$TXT Created by LEYVA,KATHRYN at DEVVPP.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 01/25/11 at 17:00 ============================================================================= Run Date: MAR 17, 2011 Designation: FB*3.5*116 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #104 Status: Released Compliance Date: APR 17, 2011 ============================================================================= Associated patches: (v)FB*3.5*67 <<= must be installed BEFORE `FB*3.5*116' (v)FB*3.5*77 <<= must be installed BEFORE `FB*3.5*116' (v)FB*3.5*79 <<= must be installed BEFORE `FB*3.5*116' (v)FB*3.5*98 <<= must be installed BEFORE `FB*3.5*116' Subject: REPORT ZERO DOLLAR LINE ITEMS Category: - Enhancement (Mandatory) - Routine Description: ============ ************************************************************************ * If your site is using the Fee Basis Claims System (FBCS), you must * * install DSIF*3.2*10 immediately after installing FB*3.5*116 to * * avoid application/processing errors. If your site is not using * * FBCS, there is no need to install the FBCS patch. * * * ************************************************************************ The Chief Business Office (CBO) requested an enhancement to the VistA Fee Basis package that will report $0 amount paid line items at local Fee and national systems. Although VistA Fee Basis captures line items that are not reimbursed ($0 payment line items), these line items have not been transmitted to national financial processing systems as these systems had not been designed to process $0 line items. Consequently, these line items were not included in workload reporting, and since the remittance advice and explanation of benefits provided to non-VA health care providers does not include $0 line items, they are not considered Health Insurance Portability and Accountability Act (HIPAA) compliant. Enhancements to the existing VistA Fee Basis software application will allow for transmittal of payment line items that have $0 amount paid. The Central Fee system located at the Austin Information Technology Center (AITC) and the Fee Payment Processing System (FPPS) located at the Health Administration Center (HAC) are the external systems that will need to be able to receive and process the $0 amount paid line items. The changes made by this patch are described below: Queue Data for Transmission [FBAA QUEUE DATA FOR TRANS.] - Transmits to Central Fee in Austin FEE payments and Master Record Adjustments (MRA) using Mailman. The software that supports this option was modified to remove the software that prevented the $0 amount paid line items being exported to Central Fee. Release a Batch [FBAA SUPERVISOR RELEASE] - Releases a payment batch that is ready to be transmitted to Central Fee. Since the systematic queue of EDI invoices with $0.00 line items gets performed when VistA receives the payment confirmation/cancellation results from Central Fee, the Release a Batch software was modified to no longer queue EDI invoices with a total amount paid of $0.00 to the FPPS QUEUED INVOICES file (#163.5). As there are restrictions on the size of a batch that Central Fee can receive and process, the software that supports the payment processing options was modified to include the payment lines that have $0 amount paid in the line count of a given batch. The count value is populated in the PAYMENT LINE COUNT field (#10) of the FEE BASIS BATCH (#161.7) file. The following options were modified: Enter Payment [FBAA ENTER PAYMENT] C&P/Multiple Patient Payment Entry [FBAA C&P ENTER PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] Payments for Unauthorized Claims [FBUC PAYMENTS] Close-out Batch [FBAA CLOSE BATCH] Closeout Pharmacy Invoice [FBAA CLOSE OUT INVOICE] List Items in Batch [FBAA LIST BATCH] The software that supports the Close-out Batch [FBAA CLOSE BATCH] option shall be modified to prevent Medical Fee and Pricer Exempt Civil Hospital payment batches from being closed when zero dollar ($0.00) amount paid invoice(s) exist on the batch. The batch shall remain in the "OPEN" status until the zero dollar invoice(s) has/have been removed from the batch or corrected to reflect non-zero dollar line items. The software that supports the Release a Batch [FBAA SUPERVISOR RELEASE] option shall be modified to prevent Pricer Non-Exempt Civil Hospital payment batches being released when zero dollar ($0.00) amount paid invoice(s) exist on the batch. The batch shall remain in the "ASSIGNED PRICE" status until the zero dollar invoice(s) have been removed from the batch or corrected to reflect non-zero dollar line items. The software that supports the Closeout Pharmacy Invoice [FBAA CLOSE OUT INVOICE] option shall be modified to prevent batch assignment to Pharmacy invoices that have been entered as zero dollar ($0.00) amount paid. The Line Item Status on the Pharmacy invoice shall remain in "Pending Payment Process" until the zero dollar amount paid line item(s) is/ are removed from the invoice or is corrected to reflect non-zero dollar. The payment software issues a prompt so that the user can identify if the payment lines are to be subject to interest penalty payments. The options that process the entry and edit of Medical Fee payments and Ancillary payments were modified to no longer gather interest indicators at the payment line level. This means that the user interface prompt, "Is this line item for a contracted service?", will no longer be issued for each payment line. Line items for contracted services will now reflect the interest indicator as it was answered at the invoice level. The PROMPT PAY TYPE field (#34) of the FEE BASIS PAYMENT (#162) file will get populated with the interest indicator value captured at the invoice level for proper processing at the Central Fee system and the Financial Management System (FMS). The following options were modified: Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] Edit Payment [FBAA EDIT PAYMENT] Enter Payment [FBAA ENTER PAYMENT] Payments for Unauthorized Claims [FBUC PAYMENTS] The Fee Basis patch FB*3.5*116 has an environment check routine that checks for batches that are "in-process". Batches with a status of 'CLERK CLOSED', 'SUPERVISOR CLOSED' and 'REVIEWED AFTER PRICER' are examined to determine if zero dollar ($0.00) amount paid invoices exist. If it is determined that "in-process" batches exist, then the installation of FB*3.5*116 will terminate; an abort message is generated and displayed to the installer of the patch; a Mailman bulletin will be generated that will identify the batches with $0 invoices and will instruct the Fee staff of the proper action; and the bulletin will be sent to the FEE mailgroup. Until further action is performed by the Fee staff, the patch cannot be installed. Please refer to the Release Notes distributed with this patch for more detailed steps on how to resolve $0 invoices that may be on the system. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- 20090614 - Fee Basis $0 Line Item Data Enhancement This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- There are no Remedy tickets associated with this patch. Documentation Retrieval: ------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from download.vista.med.va.gov. This transmits 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 documentation will be in the form of Adobe Acrobat files. Below is a list of the files related to this patch that will be needed and available via the FTP sites listed above. File Description File Name FTP Mode --------------------------------------------------------------- Release Notes fb_35_116_rn.pdf binary User Manual fb_35_um1_revised_feb11.pdf binary fb_35_um2_revised_feb11.pdf binary fb_35_um3_revised_feb11.pdf binary Documentation can also be found, in both Adobe Acrobat and Word, on the System Design and Development Web page at: http://www.va.gov/vdl/ Test Sites: ----------- Grand Junction Montana HCS Phoenix Tampa ================INSTALLATION INSTRUCTIONS ================= If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Payment Process Menu [FBCH PAYMENT MENU] Payment menu [FBAA PAYMENT MENU] Payments for Unauthorized Claims [FBUC PAYMENTS] Batch Main Menu - CH [FBCH BATCH OPTIONS] Batch Main Menu [FBAA BATCH MENU] Batch Menu - Pharmacy [FBAA PHARMACY BATCH OPTIONS] Release a Batch [FBAA SUPERVISOR RELEASE] Queue Data for Transmission [FBAA QUEUE DATA FOR TRANS.] Install Time - less than 5 minutes 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [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. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter FB*3.5*116): 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. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' Answer NO if your system does this in a nightly TaskMan process. (Answering YES can increase the installation time.) c. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO d. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES e. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Payment Process Menu [FBCH PAYMENT MENU] Payment menu [FBAA PAYMENT MENU] Payments for Unauthorized Claims [FBUC PAYMENTS] Batch Main Menu - CH [FBCH BATCH OPTIONS] Batch Main Menu [FBAA BATCH MENU] Batch Menu - Pharmacy [FBAA PHARMACY BATCH OPTIONS] Release a Batch [FBAA SUPERVISOR RELEASE] Queue Data for Transmission [FBAA QUEUE DATA FOR TRANS] f. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . Routine Information: ==================== The second line of each of these routines now looks like: ;;3.5;FEE BASIS;**[Patch List]**;JAN 30, 1995;Build 30 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAACCB Before: B28006172 After: B34837713 **4,61,77,116** Routine Name: FBAACCB0 Before: B9170852 After: B9605771 **5,4,116** Routine Name: FBAACCB1 Before: B22926738 After: B24359201 **55,61,116** Routine Name: FBAACO Before: B31870398 After: B28424330 **4,61,79,116** Routine Name: FBAACO2 Before: B12950547 After: B12957977 **4,55,61,77,116** Routine Name: FBAACO3 Before: B47823377 After: B48295702 **4,38,55,61,116** Routine Name: FBAACP1 Before: B6734409 After: B6699484 **4,61,116** Routine Name: FBAAMP Before: B63835336 After: B64408896 **4,21,38,55,61,67,116** Routine Name: FBAAPET Before: B34367757 After: B33779075 **4,38,55,61,77,116** Routine Name: FBAAPIP Before: B13867541 After: B14820302 **116** Routine Name: FBAASCB Before: B23905595 After: B23609721 **38,61,116** Routine Name: FBAASCB0 Before: B16119152 After: B19526441 **116** Routine Name: FBAAV0 Before: B39511584 After: B39796273 **3,4,55,89,98,116** Routine Name: FBAAV2 Before: B11520151 After: B11664283 **3,89,98,116** Routine Name: FBAAV3 Before: B3268497 After: B3282866 **3,89,116** Routine Name: FBAAV5 Before: B47766353 After: B48447360 **3,55,89,98,116** Routine Name: FBCHPET Before: B31972937 After: B31374746 **4,38,61,77,116** Routine Name: FBXIP116 Before: n/a After: B32794794 **116** Routine list of preceding patches: 67, 77, 79, 98 ============================================================================= User Information: Entered By : LEYVA,KATHRYN Date Entered : JUL 07, 2010 Completed By: ROBBINS,BRADLEY Date Completed: MAR 16, 2011 Released By : JACKSON,SHERYL Date Released : MAR 17, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT