$TXT Created by DEWAYNE,BRANDON PAUL at SMA.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 10/27/11 at 07:42 ============================================================================= Run Date: DEC 29, 2011 Designation: FB*3.5*122 Package : FB - FEE BASIS Priority: EMERGENCY Version : 3.5 SEQ #110 Status: Released Compliance Date: JAN 04, 2012 ============================================================================= Associated patches: (v)FB*3.5*121 <<= must be installed BEFORE `FB*3.5*122' Subject: HIPAA 5010 SCREENS AND MESSAGING Category: - Enhancement () - Routine - Input Template - Data Dictionary - Other Description: ============ ************************************************************************ * Please make sure FB*3.5*122 has been successfully installed before * * installing FB*3.5*133. * * * * FB*3.5*133 MUST be installed immediately after FB*3.5*122 to avoid * * application/processing errors. * ************************************************************************ This patch enhances the VistA Fee Basis software for 5010 compliance. It includes changes to VistA options (routines/input templates) to allow sites to edit the new fields for storing Health Insurance Portability and Accountability Act (HIPAA) 5010 provider information and for VistA Integrated Billing (IB) to view the 5010 data on the Potential Cost Recovery Report (PCRR). These changes are necessary in order to generate minimally mandated 5010 requirements for 837 and 835 claim transactions prior to Jan 1, 2012. The patch modifies VistA Fee Basis routines and input templates for creating/editing and displaying claim and invoice data for HIPAA 5010 provider data (name, NPI, Taxonomy code). It also includes changes to the Health Level 7 (HL7) message format sent from VistA Fee Basis to the Fee Payment Processing System (FPPS) to include bank name, routing and account number data for Electronic Fund Transfer (EFT) claims processed by the Treasury. The patch includes a new Fee Basis monitoring option that will process in the background and alert Fee users and national Fee personnel if the Transmit Invoices to FPPS [FB FPPS TRANSMIT] option has not been running in a timely manner. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------------------------------------------------------------ FEE BASIS PAYMENT (162) SERVICING FACILITY ADDRESS (#76) New FEE BASIS PAYMENT (162) SERVICING FACILITY CITY (#77) New FEE BASIS PAYMENT (162) SERVICING FACILITY STATE (#78) New FEE BASIS PAYMENT (162) SERVICING FACILITY ZIP (#79) New FEE BASIS INVOICE (162.5) SERVICING FACILITY ADDRESS (#80) New FEE BASIS INVOICE (162.5) SERVICING FACILITY CITY (#81) New FEE BASIS INVOICE (162.5) SERVICING FACILITY STATE (#82) New FEE BASIS INVOICE (162.5) SERVICING FACILITY ZIP (#83) New Forms Associated: N/A Mail Groups Associated: N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- FB FPPS MONITOR run routine New Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- FBCH ENTER PAYMENT INPUT FEE BASIS INVOICE (#162.5) Modified FBCH EDIT PAYMENT INPUT FEE BASIS INVOICE (#162.5) Modified FBAA SITE PARAMETERS INPUT FEE BASIS SITE PARAMETERS (#161.4) Modified FBAA EDIT VENDOR INPUT FEE BASIS VENDOR (#161.2) Modified FBAA NEW VENDOR INPUT FEE BASIS VENDOR (#161.2) Modified Additional Information: N/A New Service Requests (NSRs) ---------------------------- NSR 20090705 VistA Fee HIPAA 5010 Implementation, Discovery and Requirements Note: This is the second of three patches for this NSR Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A ENHANCEMENTS TO THE VISTA FEE BASIS APPLICATION ======================================================================= 1. Editing new 5010 fields for Claim and Invoice options The following options will now display new fields to allow Fee users to edit HIPAA 5010 provider name, NPI and Taxonomy codes, as well as the Servicing Facility address information: Enter Invoice/Payment [FBCH ENTER PAYMENT] Invoice Edit [FBCH EDIT PAYMENT] Invoice Display [FBCH INVOICE DISPLAY] Edit Payment [FBAA EDIT PAYMENT] Enter Payment [FBAA ENTER PAYMENT] Invoice Display [FBAA INVOICE DISPLAY] The routines and input templates that were modified for these options are: FBCH ENTER PAYMENT - FBCHEP, (Template-FBCH ENTER PAYMENT), FBUTL8 FBCH EDIT PAYMENT - FBCHEP1, (Template-FBCH EDIT PAYMENT) FBCH INVOICE DISPLAY - FBCHDI2, FBCHVH FBAA EDIT PAYMENT - FBAAPET FBAA ENTER PAYMENT - FBAACO, FBAACO2, FBAACO3 FBAA INVOICE DISPLAY - FBAAPIN 2. Potential Cost Recovery Report [FB PCR] The Potential Cost Recovery Report will now contain new 5010 provider data. FBPCR2, FBPCR67, FBPCR671 were modified to display provider name, NPI and Taxonomy codes, and Servicing Facility address for the following 5010 provider fields: Attending Name, NPI and Taxonomy Code Operating Name, NPI Rendering Name, NPI and Taxonomy Code Servicing Name, NPI Servicing Facility Address and City, State, ZIP Referring Name, NPI 3. Transmit Invoices to FPPS [FB FPPS TRANSMIT] a. Modified the HL7 processing routines that process the payment response data from Central Fee to include bank routing number (9 characters), account number (17 characters) and bank name (30 characters) for EFT claims. The FT1 segment, field 30 will contain this data in the format: routing#^^^^^^^^acct#&name FT1||111999000999-1|50|20110603||FWT|1||||750.00||||||||||| |12344321050|||||||001019099^^^^^^^^123456789&WELLS FARGO BANK b. Routine FBFHLX was modified to save the start date/time and, when finished, the end date/time of the transmit option. It was also modified to record the record number being processed, and the date/time the record's processing started. Routine FBFHLX1 also was modified to record the record number being processed, and the date/time the record's processing started 4. Monitor status of FB FPPS TRANSMIT option [FB FPPS MONITOR] A new monitor option has been created to inform the G.FEE mail group internally through vista and mail group Fee.EDI_Issues externally through Outlook when issues are found with the FPPS TRANSMIT function. The monitor checks the FEE BASIS SITE PARAMETERS file (#161.4) fields: FPPS TRANSMIT START (#36) and FPPS TRANSMIT END (#37). If the date/time in the FPPS TRANSMIT START field is older than 2 days, a MailMan message will be sent informing the mail groups that the FPPS TRANSMIT has not been run. If the monitor determines that the last record update has been more that 1 hour ago, and the FPPS TRANSMIT START date/time is more recent than the FPPS TRANSMIT END, a MailMan message will be sent that the FPPS TRANSMIT has stalled with an error. The option is a schedulable option and will not be added to any FB menu. The new routine associated with this option is FBMON. 5. Display, Enter, Edit Demographics [FBAA VENDOR DEMOGRAPHICS] The Vendor edit option was modified to be able to view the HIPAA 5010 provider Taxonomy code if available. Routine FBAAVD was modified to display the Taxonomy code below the Billing Provider NPI if the Taxonomy code exists. The input templates (FBAA EDIT VENDOR) and (FBAA NEW VENDOR) were updated with the new taxonomy code. Test Sites: ---------- El Paso, TX Gainesville (N FL/S GA) Big Spring, TX Documentation Retrieval Instructions ------------------------------------ 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 Documentation can also be found on the VA Software Documentation Library at: http://www.va.gov/vdl/ Title File Name FTP Mode ------------------------------------------------------------------- Install Guide FB*3.5*122 FB_3_5_122_ig.pdf Binary Release Notes FB*3.5*122 FB_3_5_122_rn.pdf Binary Patch Installation: Pre/Post Installation Overview ------------------------------ The FB FPPS MONITOR queued option needs to be scheduled in order to verify that the Transmit Invoices to FPPS [FB FPPS TRANSMIT] option is being run in a timely manner. This option may also be added to the Fee Administrators secondary menu option list to be run interactively. 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 5 minutes to install. 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. Civil Hospital Main Menu [FBCH MAIN MENU] Medical Fee Main Menu [FBAA MEDICAL MAIN MENU] Transmit Invoices to FPPS [FB FPPS TRANSMIT] Pre-Installation Instructions ----------------------------- 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 FB*3.5*122 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 DDs 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, DDs, 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 Rebuild Menu Trees Upon Completion of Install? NO//' answer NO 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' answer NO 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer YES 8. When prompted 'Enter options you wish to mark as 'Out of Order':' Enter the following options: Civil Hospital Main Menu [FBCH MAIN MENU] Medical Fee Main Menu [FBAA MEDICAL MAIN MENU] Transmit Invoices to FPPS [FB FPPS TRANSMIT] When prompted 'Enter options you wish to mark as 'Out Of Order':' press 9. When prompted 'Enter protocols you wish to mark as 'Out of Order':' press 10. If prompted 'Delay Install (Minutes): (0 - 60): 0//' respond 0. Post-Installation Instructions ------------------------------ 1. Ensure that the Monitor status of FB FPPS TRANSMIT option [FB FPPS MONITOR] is queued to run on a nightly basis. **This option should be queued to run an hour AFTER the Transmit Invoices to FPPS [FB FPPS TRANSMIT] has completed processing ** In a Cache terminal session perform the following: VAH>D ^XUP Select OPTION NAME: XUTM MGR Taskman Management -------- Select Taskman Management Option: SCHedule/Unschedule Options --- Select OPTION to schedule or reschedule: FB FPPS MONITOR --------------- Are you adding 'FB FPPS MONITOR' as a new OPTION SCHEDULING (the 143RD)? No// YES Edit Option Schedule Option Name: FB FPPS MONITOR Menu Text: Monitor status of FB FPPS TRANSM TASK ID: 2944533 --------------------------------------------------------------------- QUEUED TO RUN AT WHAT TIME: T+1@0600 DEVICE FOR QUEUED JOB OUTPUT: QUEUED TO RUN ON VOLUME SET: RESCHEDULING FREQUENCY: 1D TASK PARAMETERS: SPECIAL QUEUEING: --------------------------------------------------------------------- Exit Save Next Page Refresh COMMAND: SAVE Press H for help Insert 2. The FB FPPS MONITOR can also be run interactively for current status information. Fee Administrators who wish to do this must have the option added as a secondary menu option in VistA. Edit an Existing User NAME: FEE,ADMINISTRATOR Page 1 of 5 --------------------------------------------------------------------- NAME... FEE,ADMINISTRATOR INITIAL: AF TITLE: NICK NAME: SSN: 666669090 DOB: FEB 7,1959 DEGREE: MAIL CODE: DISUSER: TERMINATION DATE: Termination Reason: PRIMARY MENU OPTION: FBAA MAIN MENU Select SECONDARY MENU OPTIONS: FB FPPS MONITOR *ADD OPTION HERE* Want to edit ACCESS CODE (Y/N): FILE MANAGER ACCESS CODE: Want to edit VERIFY CODE (Y/N): Select DIVISION: ALBANY SERVICE/SECTION: MEDICAL ADMINISTRATION --------------------------------------------------------------------- Monitor status of FB FPPS TRANSMIT option Are you adding 'FB FPPS MONITOR' as a new SECONDARY MENU OPTIONS (the 1ST for this NEW PERSON)? No// Y ------------------------------------------------------- | SECONDARY MENU OPTIONS | | | | SECONDARY MENU OPTIONS: FB FPPS MONITOR | | SYNONYM: FBM | ------------------------------------------------------- COMMAND: SAVE Press H for help Insert Routine Information: ==================== The second line of each of these routines now looks like: ;;3.5;FEE BASIS;**[Patch List]**;JAN 30, 1995;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAACO Before: B28424330 After: B28594326 **4,61,79,116,122** Routine Name: FBAACO2 Before: B12957977 After: B13323096 **4,55,61,77,116,122** Routine Name: FBAACO3 Before: B48295702 After: B50872609 **4,38,55,61,116,122** Routine Name: FBAAPET Before: B33779075 After: B35557510 **4,38,55,61,77,116,122** Routine Name: FBAAPIN Before: B23332246 After: B33397999 **4,61,122** Routine Name: FBAAVD Before: B27538301 After: B28132185 **9,98,111,122** Routine Name: FBAAVD2 Before: B33081836 After: B33240026 **9,10,47,65,98,111,122** Routine Name: FBCHDI2 Before: B4069030 After: B4376803 **122** Routine Name: FBCHEP Before: B30100976 After: B30542505 **4,61,77,82,122** Routine Name: FBCHEP1 Before: B11099974 After: B11345024 **38,61,122** Routine Name: FBCHVH Before: B17108073 After: B25718092 **55,61,122** Routine Name: FBFHLD3 Before: B16935419 After: B18574752 **61,122** Routine Name: FBFHLD9 Before: B9980518 After: B11448900 **61,122** Routine Name: FBFHLS Before: B56632671 After: B61137128 **61,68,122** Routine Name: FBFHLX Before: B55631854 After: B58317729 **61,121,122** Routine Name: FBFHLX1 Before: B30458874 After: B30972593 **61,121,122** Routine Name: FBFHLX2 Before: n/a After: B5499281 **122** Routine Name: FBMON Before: n/a After: B36112227 **122** Routine Name: FBPCR2 Before: B35427334 After: B61489051 **4,48,55,69,76,98,122** Routine Name: FBPCR67 Before: B22170399 After: B24858243 **4,48,55,69,98,122** Routine Name: FBPCR671 Before: B26341228 After: B40566981 **4,48,55,69,76,98,122** Routine Name: FBUTL8 Before: n/a After: B31445484 **122** Routine list of preceding patches: 68, 82, 111, 116, 121 ============================================================================= User Information: Entered By : DEWAYNE,BRANDON Date Entered : APR 21, 2011 Completed By: CLARK,KAREN Y Date Completed: DEC 28, 2011 Released By : CAULFIELD,MARY Date Released : DEC 29, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT