$TXT Created by CHANDARANA,RISHAN at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 03/09/09 at 10:09 ============================================================================= Run Date: JUN 22, 2009 Designation: FB*3.5*110 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #98 Status: Released Compliance Date: JUL 23, 2009 ============================================================================= Associated patches: (v)FB*3.5*109 <<= must be installed BEFORE `FB*3.5*110' Subject: UPDATE CALCULATION FOR PSYCH CODES, CPT 67113, and POV CODES Category: - Routine Description: ============ This patch does the following: - modifies the calculation for payments related to Psychiatry Current Procedural Terminology (CPT) codes - modifies Relative Value Units (RVUs) for CPT 67113 - adds additional information to the Purpose of Visit (POV) codes 56, 67, 68, and 69. ASSOCIATED REMEDY: ================= 1) HD0000000299984 - Fee Basis calculator needs to be updated to account for MIPAA changes 2) HD0000000286028 - RBRVS is producing the wrong fee for rate code 67113 3) HD0000000285257 - Activation of POV ASSOCIATED NSR(s): ================== N/A PARTICIPATING TEST SITES: ======================== Montana HCS Maryland HCS Columbus, OH REMEDY OVERVIEW: =============== 1) HD0000000299984 - Fee Basis calculator needs to be updated to account for MIPAA changes. Problem: ======== The Medicare Improvement for Patients and Providers Act (MIPAA) of 2008 modified the payment for specific Psychiatry CPT codes. These codes are affected by a 5% increase in payment. The CPT codes affected are 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90811, 90812, 90813, 90814, 90815, 90816, 90817, 90818, 90819, 90821, 90822, 90823, 90824, 90826, 90827, 90828, 90829. This increase in payment is effective from July 01, 2008 through December 31, 2009. Additional details for this update are available from the Centers for Medicare and Medicaid Services in Change Request 6208. Solution: ========= The routine FBAAFSR has been modified to increase payment for these specific CPT codes. 2) HD0000000286028 - RBRVS is producing the wrong fee for rate code 67113 Problem: ======== The wrong payment is being calculated for CPT 67113 in Calendar Year 2008. Solution: ========= Some of the Relative Value Units (RVUs) for CPT 67113 have changed since the last Resource Based Relative Value Schedule (RBRVS) update and are now incorrect. The current and updated RVUs are listed below: RVU Current Value Updated Value ---------------------------------------------------------------------- WORK RELATIVE VALUE UNIT 22.49 25.00 NON-FAC PRACTICE EXPENSE RVU 12.77 13.75 FACILITY PRACTICE EXPENSE RVU 12.77 13.75 3) HD0000000285257 - Activation of POV Problem: ======== The following Purpose of Visit codes need to be updated in the FEE BASIS PURPOSE OF VISIT (#161.82) file. NAME FEE PROGRAM ASSOCIATED WITH ==================================================================== Dialysis OUTPATIENT Outpatient Maternity Care Services OUTPATIENT Bowel and Bladder care: Agency OUTPATIENT Bowel and Bladder care: Family caregiver OUTPATIENT Solution: ========= The file will be updated with the requested changes. Additionally, the names will be converted to uppercase characters for consistency with the other POV codes. After this patch, the table above will be updated to: NAME FEE PROGRAM ASSOCIATED WITH ==================================================================== DIALYSIS OUTPATIENT OUTPATIENT MATERNITY CARE SERVICES OUTPATIENT BOWEL AND BLADDER CARE: AGENCY OUTPATIENT BOWEL AND BLADDER CARE: FAMILY CAREGIVER OUTPATIENT As noted in the description for FB*3.5*109, these codes will be active after the installation of this patch. INSTALLATION INSTRUCTIONS ========================= This patch may be installed during normal working hours with all users on the system. Installation should take under five minutes. The post install routine FBXIP110 may be deleted upon successful installation of this patch. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter FB*3.5*110): a. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). b. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. c. Print Transport Global - this option will allow you to view the components of the KIDS build. d. 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. 4. Use the Install Package(s) option and select the package FB*3.5*110. 5. When prompted, 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 6. When prompted, 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond 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 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: FBAAFSR Before: B42432006 After: B45374746 **4,53,71,84,92,93,99,102,105, 109,110** Routine Name: FBXIP110 Before: n/a After: B4750320 **110** Routine list of preceding patches: 109 ============================================================================= User Information: Entered By : CHANDARANA,RISHAN Date Entered : JAN 29, 2009 Completed By: TSAIMEUCHONG,BRENDA Date Completed: JUN 02, 2009 Released By : MARSHALL,FALENCIA B. Date Released : JUN 22, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT