============================================================================= Run Date: JUL 01, 2016 Designation: PRCA*4.5*303 Package : PRCA - ACCOUNTS RECEIVABLE Priority: Mandatory Version : 4.5 SEQ #272 Status: Released Compliance Date: JUL 31, 2016 ============================================================================= Associated patches: (v)PRCA*4.5*298<<= must be installed BEFORE `PRCA*4.5*303' (v)IB*2*511 <<= must be installed BEFORE `PRCA*4.5*303' (v)BPS*1*17 <<= must be installed BEFORE `PRCA*4.5*303' (v)IB*2*516 <<= must be installed BEFORE `PRCA*4.5*303' Subject: MCCF ENHANCEMENTS PROJECT - CARC/RARC Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ ******************************************************************************** NOTICE: The patch bundle PRCA IB MCCF EDI 1.0 (IB*2.0*530/PRCA*4.5*303) must be installed first, then install two standalone patches, IB*2.0*529 and PRCA*4.5*304. Patch IB*2.0*529 must be installed before installing PRCA*4.5*304. Install all patches close together so that your site has all of the features released as part of this enhancement. ***************************************************************************** MCCF (Medical Care Collection Fund) Enhancement for uniform use of CARC/RARC (Claims Adjustment Reason Codes/Remittance Advice Remark Codes) Codes. This patch implements changes to the Veterans Health Information Systems and Technology Architecture (VistA) Accounts Receivable (AR) software requested by the Veterans Health Administration (VHA) Chief Business Office (CBO) Business Solutions to comply with legislative changes mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as amended by Public Law (P.L.) 111-148, the Patient Protection and Affordable Care Act (PPACA), Section 1104. VHA uses the following standard, unique identifiers and Electronic Data Interchange (EDI) transactions in support of its third-party revenue and collections operation: - National Provider Identifier (NPI) - 270/271 Health Care Eligibility Benefit Inquiry and Response - 837 Health Care Claims - Institutional and Professional - National Council Pharmacy Drug Program (NCPDP) Pharmacy Transactions - 835 Health Care Claim Payment/Advice - Claim Adjustment Reason Codes (CARC) - Remittance Advice Remark Codes (RARC) - Electronic Funds Transfer (EFT) - Electronic Explanation of Benefits (EEOB) - Electronic Remittance Advice (ERA) - Provider Level Balancing (PLB) This patch adds the following: - CARC/RARC Payer Report - PLB Adjustment Report - Transaction Audit Report - CARC/RARC Table Report - CARC/RARC Quick Search - Menu Items for above reports to the EDI LOCKBOX REPORT MENU - Efficiency enhancement by adding additional menu items to the AR ListManager screens to allow for streamlined research and problem resolution - New Reject indicator to show users at a glance if an EEOB was rejected. The following report was modified: - Active Bills with EEOB Report The following Menu Text items are changed: - EDI Lockbox is changed to EDI Lockbox (ePayments) - EDI Lockbox Reports Menu is changed to EDI Lockbox (ePayments) Reports Menu The server process RCDPE EDI CARC_RARC SERVER was created to process updates on CARC (File #345) and RARC (File #346) data. The Austin Financial Service Center will send mail messages to the mail group G.CARC_RARC_DATA approximately 3 times during a calendar year. The FSC has a subscription for the codes from the Washington Publishing Company (http://www.wpc-edi.com). Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- EDI THIRD PARTY EFT DETAIL (#344.31) Modified MATCH STATUS (#.08) Modified MATCH STATUS HISTORY sub-file (#344.314) New ELECTRONIC REMITTANCE ADVICE (#344.4) Modified INSURANCE CO ID (#.03) Modified AR EDI CARC DATA (#345) New AR PLB ADJUST CODE (#345.1) New AR EDI RARC DATA (#346) New Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------- CARC_RARC_DATA New Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- 835 CARC Data Report [RCDPE CARC CODE run routine New PAYER REPORT] CARC/RARC Quick Search [RCDPE CARC/RARC run routine New QUICK SEARCH] CARC/RARC Table Data Report [RCDPE run routine New CARC/RARC TABLE REPORT] EDI Lockbox CARC-RARC Processing Server server New [RCDPE EDI CARC-RARC SERVER] EDI Lockbox (ePayments) Reports Menu menu New [RCDPE EDI LOCKBOX REPORTS MENU] EFT Transaction Audit Report [RCDPE EFT run routine New TRANSACTION AUD REP] Provider Level Adjustments (PLB) Report run routine New [RCDPE PROVIDER LVL ADJ REPORT] RCDPE UNAPPLIED EFT DEP REPORT Delete RCDPETT TOOL Delete Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- RCDPE ECME INFORMATION SEND TO SITE New RCDPE EFT ERA MANUAL MATCH SEND TO SITE New RCDPE EOB WL RECEIPT VIEW ATTACH TO MENU Modified RCDPE EOB WL RESEARCH EXIT ATTACH TO MENU Modified RCDPE EOB WL REVIEW ATTACH TO MENU Modified RCDPE EOB WORKLIST ADMIN COST ADJ ATTACH TO MENU Modified RCDPE EOB WORKLIST BILL COMMENT ATTACH TO MENU Modified RCDPE EOB WORKLIST CHANGE VIEW ATTACH TO MENU Modified RCDPE EOB WORKLIST DIST ADJ ATTACH TO MENU Modified RCDPE EOB WORKLIST FULL ACCT PROF ATTACH TO MENU Modified RCDPE EOB WORKLIST MENU SEND TO SITE Modified RCDPE EOB WORKLIST RECEIPT PROCESSING SEND TO SITE New RCDPE EOB WORKLIST REESTABLISH ATTACH TO MENU Modified RCDPE EOB WORKLIST REFRESH ATTACH TO MENU Modified RCDPE EOB WORKLIST RESEARCH ATTACH TO MENU Modified RCDPE EOB WORKLIST RESEARCH MENU SEND TO SITE Modified RCDPE EOB WORKLIST SPLIT LINE ATTACH TO MENU Modified RCDPE EOB WORKLIST TPJI ATTACH TO MENU Modified RCDPE EOB WORKLIST VERIFY ATTACH TO MENU Modified RCDPE ERA LIST VIEW ERA ATTACH TO MENU Modified RCDPE ERA WORKLIST CHANGE VIEW ATTACH TO MENU Modified RCDPE VIEW/PRINT WORKLIST EOB ATTACH TO MENU Modified RCDPE VIEW/PRINT WORKLIST ERA ATTACH TO MENU Modified RCDPE WORKLIST ERA LIST MENU SEND TO SITE Modified RCDPE WORKLIST ERA SELECT ATTACH TO MENU Modified RCDPE WORKLIST ERA SORT ATTACH TO MENU Modified RCDPEX EOB_SUM EXCEPTION MENU SEND TO SITE Modified RCDPEX EOB_SUM REMOVE EXCEPT ATTACH TO MENU Modified RCDPEX RX_COMMENT ATTACH TO MENU Modified RCDPEX SUM_EDIT CLAIM ATTACH TO MENU Modified RCDPEX SUM_FILE EXCEPTION ATTACH TO MENU Modified RCDPEX SUM_VIEW/PRINT MESSAGE ATTACH TO MENU Modified VALM QUIT ATTACH TO MENU Modified Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- PRCA BILL LIST Print ACCOUNTS RECEIVABLE (#430) Modified PRCA TRANS Print AR TRANSACTION (#433) Modified PROFILE Additional Information: N/A New Service Requests (NSRs) ---------------------------- NSR# 20130515 - Uniform Use of CARC and RARC (835) Rule Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Problem: ------- N/A Resolution: ---------- N/A Test Sites: ---------- Alexandria VA Health Care System (Alexandria, LA) - Station 502 Huntington VA Medical Center (Huntington, WV) - Station 581 South Texas Veterans Health Care System (San Antonio, TX) - Station 671 Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. 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 software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Accounts Receivables Technical Manual/ PRCA_4_5_TM_R0516.PDF (binary) Security Guide Accounts Receivables Release Notes/ PRCA_4_5_P303_RN.PDF (binary) Installation Guide ePayments User Manual EPAYMENTS_USER_MANUAL_R0516.PDF (binary) (EDI LOCKBOX) Patch Installation: Pre/Post Installation Overview ------------------------------ Note: The patch bundle PRCA IB MCCF EDI 1.0 (IB*2.0*530/PRCA*4.5*303) must be installed first, then install two standalone patches, IB*2.0*529 and PRCA*4.5*304. Patch IB*2.0*529 must be installed before installing PRCA*4.5*304. Install all patches close together so that your site has all of the features released as part of this enhancement. You will be prompted to enter a coordinator for the new CARC_RARC_DATA mail group. Prior to installation, please contact your Medical Care Cost Recovery (MCCR) business department (Facility Revenue Manager) to determine who will be the coordinator for this new mail group. This mail group is used to receive data from the FSC on a periodic basis, currently three time a year around February, July and November. There are no special instructions to be performed before installing the patch. Post Install routine will re-index the modified files for the new indices. After the post-install is complete you can safely remove the routine RC45P303. Pre-Installation Instructions ----------------------------- This patch may be installed with users on the system. Installation should take less than 10 minutes. Notes: You may queue this installation for a later time. No options need to be disabled. 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 10 minutes to install. This patch can be obtained from the ANONYMOUS.SOFTWARE directory at one of the OI Field Offices. The preferred method is to retrieve the files from DOWNLOAD.VISTA.DOMAIN.EXT, which will transmit the file from the first available server. Sites may elect to retrieve the files from a specific server. OI FIELD OFFICE FTP ADDRESS DIRECTORY --------------------------------------------------------------------- Albany DOMAIN.EXT Hines DOMAIN.EXT Salt Lake City DOMAIN.EXT The software distribution includes: FILE NAME DESCRIPTION ------------------------------------------------------- PRCA_IB_MCCF_EDI_1_0.KID KIDS Build 1. Retrieve the file PRCA_IB_MCCF_EDI_1_0.KID using one of the methods described above. This file contains the patches PRCA*4.5*303 and IB*2.0*530 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, select the option Load a Distribution and when prompted for "Enter a Host File:" enter the full directory path where you saved the file PRCA_IB_MCCF_EDI_1_0.KID When prompted for OK to continue with Load? NO//", enter "YES." 4. When prompted to; "Enter the Coordinator for Mail Group 'CARC_RARC_DATA':", please respond with the appropriate person. 5. From the "Installation ..." menu, run the following three KIDS options. When prompted for INSTALL NAME, enter PRCA IB MCCF EDI 1.0 5 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. 4 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.). 2 Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 6. Use the Install Package(s) option and when prompted for "INSTALL NAME" enter PRCA IB MCCF EDI 1.0. 7. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' respond YES. By answering YES to rebuild the menu trees warn them that it could affect users on the system and installation times may increase. 8. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 9. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. 10. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. 11. You may delete the post install routines after installation: PR45P303 IB20P530 Post-Installation Instructions ------------------------------ There are no special post-installation instructions for this patch. If the installation was successful routine RC45P303 can be safely removed. Routine Information: ==================== The second line of each of these routines now looks like: ;;4.5;Accounts Receivable;**[Patch List]**;Mar 20, 1995;Build 84 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PRCAAPR1 Before: B41639363 After: B43791904 **34,45,108,143,141,206,192, 218,276,275,284,303** Routine Name: PRCAATR Before: B18030407 After: B19181234 **36,104,172,138,233,276,303** Routine Name: RC45P303 Before: n/a After: B22742515 **303** Routine Name: RCDPAPLI Before: B42722904 After: B43587980 **114,141,241,303** Routine Name: RCDPARC Before: n/a After:B213177751 **303** Routine Name: RCDPBPLM Before: B56287524 After: B57667335 **114,153,159,241,276,303** Routine Name: RCDPCRR Before: n/a After:B179060706 **303** Routine Name: RCDPEAC Before:B163795465 After:B190534875 **208,269,276,298,303** Routine Name: RCDPEM2 Before:B206109836 After:B218873122 **173,208,276,284,293,298,303** Routine Name: RCDPEM7 Before: B44920512 After: B82538875 **276,298,303** Routine Name: RCDPEMSG Before: n/a After: B52639080 **303** Routine Name: RCDPETT Before: B81520347 After: Delete Routine Name: RCDPETTE Before:B258211138 After: Delete Routine Name: RCDPETTF Before: B80402649 After: Delete Routine Name: RCDPETTM Before:B189296632 After: Delete Routine Name: RCDPETTP Before: B4906426 After: Delete Routine Name: RCDPETTQ Before: B30669370 After: Delete Routine Name: RCDPETTU Before:B117602125 After: Delete Routine Name: RCDPEWL2 Before: B85809764 After:B108949020 **173,208,269,298,303** Routine Name: RCDPEWL4 Before: B46490209 After: B57740502 **173,208,269,298,303** Routine Name: RCDPEWL6 Before: B80720367 After: B81815547 **173,208,222,276,298,303** Routine Name: RCDPEWLP Before:B164916639 After:B166745287 **298,303** Routine Name: RCDPPLB Before: n/a After:B190736513 **303** Routine Name: RCDPRTP2 Before: B14571790 After: B15639829 **151,276,303** Routine Name: RCDPRU Before: n/a After:B219265660 **303** Routine Name: RCDPTAR Before: n/a After:B177809356 **303** Routine Name: RCDPTAR1 Before: n/a After: B43222900 **303** ============================================================================= User Information: Entered By : Date Entered : MAY 21, 2014 Completed By: Date Completed: JUN 15, 2016 Released By : Date Released : JUL 01, 2016 ============================================================================= Packman Mail Message: ===================== No routines included