============================================================================= Run Date: JUN 24, 2010 Designation: FB*3.5*112 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #101 Status: Released Compliance Date: JUL 25, 2010 ============================================================================= Associated patches: (v)FB*3.5*110 <<= must be installed BEFORE `FB*3.5*112' (v)FB*3.5*111 <<= must be installed BEFORE `FB*3.5*112' Subject: CY2009 Q4 UPDATE & CY2010 UPDATE Category: - Routine - Other Description: ============ This patch has the following changes: -Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for October 2009. -Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for Calendar Year (CY) 2010. ASSOCIATED REMEDY: ================= 1) HD0000000355331 - Physician Fee Schedule has been revised for the October 2009 release. 2) HD0000000360782 - Fee Basis Annual Update for CY2010 ASSOCIATED NSR(s): ================== N/A PARTICIPATING TEST SITES: ======================== Bay Pines, FL Montana HCS TN Valley HCS REMEDY OVERVIEW: =============== 1) HD0000000355331 - Physician Fee Schedule has been revised for the October 2009 release. Problem: ======== There is a quarterly update (October 2009) available for the Resource Based Relative Value Schedule. More information is available at: http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6617.pdf or http://www.cms.hhs.gov/Transmittals/downloads/R1810CP.pdf Solution: ========= This patch updates the data needed to calculate fee schedule amounts based on the RBRVS (also referred to as the Medicare Physician Fee Schedule) for calendar year 2009. 2) HD0000000360782 - Fee Basis Annual Update for CY2010 Problem: ======== The RBRVS schedule needs to be updated for the calendar year 2010. Solution: ========= This patch includes the data needed to calculate fee schedule amounts based on the RBRVS (also referred to as Medicare Physician Fee Schedule) for calendar year 2010. The RBRVS fee schedule for future calendar years will be issued by a patch as they become available. The RBRVS fee schedule data is contained in four existing files. These files are all stored in global "^FB". The four files are: FEE BASIS GEOGRAPHIC INDEX (#162.96) file FEE BASIS CPT RVU (#162.97) file FEE BASIS MODIFIER TABLE INDEX (#162.98) file FEE BASIS HCFA CONVERSION (#162.99) file The additional data added by this patch will increase the size of the FB global by approximately 5 MB. Installation of this patch will affect the menu options used to enter or edit payments for the Medical Fee program (outpatient) and ancillary payments for the Civil Hospital program. The calendar year 2010 RBRVS fee schedule will be used for payments that have a date of service on or after January 1, 2010. The RBRVS fee schedules for calendar years beginning 1999 through 2009 will be retained in the computer and will continue to be used for payments that have a date of service on or after September 1, 1999 and before January 1, 2010. The computer would have used the 2002 RBRVS fee schedule for any payments entered prior to the installation of this patch that had a date of service on or before March 1, 2003. Existing payments are NOT modified by this patch. The fee schedule amount is only calculated when payments are entered or edited. The PLACE OF SERVICE (POS) code is used to determine if the facility or non-facility practice expense Relative Value Unit (RVU) should be used during RBRVS fee schedule calculations. The list of codes considered facility and non-facility has not changed since 2007. Here are the 2010 valid POS codes that are in effect. Codes considered as facility setting - 21,22,23,24,26,31,34,41,42,51,52,53,56,61 Codes considered as non-facility setting - 01,03,04,09,11,12,13,14,15,20,25,32,33,49,50,54,55,57,60,62,65,71, 72,81,99 The following five options are used to enter or edit payments for the Medical Fee (outpatient) program: Enter Payment [FBAA ENTER PAYMENT] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] C&P/Multiple Patient Payment Entry [FBAA C&P ENTER PAYMENT] Reimbursement Payment Entry [FBAA MEDICAL REIMBURSEMENT] Edit Payment [FBAA EDIT PAYMENT] The following four options are used to enter or edit ancillary payments for the Civil Hospital program: Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Patient Reimbursement for Ancillary [FBCH ANCILLARY REIMBURSEMENT] Services Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] The following option is used to calculate a fee schedule amount without having to enter a payment: Calculate Payment Amount [FBAA FEE SCHEDULE RATE] INSTALLATION INSTRUCTIONS ========================= This patch may be installed during normal working hours with all users on the system. However, as it is necessary to disable some menu options when installing this patch it is recommended that the install be done during non-peak hours. Additionally, installing during peak hours may lead to an unusually long install time. ************************************************************************* * Install Time * * During testing, one site installed in less than 20 minutes while * * another site took over 2 hours. A production install of a previous * * RBRVS update took slightly over 10 hours. * * * * Installation time will vary. * ************************************************************************* Post-install routine, FBXIP112 can be deleted after the patch has been installed. 1. Retrieve the KIDS distribution host file. This patch will be distributed in a host file due to the amount of data contained in the patch. The name of the host file is: FEE3_5P112.KID 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 FEE3_5P112.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. Load the KIDS distribution that is contained in file FEE3_5P109.KID using the Load a Distribution option on the Installation menu. 3. Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 4. From this menu, you may elect to use the following options (When prompted for the INSTALL NAME, enter FB*3.5*112): 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. Use the Install Package(s) option and select the package FB*3.5*112. a. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. b. When prompted 'Want to DISABLE Scheduled Options and Menu Options and Protocols? YES//', answer YES. When prompted, 'Enter options you wish to mark as 'Out Of Order':', enter: Enter Payment [FBAA ENTER PAYMENT] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] C&P/Multiple Patient Payment Entry [FBAA C&P ENTER PAYMENT] Reimbursement Payment Entry [FBAA MEDICAL REIMBURSEMENT] Edit Payment [FBAA EDIT PAYMENT] Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Patient Reimbursement for Ancillary [FBCH ANCILLARY REIMBURSEMENT] Services Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] Calculate Payment Amount [FBAA FEE SCHEDULE RATE] When prompted, 'Enter protocols you wish to mark as 'Out of Order':', enter: Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAAFSR Before: B45374746 After: B47161636 **4,53,71,84,92,93,99,102,105, 109,110,112** Routine Name: FBXIP112 Before: n/a After: B1773887 **112** Routine list of preceding patches: 110 ============================================================================= User Information: Entered By : CHANDARANA,RISHAN Date Entered : JUN 17, 2009 Completed By: DAWSON,TIM Date Completed: JUN 10, 2010 Released By : GANUS,MAUNETTE Date Released : JUN 24, 2010 ============================================================================= Packman Mail Message: ===================== No routines included