[Rx]) on the report of third-party bills.

27.) When a user generates a Claims Matching Report for a patient, all 
records for that patient are currently produced on the report. At 
times, users need to generate information regarding only certain types 
of care for a patient.  The system shall allow the user to choose 
between producing a Claims Matching Report containing (1) all records 
for a patient, or (2) only records of a certain care type (I for 
Inpatient, O for Outpatient, P for Prosthetics, or R for 
Prescription [Rx]).

28.) The Claims Matching Report, when exported, shall be in a line 
format so that information on the report may be easily exported to 
Microsoft Excel.



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
-----------                     ----          --------------------
PRCA ARDC REPORT                ROUTINE       NEW

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

Templates Associated:
 
Template Name                Type   File Name (Number)      New/Mod/Del
-------------                ----   ------------------      -----------
N/A

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 download.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
-----------------------------------------------------------------------
Accounts Receivable Technical Manual/Security Guide 
                                           prca_4_5_tm+r0515.doc Binary
Accounts Receivable Deployment, Installation, 
     Back-Out, and Rollback Guide   
              FY16RevenueARVIP_Deployment_Installation_Guide.doc Binary 


 
Patch Installation:
 
Pre/Post Installation Overview:
-------------------------------
The post installation routine, PRCA315P, 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 Integrated Billing
patch, IB*4.5*568, 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.