$TXT Created by GUSTAFSON,ERIC S at DNS      URL          (KIDS) on Wednesday, 
02/21/18 at 16:11
=============================================================================
Run Date: FEB 21, 2018                     Designation: IB*2*568
Package : IB - INTEGRATED BILLING             Priority: Mandatory
Version : 2                                     Status: Under Development
=============================================================================

Associated patches: (v)IB*2*135    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*220    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*447    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*458    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*473    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*498    <<= must be installed BEFORE `IB*2*568'
                    (v)IB*2*577    <<= must be installed BEFORE `IB*2*568'
                    (u)IB*2*597    <<= must be installed BEFORE `IB*2*568'

Subject: HAPE FY16 REVENUE ENHANCEMENTS

Category: 
  - Routine
  - Other
  - Enhancement (Mandatory)

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.
  
  
 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 is comprised of three 
 New Service Requests (NSR):
  
 NSR #20150506
 The Revenue Eligibility Enhancements Project effort for the
 (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 VA to appropriately 
 bill certain subsets of billable events by correcting, automating, or
 enhancing current VistA systems.
  
 NSR #20150507
 The Revenue Operations Enhancements Project combines several NSRs,
 as well. This effort enables the 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.
  
  
 IB*2.0*568 patch enhancements, pertinent to the above NSRs, include:
  
 1.) When generating the RNB (Reasons Not Billable) report, the
 Integrated Billing system shall populate the charges for all types of
 services provided. Charges will not be screened by any billable criteria
 but will indicate the full amount as if the care was to be billed.
  
 2.) The sub-option Claims Tracking Parameter Edit [IBT EDIT TRACKING
 PARAMETERS], that currently has no key, will be locked with a new Security
 Key called IB PARAMETER EDIT.
  
 3.) The option MCCR Site Parameter Display/Edit [IBJ MCCR SITE
 PARAMETERS], which is currently locked with the IB SUPERVISOR Security
 Key, will be instead locked with the new key.
  
 4.) The Integrated Billing system shall create claims tracking entries
 for previously unbilled Prosthetics/DME items when new billable insurance
 is entered into the patient's insurance file.
  
 5.) A new coverage limitation field shall be created in the insurance
 file for Prosthetics.  Like the other existing coverage limitation
 fields in the insurance file (Inpatient, Outpatient, Pharmacy etc.),
 this field will have the following options:
        0=NOT COVERED
        1=COVERED
        2=CONDITIONAL COVERAGE
 Once selected, they will show in the patient insurance file as Yes,
 No, or Conditional.
  
 6.) The system shall automatically assign an RNB [NO PROSTHETIC
 COVERAGE (CV22)] for Prosthetics/DME items if the patient has no coverage
 for Prosthetics in his/her insurance file.
  
 7.) The system shall have a new option to add Prosthetics items to
 Manual and Nightly Claims Tracking.
  
 8.) Users will be able to select Suspended Type from the menu to
 display in the First Party Follow- Up [IBJD FOLLOW-UP FIRST PARTY]
 report.
  
 9.) First Party Follow-Up [IBJD FOLLOW-UP FIRST PARTY] report shall
 be modified to incorporate reason for suspension.
  
 10.) A new warning message will print to the screen in the Enter/Edit
 Billing Information option if an ATTENDING, REFERRING or RENDERING
 Provider has a PERSON CLASS in the NEW PERSON file (#200) that was expired
 at the time of the Date of Service.
  
 11.) On the Third Party Joint Inquiry screen, one (1) character space
 shall be added to the "Type" field so that it will accommodate five
 characters (a one-character classification indicator, a forward slash
 (/), a one-character component indicator, a forward slash (/), and a
 one-character care type) ("X/X/X").  If a bill contains prescriptions,
 then an "R" shall be concatenated to the fifth character sub-type position
 of the "Type" field. If a bill contains prosthetics, then a "P" shall be
 concatenated to fifth character sub-type position of the "Type" field. The
 "Type" field shall contain five (5) characters as follows:
 1. "I" for Inpatient or "O" for Outpatient,
 2. "/" forward slash character
 3. "P" for Professional or "I" for Institutional
 4. "/" forward slash character
 5. "P" for Prosthetics or "R" for Prescriptions
  
 12.) Three new Third Party Insurance Rate Types shall be created in
 the VistA IB system for the billers to choose from when billing for
 encounters. They are as follows:
        HUMANITARIAN REIMB. INS.
        DENTAL REIMB. INS.
        INELIGIBLE REIMB. INS.
  
 13.) Each of the new rate types above will have the 'Insurer' as the
 responsible party.
  
 14.) Billers (revenue staff) should be able to identify any remaining
 charges to the patient after the Third Party payments are received for
 Emergency Humanitarian, Ineligible and Dental services so they can
 accomplish balance billing.
  
 Concurrent Development / Dependencies:
 --------------------------------------
 PRCA*4.5*315
 PSO*7*463 
  
 Patch Components:
 -----------------
  
 Files & Fields Associated:
  
 File Name (Number)    Field Name (Number)     New/Modified/Deleted
 ------------------    -------------------     --------------------
 N/A
  
 Options Associated:
  
 Option Name                     Type          New/Modified/Deleted
 -----------                     ----          --------------------
 IB AUTO BILLER PARAMS           ROUTINE       MODIFIED
 IB EDIT SITE PARAMETERS         ROUTINE       MODIFIED
 IBJ MCCR SITE PARAMETERS        ROUTINE       MODIFIED
 IBT EDIT TRACKING PARAMETERS    ROUTINE       MODIFIED
 IBT SUP MANUALLY QUE ENCTRS     ROUTINE       MODIFIED
 IBT SUP MANUALLY QUE PRSTHTCS   ROUTINE       NEW
 IBT SUP MANUALLY QUE RX FILLS   ROUTINE       MODIFIED
 IBT SUPERVISORS MENU            MENU          MODIFIED
  
 Protocols Associated:
  
 Protocol Name                                  New/Modified/Deleted
 -------------                                  --------------------
 N/A
  
 Security Keys Associated:
  
 Security Key Name
 -----------------
 IB PARAMETER EDIT
  
  
 Templates Associated:
  
 Template Name                Type   File Name (Number)      New/Mod/Del
 -------------                ----   ------------------      -----------
 IBJT ACTIVE LIST             LIST                           NEW
 IBJT INACTIVE LIST           LIST                           NEW
  
  
 New Service Requests (NSRs):
 ----------------------------
 20150505 - Revenue Reporting Enhancements
 20150506 - Revenue Eligibility Enhancements
 20150507 - Revenue Operations Enhancements
  
  
 Patient Safety Issues (PSIs):
 ------------------------------
 N/A
  
  
 Defect Tracking System Ticket(s) & Overviews:
 ----------------------------------------------
 N/A
  
  
 Test Sites:
 ----------
 Durham VAMC
 Central Alabama 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:           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
 -----------------------------------------------------------------------
 Integrated Billing User Guide                      ib_2_0_um.doc Binary
 Integrated Billing Technical Manual/Security Guide ib_2_0_tm.doc Binary
 Integrated Billing Deployment, Installation,
      Back-Out, and Rollback Guide                  ib_2_0_ig.doc Binary
  
  
 Patch Installation:
  
 Pre/Post Installation Overview:
 -------------------------------
 The post installation routine, IBY568PO, is automatically deleted as a 
 part of the normal installation process if allowed by your Kernel site 
 parameters.
  
 The post installation routine performs the following tasks:
  
    o Add the Prosthetics entry to the INSURANCE RIDERS file (#355.6)
    o Add Prosthetics to the PLAN LIMITATION CATEGORY file (#355.31)
    o Add 3 new rate types to the RATE TYPE file (#399.3)
    o Add 7 new rate schedules to the RATE SCHEDULE file (#363)
    o Add 1 new IB error message to the IB ERROR file (#350.8)
  
  
 Pre-Installation Instructions:
 ------------------------------
 N/A
  
  
 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 options:
  
     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.  To Install the Patch, from the Installation Menu, select the Install
     Package(s) option and choose the patch to install. When prompted for
     the INSTALL NAME, enter the patch# (IB*2.0*568).
  
 5.  When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
     Install? NO//'  You may press return to accept the default answer of 
     NO IF your system rebuilds menu trees nightly using TaskMan. If you 
     do not have this scheduled as a nightly task, you must answer YES to 
     rebuild the menu trees.  This could affect users on the system 
     and your installation time will increase.
  
 6.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
     NO//, enter 'NO'
  
 7.  When prompted 'Want to DISABLE Scheduled Options, Menu Options, 
     and Protocols? NO//, enter 'NO' 

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 40

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

Routine Name: IBCAPP
    Before: B21485583   After: B23150807  **432,447,568**
Routine Name: IBCBB11
    Before:B112052327   After:B125441111  **51,343,363,371,395,392,401,
                                           384,400,436,432,516,550,577,
                                           568**
Routine Name: IBCNSBL2
    Before: B33173974   After: B39593451  **52,80,153,240,432,568**
Routine Name: IBECEA
    Before: B10792926   After: B13714935  **199,135,568**
Routine Name: IBJDB21
    Before: B73370335   After:B127496258  **123,159,185,399,437,458,568**
Routine Name: IBJDF11
    Before: B29605847   After: B30230903  **69,80,118,128,204,205,227,
                                           451,530,554,568**
Routine Name: IBJDF2
    Before: B67800970   After: B68533516  **69,91,100,118,133,205,554,597,568**
Routine Name: IBJDF4
    Before: B27131031   After: B43681161  **123,204,220,568**
Routine Name: IBJDF41
    Before: B88827246   After:B103009700  **123,159,204,356,451,473,568**
Routine Name: IBJDF42
    Before: B53237550   After: B55007532  **123,204,568**
Routine Name: IBJDF43
    Before: B23469371   After: B25427864  **123,568**
Routine Name: IBJTLA1
    Before: B12051503   After: B13446872  **39,80,61,51,153,137,183,276,
                                           451,516,530,568**
Routine Name: IBJTLB1
    Before: B12752963   After: B13573050  **39,80,61,137,276,451,516,530,568**
Routine Name: IBTRE2
    Before: B32981505   After: B41874411  **23,121,249,312,568**
Routine Name: IBTRE20
    Before: B13573861   After: B20324155  **40,91,249,568**
Routine Name: IBTRKR5
    Before: B35067366   After: B38746753  **13,260,312,339,389,474,498,568**
Routine Name: IBY568PO
    Before:       n/a   After: B78022144  **568**
 
Routine list of preceding patches: 135, 220, 447, 458, 473, 498, 577, 597

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



