$TXT Created by DEVFEX.DOMAIN.EXT (KIDS) on Wednesday, 12/06/17 at 09:20 ============================================================================= Run Date: JAN 16, 2018 Designation: FB*3.5*158 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #149 Status: Released Compliance Date: FEB 15, 2018 ============================================================================= Associated patches: (v)FB*3.5*73 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*91 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*127 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*128 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*153 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*154 <<= must be installed BEFORE `FB*3.5*158' (v)FB*3.5*157 <<= must be installed BEFORE `FB*3.5*158' Subject: Electronic Remittance Advise (ERA) Compliance Category: - Routine - Data Dictionary - Input Template - Enhancement (Mandatory) Description: ============ ************************************************************************ * If your site is using the Fee Basis Claims System (FBCS), you must * * install DSIF*3.2*13 immediately after installing FB*3.5*158 to * * avoid application/processing errors. If your site is not using * * FBCS, there is no need to install the FBCS patch. * ************************************************************************ The ERA Compliance patch (FB*3.5*158) addresses enhancements to VistA Fee Basis and its compliance to CORE Level III Electronic Funds Transfer (EFT) standards, as part of the Health Product Enhancements (HAPE) Electronic Data Interchange (EDI) Purchased Care (PC) software enhancement project. Batch Numbers will increase in size from 5 digits to 7 digits. Batches that are 7 years old or older will be purged on a monthly basis. Batch files, transmitted to Central Fee, for inpatient, outpatient, and pharmacy claims will be updated to include data elements, previously transmitted via Vitria, as well as additional claim data. Allow a maximum of 5 CARCs per claim line item with a maximum of 2 RARCs per CARC to be entered. Software was also modified to decrease the maximum number of lines in a batch due to the addition of new fields in the batch. -OUTPATIENT: Previously users were able to have 85 lines in a batch; this is now changed to a maximum of 50 lines per batch. -INPATIENT: Previously users were able to have 42 lines in a batch; this is now changed to a maximum of 30 lines per batch. -PHARMACY: Line maximum is unchanged by this patch. Associate CARCs with CORE Business Scenarios so that once a CARC and scenario is established, only additional CARCs from the same scenario can be selected. Set up the Fee Basis data dictionary to support RARC to CARC relationships, still allowing for the selection of CARCless RARCs. Also support relationships between CARCs and Groups, and RARCs and Groups. Populates ADJUSTMENT REASON (CARC) file (#161.91) with associated REMITTANCE REMARK (RARC) codes, CORE SENARIO, and ADJUSTMENT GROUPs (CAGC) to be complaint with CORE-required Code Combinations for CORE- defined Business Scenarios for the Phase III CORE 360 Uniform Use of Claim Adjustment Reason Codes and Remittance Advice Remark Codes (835) Rule version 3.3.0 June 2016. The Fee Basis data dictionary will be expanded to accept additional payment methodologies from FBCS. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- FEE BASIS SITE PARAMETERS NEXT BATCH NUMBER (#10) Modified (#161.4) FEE BASIS BATCH (#161.7) NUMBER (.01) Modified ADJUSTMENT REASON REMITTANCE REMARK (5) New (#161.91) CORE SCENARIO (6) New ADJUSTMENT GROUP (7) New REMITTANCE REMARK ADJUSTMENT GROUP (3) New (#161.93) FEE BASIS PAYMENT (#162) ADJUSTMENT (162.08,1) New PAYMENT METHODOLOGY New (162.03,82) AUTHORIZATION NUMBER New (162.03,83) ATTACHMENT ID New (162.03,84) FEE BASIS PHARMACY INVOICE ADJUSTMENT (#162.15,1) New (#162.1) AUTHORIZATION NUMBER New (162.11,40) FEE BASIS INVOICE (#162.5) ADJUSTMENT (#162.559,1) New AUTHORIZATION NUMBER New (162.5,88) ATTACHMENT ID New (162.5,91) PAYMENT METHODOLOGY New (162.5,90) FEE BASIS PAYMENT New METHODOLOGY (#163.98) Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- FBAA BATCH 7YR PURGE run routine New ZTMQUEUABLE OPTIONS menu Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- Security Keys Associated: Security Key Name ----------------- Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- FBCH EDIT PAYMENT INPUT FEE BASIS INVOICE (162.5) Modified FBCH ENTER PAYMENT INPUT FEE BASIS INVOICE (162.5) Modified FBNH EDIT PAYMENT INPUT FEE BASIS INVOICE (162.5) Modified Additional Information: New Service Requests (NSRs): ---------------------------- Patient Safety Issues (PSIs): ----------------------------- Remedy Ticket(s) & Overview: ---------------------------- Problem: ------- Resolution: ---------- Test Sites: ---------- CENTRAL PLAINS HCS HEARTLAND-EAST HCS Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch are available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Fee Basis User Manual FB_3_5_UM_R1217.PDF (binary) Fee Basis Technical Manual FB_3_5_TM_R1217.PDF (binary) /Security Guide Fee Basis Install Guide FB_3_5_P158_IG.PDF (binary) Fee Basis Release Notes FB_3_5_P158_RN.PDF (binary) Patch Installation: Pre/Post Installation Overview: ------------------------------- The post-installation routine, FBXIP158, will run to compile the modified input templates and remove the option, FB FPPS TRANSMIT, from its parent menu and also establish CARC/RARC relationships. Pre-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. NOTE ***************************************************************** *ALL Payment Batches MUST be Transmitted to Central Fee * *and have a status of 'Vouchered' prior to installing FB*3.5*158* ***************************************************************** There are no options to disable for this installation. Installation Instructions: -------------------------- The installation will install new and modified routines, Data Dictionaries, and Input Templates. 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, use the following options. When prompted for the INSTALL NAME enter the patch #(ex. FB*3.5*158): 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//' 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//' respond 0. Post-Installation Instructions: ------------------------------- The option, FBAA BATCH 7YR PURGE, can now be entered into TaskManager and scheduled to run monthly. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.5;FEE BASIS;**[Patch List]**;JAN 30, 1995;Build 94 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAACIE Before: B16604968 After: B17356437 **38,61,91,154,158** Routine Name: FBAACO2 Before: B31897549 After: B33011458 **4,55,61,77,116,122,133,108, 135,139,123,157,158** Routine Name: FBAACO3 Before: B58658444 After: B57937070 **4,38,55,61,116,122,133,108, 124,143,139,157,154,158** Routine Name: FBAADOB Before: B2793564 After: B2800687 **158** Routine Name: FBAAEPI Before: B33105165 After: B32470147 **38,61,124,132,123,154,158** Routine Name: FBAAFR Before: B2615408 After: B13991294 **61,158** Routine Name: FBAAMP Before:B134317556 After:B133720533 **4,21,38,55,61,67,116,108,143, 123,154,158** Routine Name: FBAAMP1 Before: B12344888 After: B12388857 **4,55,61,77,139,158** Routine Name: FBAAPET Before: B51663555 After: B51739856 **4,38,55,61,77,116,122,133, 108,124,132,139,123,154,158** Routine Name: FBAAPP0 Before: B4309645 After: B4339891 **61,91,158** Routine Name: FBAAUTL Before: B26368074 After: B36872113 **101,114,108,124,127,158** Routine Name: FBAAUTL3 Before: B4132421 After: B4122598 **132,158** Routine Name: FBAAV0 Before: B56393278 After: B76214254 **3,4,55,89,98,116,108,132,139, 123,158** Routine Name: FBAAV01 Before: B27989531 After: B48459341 **89,98,108,123,158** Routine Name: FBAAV1 Before: B29697333 After: B29696707 **10,36,39,98,158** Routine Name: FBAAV2 Before: B17032694 After: B39413585 **3,89,98,116,108,123,158** Routine Name: FBAAV3 Before: B3409907 After: B4896340 **3,89,116,132,158** Routine Name: FBAAV4 Before: B39089780 After: B39332795 **13,34,37,70,146,127,153,158** Routine Name: FBAAV5 Before:B101588501 After:B139989645 **3,55,89,98,116,108,139,123,158** Routine Name: FBAAV8 Before:B119931377 After:B120330474 **123,158** Routine Name: FBAAVR5 Before: B40211184 After: B40211366 **132,158** Routine Name: FBBPG7Y Before: n/a After: B8669207 **158** Routine Name: FBCHEAP Before: B21240885 After: B21016855 **38,55,61,77,154,158** Routine Name: FBCHFR Before: B2637264 After: B8623931 **61,158** Routine Name: FBCHPET Before: B44036498 After: B43033601 **4,38,61,77,116,108,124,132, 123,154,158** Routine Name: FBNHEP1 Before: B9319871 After: B9136492 **12,61,158** Routine Name: FBRXFR Before: B2618713 After: B9233192 **61,158** Routine Name: FBSVBR Before: B72554273 After: B79485755 **131,132,158** Routine Name: FBSVVA Before: B19365869 After: B22383786 **131,132,158** Routine Name: FBUTL1 Before: B14646555 After: B19606435 **61,158** Routine Name: FBUTL2 Before: B53713039 After: B70356259 **61,73,158** Routine Name: FBUTL4 Before: B23579110 After: B26671787 **61,158** Routine Name: FBUTL4A Before: n/a After: B30641813 **61,158** Routine Name: FBX2P158 Before: n/a After:B176094799 **158** Routine Name: FBXIP158 Before: n/a After: B8013846 **158** ============================================================================= User Information: Entered By : Date Entered : DEC 15, 2014 Completed By: Date Completed: JAN 11, 2018 Released By : Date Released : JAN 16, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT