$TXT Created by ADES,ROBERT at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 08/24/09 at 15:54 ============================================================================= Run Date: SEP 16, 2009 Designation: IB*2*422 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #385 Status: Released Compliance Date: SEP 30, 2009 ============================================================================= Associated patches: (v)IB*2*399 <<= must be installed BEFORE `IB*2*422' Subject: UPDATE IB WITH NEW TREATING SPECIALTIES Category: - Routine Description: ============ IB*2.0*422 is being released to support the Observation Treating Specialty changes released in Registration patch: DG*5.3*813. Treating Specialties in the SPECIALTY (#42.4) file are being updated by patch DG*5.3*813. This patch (IB*2.0*422) updates Integrated Billing to properly handle the billing of the new ED Observation Treating Specialty. ************************************************************************ **NOTE: Please take note of the shortened compliance date. The changes** **included in this patch are effective 10/1/09 and the patch must be ** **installed before then and any necessary actions taken. ** ************************************************************************ ASSOCIATED REMEDY TICKETS: ========================= HD0000000343530 - Add treating specialty. ASSOCIATED NSR'S: ================ N/A PARTICIPATING TEST SITES: ========================= Tampa, FL Upstate New York REMEDY OVERVIEW: =============== HD0000000343530 - Add treating specialty. Problem: ======== The new Observation Treating Specialty below is being added to the SPECIALTY FILE (#42.4) by patch DG*5.3*813. Within Reasonable Charges most Inpatient charges are based on the DRG for the care provided. However Observation billing is based on procedures and the time in observation. Therefore Observation care billing should not be associated with a DRG. TS Treating Specialty ---- ------------------------- 1J ED OBSERVATION|TAB| Solution: ========= The new ED OBSERVATION Treating Specialty will be added to the list of Treating Specialties exempt from the automatic Diagnostic Related Grouper (DRG) charge calculation to reduce the possibility that it will be incorrectly billed the DRG per diem. ==================INSTALLATION INSTRUCTIONS==================== If installed during the normal workday, it is recommended that the following selection in the OPTION (#19) file be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Enter/Edit Billing Information [IB EDIT BILLING INFO] This patch should not be installed when the Queue Means Test Compilation of Charges [IB MT NIGHT COMP] job is running. Install Time - less than 5 minutes. ******************* PRE-INSTALLATION INSTRUCTIONS ********************* Patch IB*2.0*422 should be installed before patch DG*5.3*813. Installation of the Integrated Billing (IB) patch without installation of the DG patch will not negatively impact the system. ************************************************************************ 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2.0*422): 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. Select Installation Option: Install Package(s) ------------------ **This is the step to start installation of this KIDS patch: a. Choose the Install Packages(s) option to start the patch install. b. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" answer NO c. When prompted "Want to DIABLE Scheduled Options, Menu Options and Protocols? YES//" answer YES d. When prompted "Enter options you wish to mark as 'Out Of Order':" Enter the following options: Enter/Edit Billing Information [IB EDIT BILLING INFO] e. When prompted "Enter protocols you wish to mark as 'Out of Order':" press . Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCRBG2 Before: B7812503 After: B7843001 **245,175,332,364,399,422** Routine list of preceding patches: 399 ============================================================================= User Information: Entered By : ADES,ROBERT Date Entered : AUG 19, 2009 Completed By: SESSLER,APRIL Date Completed: SEP 16, 2009 Released By : GANUS,MAUNETTE Date Released : SEP 16, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT