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| # | Location | File | Last Modified |
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| 1 | MCCF.zip\MCCF | IB_2_576_TEST_V10.TXT | Wed Apr 26 20:27:14 2017 UTC |
| 2 | MCCF.zip\MCCF | IB_2_576_TEST_V10.TXT | Fri Apr 28 18:30:03 2017 UTC |
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| 1 | $TXT Creat ed by D'AM ICO,VITO a t
|
|
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: MAR 29, 20 17 Designa tion: IB*2 *576 | |
| 4 | Package : IB - INTEG RATED BILL ING Prio rity: Mand atory | |
| 5 | Version : 2 St atus: Unde r Developm ent | |
| 6 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 7 | ||
| 8 | Associated patches: (v)IB*2*37 1 <<= m ust be ins talled BEF ORE `IB*2* 576' | |
| 9 | (v)IB*2*54 7 <<= m ust be ins talled BEF ORE `IB*2* 576' | |
| 10 | ||
| 11 | Subject: M CCF TAS EB ILLING ITE RATION 1 | |
| 12 | ||
| 13 | Category: | |
| 14 | - Data D ictionary | |
| 15 | - Routin e | |
| 16 | - Enhanc ement (Man datory) | |
| 17 | - Other | |
| 18 | - Input Template | |
| 19 | ||
| 20 | Descriptio n: | |
| 21 | ========== == | |
| 22 | ||
| 23 | Important Note: In production , there is one **MAN DATORY** | |
| 24 | pre-insta llation ac tivity ass ociated wi th this in stall. | |
| 25 | ||
| 26 | The Integ rated Bill ing (IB) S taff MUST empty the 837 extrac t/transmis sion | |
| 27 | queue PRI OR to the installati on of this patch. | |
| 28 | ||
| 29 | Please re ference in structions from the Pre/Post I nstallatio n Overview for | |
| 30 | further d etails. | |
| 31 | ||
| 32 | IB is a s oftware mo dule withi n Veterans Health In formation Systems an d | |
| 33 | Technolog y Architec ture (Vist A) that pr ovides the ability f or billing | |
| 34 | personnel to submit claims in either a paper or e lectronic format to | |
| 35 | third-par ty payers. | |
| 36 | ||
| 37 | The follo wing featu res of the IB softwa re will be affected by this | |
| 38 | patch: | |
| 39 | ||
| 40 | * eBil ling Set O nset Date Appropriat ely | |
| 41 | ||
| 42 | When completin g professi onal healt h care cla ims, the e Billing sy stem | |
| 43 | auto matically defaulted the date o f service as the ons et date wh en | |
| 44 | ther e is no Oc currence c ode with t he correct date the current il lness | |
| 45 | or s ymptom fir st appeare d. There should onl y be a dat e if there is | |
| 46 | an O ccurrence code for o nset of il lness or L ast Menstr ual Period | |
| 47 | (LMP ). The sy stem shoul d not auto matically default th e onset da te to | |
| 48 | the date of se rvice. | |
| 49 | ||
| 50 | In s upport of this logic , the foll owing fata l error me ssage will be | |
| 51 | chan ged: | |
| 52 | ||
| 53 | **Er rors**: | |
| 54 | Occ. codes for accident, LMP, illn ess not al lowed on s ame bill | |
| 55 | ||
| 56 | The new fatal error mess age will n o longer i nclude acc ident. | |
| 57 | Acci dent Occur rence code s are now printed in Box 15. The new me ssage | |
| 58 | will be the fo llowing: | |
| 59 | ||
| 60 | **Er rors** | |
| 61 | Occ. codes Ons et of Illn ess (11) a nd LMP (10 ) not allo wed on sam e | |
| 62 | bill . | |
| 63 | ||
| 64 | * Miss ing MRW Le gend Indic ator | |
| 65 | ||
| 66 | When viewing c laim respo nses on th e MRA Mana gement Wor kList [IBC E MRA | |
| 67 | MANA GEMENT], s taff needs the abili ty to see indicators that refl ect | |
| 68 | the current st atus of th e entry on the list in order t o assist t hem | |
| 69 | with their wor kload. Th ere are cu rrently se veral indi cators tha t | |
| 70 | appe ar in fron t and behi nd bill nu mbers, but not all a re found o n the | |
| 71 | lege nd. Staff needs the ability t o also see the indic ator for r eview | |
| 72 | in p rocess on the legend . | |
| 73 | ||
| 74 | This should be displayed in the le gend as fo llows: | |
| 75 | ||
| 76 | *=re view in pr ocess | |
| 77 | ||
| 78 | * Prin ting of CM S 1500 | |
| 79 | ||
| 80 | When printing CMS 1500 c laim forms locally, billing st aff must b e | |
| 81 | able to print the bill f requency c ode and th e original claim | |
| 82 | refe rence numb er, Intern al Claim N umber (ICN )/Document Control N umber | |
| 83 | (DCN ), for rep lacement o f prior cl aims or vo id/cancel prior clai ms in | |
| 84 | the correct fi eld locato r (FL). Th e bill fre quency cod e and ICN | |
| 85 | numb er do not currently print on t he CMS 150 0 form for replaceme nt or | |
| 86 | void ed/cancele d claims. | |
| 87 | ||
| 88 | By p rinting th e followin g bill fre quency cod es and the original claim | |
| 89 | refe rence numb er (ICN/DC N) on prof essional r eplacement claims fo r | |
| 90 | non- Medicare p ayers (not e: Medicar e claims c annot be p rinted loc ally) | |
| 91 | in F L 22, paye rs are abl e to deter mine the c orrect sta tus of the | |
| 92 | clai m and proc ess it acc ordingly a nd in a ti mely manne r. | |
| 93 | ||
| 94 | Bill Frequency Code Desc ription | |
| 95 | 7 Repl acement of prior cla im | |
| 96 | 8 Void /Cancel of prior Cla im | |
| 97 | ||
| 98 | * Corr ect an iss ue on Scre en 10 for CMS-1500s | |
| 99 | ||
| 100 | A pr oblem was found on S creen 10 w hile testi ng CMS-150 0s. It ha d to | |
| 101 | do w ith the pr oper displ ay of the "TERTIARY INSURANCE ICN/DCN" p rompt | |
| 102 | whic h was disp layed as " FORM LOCAT OR 64C". | |
| 103 | ||
| 104 | * Paye r Zip Code Field Adj ustment | |
| 105 | ||
| 106 | User s can curr ently ente r a five o r nine-dig it zip cod e in the | |
| 107 | foll owing paye r address fields in the INSURA NCE COMPAN Y (#36) fi le: | |
| 108 | ||
| 109 | * Main Maili ng Address - ZIP COD E (#.116) field | |
| 110 | * Inpatient Claims Off ice Addres s - CLAIMS (INPT) PR OCESS ZIP | |
| 111 | (#.126) fi eld | |
| 112 | * Appeals Ad dress - AP PEALS ADDR ESS ZIP (# .146) fiel d | |
| 113 | * Inquiry Ad dress - IN QUIRY ADDR ESS ZIP CO DE (#.156) field | |
| 114 | * Outpatient Claims Of fice Addre ss - CLAIM S (OPT) PR OCESS ZIP | |
| 115 | (#.166) fi eld | |
| 116 | * Prescripti on Claims Office Add ress - CLA IMS (RX) Z IP (#.186) | |
| 117 | field | |
| 118 | ||
| 119 | The fields are set up to accept th e standard nine digi t code, an d | |
| 120 | user s should b e required to enter the maximu m standard number of | |
| 121 | digi ts. VistA IB should require u sers to en ter a prop erly forma tted | |
| 122 | and valid ZIP code that is nine di gits long when enter ing a new ZIP | |
| 123 | code or editin g an exist ing ZIP co de. | |
| 124 | ||
| 125 | The process re quired to accomplish this func tionality is outline d | |
| 126 | belo w: | |
| 127 | ||
| 128 | * VistA IB v erifies th at the ZIP code is a 9 charact er numeric | |
| 129 | value. | |
| 130 | * VistA IB v erifies th e last 4 d igits are not 0000 o r 9999. | |
| 131 | * VistA does not make a 5 digit payer ZIP code a fat al error i n | |
| 132 | billing. | |
| 133 | * Payer addr ess ZIP co des that e xist at th e time the software | |
| 134 | updates ar e installe d will not be change d. | |
| 135 | ||
| 136 | Patch Com ponents | |
| 137 | ========= ======= | |
| 138 | ||
| 139 | Files & F ields Asso ciated: | |
| 140 | ||
| 141 | File Name (#) N ew/Modifie d/ | |
| 142 | Sub-fil e Name (#) Field N ame (Numbe r) Deleted | |
| 143 | --------- ---------- ------- ---------- ---------- ------ - ---------- -- | |
| 144 | IB ERROR (#350.8) M odified En try | |
| 145 | INSURANCE COMPANY ( #36) M odified | |
| 146 | ZIP COD E (#.116) M odified | |
| 147 | CLAIMS (INPT) PRO CESS ZIP ( #.126) M odified | |
| 148 | APPEALS ADDRESS Z IP (#.146) M odified | |
| 149 | INQUIRY ADDRESS Z IP CODE (# .156) M odified | |
| 150 | CLAIMS (OPT) PROC ESS ZIP (# .166) M odified | |
| 151 | CLAIMS (RX) ZIP ( #.186) M odified | |
| 152 | IB FORM S KELETON DE FINITION ( #364.6) M odified En tries | |
| 153 | Scre en: I $$IN CLUDE^IBY5 76PR(6,Y) | |
| 154 | IB FORM F IELD CONTE NT (#364.7 ) M odified En tries | |
| 155 | Scre en: I $$IN CLUDE^IBY5 76PR(7,Y) | |
| 156 | ||
| 157 | Templates , Input As sociated: | |
| 158 | N ew/Modifie d/ | |
| 159 | Template Name Type File Name (Number) Deleted | |
| 160 | --------- ---- ---- ---------- -------- - ---------- -- | |
| 161 | IB SCREEN 10H Input BILL/CLAIM S (#399) M odified | |
| 162 | ||
| 163 | New Servi ce Request s (NSRs) | |
| 164 | --------- ---------- --------- | |
| 165 | N/A | |
| 166 | ||
| 167 | ||
| 168 | Patient S afety Issu es (PSIs) | |
| 169 | --------- ---------- ---------- | |
| 170 | N/A | |
| 171 | ||
| 172 | ||
| 173 | Defect Tr acking Sys tem Ticket (s) & Over view | |
| 174 | --------- ---------- -------- | |
| 175 | N/A | |
| 176 | ||
| 177 | ||
| 178 | Test Site s: | |
| 179 | --------- - | |
| 180 | TBD | |
| 181 | ||
| 182 | ||
| 183 | Documenta tion Retri eval Instr uctions | |
| 184 | --------- ---------- ---------- ------- | |
| 185 | Updated d ocumentati on describ ing the ne w function ality intr oduced by this | |
| 186 | patch is available. | |
| 187 | ||
| 188 | The prefe rred metho d is to re trieve fil es from do wnload. SERVER . | |
| 189 | This tran smits the files from the first available server. S ites may a lso | |
| 190 | elect to retrieve f iles direc tly from a specific server. | |
| 191 | ||
| 192 | Sites may retrieve the docume ntation di rectly usi ng Secure File Trans fer | |
| 193 | Protocol (SFTP) fro m the ANON YMOUS.SOFT WARE direc tory at th e followin g OI | |
| 194 | Field Off ices: | |
| 195 | ||
| 196 | Albany : FTP.SERVER | |
| 197 | Hines: FTP.SERVER | |
| 198 | Salt Lake City: FTP . SERVER | |
| 199 | ||
| 200 | Documenta tion can a lso be fou nd on the VA Softwar e Document ation Libr ary | |
| 201 | at: | |
| 202 | ||
| 203 | http://ww w. SERVER | |
| 204 | ||
| 205 | Title File Name FTP Mod e | |
| 206 | --------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 207 | <Document ation titl e> | |
| 208 | ||
| 209 | ||
| 210 | Patch Ins tallation: | |
| 211 | ||
| 212 | ||
| 213 | Pre/Post Installati on Overvie w | |
| 214 | --------- ---------- ---------- - | |
| 215 | ****Impor tant Note: In produc tion, ther e is one * *MANDATORY ** | |
| 216 | pre-insta llation ac tivity ass ociated wi th this in stall. | |
| 217 | ||
| 218 | The IB St aff MUST e mpty the 8 37 extract /transmiss ion queue | |
| 219 | PRIOR to the instal lation of this patch . *** | |
| 220 | ||
| 221 | The site Informatio n Resource Managemen t (IRM) sh ould coord inate with the | |
| 222 | Billing D epartment to insure that the 8 37 extract /transmiss ion queue is | |
| 223 | empty. On ce the Bil ling Depar tment has completed the instru ctions, th e | |
| 224 | Billing d epartment is to info rm IRM tha t the patc h installa tion may | |
| 225 | proceed. | |
| 226 | ||
| 227 | The instr uctions to empty the queue are as follow s: | |
| 228 | ||
| 229 | Select th e option: TRANSMIT EDI BILLS - MANUAL [IBCE 837 MANUAL | |
| 230 | TRANSMIT] | |
| 231 | ||
| 232 | What is the purpo se of this option? | |
| 233 | This o ption is u sed to by- pass the n ormal dail y/nightly transmissi on | |
| 234 | queues if the ne ed arises to get the claim to the payer quickly. | |
| 235 | ||
| 236 | When is this opti on used? | |
| 237 | There are occasi ons when t here is a need to tr ansmit a c laim(s) | |
| 238 | immedi ately inst ead of wai ting for t he batchin g frequenc y as sched uled | |
| 239 | in the MCCR Site Parameter . This op tion will allow send ing indivi dual | |
| 240 | claim( s) or all claims in a ready fo r extract status. | |
| 241 | ||
| 242 | Upon se lecting th is option you will b e prompted with the following: | |
| 243 | Selec t one of t he followi ng: | |
| 244 | A T ransmit (A )LL bills in READY F OR EXTRACT status | |
| 245 | S T ransmit on ly (S)ELEC TED bills | |
| 246 | ||
| 247 | You sho uld select 'A' for A LL | |
| 248 | ||
| 249 | There are no other mandatory pre-instal lation act ivities as sociated | |
| 250 | with this patch. | |
| 251 | ||
| 252 | The Pre-i nstall rou tine (IBY5 76PR) will automatic ally do th e followin g: | |
| 253 | * Upd ate entrie s used by the Forms Output Uti lity [IBCE OUTPUT | |
| 254 | FORMATTER ]. | |
| 255 | ||
| 256 | The Post- install (I BY576PO) w ill automa tically do the follo wing: | |
| 257 | * Rec ompile the Billing S creen Inpu t Template s | |
| 258 | * Mod ify an exi sting entr y in IB ER ROR file ( #350.8) or add entry if | |
| 259 | not found . | |
| 260 | ||
| 261 | Routines IBY576PO a nd IBY576P R may be m anually de leted by I T/IRM upon | |
| 262 | completio n of the i nstallatio n. | |
| 263 | ||
| 264 | Installat ion Instru ctions | |
| 265 | --------- ---------- ------ | |
| 266 | This patc h may be i nstalled w ith users on the sys tem althou gh it is | |
| 267 | recommend ed that it be instal led during non-peak hours to m inimize | |
| 268 | potential disruptio n to users . This pa tch should take less than 2 | |
| 269 | minutes | |
| 270 | to instal l. | |
| 271 | ||
| 272 | 1. Choos e the Pack Man messag e containi ng this pa tch. | |
| 273 | ||
| 274 | 2. Choos e the INST ALL/CHECK MESSAGE Pa ckMan opti on. | |
| 275 | ||
| 276 | 3. From the Kernel Installat ion and Di stribution System Me nu, select | |
| 277 | the I nstallatio n Menu. F rom this m enu, you m ay elect t o use the | |
| 278 | follo wing optio n. When pr ompted for the INSTA LL enter t he patch # (ex. | |
| 279 | XXX*X .X*XX): | |
| 280 | ||
| 281 | a. B ackup a Tr ansport Gl obal - Thi s option w ill create a backup | |
| 282 | m essage of any routin es exporte d with thi s patch. I t will not | |
| 283 | b ackup any other chan ges such a s DD's or templates. | |
| 284 | b. C ompare Tra nsport Glo bal to Cur rent Syste m - This o ption will | |
| 285 | a llow you t o view all changes t hat will b e made whe n this pat ch | |
| 286 | i s installe d. It com pares all components of this p atch | |
| 287 | ( routines, DD's, temp lates, etc .). | |
| 288 | c. V erify Chec ksums in T ransport G lobal - Th is option will allow | |
| 289 | y ou to ensu re the int egrity of the routin es that ar e in the | |
| 290 | t ransport g lobal. | |
| 291 | ||
| 292 | 4. From the Instal lation Men u, select the Instal l Package( s) option and | |
| 293 | choos e the patc h to insta ll. | |
| 294 | ||
| 295 | 5. When prompted ' Want KIDS to Rebuild Menu Tree s Upon Com pletion of | |
| 296 | Insta ll? NO//' | |
| 297 | ||
| 298 | 6. When prompted ' Want KIDS to INHIBIT LOGONs du ring the i nstall? | |
| 299 | NO// | |
| 300 | 7. When prompted ' Want to DI SABLE Sche duled Opti ons, Menu Options, | |
| 301 | and P rotocols? NO// | |
| 302 | ||
| 303 | 8. If pr ompted "De lay Instal l (Minutes ): (0 - 6 0): 0// re spond 0 | |
| 304 | ||
| 305 | Routine In formation: | |
| 306 | ========== ========== | |
| 307 | The second line of e ach of the se routine s now look s like: | |
| 308 | ;;2.0;INT EGRATED BI LLING;**[P atch List] **;21-MAR- 94;Build 4 5 | |
| 309 | ||
| 310 | The checks ums below are new ch ecksums, a nd | |
| 311 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 312 | ||
| 313 | Routine Na me: IBCECO B | |
| 314 | Before : B3521041 6 After: B35526743 **137,15 5,288,432, 488,516,54 7,576** | |
| 315 | Routine Na me: IBCF22 | |
| 316 | Before : B2392507 8 After: B30913378 **52,80, 122,51,210 ,488,576** | |
| 317 | Routine Na me: IBCNSU | |
| 318 | Before : B3889979 5 After: B41305219 **28,103 ,371,576** | |
| 319 | Routine Na me: IBY576 PO | |
| 320 | Before : n/ a After: B4730222 **576** | |
| 321 | Routine Na me: IBY576 PR | |
| 322 | Before : n/ a After: B3123249 **576** | |
| 323 | ||
| 324 | Routine li st of prec eding patc hes: 371, 547 | |
| 325 | ||
| 326 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 327 | User Infor mation: | |
| 328 | Entered By : JUTZI, WILLIAM CH RISTOPHER Date E ntered : OCT 07, 20 16 | |
| 329 | Completed By: Date C ompleted: | |
| 330 | Released B y : Date R eleased : | |
| 331 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 332 | ||
| 333 | ||
| 334 | Packman Ma il Message : | |
| 335 | ========== ========== = | |
| 336 | ||
| 337 | $END TXT |
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