$TXT Created by DEWAYNE,BRANDON PAUL at SMA.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 10/17/11 at 14:52 ============================================================================= Run Date: DEC 29, 2011 Designation: FB*3.5*133 Package : FB - FEE BASIS Priority: EMERGENCY Version : 3.5 SEQ #111 Status: Released Compliance Date: JAN 04, 2012 ============================================================================= Associated patches: (v)FB*3.5*122 <<= must be installed BEFORE `FB*3.5*133' Subject: FEE 5010 PAYMENT FILE CHANGES Category: - Data Dictionary - Routine - Enhancement () 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 moves several new Fee 5010 fields in the FEE BASIS PAYMENT (#162) file from the INITIAL TREATMENT DATE multiple to the SERVICE PROVIDED multiple. This is required in order to avoid provider information from being overwritten under the following set of circumstances: - A patient has two different claims that have the same vendor and date of service. The affected fields added in FB*3.5*121 that will be moved are: ^FBAAC(D0,1,D1,1,D2,2)= (#58) ATTENDING PROV NAME [1F] ^ (#59) ATTENDING PROV ==>NPI [2F] ^ (#60) ATTENDING PROV TAXONOMY CODE [3F] ^ ==>(#61) OPERATING PROV NAME [4F] ^ (#62) OPERATING PROV ==>NPI [5F] ^ (#63) RENDERING PROV NAME [6F] ^ (#64) ==>RENDERING PROV NPI [7F] ^ (#65) RENDERING PROV ==>TAXONOMY CODE [8F] ^ (#66) SERVICING PROV NAME [9F] ^ ==>(#67) SERVICING PROV NPI [10F] ^ (#68) REFERRING PROV ==>NAME [11F] ^ (#69) REFERRING PROV NPI [12F] ^ and the following created/installed in patch FB*3.5*122: ^FBAAC(D0,1,D1,1,D2,4)= (#76) SERVICING FACILITY ADDRESS [1F] ^ (#77) ==>SERVICING FACILITY CITY [2F] ^ (#78) SERVICING ==>FACILITY STATE [3P:5] ^ (#79) SERVICING FACILITY ZIP ==>[4F] ^ The new locations are: ^FBAAC(D0,1,D1,1,D2,1,D3,4)= (#58) ATTENDING PROV NAME [1F] ^ (#59) ATTENDING ==>PROV NPI [2F] ^ (#60) ATTENDING PROV TAXONOMY ==>CODE [3F] ^ (#61) OPERATING PROV NAME [4F] ^ ==>(#62) OPERATING PROV NPI [5F] ^ (#63) RENDERING ==>PROV NAME [6F] ^ (#64) RENDERING PROV NPI [7F] ^ ==>(#65) RENDERING PROV TAXONOMY CODE [8F] ^ (#66) ==>SERVICING PROV NAME [9F] ^ (#67) SERVICING PROV ==>NPI [10F] ^ (#68) REFERRING PROV NAME [11F] ^ ==>(#69) REFERRING PROV NPI [12F] ^ ^FBAAC(D0,1,D1,1,D2,1,D3,5)= (#76) SERVICING FACILITY ADDRESS [1F] ^ (#77) ==>SERVICING FACILITY CITY [2F] ^ (#78) SERVICING ==>FACILITY STATE [3P:5] ^ (#79) SERVICING FACILITY ==>ZIP [4F] ^ Changes in the Enter Payment [FBAA ENTER PAYMENT], Edit Payment [FBAA EDIT PAYMENT], Invoice Display [FBAA INVOICE DISPLAY] and Potential Cost Recovery Report (PCRR) [FB PCR], options will be necessary to enter/edit and display the moved data. This patch requires FB*3.5*122 Patch Components ================ Files and Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------------------------------------------------------------ FEE BASIS PAYMENT (162) ATTENDING PROV NAME (#58) Modified FEE BASIS PAYMENT (162) ATTENDING PROV NPI (#59) Modified FEE BASIS PAYMENT (162) ATTENDING PROV TAXONOMY CODE (#60) Modified FEE BASIS PAYMENT (162) OPERATING PROV NAME (#61) Modified FEE BASIS PAYMENT (162) OPERATING PROV NPI (#62) Modified FEE BASIS PAYMENT (162) RENDERING PROV NAME (#63) Modified FEE BASIS PAYMENT (162) RENDERING PROV NPI (#64) Modified FEE BASIS PAYMENT (162) RENDERING PROV TAXONOMY CODE (#65) Modified FEE BASIS PAYMENT (162) SERVICING PROV NAME (#66) Modified FEE BASIS PAYMENT (162) SERVICING PROV NPI (#67) Modified FEE BASIS PAYMENT (162) REFERRING PROV NAME (#68) Modified FEE BASIS PAYMENT (162) REFERRING PROV NPI (#69) Modified FEE BASIS PAYMENT (162) SERVICING FACILITY ADDRESS (#76) Modified FEE BASIS PAYMENT (162) SERVICING FACILITY CITY (#77) Modified FEE BASIS PAYMENT (162) SERVICING FACILITY STATE (#78) Modified FEE BASIS PAYMENT (162) SERVICING FACILITY ZIP (#79) Modified Forms Associated: N/A Mail Groups Associated: N/A Options Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Parameters Associated: N/A Remote Procedures Associated: N/A New Service Request (NSRs): ------------------------------------------------------------------------ 20090705 VistA Fee HIPAA 5010 Implementation, Discovery and Requirements To meet the expanding needs of Electronic Data Interchange (EDI) processes and address the system and data changes required with the 5010 version, the Fee Basis package will need to collect, store and report additional elements from the claim data. National Provider Identifiers (NPI) and physical service locations are needed to better inform downstream or dependent processes. Much of the additional data collection is needed to support (1) revenue functions, where a third party insurance has a financial obligation surrounding payments made for non-service connected episodes of care and (2) pricing functions, where the service location impacts the allowed amount for a healthcare service. The fixes made by this patch are described below: 1. MOVE DATA FIELDS FOR 5010 PROVIDER AND SERVICING FACILITY Problem: -------- When a patient has two different claims that have the same vendor and date of service, some 5010 data under the Initial Treatment Date multiple is being overwritten for outpatient claims. Resolution: ----------- Moved the 5010 provider and servicing facility fields under the Service Provided Multiple in the FEE BASIS PAYMENT (#162) file. 2. ENSURE ENTER, EDIT AND VIEW SCREENS DISPLAY THE MOVED DATA FIELDS Problem: -------- Outpatient Enter Payment [FBAA ENTER PAYMENT], Edit Payment [FBAA EDIT PAYMENT], Invoice Display [FBAA INVOICE DISPLAY] and the Potential Cost Recovery Report (PCRR) [FB PRC] options need to edit and read from the new field locations. Resolution: ----------- Edited the following routines to accomplish the enter/edit/view requirements: FBUTL8 (Created in FB*3.5*122). Removed FILE tag and code as it is no longer needed FBAACO removed reference to FILE^FBUTL8 that is no longer needed FBAACO2 Merged the two separate ^DIE calls into the main call since the fields are on the same level now FBAACO3 Merged the two separate ^DIE calls into the main call since the fields are on the same level now FBAAPET Merged the two separate ^DIE calls into the main call since the fields are on the same level now FBAAPCR2 Retrieving the new fields from the SERVICE PROVIDED level instead of the SERVICE DATE level FBAAPIN updated the nodes to extract the provider information to be displayed during Invoice Display (changes within PROV linetag) FBXIP133 (New pre/post install routine) to remove old data dictionary fields in the wrong location in file FEE BASIS PAYMENT (#162) 3. ENSURE LINE ITEM PROVIDER INFORMATION WAS BEING SAVED PROPERLY FOR CIVIL HOSPITAL Problem: -------- When trying to enter the line item provider information for a civil hospital claim, the information was not being properly saved. Resolution: ----------- A variable was improperly being newed which was preventing the data from being saved properly. This fix was made in FBUTL8 4.ENSURE LINE ITEM PROVIDER INFORMATION WAS BEING EDITED PROPERLY FOR CIVIL HOSPITAL Problem: -------- When trying to edit the line item provider information for a civil hospital claim, the information was not being properly saved. Resolution: ----------- Made changes to the routine to allow for proper saving of the edited line item provider information. This fix was made in FBCHEP1. TEST SITES Size/Type =================================================== El Paso, TX Medium Gainesville (N FL/S GA) Large/Integrated Big Spring, TX Small Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. Documentation can be found on the VA Software Documentation Library at: http://www.va.gov/vdl/ Title File Name -------------------------------------------------- Installation Guide FB*3.5*133 FB_3_5_133_ig.pdf Release Notes FB*3.5*133 FB_3_5_133_rn.pdf Technical Manual fb3_5tm.pdf Technical Manual fb3_5tm.doc Fee Basis User Manual fb_35_um.pdf Fee Basis User Manual fb_35_um.doc Sites may wish 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 ----------------------------------------------------------------- Installation Guide FB*3.5*133 FB_3_5_133_ig.pdf Binary Release Notes FB*3.5*133 FB_3_5_133_rn.pdf Binary Technical Manual fb3_5tm.pdf Binary Fee Basis User Manual fb_35_um.pdf Binary Patch Installation: Pre/Post-Installation Overview ------------------------------ The pre-installation routine FBXIP133 will delete the old 5010 provider and service facility fields from the FEE BASIS PAYMENT (#162) file in preparation for the installation to create the fields in a new location. The post-install routine FBXIP133 will queue a Taskman job to remove any test data from FB*3.5*122 test sites that may be in the old field locations for 5010 provider and servicing facility address. Installation Instructions ------------------------- Fee Basis and Fee Basis Claims System (FBCS) users should not be on the system during installation due to the changes to the data dictionary for the FEE BASIS PAYMENT file. Install Time - less than 5 minutes The pre/post installation routine FBXIP133 may be deleted after the tasked job from the post-install has completed. 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*133. 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install?' answer NO 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols?' answer NO. 7. If prompted 'Delay Install (Minutes): (0 - 60): 0//' respond 0. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.5;FEE BASIS;**[Patch List]**;JAN 30, 1995;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAACO Before: B28594326 After: B28861560 **4,61,79,116,122,133** Routine Name: FBAACO2 Before: B13323096 After: B14116879 **4,55,61,77,116,122,133** Routine Name: FBAACO3 Before: B50872609 After: B48919280 **4,38,55,61,116,122,133** Routine Name: FBAAPET Before: B35557510 After: B35047442 **4,38,55,61,77,116,122,133** Routine Name: FBAAPIN Before: B33397999 After: B33741138 **4,61,122,133** Routine Name: FBCHEP1 Before: B11345024 After: B11600569 **38,61,122,133** Routine Name: FBPCR2 Before: B61489051 After: B77224131 **4,48,55,69,76,98,122,133** Routine Name: FBUTL8 Before: B31445484 After: B25540087 **122,133** Routine Name: FBXIP133 Before: n/a After: B10333437 **133** Routine list of preceding patches: 122 ============================================================================= User Information: Entered By : CLARK,KAREN Y Date Entered : OCT 12, 2011 Completed By: DEWAYNE,BRANDON Date Completed: DEC 28, 2011 Released By : CAULFIELD,MARY Date Released : DEC 29, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT