$TXT Created by at TAS-EBIL-HFD.AAC.DOMAIN.EXT (KIDS) on Tuesday, 08/22/17 at 11:30 ============================================================================= Run Date: OCT 23, 2017 Designation: IB*2*577 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #547 Status: Released Compliance Date: NOV 22, 2017 ============================================================================= Associated patches: (v)IB*2*407 <<= must be installed BEFORE `IB*2*577' (v)IB*2*522 <<= must be installed BEFORE `IB*2*577' (v)IB*2*547 <<= must be installed BEFORE `IB*2*577' (v)IB*2*550 <<= must be installed BEFORE `IB*2*577' (v)IB*2*554 <<= must be installed BEFORE `IB*2*577' (v)IB*2*576 <<= must be installed BEFORE `IB*2*577' Subject: MCCF EDI TAS BUILD 2 Category: - Enhancement (Mandatory) - Other - Data Dictionary - Routine Description: ============ Important Note: In production, there is one **MANDATORY** pre-installation activity associated with this install. The Integrated Billing (IB) Staff MUST empty the 837 extract/transmission queue PRIOR to the installation of this patch. Please reference instructions from the Pre/Post Installation Overview for further details. Integrated Billing (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: * Cloning a Primary Claim The option Copy and Cancel [IB COPY AND CANCEL], cancels the bill associated with the bill number entered by the user. It also creates a new bill, with a new bill number. If the original bill is a primary claim (destination payer is the primary payer) and it has one or more associated Medicare-equivalent Remittance Advice (MRA) or Explanation of Benefits (EOB), then the new primary claim will now copy the COB data from the MRA/EOB to the new primary claim correctly. * Field Length Adjustments The IB VistA package has the ability to send proprietary professional and institutional medical claims to Financial Services Center(FSC). These claims contain data that is used by FSC to create transactions that comply with the X12N/005010X222 Health Care Claim (837) and X12N/005010X223 Health Care Claim (837) standards. Where possible, the IB software has been modified so that claim data can be transmitted in updated data element sizes, in the proprietary claim messages sent to FSC, that are compliant with the latest version of the 837 standards. The IB software has also been modified to allow the entry of longer data. This change ensures that the third party payers receive and process claims and distribute payments to the Department of Veterans Affairs (VA) without any issues caused because VistA could not capture or store data elements as long as those allowed by the standards. * Unit or Basis for Measurements Codes for Drugs Previously, when creating professional and institutional bills for submission to payers, the system automatically defaulted to Unit as the type of measurement and users were unable to choose another type of measurement. Users were prompted to enter only the quantity of units. The billing staff needed to be able to submit the correct type of units or basis for measurement codes and a quantity of units for medications provided during appointments. These units or basis for measurement codes are specific to the National Drug Code associated with the medication. The system has been updated to allow for different types of measurement (qualifiers) to be available to users. Users can enter ?? to display the available selections for a Unit or Basis for Measurement code. The default value for unit or basis of measurement continues to be Unit. The following units or basis for measurement codes have been made available from which billing staff can select: o F2 - International Unit o GR - Gram o ME - Milligram o ML - Milliliter o UN - Unit * Print NDC Number on UB04 The IB VistA package has been modified to print the type of unit or basis for measurement on Form Locator 43 on a locally printed UB04 claim form. This is in addition to the printing of a non- prescription National Drug Code (NDC) number and the quantity of the medication delivered that previously printed on the UB04 claim form. * Process Payer ID - Store HCCH Payer ID The Integrated Billing (IB) VistA package has been modified so that for when there is no Professional or Institutional Payer ID defined in VistA and a claim (or claims) is transmitted to the payer(s) and the Health Care Clearing House (HCCH) has an electronic agreement with the payer(s), the HCCH is to do a lookup of the Payer IDs and return them to VistA in a 277STAT transaction. The VistA software now uses the Payer IDs in the 277STAT message to update the Payer IDs for the corresponding companies in the Insurance Company file (#36) when those fields are blank. The system now processes a 277STAT message from Health Care Clearing House (HCCH) and evaluates/updates Payer IDs as follows: o Update the Insurance file, field EDI ID NUMBER - PROF [#36,3.02] or EDI ID NUMBER - INST [#36,3.04] with the Payer IDs from the 277STAT transaction only when the value that is on file is blank. When these fields are updated new data elements to capture changes are also updated along with the date of update for reporting purposes. o If the Payer ID from the 277STAT transaction is different than what is stored and it is not blank, then no update occurs, but the data is stored with the new data elements including the date for reporting purposes only. Also the intermittent issue of updating EDI ID numbers when there is no value stored, has been resolved. * Payer ID Report A new report has been created which, based on a specified period of time, identifies what Insurance Company payers identification numbers (EDI ID NUMBER - PROF [#36,3.02] or EDI ID NUMBER - INST [#36,3.04] the system has either changed or attempted to change as a result of a 277STAT message received from the Health Care Clearing House (HCCH). Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- 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 277EDI ID NUMBER sub-file (#36.017) New IB ERROR (#350.8) Modified Screen: I $$INC3508^IBY577PR(Y) IB SITE PARAMETERS (#350.9) Modified PAY-TO PROVIDERS sub-file (#350.9004) Modified STREET ADDRESS 1 (#1.01) Modified STREET ADDRESS 2 (#1.02) Modified IB NON/OTHER VA BILLING PROVIDER (#355.93) Modified NAME (#.01) Modified STREET ADDRESS (#.05) Modified IB FORM SKELETON DEFINITION (#364.6) Modified Screen: I $$INCLUDE^IBY577PR(6,Y) IB FORM FIELD CONTENT (#364.7) Modified Screen: I $$INCLUDE^IBY577PR(7,Y) BILL/CLAIMS (#399) Modified CURRENT BILL PAYER SEQUENCE (#.21) Modified TREATMENT AUTHORIZATION CODE (#163) Modified OFFSET AMOUNT (#202) Modified SECONDARY AUTHORIZATION CODE (#230) Modified TERTIARY AUTHORIZATION CODE (#231) Modified PRIMARY REFERRAL NUMBER (#253) Modified SECONDARY REFERRAL NUMBER (#254) Modified TERTIARY REFERRAL NUMBER (#255) Modified PROPERTY/CASUALTY CLAIM NUMBER Modified (#261) AMBULANCE P/U ADDRESS 1 (#271) Modified AMBULANCE P/U ADDRESS 2 (#272) Modified AMBULANCE D/O ADDRESS 1 (#277) Modified AMBULANCE D/O ADDRESS 2 (#278) Modified PROCEDURES sub-file (#399.0304) Modified UNITS/BASIS OF MEASUREMENT (#52) New NDC (#53) Modified UNITS (#54) Modified Bulletins Associated: New/Modified/ Bulletin Name Deleted ------------- ------------- N/A Dialogs Associated: New/Modified/ Dialog Name Deleted ----------- ------------- N/A Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Functions Associated: New/Modified/ Function Name Deleted ------------- ------------- N/A HL Logical Link: New/Modified/ HL Logical Name Deleted --------------- ------------- N/A HL7 Application Parameters: New/Modified/ HL7 Parameter Name Deleted ------------------ ------------- N/A HLO Application Registry: New/Modified/ HLO Registry Name Deleted ----------------- ------------- N/A Help Frames Associated: New/Modified/ Help Frame Name Deleted --------------- ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------- N/A Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- IB HCCH PAYER ID REPORT run routine New IB SYSTEM DEFINITION MENU menu Modified Parameter Definitions: New/Modified/ Parameter Name Deleted -------------- ------------- N/A Parameter Template: New/Modified/ Template Name Deleted ------------- ------------- N/A Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- IBJP IB PAY-TO ASSOCIATIONS MENU Modified IBJP IB PAY-TO DIVISION ADD Modified IBJP IB PAY-TO PROVIDER ADD Modified IBJP IB PAY-TO PROVIDER DEL Modified IBJP IB PAY-TO PROVIDER DIVISIONS Modified IBJP IB PAY-TO PROVIDER EDIT Modified IBJP IB PAY-TO PROVIDERS MENU Modified Remote Procedures Associated: New/Modified/ Remote Procedure Name Deleted --------------------- ------------- N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates, Input Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Templates, List Associated: New/Modified/ Template Name Type Deleted ------------- ---- ------------- N/A Templates, Print Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Templates, Sort Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- 1. I16136712FY17 - Nine Digit Zip Code Issue After IB*2.0*576 Problem: ------- There was an issue caused by IB*2.0*576 that made 9 digit zip codes in the INSURANCE COMPANY (#36) file display without the hyphen. The output transform which adds the hyphens during display, when called using FileMan utilities, was present but not being invoked. Resolution: ---------- The output transform on the six zip code fields in question were deleted and then added back to the fields. Test Sites: ---------- Orlando Fargo Omaha Cleveland 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: 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 SFTP Mode ----------------------------------------------------------------------- Deployment, Installation, ib_2_0_p577_ig.pdf Binary Back-out, and Rollback Guide (IB*2.0*577) EDI User Guide ib_2_0_p577_edi_ug.pdf Binary Integrated Billing (IB) V.2.0 ib_2_0_p577_tm.pdf Binary Technical Manual Patch Installation: Pre/Post Installation Overview ------------------------------ ************************************************************************* * 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. * ************************************************************************* INSTRUCTIONS ON HOW TO EMPTY THE 837 EXTRACT TRANSMISSION QUEUE: =============================================================== The site Information Resource Management (IRM) MUST 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. ------------------------------------------------------------------------ The Pre-install routine (IBY577PR) will automatically do the following: * Update entries used by the Forms Output Utility [IBCE OUTPUT FORMATTER]. * Add a new entry in IB ERROR file (#350.8). The Post-install (IBY577PO) will automatically do the following: * Recompile the Billing Screen Input Templates * Survey the Form Type file (#353) to identify which form numbers are being used at the site. Then an email will be attempted to be sent to the MCCF EDI TAS Development Team with this information which will be used to determine which form numbers are available for future development. Routines IBY577PO and IBY577PR 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 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 # (ex. XXX*X.X*XX) 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 38 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCBB1 Before:B124097608 After:B125745915 **27,52,80,93,106,51,151,148, 153,137,232,280,155,320,343, 349,363,371,395,384,432,447, 488,554,577** Routine Name: IBCBB11 Before: B96464375 After:B112052327 **51,343,363,371,395,392,401, 384,400,436,432,516,550,577** Routine Name: IBCCC2 Before:B113680571 After:B116481460 **80,106,124,138,51,151,137, 161,182,211,245,155,296,320, 348,349,371,400,433,432,447, 516,577** Routine Name: IBCEF11 Before: B80990662 After: B86419290 **51,137,155,309,335,348,349, 371,432,447,473,516,577** Routine Name: IBCEF22 Before: B90984490 After: B97383500 **51,137,135,155,309,349,389, 432,488,516,577** Routine Name: IBCEF77 Before: B27920356 After: B27726430 **232,280,155,290,291,320,348, 349,516,577** Routine Name: IBCERP7 Before: n/a After: B32855168 **577** Routine Name: IBCEST Before: B76027306 After: B96695131 **137,189,197,135,283,320,368, 397,407,577** Routine Name: IBCF23A Before: B37854610 After: B39049121 **51,432,516,547,577** Routine Name: IBCF33 Before: B31973795 After: B35272389 **52,80,109,51,230,349,577** Routine Name: IBCSC8 Before: B9775351 After: B9956514 **432,447,488,577** Routine Name: IBCSC9 Before: B7536045 After: B9101884 **52,51,447,473,577** Routine Name: IBCU7 Before:B113207672 After:B116490042 **62,52,106,125,51,137,210,245, 228,260,348,371,432,447,488, 461,516,522,577** Routine Name: IBJPS3 Before:B111722417 After:B122000376 **400,432,516,577** Routine Name: IBY577PO Before: n/a After: B6012728 **577** Routine Name: IBY577PR Before: n/a After: B5196967 **577** Routine list of preceding patches: 407, 522, 547, 550, 554 ============================================================================= User Information: Entered By : HRISTOPHER Date Entered : OCT 07, 2016 Completed By: Date Completed: OCT 18, 2017 Released By : Date Released : OCT 23, 2017 ============================================================================= Packman Mail Message: ===================== $END TXT