$TXT Created by D'AMICO,VITO at SERVER  (KIDS) on Wednesday, 03/29/17 at 13:10
=============================================================================
Run Date: MAR 29, 2017                     Designation: IB*2*576
Package : IB - INTEGRATED BILLING             Priority: Mandatory
Version : 2                                     Status: Under Development
=============================================================================

Associated patches: (v)IB*2*371    <<= must be installed BEFORE `IB*2*576'
                    (v)IB*2*547    <<= must be installed BEFORE `IB*2*576'

Subject: MCCF TAS EBILLING ITERATION 1

Category: 
  - Data Dictionary
  - Routine
  - Enhancement (Mandatory)
  - Other
  - Input Template

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

 Important Note: In production, there is one **MANDATORY**
 pre-installation activity associated with this install.
  
 The Integrated Billing (IB) Staff MUST empty the 837 extract/transmission 
 queue PRIOR to the installation of this patch.
  
 Please reference instructions from the Pre/Post Installation Overview for 
 further details.
  
 IB is a software module within Veterans Health Information Systems and
 Technology Architecture (VistA) that provides the ability for billing
 personnel to submit claims in either a paper or electronic format to
 third-party payers.
  
 The following features of the IB software will be affected by this 
 patch:
  
    * eBilling Set Onset Date Appropriately
  
      When completing professional health care claims, the eBilling system 
      automatically defaulted the date of service as the onset date when
      there is no Occurrence code with the correct date the current illness
      or symptom first appeared.  There should only be a date if there is
      an Occurrence code for onset of illness or Last Menstrual Period
      (LMP).  The system should not automatically default the onset date to
      the date of service. 
  
      In support of this logic, the following fatal error message will be
      changed:
      
      **Errors**:
      Occ. codes for accident, LMP, illness not allowed on same bill
  
      The new fatal error message will no longer include accident.  
      Accident Occurrence codes are now printed in Box 15.  The new message
      will be the following:
  
      **Errors**
      Occ. codes Onset of Illness (11) and LMP (10) not allowed on same
      bill.
  
    * Missing MRW Legend Indicator
  
      When viewing claim responses on the MRA Management WorkList [IBCE MRA
      MANAGEMENT], staff needs the ability to see indicators that reflect
      the current status of the entry on the list in order to assist them
      with their workload.  There are currently several indicators that
      appear in front and behind bill numbers, but not all are found on the
      legend.  Staff needs the ability to also see the indicator for review
      in process on the legend.  
  
      This should be displayed in the legend as follows:
  
      *=review in process 
  
    * Printing of CMS 1500
  
      When printing CMS 1500 claim forms locally, billing staff must be
      able to print the bill frequency code and the original claim
      reference number, Internal Claim Number (ICN)/Document Control Number
      (DCN), for replacement of prior claims or void/cancel prior claims in
      the correct field locator (FL). The bill frequency code and ICN
      number do not currently print on the CMS 1500 form for replacement or
      voided/canceled claims.
  
      By printing the following bill frequency codes and the original claim
      reference number (ICN/DCN) on professional replacement claims for 
      non-Medicare payers (note: Medicare claims cannot be printed locally)
      in FL 22, payers are able to determine the correct status of the
      claim and process it accordingly and in a timely manner.
  
      Bill Frequency Code           Description
      7                             Replacement of prior claim
      8                             Void/Cancel of prior Claim
  
    * Correct an issue on Screen 10 for CMS-1500s
  
      A problem was found on Screen 10 while testing CMS-1500s.  It had to 
      do with the proper display of the "TERTIARY INSURANCE ICN/DCN" prompt
      which was displayed as "FORM LOCATOR 64C".
  
    * Payer Zip Code Field Adjustment 
  
      Users can currently enter a five or nine-digit zip code in the
      following payer address fields in the INSURANCE COMPANY (#36) file:
         
        * Main Mailing Address - ZIP CODE (#.116) field
        * Inpatient Claims Office Address - CLAIMS (INPT) PROCESS ZIP 
          (#.126) field
        * Appeals Address - APPEALS ADDRESS ZIP (#.146) field
        * Inquiry Address - INQUIRY ADDRESS ZIP CODE (#.156) field
        * Outpatient Claims Office Address - CLAIMS (OPT) PROCESS ZIP 
          (#.166) field
        * Prescription Claims Office Address - CLAIMS (RX) ZIP (#.186)
          field
  
      The fields are set up to accept the standard nine digit code, and
      users should be required to enter the maximum standard number of
      digits.  VistA IB should require users to enter a properly formatted
      and valid ZIP code that is nine digits long when entering a new ZIP
      code or editing an existing ZIP code.
  
      The process required to accomplish this functionality is outlined
      below:
  
        * VistA IB verifies that the ZIP code is a 9 character numeric  
          value.  
        * VistA IB verifies the last 4 digits are not 0000 or 9999. 
        * VistA does not make a 5 digit payer ZIP code a fatal error in 
          billing.
        * Payer address ZIP codes that exist at the time the software 
          updates are installed will not be changed.
  
 Patch Components
 ================
  
 Files & Fields Associated:
  
 File Name (#)                                             New/Modified/
   Sub-file Name (#)   Field Name (Number)                   Deleted
 -------------------   ---------------------------------   -------------
 IB ERROR (#350.8)                                         Modified Entry
 INSURANCE COMPANY (#36)                                   Modified
                       ZIP CODE (#.116)                    Modified
                       CLAIMS (INPT) PROCESS ZIP (#.126)   Modified
                       APPEALS ADDRESS ZIP (#.146)         Modified
                       INQUIRY ADDRESS ZIP CODE (#.156)    Modified
                       CLAIMS (OPT) PROCESS ZIP (#.166)    Modified
                       CLAIMS (RX) ZIP (#.186)             Modified
 IB FORM SKELETON DEFINITION (#364.6)                      Modified Entries
      Screen: I $$INCLUDE^IBY576PR(6,Y)
 IB FORM FIELD CONTENT (#364.7)                            Modified Entries
      Screen: I $$INCLUDE^IBY576PR(7,Y) 
  
 Templates, Input Associated:
                                                           New/Modified/
 Template Name      Type      File Name (Number)             Deleted    
 -------------      ----      ------------------           -------------
 IB SCREEN10H       Input     BILL/CLAIMS (#399)           Modified 
  
 New Service Requests (NSRs)
 ----------------------------  
 N/A
  
  
 Patient Safety Issues (PSIs)
 -----------------------------
 N/A
  
  
 Defect Tracking System Ticket(s) & Overview
 ---------------------------
 N/A
  
  
 Test Sites:
 ----------
 TBD
  
  
 Documentation Retrieval Instructions
 ------------------------------------ 
 Updated documentation describing the new functionality introduced by this 
 patch is available.
  
 The preferred method is to retrieve files from download.SERVER.
 This transmits the files from the first available server. Sites may also 
 elect to retrieve files directly from a specific server.
  
 Sites may retrieve the documentation directly using Secure File Transfer
 Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI
 Field Offices:
    
    Albany:                 FTP.SERVER       
    Hines:                  FTP.SERVER            
    Salt Lake City:         FTP.SERVER       
  
 Documentation can also be found on the VA Software Documentation Library 
 at:  
  
 http://www.SERVER
  
 Title                         File Name                       FTP Mode
 -----------------------------------------------------------------------
 <Documentation title>       
  
  
 Patch Installation:
  
  
 Pre/Post Installation Overview
 ------------------------------
 ****Important Note: In production, there is one **MANDATORY**
 pre-installation activity associated with this install.
     
 The IB Staff MUST empty the 837 extract/transmission queue
 PRIOR to the installation of this patch. ***
     
 The site Information Resource Management (IRM) should coordinate with the
 Billing Department to insure that the 837 extract/transmission queue is
 empty. Once the Billing Department has completed the instructions, the 
 Billing department is to inform IRM that the patch installation may 
 proceed.
    
 The instructions to empty the queue are as follows:
    
 Select the option:   TRANSMIT EDI BILLS - MANUAL [IBCE 837 MANUAL 
 TRANSMIT]
     
   What is the purpose of this option?
    This option is used to by-pass the normal daily/nightly transmission
    queues if the need arises to get the claim to the payer quickly.
     
   When is this option used?
    There are occasions when there is a need to transmit a claim(s)
    immediately instead of waiting for the batching frequency as scheduled
    in the MCCR Site Parameter.  This option will allow sending individual
    claim(s) or all claims in a ready for extract status.
      
   Upon selecting this option you will be prompted with the following:
     Select one of the following:
      A  Transmit (A)LL bills in READY FOR EXTRACT status
      S  Transmit only (S)ELECTED bills
     
   You should select 'A' for ALL
      
 There are no other mandatory pre-installation activities associated
 with this patch.
    
 The Pre-install routine (IBY576PR) will automatically do the following:
 *     Update entries used by the Forms Output Utility [IBCE OUTPUT 
 FORMATTER].
    
 The Post-install (IBY576PO) will automatically do the following:
 *     Recompile the Billing Screen Input Templates
 *     Modify an existing entry in IB ERROR file (#350.8) or add entry if 
 not found.
     
 Routines IBY576PO and IBY576PR may be manually deleted by IT/IRM upon
 completion of the installation.
  
 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 2 
 minutes 
 to install.
  
 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 #(ex.
     XXX*X.X*XX):
  
     a.  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.
     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, DD's, 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.
  
 5.  When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
     Install? NO//'     
     
 6.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
     NO//
 7.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
     and Protocols? NO// 
  
 8.  If prompted "Delay Install (Minutes):  (0 - 60): 0// respond 0

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 45

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

Routine Name: IBCECOB
    Before: B35210416   After: B35526743  **137,155,288,432,488,516,547,576**
Routine Name: IBCF22
    Before: B23925078   After: B30913378  **52,80,122,51,210,488,576**
Routine Name: IBCNSU
    Before: B38899795   After: B41305219  **28,103,371,576**
Routine Name: IBY576PO
    Before:       n/a   After:  B4730222  **576**
Routine Name: IBY576PR
    Before:       n/a   After:  B3123249  **576**
 
Routine list of preceding patches: 371, 547

=============================================================================
User Information:
Entered By  : JUTZI,WILLIAM CHRISTOPHER     Date Entered  : OCT 07, 2016
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================


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

$END TXT
