============================================================================= Run Date: DEC 16, 2010 Designation: BPS*1*9 Package : BPS - E CLAIMS MGMT ENGINE Priority: Mandatory Version : 1 SEQ #9 Status: Released Compliance Date: JAN 16, 2011 ============================================================================= Associated patches: (v)BPS*1*8 <<= must be installed BEFORE `BPS*1*9' Subject: ePharmacy Tricare Active Duty Category: - Routine - Enhancement (Mandatory) - Other Description: ============ This patch has enhancements which extend the capabilities of the Veterans Health Information Systems and Technology Architecture (VistA) electronic pharmacy (ePharmacy) billing system. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH -------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*358 INTEGRATED BILLING (IB) V. 2.0 IB*2*434 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*9 The three patches (PSO*7*358, IB*2*434 and BPS*1*9) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution BPS PSO IB BUNDLE 5.0. For more specific instructions please refer to the installation steps provided in each of the patches. The combined build will allow the processing and release of prescriptions for TRICARE active duty patients. This specific patch contains functionality for the following: 1. Create a bypass function to circumvent ePharmacy processing for TRICARE eligible inpatients. 2. Create new mail group, BPS TRICARE, to receive messages regarding the use of the new functionality. 3. Create a new reject code of "eT" in the BPS NCPDP REJECT CODE dictionary with a description of "TRICARE-DRUG NON BILLABLE". The new code will be used for TRICARE non-billable prescriptions that are sent to the Third Party Payer Rejects Worklist. 4. The following modification were made to the Process Secondary/ TRICARE Rx to ECME option: 4.1 Verify that the selected RX/Fill has a Primary claim that was previously submitted through ECME. 4.2 Verify that the patient has valid ePharmacy coverage for Date Of Service for the RX/Fill. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There are no NSR associated with this patch. This patch addresses the following Remedy Tickets: ---------------------------------------------------- There are no Remedy Tickets associated with this patch. Components Sent With Patch -------------------------- The following is a new mail group included in this patch: BPS TRICARE Documentation Retrieval: ------------------------ Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov 3. Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. The documentation distribution includes: FILE NAME DESCRIPTION --------------------------------------------------------------------- bps_1_p9_rn.pdf ECME Release Notes BPS_1_TM_R1110.pdf ECME Technical Manual Test Sites: ----------- Louisville Loma Linda Tampa Heartland West Phoenix Pre/Post Installation Overview ------------------------------ The post-installation routine is BPS10P9. This routine will add a new entry into the BPS NCPDP REJECT CODE file (#9002313.93), the new entry will be TRICARE Reject code "eT". The post-installation routine is automatically deleted by KIDS if allowed by your local Kernel parameters configuration. ================INSTALLATION INSTRUCTIONS ================= To avoid disruptions, these patches should be installed when users are not on the system and during non-peak hours. Of particular concern would be the items below. 1. Do not queue this installation to run at a later time because you will be prompted to enter information during the installation. 2. Do not install the patch when ECME claims are being generated by the BPS Nightly Background Job option [BPS NIGHTLY BACKGROUND JOB]. Wait for this job to finish or complete the installation before this job starts. 3. Do not install the patch when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. Check with Pharmacy Service or your pharmacy Automated Data Processing Application Coordinator (ADPAC) to find out when CMOP transmissions occur. 4. If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. ECME [BPSMENU] Potential TRICARE Claims Report [BPS COB RPT TRICARE CLAIMS] Process Secondary/TRICARE Rx [BPS COB PROCESS SECOND to ECME TRICARE] Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] Print from Suspense File [PSO PNDLBL] Pull Early from Suspense [PSO PNDRX] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] Install Time - Less than 5 minutes 1. OBTAIN PATCHES -------------- Obtain the host file BPS_1_9_PSO_IB.KID, which contains the following three patch installs: BPS*1.0*9 PSO*7.0*358 IB*2.0*434 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The BPS_1_9_PSO_IB.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- From the Installation menu, select the Load a Distribution option. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file BPS_1_9_PSO_IB.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_9_PSO_IB.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB BUNDLE 5.0 BPS*1.0*9 PSO*7.0*358 IB*2.0*434 Use INSTALL NAME: BPS PSO IB BUNDLE 5.0 to install this Distribution. 4. RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD ------------------------------------------------- From the Installation menu, you may select to use the following options (when prompted for the INSTALL NAME, enter BPS PSO IB BUNDLE 5.0): 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. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of this KIDS patch. This will need to be run for the BPS PSO IB BUNDLE 5.0. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter BPS PSO IB BUNDLE 5.0. c. For the BPS*1*9 patch, enter the correct name when prompted "Enter the Coordinator for Mail Group 'BPS TRICARE':". Please contact your Medical Care Cost Recovery (MCCR) business department prior to installation to determine who will be the coordinator for this new mail group. This mail group will be used by the BPS Nightly Background Job. Its members will receive bulletins about electronic claims. d. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//" enter YES unless your system does this in a nightly TaskMan process. e. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" enter NO. f. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" enter YES only if installing this patch during the normal workday. g. If prompted "Enter options you wish to mark as 'Out of Order':" please enter the following options: ECME [BPSMENU] Potential TRICARE Claims Report [BPS COB RPT TRICARE CLAIMS] Process Secondary/TRICARE Rx [BPS COB PROCESS SECOND to ECME TRICARE] Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] Print from Suspense File [PSO PNDLBL] Pull Early from Suspense [PSO PNDRX] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] h. If prompted "Enter protocols you wish to mark as 'Out of Order':" please press . i. If prompted "Delay Install (Minutes): (0-60): 0//" please enter an appropriate number of minutes to delay the installation in order to give users enough time to exit the disabled options before the installation starts. j. When prompted "DEVICE: HOME//" respond with the correct device. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.0;E CLAIMS MGMT ENGINE;**[Patch List]**;JUN 2004;Build 18 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: BPS10P9 Before: n/a After: B2638132 **9** Routine Name: BPSBUTL Before: B54102124 After: B54583850 **1,3,2,5,7,8,9** Routine Name: BPSNCPD1 Before: B44878746 After: B45314557 **1,3,5,6,7,8,9** Routine Name: BPSPRRX Before: B99076770 After:B106329171 **8,9** Routine Name: BPSPRRX1 Before: B12437232 After: B13134938 **8,9** Routine Name: BPSPRRX4 Before: B15420214 After: B20637795 **8,9** Routine Name: BPSRPT9A Before: B71706588 After: B82830891 **8,9** Routine Name: BPSSCRU3 Before: B30637579 After: B31012225 **1,5,7,8,9** Routine list of preceding patches: 8 ============================================================================= User Information: Entered By : BLAESER,DAVID Date Entered : MAY 27, 2010 Completed By: CONQUEST,KENNETH Date Completed: DEC 15, 2010 Released By : BOTTINI,STEVE Date Released : DEC 16, 2010 ============================================================================= Packman Mail Message: ===================== No routines included