$TXT Created by at TAS-EBIL-DEV.AAC.DOMAIN.EXT (KIDS) on Wednesday, 03/29/17 at 13:10 ============================================================================= Run Date: JUL 24, 2017 Designation: IB*2*576 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #545 Status: Released Compliance Date: AUG 23, 2017 ============================================================================= Associated patches: (v)IB*2*371 <<= must be installed BEFORE `IB*2*576' (v)IB*2*547 <<= must be installed BEFORE `IB*2*576' Subject: MCCF EDI TAS EBILLING BUILD 1 Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other - Input Template Description: ============ ****Important Note: In production, there is one **MANDATORY** pre-installation activity associated with this install. The IB Staff MUST empty the 837 extract/transmission queue PRIOR to the installation of this patch. *** The site Information Resource Management (IRM) should coordinate with the Billing Department to insure that the 837 extract/transmission queue is empty. Once the Billing Department has completed the instructions, the Billing department is to inform IRM that the patch installation may proceed. The instructions to empty the queue are as follows: Select the option: TRANSMIT EDI BILLS - MANUAL [IBCE 837 MANUAL TRANSMIT] What is the purpose of this option? This option is used to by-pass the normal daily/nightly transmission queues if the need arises to get the claim to the payer quickly. When is this option used? There are occasions when there is a need to transmit a claim(s) immediately instead of waiting for the batching frequency as scheduled in the MCCR Site Parameter. This option will allow sending individual claim(s) or all claims in a ready for extract status. Upon selecting this option you will be prompted with the following: Select one of the following: A Transmit (A)LL bills in READY FOR EXTRACT status S Transmit only (S)ELECTED bills You should select 'A' for ALL There are no other mandatory pre-installation activities associated with this patch. IB is a software module within Veterans Health Information Systems and Technology Architecture (VistA) that provides the ability for billing personnel to submit claims in either a paper or electronic format to third-party payers. The following features of the IB software will be affected by this patch: * eBilling Set Onset Date Appropriately When completing professional health care claims, the eBilling system automatically defaulted the date of service as the onset date when there is no Occurrence code with the correct date the current illness or symptom first appeared. There should only be a date if there is an Occurrence code for onset of illness or Last Menstrual Period (LMP). The system should not automatically default the onset date to the date of service. In support of this logic, the following fatal error message will be changed: **Errors**: Occ. codes for accident, LMP, illness not allowed on same bill The new fatal error message will no longer include accident. Accident Occurrence codes are now printed in Box 15. The new message will be the following: **Errors** Occ. codes Onset of Illness (11) and LMP (10) not allowed on same bill. * Missing MRW Legend Indicator When viewing claim responses on the MRA Management WorkList [IBCE MRA MANAGEMENT], staff needs the ability to see indicators that reflect the current status of the entry on the list in order to assist them with their workload. There are currently several indicators that appear in front and behind bill numbers, but not all are found on the legend. Staff needs the ability to also see the indicator for review in process on the legend. This should be displayed in the legend as follows: *=review in process * Printing of CMS 1500 When printing CMS 1500 claim forms locally, billing staff must be able to print the bill frequency code and the original claim reference number, Internal Claim Number (ICN)/Document Control Number (DCN), for replacement of prior claims or void/cancel prior claims in the correct field locator (FL). The bill frequency code and ICN number do not currently print on the CMS 1500 form for replacement or voided/canceled claims. By printing the following bill frequency codes and the original claim reference number (ICN/DCN) on professional replacement claims for non-Medicare payers (note: Medicare claims cannot be printed locally) in FL 22, payers are able to determine the correct status of the claim and process it accordingly and in a timely manner. Bill Frequency Code Description 7 Replacement of prior claim 8 Void/Cancel of prior Claim * Correct an issue on Screen 10 for CMS-1500s A problem was found on Screen 10 while testing CMS-1500s. It had to do with the proper display of the "TERTIARY INSURANCE ICN/DCN" prompt which was displayed as "FORM LOCATOR 64C". * Payer Zip Code Field Adjustment Users can currently enter a five or nine-digit zip code in the following payer address fields in the INSURANCE COMPANY (#36) file: * Main Mailing Address - ZIP CODE (#.116) field * Inpatient Claims Office Address - CLAIMS (INPT) PROCESS ZIP (#.126) field * Appeals Address - APPEALS ADDRESS ZIP (#.146) field * Inquiry Address - INQUIRY ADDRESS ZIP CODE (#.156) field * Outpatient Claims Office Address - CLAIMS (OPT) PROCESS ZIP (#.166) field * Prescription Claims Office Address - CLAIMS (RX) ZIP (#.186) field The fields are set up to accept the standard nine digit code, and users should be required to enter the maximum standard number of digits. VistA IB should require users to enter a properly formatted and valid ZIP code that is nine digits long when entering a new ZIP code or editing an existing ZIP code. The process required to accomplish this functionality is outlined below: * VistA IB verifies that the ZIP code is a 9 character numeric value. * VistA IB verifies the last 4 digits are not 0000 or 9999. * VistA does not make a 5 digit payer ZIP code a fatal error in billing. * Payer address ZIP codes that exist at the time the software updates are installed will not be changed. Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- IB ERROR (#350.8) Modified Entry INSURANCE COMPANY (#36) Modified ZIP CODE (#.116) Modified CLAIMS (INPT) PROCESS ZIP (#.126) Modified APPEALS ADDRESS ZIP (#.146) Modified INQUIRY ADDRESS ZIP CODE (#.156) Modified CLAIMS (OPT) PROCESS ZIP (#.166) Modified CLAIMS (RX) ZIP (#.186) Modified IB FORM SKELETON DEFINITION (#364.6) Modified Entries Screen: I $$INCLUDE^IBY576PR(6,Y) IB FORM FIELD CONTENT (#364.7) Modified Entries Screen: I $$INCLUDE^IBY576PR(7,Y) Templates, Input Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- IB SCREEN10H Input BILL/CLAIMS (#399) Modified New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Defect Tracking System Ticket(s) & Overview --------------------------- N/A Test Sites: ---------- Asheville, NC Augusta, GA Orlando, FL Documentation Retrieval Instructions ------------------------------------ Updated 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 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://www.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Deployment, Installation, ib_2_0_p576_ig.pdf Binary Back-out/Rollback Guide (IB*2.0*576) EDI User Guide edi_user_guide_r0717.pdf Binary Patch Installation: Pre/Post Installation Overview ------------------------------ The Pre-install routine (IBY576PR) will automatically do the following: * Update entries used by the Forms Output Utility [IBCE OUTPUT FORMATTER]. The Post-install (IBY576PO) will automatically do the following: * Recompile the Billing Screen Input Templates * Modify an existing entry in IB ERROR file (#350.8) or add entry if not found. Routines IBY576PO and IBY576PR may be manually deleted by IT/IRM upon completion of the installation. 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 option. When prompted for the INSTALL enter the patch #(ex. XXX*X.X*XX): 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO// 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// 7. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0 Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 45 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCECOB Before: B35210416 After: B35526743 **137,155,288,432,488,516,547,576** Routine Name: IBCF22 Before: B23925078 After: B30913378 **52,80,122,51,210,488,576** Routine Name: IBCNSU Before: B38899795 After: B41305219 **28,103,371,576** Routine Name: IBY576PO Before: n/a After: B4730222 **576** Routine Name: IBY576PR Before: n/a After: B3123249 **576** Routine list of preceding patches: 371, 547 ============================================================================= User Information: Entered By : Date Entered : OCT 07, 2016 Completed By: Date Completed: JUL 24, 2017 Released By : Date Released : JUL 24, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT