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| # | Location | File | Last Modified |
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| 1 | IB-2-568_PRCA-4-5315_PSO-7-463.zip | IB-2-568_TEST_v7_patch_description.txt | Tue Jan 23 16:33:53 2018 UTC |
| 2 | IB-2-568_PRCA-4-5315_PSO-7-463.zip | IB-2-568_TEST_v7_patch_description.txt | Tue Jan 23 17:35:09 2018 UTC |
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| 1 | $TXT Creat ed by P I
|
|
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: OCT 24, 20 17 Designa tion: IB*2 *568 | |
| 4 | Package : IB - INTEG RATED BILL ING Prio rity: Mand atory | |
| 5 | Version : 2 St atus: Unde r Developm ent | |
| 6 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 7 | ||
| 8 | ||
| 9 | Subject: H APE FY16 R EVENUE ENH ANCEMENTS | |
| 10 | ||
| 11 | Category: | |
| 12 | - Routin e | |
| 13 | - Other | |
| 14 | - Enhanc ement (Man datory) | |
| 15 | ||
| 16 | Descriptio n: | |
| 17 | ========== == | |
| 18 | ||
| 19 | IMPORTANT INSTALLAT ION NOTE: | |
| 20 | --------- ---------- --------- | |
| 21 | There are three pat ches assoc iated with this proj ect - PRCA *4.5*315, | |
| 22 | IB*2.0*56 8 and PSO* 7.0*463. A ll three p atches are to be ins talled as | |
| 23 | PackMan f iles. The re is no b undle. | |
| 24 | ||
| 25 | ||
| 26 | Descripti on | |
| 27 | --------- -- | |
| 28 | The Chief Business Office (CB O) is requ esting sys tem enhanc ements to | |
| 29 | The Veter ans Health Informati on Systems and Techn ology Arch itecture | |
| 30 | (VistA) I ntegrated Billing (I B), Accoun ts Receiva ble (AR), and | |
| 31 | Outpatien t Pharmacy (PSO) sof tware modu les. | |
| 32 | ||
| 33 | The missi on of the Department of Vetera ns Affairs (VA), Off ice of | |
| 34 | Informati on & Techn ology (OI& T), is to provide be nefits and services | |
| 35 | to vetera ns of the United Sta tes Armed Forces. In meeting t hese | |
| 36 | goals, OI T strives to provide high qual ity, effec tive, and efficient | |
| 37 | Informati on Technol ogy (IT) s ervices to those res ponsible f or | |
| 38 | providing care to t he veteran s at the p oint-of-ca re, as wel l as | |
| 39 | throughou t all the points of the vetera ns' health care. The VA depend s | |
| 40 | on Inform ation Mana gement/Inf ormation T echnology (IM/IT) sy stems to | |
| 41 | meet miss ion goals. | |
| 42 | ||
| 43 | The overa ll FY16 HA PE Revenue Enhanceme nt project has been further | |
| 44 | divided i nto three sub-projec ts: | |
| 45 | ||
| 46 | NSR #2015 0506 | |
| 47 | The Reven ue Eligibi lity Enhan cements Pr oject effo rt for the | |
| 48 | (CBO), bu ndles seve ral NSRs w ith simila r business needs int o a single | |
| 49 | requireme nts docume nt. Succe ssfully ad dressing t he require ments cont ained | |
| 50 | within th is documen t will ena ble the De partment o f Veterans Affairs ( VA) | |
| 51 | to approp riately bi ll certain subsets o f billable events by correctin g, | |
| 52 | automatin g, or enha ncing curr ent Vetera ns Health Informatio n Systems and | |
| 53 | Technolog y Architec ture (Vist A) systems . | |
| 54 | ||
| 55 | NSR #2015 0507 | |
| 56 | The Reven ue Operati ons Enhanc ements Pro ject combi nes severa l NSRs, | |
| 57 | as well. This effor t enables the Depart ment of Ve terans Aff airs (VA) | |
| 58 | to improv e revenue operation functional ity relate d to repay ment plans , | |
| 59 | late char ge capture , bill sus pension re asons, the billing o f | |
| 60 | deactivat ed provide rs, and th e display of appeal rights and | |
| 61 | responsib ilities on the Veter ans Benefi ciary trav el Bill of Collectio ns | |
| 62 | form. Im plementati on of the proposed e nhancement s will mak e a | |
| 63 | significa nt positiv e impact o n stakehol ders and t arget user s. | |
| 64 | ||
| 65 | NSR #2015 0505 | |
| 66 | The Reven ue Reporti ng Enhance ments Proj ect will e nable the VA to | |
| 67 | improve t racking an d reportin g of reven ue, and wi ll support revenue | |
| 68 | reporting business rules and guidelines . | |
| 69 | ||
| 70 | ||
| 71 | IB*2.0*56 8 patch en hancements , pertinen t to the a bove NSRs, include: | |
| 72 | ||
| 73 | 1.) When generating the RNB ( Reasons No t Billable ) report, the | |
| 74 | Integrate d Billing system sha ll populat e the char ges for al l types | |
| 75 | of servic es provide d. Charges will not be screene d by any b illable | |
| 76 | criteria but will i ndicate th e full amo unt as if the care w as to be | |
| 77 | billed. | |
| 78 | ||
| 79 | 2.) The s ub-option Claims Tra cking Para meter Edit [IBT EDIT TRACKING | |
| 80 | PARAMETER S], that c urrently h as no key, will be l ocked with a new | |
| 81 | Security Key called IB PARAME TER EDIT. | |
| 82 | ||
| 83 | 3.) The o ption MCCR Site Para meter Disp lay/Edit [ IBJ MCCR S ITE | |
| 84 | PARAMETER S], which is current ly locked with the I B SUPERVIS OR Securit y | |
| 85 | Key, will be instea d locked w ith the ne w key. | |
| 86 | ||
| 87 | 4.) The I ntegrated Billing sy stem shall create cl aims track ing entrie s | |
| 88 | for previ ously unbi lled Prost hetics/DME items whe n new bill able | |
| 89 | insurance is entere d into the patient's insurance file. | |
| 90 | ||
| 91 | 5.) A new coverage limitation field sha ll be crea ted in the insurance | |
| 92 | file for Prosthetic s. Like t he other e xisting co verage lim itation | |
| 93 | fields in the insur ance file (Inpatient , Outpatie nt, Pharma cy etc.), | |
| 94 | this fiel d will hav e the foll owing opti ons: | |
| 95 | 0= NOT COVERE D | |
| 96 | 1= COVERED | |
| 97 | 2= CONDITIONA L COVERAGE | |
| 98 | Once sele cted, they will show in the pa tient insu rance file as Yes, | |
| 99 | No, or Co nditional. | |
| 100 | ||
| 101 | 6.) The s ystem shal l automati cally assi gn an RNB [NO PROSTH ETIC | |
| 102 | COVERAGE (CV22)] fo r Prosthet ics/DME it ems if the patient h as no | |
| 103 | coverage for Prosth etics in h is/her ins urance fil e. | |
| 104 | ||
| 105 | 7.) The s ystem shal l have a n ew option to add Pro sthetics i tems to | |
| 106 | Manual an d Nightly Claims Tra cking. | |
| 107 | ||
| 108 | 8.) Users will be a ble to sel ect Suspen ded Type f rom the me nu to | |
| 109 | display i n the Firs t Party Fo llow- Up [ IBJD FOLLO W-UP FIRST PARTY] | |
| 110 | report. | |
| 111 | ||
| 112 | 9.) First Party Fol low-Up [IB JD FOLLOW- UP FIRST P ARTY] repo rt shall | |
| 113 | be modifi ed to inco rporate re ason for s uspension. | |
| 114 | ||
| 115 | 10.) A ne w warning message wi ll print t o the scre en in the Enter/Edit | |
| 116 | Billing I nformation option if an ATTEND ING, REFER RING or RE NDERING | |
| 117 | Provider has a PERS ON CLASS i n the NEW PERSON fil e (#200) t hat was | |
| 118 | expired a t the time of the Da te of Serv ice. | |
| 119 | ||
| 120 | 11.) On t he Third P arty Joint Inquiry s creen, one (1) chara cter space | |
| 121 | shall be added to t he "Type" field so t hat it wil l accommod ate five | |
| 122 | character s (a one-c haracter c lassificat ion indica tor, a for ward slash | |
| 123 | (/), a on e-characte r componen t indicato r, a forwa rd slash ( /), and a | |
| 124 | one-chara cter care type) ("X/ X/X"). If a bill co ntains pre scriptions , | |
| 125 | then an " R" shall b e concaten ated to th e fifth ch aracter su b-type | |
| 126 | position of the "Ty pe" field. If a bill contains prosthetic s, then a | |
| 127 | "P" shall be concat enated to fifth char acter sub- type posit ion of the | |
| 128 | "Type" fi eld. The " Type" fiel d shall co ntain five (5) chara cters as | |
| 129 | follows: | |
| 130 | 1. "I" fo r Inpatien t or "O" f or Outpati ent, | |
| 131 | 2. "/" fo rward slas h characte r | |
| 132 | 3. "P" fo r Professi onal or "I " for Inst itutional | |
| 133 | 4. "/" fo rward slas h characte r | |
| 134 | 5. "P" fo r Prosthet ics or "R" for Presc riptions | |
| 135 | ||
| 136 | 12.) Thre e new Thir d Party In surance Ra te Types s hall be cr eated in | |
| 137 | the VistA IB Suite for the bi llers to c hoose from when bill ing for | |
| 138 | encounter s. They ar e as follo ws: | |
| 139 | HU MANITARIAN REIMB. IN S. | |
| 140 | DE NTAL REIMB . INS. | |
| 141 | IN ELIGIBLE R EIMB. INS. | |
| 142 | ||
| 143 | 13.) Each of the ne w rate typ es above w ill have t he 'Insure r' as the | |
| 144 | responsib le party. | |
| 145 | ||
| 146 | 14.) Bill ers (reven ue staff) should be able to id entify any remaining | |
| 147 | charges t o the pati ent after the Third Party paym ents are r eceived fo r | |
| 148 | Emergency Humanitar ian, Ineli gible and Dental ser vices so t hey can | |
| 149 | accomplis h balance billing. | |
| 150 | ||
| 151 | Concurren t Developm ent / Depe ndencies: | |
| 152 | --------- ---------- ---------- --------- | |
| 153 | N/A | |
| 154 | ||
| 155 | ||
| 156 | Patch Com ponents: | |
| 157 | --------- -------- | |
| 158 | ||
| 159 | Files & F ields Asso ciated: | |
| 160 | ||
| 161 | File Name (Number) Field N ame (Numbe r) New /Modified/ Deleted | |
| 162 | --------- --------- ------- ---------- -- --- ---------- ------- | |
| 163 | N/A | |
| 164 | ||
| 165 | Options A ssociated: | |
| 166 | ||
| 167 | Option Na me Type New /Modified/ Deleted | |
| 168 | --------- -- ---- --- ---------- ------- | |
| 169 | IB AUTO B ILLER PARA MS | |
| 170 | IB EDIT S ITE PARAME TERS | |
| 171 | IBJ MCCR SITE PARAM ETERS | |
| 172 | IBT EDIT TRACKING P ARAMETERS | |
| 173 | IBT SUP M ANUALLY QU E ENCTRS | |
| 174 | IBT SUP M ANUALLY QU E PRSTHTCS ROUTINE NEW | |
| 175 | IBT SUP M ANUALLY QU E RX FILLS | |
| 176 | IBT SUPER VISORS MEN U | |
| 177 | ||
| 178 | Protocols Associate d: | |
| 179 | ||
| 180 | Protocol Name Ne w/Modified /Deleted | |
| 181 | --------- ---- -- ---------- -------- | |
| 182 | N/A | |
| 183 | ||
| 184 | Security Keys Assoc iated: | |
| 185 | ||
| 186 | Security Key Name | |
| 187 | --------- -------- | |
| 188 | IB PARAME TER EDIT | |
| 189 | ||
| 190 | Templates Associate d: | |
| 191 | ||
| 192 | Template Name Type Fil e Name (Nu mber) New/Mod/D el | |
| 193 | --------- ---- ---- --- ---------- ----- --------- -- | |
| 194 | IBJT ACTI VE LIST LIST NEW | |
| 195 | IBJT INAC TIVE LIST LIST NEW | |
| 196 | ||
| 197 | New Servi ce Request s (NSRs): | |
| 198 | --------- ---------- --------- | |
| 199 | 20150505 - Revenue Reporting Enhancemen ts | |
| 200 | 20150506 - Revenue Eligibilit y Enhancem ents | |
| 201 | 20150507 - Revenue Operations Enhanceme nts | |
| 202 | ||
| 203 | ||
| 204 | Patient S afety Issu es (PSIs): | |
| 205 | --------- ---------- ---------- - | |
| 206 | N/A | |
| 207 | ||
| 208 | ||
| 209 | Remedy Ti cket(s) & Overviews: | |
| 210 | --------- ---------- ---------- | |
| 211 | N/A | |
| 212 | ||
| 213 | Test Site s: | |
| 214 | --------- - | |
| 215 | Durham VA MC | |
| 216 | Central A labama VAM C | |
| 217 | ||
| 218 | Software and Docume ntation Re trieval In structions : | |
| 219 | --------- ---------- ---------- ---------- ---------- --- | |
| 220 | Choose th e PackMan message co ntaining t his patch. | |
| 221 | ||
| 222 | Sites may retrieve documentat ion direct ly using S ecure File Transfer | |
| 223 | Protocol (SFTP) fro m the ANON YMOUS.SOFT WARE direc tory at th e followin g | |
| 224 | OI Field Offices: | |
| 225 | ||
| 226 | Hines: URL | |
| 227 | Salt Lake City: URL | |
| 228 | ||
| 229 | Documenta tion can a lso be fou nd on the VA Softwar e Document ation | |
| 230 | Library a t: | |
| 231 | http:// URL / | |
| 232 | ||
| 233 | Title File Nam e FTP Mo de | |
| 234 | --------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 235 | Integrate d Billing User Guide ib_2_0_u m.doc Bina ry | |
| 236 | Integrate d Billing Technical Manual/Sec urity Guid e ib_2_0_t m.doc Bina ry | |
| 237 | Integrate d Billing Deployment , Installa tion, | |
| 238 | Back -Out, and Rollback G uide | |
| 239 | FY16R evenueIBVI P_Deployme nt_Install ation_Guid e.doc Bina ry | |
| 240 | ||
| 241 | ||
| 242 | Patch Ins tallation: | |
| 243 | ||
| 244 | Pre/Post Installati on Overvie w: | |
| 245 | --------- ---------- ---------- -- | |
| 246 | The post installati on routine , IBY568PO , is not a utomatical ly deleted | |
| 247 | as part o f the inst allation p rocess. Yo u may dele te it afte r | |
| 248 | installat ion if you desire. | |
| 249 | ||
| 250 | Pre-Insta llation In structions : | |
| 251 | --------- ---------- ---------- - | |
| 252 | N/A | |
| 253 | ||
| 254 | Installat ion Instru ctions: | |
| 255 | --------- ---------- ------- | |
| 256 | This proc ess will i nstall new and updat ed routine s and othe r | |
| 257 | component s listed a bove. Ther e is a pos t-install routine th at will ad d | |
| 258 | entries t o a number of files. | |
| 259 | ||
| 260 | The patch will be r eleased in conjuncti on with an Accounts Receivable | |
| 261 | patch, PR CA*4.5*315 and an Ou tpatient P harmacy pa tch, PSO*7 .0*463. | |
| 262 | ||
| 263 | ******* ********** ******* NO TE ******* ********** ******* | |
| 264 | IF A US ER IS ON T HE SYSTEM AND USING THESE PROG RAMS | |
| 265 | AN EDIT ED ERROR W ILL OCCUR. | |
| 266 | The pat ch should be install ed when NO Outpatien t | |
| 267 | Pharmac y users ar e on the s ystem. | |
| 268 | ******* ********** ********** ********** ********** ******* | |
| 269 | ||
| 270 | Installa tion will take less than 1 min ute. | |
| 271 | ||
| 272 | Suggeste d time to install: n on-peak re quirement hours. | |
| 273 | ||
| 274 | ||
| 275 | 1. Choo se the Pac kMan messa ge contain ing this p atch. | |
| 276 | ||
| 277 | 2. Choo se the INS TALL/CHECK MESSAGE P ackMan opt ion. | |
| 278 | ||
| 279 | 3. From the Kerne l Installa tion & Dis tribution System men u, select | |
| 280 | the Installati on menu. | |
| 281 | ||
| 282 | 4. From this menu , you may select to use the fo llowing op tions | |
| 283 | (whe n prompted for INSTA LL NAME, e nter PRCA* 4.5*315): | |
| 284 | a. Verify Checksums in Transp ort Global - This op tion will | |
| 285 | allow you to ens ure the in tegrity of the routi nes that | |
| 286 | are in the trans port globa l. | |
| 287 | b. Print Transport Global - T his option will allo w you to | |
| 288 | view t he compone nts of the KID build . | |
| 289 | c. Compar e Transpor t Global t o Current System - T his option | |
| 290 | will a llow you t o view all changes t hat will b e made whe n | |
| 291 | this p atch is in stalled. It compare s all comp onents of | |
| 292 | this p atch (rout ines, DD's , template s, etc.). | |
| 293 | d. Backup a Transpo rt Global - This opt ion will c reate a | |
| 294 | backup message o f any rout ines expor ted with t his patch. | |
| 295 | It wil l not back up any oth er changes such as D D's or | |
| 296 | templa tes. | |
| 297 | ||
| 298 | 5. When prompted "Want KID to INHIBIT LOGONs du ring the i nstall? | |
| 299 | NO// " respond NO. | |
| 300 | ||
| 301 | 6. When prompted "Want to D ISABLE Sch eduled Opt ions, Menu Options, | |
| 302 | and Protocols? NO//" res pond NO. | |
| 303 | ||
| 304 | ||
| 305 | Post-Inst allation I nstruction s: | |
| 306 | --------- ---------- ---------- -- | |
| 307 | There are no specia l tasks to perform a fter this patch inst allation. | |
| 308 | ||
| 309 | Routine In formation: | |
| 310 | ========== ========== | |
| 311 | The second line of e ach of the se routine s now look s like: | |
| 312 | ;;2.0;INT EGRATED BI LLING;**[P atch List] **;21-MAR- 94;Build 3 8 | |
| 313 | ||
| 314 | The checks ums below are new ch ecksums, a nd | |
| 315 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 316 | ||
| 317 | Routine Na me: IBCAPP | |
| 318 | Before : B2148558 3 After: B23176501 **432,44 7,568** | |
| 319 | Routine Na me: IBCBB1 1 | |
| 320 | Before :B11205232 7 After: B125248678 **51,343 ,363,371,3 95,392,401 , | |
| 321 | 384,400 ,436,432,5 16,550,577 , | |
| 322 | 568** | |
| 323 | Routine Na me: IBCNSB L2 | |
| 324 | Before : B3317397 4 After: B39619145 **52,80, 153,240,43 2,568** | |
| 325 | Routine Na me: IBECEA | |
| 326 | Before : B1079292 6 After: B13522502 **199,13 5,568** | |
| 327 | Routine Na me: IBJDB2 1 | |
| 328 | Before : B7337033 5 After: B127496258 **123,15 9,185,399, 437,458,56 8** | |
| 329 | Routine Na me: IBJDF1 1 | |
| 330 | Before : B2960584 7 After: B30038470 **69,80, 118,128,20 4,205,227, | |
| 331 | 451,530 ,554,568** | |
| 332 | Routine Na me: IBJDF2 | |
| 333 | Before : B6780097 0 After: B68089735 **69,91, 100,118,13 3,205,554, 568** | |
| 334 | Routine Na me: IBJDF4 | |
| 335 | Before : B2713103 1 After: B42361959 **123,20 4,220,568* * | |
| 336 | Routine Na me: IBJDF4 1 | |
| 337 | Before : B8882724 6 After: B103009700 **123,15 9,204,356, 451,473,56 8** | |
| 338 | Routine Na me: IBJDF4 2 | |
| 339 | Before : B5323755 0 After: B54815099 **123,20 4,568** | |
| 340 | Routine Na me: IBJDF4 3 | |
| 341 | Before : B2346937 1 After: B25235431 **123,56 8** | |
| 342 | Routine Na me: IBJTLA 1 | |
| 343 | Before : B1205150 3 After: B13446872 **39,80, 61,51,153, 137,183,27 6, | |
| 344 | 451,516 ,530,568** | |
| 345 | Routine Na me: IBJTLB 1 | |
| 346 | Before : B1275296 3 After: B13573050 **39,80, 61,137,276 ,451,516,5 30,568** | |
| 347 | Routine Na me: IBTRE2 | |
| 348 | Before : B3298150 5 After: B41197504 **23,121 ,249,312,3 15,568** | |
| 349 | Routine Na me: IBTRE2 0 | |
| 350 | Before : B1357386 1 After: B20245141 **40,91, 249,568** | |
| 351 | Routine Na me: IBTRKR 5 | |
| 352 | Before : B3506736 6 After: B39018549 **13,260 ,312,339,3 89,474,498 ,568** | |
| 353 | Routine Na me: IBY568 PO | |
| 354 | Before : n/ a After: B76610384 **568** | |
| 355 | ||
| 356 | Routine li st of prec eding patc hes: 135, 220, 315, 447, 458, 473, 498, 554 | |
| 357 | 577 | |
| 358 | ||
| 359 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 360 | User Infor mation: | |
| 361 | Entered By : P I
|
|
| 362 | Completed By: Date C ompleted: | |
| 363 | Released B y : Date R eleased : | |
| 364 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 365 | ||
| 366 |
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