$TXT Created by PII at URL          (KIDS) on Friday, 01/12/18 at 11:16
=============================================================================
Run Date: JAN 12, 2018                     Designation: PRCA*4.5*315
Package : PRCA - ACCOUNTS RECEIVABLE          Priority: Mandatory
Version : 4.5                                   Status: Under Development
=============================================================================


Subject: HAPE FY16 REVENUE ENHANCEMENTS

Category: 
  - Routine
  - Enhancement (Mandatory)
  - Data Dictionary

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

  
 IMPORTANT INSTALLATION NOTE:
 ----------------------------
 There are three patches associated with this project - PRCA*4.5*315,
 IB*2.0*568 and PSO*7.0*463. All three patches are to be installed as 
 PackMan files.  There is no bundle.
  
 The three patches incorporated code from the following concurrent 
 development and, as such, the following patches MUST be installed prior to
 this project:
  
 1.  PRCA*4.5*318
 2.  PRCA*4.5*327
  
 The three patches for this project MUST be installed in this order:
 1.  PRCA*4.5*315
 2.  IB*2.0*568
 3.  PSO*7.0*463
  
  
 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 several 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
 ------------------    -------------------     --------------------
 ACCOUNTS RECEIVABLE (#430)                    NEW
                       ORIGINAL DATE REFERRED TO TCSP (#156)
  
 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
  
  
 Nationally Controlled File Entries
 ----------------------------------
 ACCOUNTS RECEIVABLE CATEGORY FILE (#430.2): 
 NUMBER: 46  CATEGORY: EMERGENCY/HUMANITARIAN REIMB.  ABB: HR 
 NUMBER: 47  CATEGORY: INELIGIBLE HOSP. REIMB.        ABB: IR
  
 REVENUE SOURCE CODE FILE (#347.3): 
 NUMBER: 8050  SOURCE CODE: 8VZZ   NAME: HUMAN 3RD-PRTY OUTPATIENT
 NUMBER: 8051  SOURCE CODE: 8UZZ   NAME: HUMAN 3RD-PRTY INPATIENT
 NUMBER: 8052  SOURCE CODE: 841Z   NAME: INELI  3RD-PARTY INPATIENT
 NUMBER: 8053  SOURCE CODE: 842Z   NAME: INELI  3RD-PARTY OUTPATIENT
  
  
 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:
 ----------------------------------------------------
 Choose the PackMan message containing this patch.
  
 Sites may retrieve documentation directly using Secure File Transfer 
 Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following
 OI Field Offices:
  
 Hines:           URL       
 Salt Lake City:  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:
 -------------------------------
 There are no special tasks to perform after this patch installation. 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.  
   ******************************************************
  
  Installation will take less than 15 minutes.
  
  Suggested time to install: non-peak requirement hours.
  
  
   1. Choose the PackMan message containing this patch.
     
   2. Choose the INSTALL/CHECK MESSAGE PackMan option.
  
   3. From the Kernel Installation & Distribution System menu, select
      the Installation menu.
   
   4. From this menu, you may select to use the following options
      (when prompted for INSTALL NAME, enter PRCA*4.5*315):
          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 KIDS to Rebuild Menu Trees Upon Completion of
      Install? YES//" respond YES
    
   6. When prompted "Want KID to INHIBIT LOGONs during the install? 
      NO//" respond NO.
    
   7. When prompted "Want to DISABLE Scheduled Options, Menu Options, 
      and Protocols? NO//" respond NO. 
  
  
 Post-Installation Instructions:

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;4.5;Accounts Receivable;**[Patch List]**;Mar 20, 1995;Build 55

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

Routine Name: PRCA315P
    Before:       n/a   After: B49945780  **315**
Routine Name: PRCAAPR1
    Before: B45827636   After: B49707336  **34,45,108,143,141,206,192,
                                           218,276,275,284,303,301,315**
Routine Name: PRCAATR
    Before: B22771269   After: B25086511  **36,104,172,138,233,276,303,
                                           301,315**
Routine Name: PRCABD
    Before: B16869095   After: B17322985  **29,57,104,109,154,233,315**
Routine Name: PRCABIL1
    Before: B25296320   After: B54581879  **57,64,109,147,220,276,315**
Routine Name: PRCABJV
    Before: B30343584   After: B31163592  **1,48,63,114,141,170,176,173,
                                           192,220,296,310,315**
Routine Name: PRCACM
    Before: B23241294   After: B24617130  **8,67,125,169,254,315**
Routine Name: PRCACPV
    Before: B14494379   After: B16893124  **1,48,90,119,204,192,235,295,315**
Routine Name: PRCAEXM
    Before: B14988614   After: B13816393  **67,103,196,301,318,315**
Routine Name: PRCAFUT
    Before: B40349439   After: B42447114  **5,39,64,92,104,169,188,194,
                                           220,231,315**
Routine Name: PRCAHIS
    Before: B25570251   After: B26002669  **110,198,233,315**
Routine Name: PRCAPCL
    Before: B25378502   After: B41751936  **72,63,143,154,315**
Routine Name: PRCARPM
    Before:       n/a   After: B37026153  **315**
Routine Name: PRCARPS
    Before: B14665305   After: B15642186  **104,315**
Routine Name: PRCARPU
    Before:       n/a   After:B188846893  **315**
Routine Name: PRCASVC
    Before:  B9776542   After: B11763521  **1,21,48,90,136,138,249,274,315**
Routine Name: PRCASVC1
    Before:  B1372764   After:  B1372959  **1,68,48,84,157,295,315**
Routine Name: PRCAWO1
    Before: B16518505   After: B20819477  **67,68,153,315**
Routine Name: PRCAWREA
    Before: B10933866   After: B21495612  **16,49,153,315**
Routine Name: PRCAXP
    Before: B12869783   After: B23941725  **315**
Routine Name: RCBEADJ
    Before: B77125147   After:B100902419  **169,172,204,173,208,233,298,
                                           301,315**
Routine Name: RCBEPAYF
    Before: B49142931   After: B49206897  **153,301,322,315**
Routine Name: RCBEUTR1
    Before: B36268452   After: B37772593  **153,169,192,226,270,276,301,315**
Routine Name: RCDPAPL1
    Before:  B3375537   After: B90315069  **114,315**
Routine Name: RCDPAPLI
    Before: B46722534   After: B53951998  **114,141,241,303,301,315**
Routine Name: RCDPBPLI
    Before: B57251656   After: B60001669  **114,153,301,315**
Routine Name: RCDPBPLM
    Before: B61916200   After: B62436978  **114,153,159,241,276,303,301,315**
Routine Name: RCDPBTLM
    Before: B49476140   After: B52280967  **114,148,153,168,169,198,247,
                                           271,276,315**
Routine Name: RCDPRTEX
    Before:       n/a   After: B59632459  **315**
Routine Name: RCDPRTP
    Before:  B8305080   After: B13526370  **151,186,315**
Routine Name: RCDPRTP0
    Before: B10254954   After: B47346688  **151,315**
Routine Name: RCDPRTP1
    Before: B33480590   After: B49619894  **151,169,276,284,315**
Routine Name: RCDPRTP2
    Before: B15639829   After: B20782087  **151,276,303,315**
Routine Name: RCMSITE
    Before:  B8419776   After: B10360113  **173,236,253,298,315**
Routine Name: RCRJRBD
    Before: B74247917   After: B76289018  **101,139,170,193,203,215,220,
                                           138,239,273,282,310,315**
Routine Name: RCTCSJR
    Before:B113325699   After:B123788872  **301,315**
Routine Name: RCTCSP1
    Before:B174226266   After:B169282916  **301,331,315**
Routine Name: RCTCSP1A
    Before:       n/a   After: B38365602  **315**
Routine Name: RCTCSP2
    Before: B87861761   After:B139076355  **301,315**
Routine Name: RCTCSP3
    Before: B79802534   After: B80430487  **301,315**
Routine Name: RCTCSP4
    Before:       n/a   After:B223432725  **315**
Routine Name: RCTCSP5
    Before:       n/a   After:B122748822  **315**
Routine Name: RCTCSP7
    Before:  B5112376   After:  B5563240  **327,315**
Routine Name: RCTCSPD
    Before:B153936257   After:B159825609  **301,327,315**
Routine Name: RCTCSPD4
    Before:       n/a   After: B88942969  **315**
Routine Name: RCTCSPD5
    Before:       n/a   After: B19971041  **315**
Routine Name: RCTCSPRS
    Before: B53928265   After: B60922582  **301,315**
Routine Name: RCTCSPU
    Before: B55616924   After: B79474233  **301,315**
Routine Name: RCTCSWL
    Before:       n/a   After:B157058726  **315**
Routine Name: RCTCSWL1
    Before:       n/a   After: B53289265  **315**
Routine Name: RCTCSWL2
    Before:       n/a   After: B22529907  **315**
Routine Name: RCTOPD
    Before: B70123756   After: B71556644  **141,187,224,236,229,301,315**
Routine Name: RCTRAN
    Before: B16626175   After: B16424066  **104,154,315**
Routine Name: RCWROFF
    Before: B40151788   After: B44358365  **168,204,309,301,315**
Routine Name: RCXFMSPR
    Before: B27613579   After: B37660808  **90,96,101,156,170,203,273,310,315**
Routine Name: RCXFMSUF
    Before: B37450700   After: B38763717  **90,101,135,157,160,165,170,
                                           203,207,173,211,192,220,235,
                                           273,310,315**
Routine Name: RCXFMSUR
    Before: B60950863   After: B63503809  **90,101,170,203,173,220,231,
                                           273,310,315**
Routine Name: RCXFMSUV
    Before: B13868854   After: B15839120  **90,119,98,165,192,220,315**
 
Routine list of preceding patches: 186, 254, 274, 295, 310, 318, 322, 327
                           331

=============================================================================
User Information:
Entered By  : PII                 Date Entered  : JUN 17, 2016
Completed By:                               Date Completed: 
Released By :                               Date Released : 
=============================================================================


