============================================================================= Run Date: OCT 17, 2016 Designation: FB*3.5*128 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #143 Status: Released Compliance Date: NOV 16, 2016 ============================================================================= Associated patches: (v)FB*3.5*115 <<= must be installed BEFORE `FB*3.5*128' Subject: UPDATE TWO TABLES: ADJUSTMENT REASON and REMITTANCE REMARK Category: - Other Description: ============ This patch updates the following: - The REMITTANCE REMARK (#161.93) file. - The ADJUSTMENT REASON (#161.91) file. ASSOCIATED TICKET: ================== 1. INC000000484024 - Addition of Remittance Remark Codes and Summary Descriptions I9872737FY16(d) 2. INC000000501498 - Update Adjustment Reasons I9872996FY16(d) ASSOCIATED NSR(S): ================== N/A PARTICIPATING TEST SITES: ========================= Miami VA Healthcare System VA Pittsburgh Health Care System TICKET OVERVIEW: ================ 1. INC000000484024 - Addition of Remittance Remark Codes and Summary Descriptions I9872737FY16(d) Problem: -------- The REMITTANCE REMARK (#161.93) file needs to be updated. Per the Chief Business Office Purchased Care (CBOPC), the missing remittance remark codes need to be added, and marked active and applicable for fee use. Solution: --------- The REMITTANCE REMARK (#161.93) file will be brought into compliance by adding and updating the file with all of the codes on the list published at the Washington Publishing Company (WPC). Note: The information we have from this web site is as of March, 2016. The list of codes can be found at: http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice- remark-codes/ All of the codes published by the WPC are relevant to the Fee Basis package. There are some codes that are currently active in the Fee Package that are to be inactivated. A list of the codes being inactivated can be found at: http://www.wpc-edi.com/reference/codelists/healthcare/remittance-advice- remark-codes/ 2. INC0000000501498 - Update Adjustment Reasons I9872996FY16(d) Problem: -------- The ADJUSTMENT REASON (#161.91) file needs to be updated. Per the CBOPC, additional codes will be added, and several codes will need to be marked for fee use. Solution: --------- The ADJUSTMENT REASON (#161.91) file will be updated with the request from the CBOPC. Note: The information we have from this web site is as of March, 2016. The list of codes can be found at: http://www.wpc-edi.com/reference/codelists/healthcare/claim-adjustment- reason-codes/ TECHNICAL: ========== There are two files included in this patch. The ADJUSTMENT REASON file (#161.91) and the REMITTANCE REMARK file (#161.93) are included with this patch. UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # FILE NAME DD CODE W/FILE DATA PTRS RIDE ------------------------------------------------------------------------------- 161.91 ADJUSTMENT REASON NO NO YES OVER NO NO 161.93 REMITTANCE REMARK NO NO YES OVER NO NO 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, as it is necessary to disable some menu options when installing this patch. You may queue the install if you wish. Installation should take under fifteen minutes. 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_5P128.KID Sites may retrieve the file directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext The FEE3_5P128.KID host file is located in the directory. Use ASCII Mode when downloading the file. 2. Load the KIDS distribution that is contained in file FEE3_5P128.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*128): 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*128. 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. Enter Payment [FBAA ENTER PAYMENT] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] 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] c. When prompted, 'Enter protocols you wish to mark as 'Out Of Order':', press . Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JUL 06, 2011 Completed By: Date Completed: OCT 06, 2016 Released By : Date Released : OCT 17, 2016 ============================================================================= Packman Mail Message: ===================== No routines included