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| # | Location | File | Last Modified |
|---|---|---|---|
| 1 | PRCA_4.5_339_IB_2.568_Build 1_May_2018.zip | IB2568 TEST v8.txt | Thu May 24 14:49:30 2018 UTC |
| 2 | PRCA_4.5_339_IB_2.568_Build 1_May_2018.zip | IB2568 TEST v8.txt | Thu May 24 18:06:35 2018 UTC |
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| 1 | $TXT Creat ed by GUST AFSON,ERIC S at D N S U R
|
|
| 2 | 02/21/18 a t 16:11 | |
| 3 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 4 | Run Date: FEB 21, 20 18 Designa tion: IB*2 *568 | |
| 5 | Package : IB - INTEG RATED BILL ING Prio rity: Mand atory | |
| 6 | Version : 2 St atus: Unde r Developm ent | |
| 7 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 8 | ||
| 9 | Associated patches: (v)IB*2*13 5 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 10 | (v)IB*2*22 0 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 11 | (v)IB*2*44 7 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 12 | (v)IB*2*45 8 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 13 | (v)IB*2*47 3 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 14 | (v)IB*2*49 8 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 15 | (v)IB*2*57 7 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 16 | (u)IB*2*59 7 <<= m ust be ins talled BEF ORE `IB*2* 568' | |
| 17 | ||
| 18 | Subject: H APE FY16 R EVENUE ENH ANCEMENTS | |
| 19 | ||
| 20 | Category: | |
| 21 | - Routin e | |
| 22 | - Other | |
| 23 | - Enhanc ement (Man datory) | |
| 24 | ||
| 25 | Descriptio n: | |
| 26 | ========== == | |
| 27 | ||
| 28 | IMPORTANT INSTALLAT ION NOTE: | |
| 29 | --------- ---------- --------- | |
| 30 | There are three pat ches assoc iated with this proj ect - PRCA *4.5*315, | |
| 31 | IB*2.0*56 8 and PSO* 7.0*463. A ll three p atches are to be ins talled as | |
| 32 | PackMan f iles. The re is no b undle. | |
| 33 | ||
| 34 | ||
| 35 | Descripti on | |
| 36 | --------- -- | |
| 37 | The Chief Business Office (CB O) is requ esting sys tem enhanc ements to | |
| 38 | The Veter ans Health Informati on Systems and Techn ology Arch itecture | |
| 39 | (VistA) I ntegrated Billing (I B), Accoun ts Receiva ble (AR), and Outpat ient | |
| 40 | Pharmacy (PSO) soft ware modul es. | |
| 41 | ||
| 42 | The missi on of the Department of Vetera ns Affairs (VA), Off ice of | |
| 43 | Informati on & Techn ology (OI& T), is to provide be nefits and services | |
| 44 | to vetera ns of the United Sta tes Armed Forces. In meeting t hese goals , OIT | |
| 45 | strives t o provide high quali ty, effect ive, and e fficient I nformation | |
| 46 | Technolog y (IT) ser vices to t hose respo nsible for providing care to t he | |
| 47 | veterans at the poi nt-of-care , as well as through out all th e points o f the | |
| 48 | veterans' health ca re. The VA depends o n Informat ion | |
| 49 | Managemen t/Informat ion Techno logy (IM/I T) systems to meet m ission goa ls. | |
| 50 | ||
| 51 | The overa ll FY16 HA PE Revenue Enhanceme nt project is compri sed of thr ee | |
| 52 | New Servi ce Request s (NSR): | |
| 53 | ||
| 54 | NSR #2015 0506 | |
| 55 | The Reven ue Eligibi lity Enhan cements Pr oject effo rt for the | |
| 56 | (CBO), bu ndles seve ral NSRs w ith simila r business needs int o a single | |
| 57 | requireme nts docume nt. Succe ssfully ad dressing t he require ments cont ained | |
| 58 | within th is documen t will ena ble the De partment o f VA to ap propriatel y | |
| 59 | bill cert ain subset s of billa ble events by correc ting, auto mating, or | |
| 60 | enhancing current V istA syste ms. | |
| 61 | ||
| 62 | NSR #2015 0507 | |
| 63 | The Reven ue Operati ons Enhanc ements Pro ject combi nes severa l NSRs, | |
| 64 | as well. This effor t enables the VA to improve re venue oper ation | |
| 65 | functiona lity relat ed to repa yment plan s, late ch arge captu re, bill | |
| 66 | suspensio n reasons, the billi ng of deac tivated pr oviders, a nd the dis play | |
| 67 | of appeal rights an d responsi bilities o n the Vete rans Benef iciary tra vel | |
| 68 | Bill of C ollections form. Im plementati on of the proposed e nhancement s | |
| 69 | will make a signifi cant posit ive impact on stakeh olders and target us ers. | |
| 70 | ||
| 71 | NSR #2015 0505 | |
| 72 | The Reven ue Reporti ng Enhance ments Proj ect will e nable the VA to | |
| 73 | improve t racking an d reportin g of reven ue, and wi ll support revenue | |
| 74 | reporting business rules and guidelines . | |
| 75 | ||
| 76 | ||
| 77 | IB*2.0*56 8 patch en hancements , pertinen t to the a bove NSRs, include: | |
| 78 | ||
| 79 | 1.) When generating the RNB ( Reasons No t Billable ) report, the | |
| 80 | Integrate d Billing system sha ll populat e the char ges for al l types of | |
| 81 | services provided. Charges wi ll not be screened b y any bill able crite ria | |
| 82 | but will indicate t he full am ount as if the care was to be billed. | |
| 83 | ||
| 84 | 2.) The s ub-option Claims Tra cking Para meter Edit [IBT EDIT TRACKING | |
| 85 | PARAMETER S], that c urrently h as no key, will be l ocked with a new Sec urity | |
| 86 | Key calle d IB PARAM ETER EDIT. | |
| 87 | ||
| 88 | 3.) The o ption MCCR Site Para meter Disp lay/Edit [ IBJ MCCR S ITE | |
| 89 | PARAMETER S], which is current ly locked with the I B SUPERVIS OR Securit y | |
| 90 | Key, will be instea d locked w ith the ne w key. | |
| 91 | ||
| 92 | 4.) The I ntegrated Billing sy stem shall create cl aims track ing entrie s | |
| 93 | for previ ously unbi lled Prost hetics/DME items whe n new bill able insur ance | |
| 94 | is entere d into the patient's insurance file. | |
| 95 | ||
| 96 | 5.) A new coverage limitation field sha ll be crea ted in the insurance | |
| 97 | file for Prosthetic s. Like t he other e xisting co verage lim itation | |
| 98 | fields in the insur ance file (Inpatient , Outpatie nt, Pharma cy etc.), | |
| 99 | this fiel d will hav e the foll owing opti ons: | |
| 100 | 0= NOT COVERE D | |
| 101 | 1= COVERED | |
| 102 | 2= CONDITIONA L COVERAGE | |
| 103 | Once sele cted, they will show in the pa tient insu rance file as Yes, | |
| 104 | No, or Co nditional. | |
| 105 | ||
| 106 | 6.) The s ystem shal l automati cally assi gn an RNB [NO PROSTH ETIC | |
| 107 | COVERAGE (CV22)] fo r Prosthet ics/DME it ems if the patient h as no cove rage | |
| 108 | for Prost hetics in his/her in surance fi le. | |
| 109 | ||
| 110 | 7.) The s ystem shal l have a n ew option to add Pro sthetics i tems to | |
| 111 | Manual an d Nightly Claims Tra cking. | |
| 112 | ||
| 113 | 8.) Users will be a ble to sel ect Suspen ded Type f rom the me nu to | |
| 114 | display i n the Firs t Party Fo llow- Up [ IBJD FOLLO W-UP FIRST PARTY] | |
| 115 | report. | |
| 116 | ||
| 117 | 9.) First Party Fol low-Up [IB JD FOLLOW- UP FIRST P ARTY] repo rt shall | |
| 118 | be modifi ed to inco rporate re ason for s uspension. | |
| 119 | ||
| 120 | 10.) A ne w warning message wi ll print t o the scre en in the Enter/Edit | |
| 121 | Billing I nformation option if an ATTEND ING, REFER RING or RE NDERING | |
| 122 | Provider has a PERS ON CLASS i n the NEW PERSON fil e (#200) t hat was ex pired | |
| 123 | at the ti me of the Date of Se rvice. | |
| 124 | ||
| 125 | 11.) On t he Third P arty Joint Inquiry s creen, one (1) chara cter space | |
| 126 | shall be added to t he "Type" field so t hat it wil l accommod ate five | |
| 127 | character s (a one-c haracter c lassificat ion indica tor, a for ward slash | |
| 128 | (/), a on e-characte r componen t indicato r, a forwa rd slash ( /), and a | |
| 129 | one-chara cter care type) ("X/ X/X"). If a bill co ntains pre scriptions , | |
| 130 | then an " R" shall b e concaten ated to th e fifth ch aracter su b-type pos ition | |
| 131 | of the "T ype" field . If a bil l contains prostheti cs, then a "P" shall be | |
| 132 | concatena ted to fif th charact er sub-typ e position of the "T ype" field . The | |
| 133 | "Type" fi eld shall contain fi ve (5) cha racters as follows: | |
| 134 | 1. "I" fo r Inpatien t or "O" f or Outpati ent, | |
| 135 | 2. "/" fo rward slas h characte r | |
| 136 | 3. "P" fo r Professi onal or "I " for Inst itutional | |
| 137 | 4. "/" fo rward slas h characte r | |
| 138 | 5. "P" fo r Prosthet ics or "R" for Presc riptions | |
| 139 | ||
| 140 | 12.) Thre e new Thir d Party In surance Ra te Types s hall be cr eated in | |
| 141 | the VistA IB system for the b illers to choose fro m when bil ling for | |
| 142 | encounter s. They ar e as follo ws: | |
| 143 | HU MANITARIAN REIMB. IN S. | |
| 144 | DE NTAL REIMB . INS. | |
| 145 | IN ELIGIBLE R EIMB. INS. | |
| 146 | ||
| 147 | 13.) Each of the ne w rate typ es above w ill have t he 'Insure r' as the | |
| 148 | responsib le party. | |
| 149 | ||
| 150 | 14.) Bill ers (reven ue staff) should be able to id entify any remaining | |
| 151 | charges t o the pati ent after the Third Party paym ents are r eceived fo r | |
| 152 | Emergency Humanitar ian, Ineli gible and Dental ser vices so t hey can | |
| 153 | accomplis h balance billing. | |
| 154 | ||
| 155 | Concurren t Developm ent / Depe ndencies: | |
| 156 | --------- ---------- ---------- --------- | |
| 157 | PRCA*4.5* 315 | |
| 158 | PSO*7*463 | |
| 159 | ||
| 160 | Patch Com ponents: | |
| 161 | --------- -------- | |
| 162 | ||
| 163 | Files & F ields Asso ciated: | |
| 164 | ||
| 165 | File Name (Number) Field N ame (Numbe r) New /Modified/ Deleted | |
| 166 | --------- --------- ------- ---------- -- --- ---------- ------- | |
| 167 | N/A | |
| 168 | ||
| 169 | Options A ssociated: | |
| 170 | ||
| 171 | Option Na me Type New /Modified/ Deleted | |
| 172 | --------- -- ---- --- ---------- ------- | |
| 173 | IB AUTO B ILLER PARA MS ROUTINE MOD IFIED | |
| 174 | IB EDIT S ITE PARAME TERS ROUTINE MOD IFIED | |
| 175 | IBJ MCCR SITE PARAM ETERS ROUTINE MOD IFIED | |
| 176 | IBT EDIT TRACKING P ARAMETERS ROUTINE MOD IFIED | |
| 177 | IBT SUP M ANUALLY QU E ENCTRS ROUTINE MOD IFIED | |
| 178 | IBT SUP M ANUALLY QU E PRSTHTCS ROUTINE NEW | |
| 179 | IBT SUP M ANUALLY QU E RX FILLS ROUTINE MOD IFIED | |
| 180 | IBT SUPER VISORS MEN U MENU MOD IFIED | |
| 181 | ||
| 182 | Protocols Associate d: | |
| 183 | ||
| 184 | Protocol Name Ne w/Modified /Deleted | |
| 185 | --------- ---- -- ---------- -------- | |
| 186 | N/A | |
| 187 | ||
| 188 | Security Keys Assoc iated: | |
| 189 | ||
| 190 | Security Key Name | |
| 191 | --------- -------- | |
| 192 | IB PARAME TER EDIT | |
| 193 | ||
| 194 | ||
| 195 | Templates Associate d: | |
| 196 | ||
| 197 | Template Name Type Fil e Name (Nu mber) New/Mod/D el | |
| 198 | --------- ---- ---- --- ---------- ----- --------- -- | |
| 199 | IBJT ACTI VE LIST LIST NEW | |
| 200 | IBJT INAC TIVE LIST LIST NEW | |
| 201 | ||
| 202 | ||
| 203 | New Servi ce Request s (NSRs): | |
| 204 | --------- ---------- --------- | |
| 205 | 20150505 - Revenue Reporting Enhancemen ts | |
| 206 | 20150506 - Revenue Eligibilit y Enhancem ents | |
| 207 | 20150507 - Revenue Operations Enhanceme nts | |
| 208 | ||
| 209 | ||
| 210 | Patient S afety Issu es (PSIs): | |
| 211 | --------- ---------- ---------- - | |
| 212 | N/A | |
| 213 | ||
| 214 | ||
| 215 | Defect Tr acking Sys tem Ticket (s) & Over views: | |
| 216 | --------- ---------- ---------- ---------- ------- | |
| 217 | N/A | |
| 218 | ||
| 219 | ||
| 220 | Test Site s: | |
| 221 | --------- - | |
| 222 | Durham VA MC | |
| 223 | Central A labama VAM C | |
| 224 | ||
| 225 | ||
| 226 | Software and Docume ntation Re trieval In structions : | |
| 227 | --------- ---------- ---------- ---------- ---------- --- | |
| 228 | Choose th e PackMan message co ntaining t his patch. | |
| 229 | ||
| 230 | Sites may retrieve documentat ion direct ly using S ecure File Transfer | |
| 231 | Protocol (SFTP) fro m the ANON YMOUS.SOFT WARE direc tory at th e followin g | |
| 232 | OI Field Offices: | |
| 233 | ||
| 234 | Hines: DNS .U RL | |
| 235 | Salt Lake City: DNS . URL | |
| 236 | ||
| 237 | Documenta tion can a lso be fou nd on the VA Softwar e Document ation | |
| 238 | Library a t: | |
| 239 | http:// URL / | |
| 240 | ||
| 241 | Title File Nam e FTP Mo de | |
| 242 | --------- ---------- ---------- ---------- ---------- ---------- ---------- -- | |
| 243 | Integrate d Billing User Guide ib_2_0_u m.doc Bina ry | |
| 244 | Integrate d Billing Technical Manual/Sec urity Guid e ib_2_0_t m.doc Bina ry | |
| 245 | Integrate d Billing Deployment , Installa tion, | |
| 246 | Back -Out, and Rollback G uide ib_2_0_i g.doc Bina ry | |
| 247 | ||
| 248 | ||
| 249 | Patch Ins tallation: | |
| 250 | ||
| 251 | Pre/Post Installati on Overvie w: | |
| 252 | --------- ---------- ---------- -- | |
| 253 | The post installati on routine , IBY568PO , is autom atically d eleted as a | |
| 254 | part of t he normal installati on process if allowe d by your Kernel sit e | |
| 255 | parameter s. | |
| 256 | ||
| 257 | The post installati on routine performs the follow ing tasks: | |
| 258 | ||
| 259 | o Add the Prosth etics entr y to the I NSURANCE R IDERS file (#355.6) | |
| 260 | o Add Prosthetic s to the P LAN LIMITA TION CATEG ORY file ( #355.31) | |
| 261 | o Add 3 new rate types to the RATE T YPE file ( #399.3) | |
| 262 | o Add 7 new rate schedules to the RA TE SCHEDUL E file (#3 63) | |
| 263 | o Add 1 new IB e rror messa ge to the IB ERROR f ile (#350. 8) | |
| 264 | ||
| 265 | ||
| 266 | Pre-Insta llation In structions : | |
| 267 | --------- ---------- ---------- - | |
| 268 | N/A | |
| 269 | ||
| 270 | ||
| 271 | Installat ion Instru ctions | |
| 272 | --------- ---------- ------ | |
| 273 | This patc h may be i nstalled w ith users on the sys tem althou gh it is | |
| 274 | recommend ed that it be instal led during non-peak hours to m inimize | |
| 275 | potential disruptio n to users . This pa tch should take less than 2 | |
| 276 | minutes t o install. | |
| 277 | ||
| 278 | 1. Choos e the Pack Man messag e containi ng this pa tch. | |
| 279 | ||
| 280 | 2. Choos e the INST ALL/CHECK MESSAGE Pa ckMan opti on. | |
| 281 | ||
| 282 | 3. From the Kernel Installat ion and Di stribution System Me nu, select | |
| 283 | the I nstallatio n Menu. F rom this m enu, you m ay elect t o use the | |
| 284 | follo wing optio ns: | |
| 285 | ||
| 286 | a. B ackup a Tr ansport Gl obal - Thi s option w ill create a backup | |
| 287 | m essage of any routin es exporte d with thi s patch. I t will not | |
| 288 | b ackup any other chan ges such a s DD's or templates. | |
| 289 | b. C ompare Tra nsport Glo bal to Cur rent Syste m - This o ption will | |
| 290 | a llow you t o view all changes t hat will b e made whe n this pat ch | |
| 291 | i s installe d. It com pares all components of this p atch | |
| 292 | ( routines, DD's, temp lates, etc .). | |
| 293 | c. V erify Chec ksums in T ransport G lobal - Th is option will allow | |
| 294 | y ou to ensu re the int egrity of the routin es that ar e in the | |
| 295 | t ransport g lobal. | |
| 296 | ||
| 297 | 4. To In stall the Patch, fro m the Inst allation M enu, selec t the Inst all | |
| 298 | Packa ge(s) opti on and cho ose the pa tch to ins tall. When prompted for | |
| 299 | the I NSTALL NAM E, enter t he patch# (IB*2.0*56 8). | |
| 300 | ||
| 301 | 5. When prompted ' Want KIDS to Rebuild Menu Tree s Upon Com pletion of | |
| 302 | Insta ll? NO//' You may p ress retur n to accep t the defa ult answer of | |
| 303 | NO IF your syst em rebuild s menu tre es nightly using Tas kMan. If y ou | |
| 304 | do no t have thi s schedule d as a nig htly task, you must answer YES to | |
| 305 | rebui ld the men u trees. This could affect us ers on the system | |
| 306 | and y our instal lation tim e will inc rease. | |
| 307 | ||
| 308 | 6. When prompted ' Want KIDS to INHIBIT LOGONs du ring the i nstall? | |
| 309 | NO//, enter 'NO ' | |
| 310 | ||
| 311 | 7. When prompted ' Want to DI SABLE Sche duled Opti ons, Menu Options, | |
| 312 | and P rotocols? NO//, ente r 'NO' | |
| 313 | ||
| 314 | Routine In formation: | |
| 315 | ========== ========== | |
| 316 | The second line of e ach of the se routine s now look s like: | |
| 317 | ;;2.0;INT EGRATED BI LLING;**[P atch List] **;21-MAR- 94;Build 4 0 | |
| 318 | ||
| 319 | The checks ums below are new ch ecksums, a nd | |
| 320 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 321 | ||
| 322 | Routine Na me: IBCAPP | |
| 323 | Before : B2148558 3 After: B23150807 **432,44 7,568** | |
| 324 | Routine Na me: IBCBB1 1 | |
| 325 | Before :B11205232 7 After: B125441111 **51,343 ,363,371,3 95,392,401 , | |
| 326 | 384,400 ,436,432,5 16,550,577 , | |
| 327 | 568** | |
| 328 | Routine Na me: IBCNSB L2 | |
| 329 | Before : B3317397 4 After: B39593451 **52,80, 153,240,43 2,568** | |
| 330 | Routine Na me: IBECEA | |
| 331 | Before : B1079292 6 After: B13714935 **199,13 5,568** | |
| 332 | Routine Na me: IBJDB2 1 | |
| 333 | Before : B7337033 5 After: B127496258 **123,15 9,185,399, 437,458,56 8** | |
| 334 | Routine Na me: IBJDF1 1 | |
| 335 | Before : B2960584 7 After: B30230903 **69,80, 118,128,20 4,205,227, | |
| 336 | 451,530 ,554,568** | |
| 337 | Routine Na me: IBJDF2 | |
| 338 | Before : B6780097 0 After: B68533516 **69,91, 100,118,13 3,205,554, 597,568** | |
| 339 | Routine Na me: IBJDF4 | |
| 340 | Before : B2713103 1 After: B43681161 **123,20 4,220,568* * | |
| 341 | Routine Na me: IBJDF4 1 | |
| 342 | Before : B8882724 6 After: B103009700 **123,15 9,204,356, 451,473,56 8** | |
| 343 | Routine Na me: IBJDF4 2 | |
| 344 | Before : B5323755 0 After: B55007532 **123,20 4,568** | |
| 345 | Routine Na me: IBJDF4 3 | |
| 346 | Before : B2346937 1 After: B25427864 **123,56 8** | |
| 347 | Routine Na me: IBJTLA 1 | |
| 348 | Before : B1205150 3 After: B13446872 **39,80, 61,51,153, 137,183,27 6, | |
| 349 | 451,516 ,530,568** | |
| 350 | Routine Na me: IBJTLB 1 | |
| 351 | Before : B1275296 3 After: B13573050 **39,80, 61,137,276 ,451,516,5 30,568** | |
| 352 | Routine Na me: IBTRE2 | |
| 353 | Before : B3298150 5 After: B41874411 **23,121 ,249,312,5 68** | |
| 354 | Routine Na me: IBTRE2 0 | |
| 355 | Before : B1357386 1 After: B20324155 **40,91, 249,568** | |
| 356 | Routine Na me: IBTRKR 5 | |
| 357 | Before : B3506736 6 After: B38746753 **13,260 ,312,339,3 89,474,498 ,568** | |
| 358 | Routine Na me: IBY568 PO | |
| 359 | Before : n/ a After: B78022144 **568** | |
| 360 | ||
| 361 | Routine li st of prec eding patc hes: 135, 220, 447, 458, 473, 498, 577, 597 | |
| 362 | ||
| 363 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 364 | User Infor mation: | |
| 365 | Entered By : FINNIE ,DONALD Date E ntered : JUN 17, 20 16 | |
| 366 | Completed By: Date C ompleted: | |
| 367 | Released B y : Date R eleased : | |
| 368 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 369 | ||
| 370 | ||
| 371 |
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