$TXT Created by WANG,CHI at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 11/24/09 at 17:23 ============================================================================= Run Date: APR 20, 2010 Designation: IB*2*424 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #397 Status: Released Compliance Date: MAY 21, 2010 ============================================================================= Subject: NEW RATE SCHEDULES FOR ChampVA/ChampVA RI Category: - Routine Description: ============ This patch addresses one issue regarding new Rate Schedules for the Rate Types of CHAMPVA and CHAMPVA REIMB. INS.(ChampVA stands for Civilian Health and Medical Program of the Department of Veterans Affairs, and REIMB. INS. is short for reimbursable insurance). ASSOCIATED REMEDY TICKETS: ========================== 1. HD0000000349027 Need New Schedules for ChampVA/ChampVA RI ASSOCIATED NSR(s): ================== N/A PARTICIPATING TEST SITES: ========================= BIRMINGHAM, AL MONTANA HCS UPSTATE NEW YORK HCS REMEDY OVERVIEW: ================ 1. HD0000000349027 Need New Schedules for ChampVA/ChampVA RI Problem ------- The Chief Business Office (CBO) and the Health Administration Center (HAC) have agreed that VA can begin billing ChampVA and ChampVA Reimbursable Insurance (RI) Rate Types using Reasonable Charges, as opposed to the current charge methodology using CMAC rates. (CMAC stands for CHAMPUS Maximum Allowable Charge. CHAMPUS stands for Civilian Health and Medical Program of the Uniformed Services.) This patch is required to create new Rate Schedules for CHAMPVA/CHAMPVA REIMB. INS. linking to Reasonable Charges and RX COST (for prescription fill). Resolution ---------- The post-init IB20P424 routine will automatically inactivate the existing Rate Schedules for CHAMPVA and CHAMPVA REIMB. INS. with an inactive of 12/31/2009, and create ones with an effective date of 01/01/2010. The new nationally standard Rate Schedules for CHAMPVA and CHAMPVA REIMB. INS. are: CVA-INPT (CHAMPVA) CVA-SNF (CHAMPVA) CVA-OPT (CHAMPVA) CVA-RX (CHAMPVA) CVA RI-INPT (CHAMPVA REIMB. INS.) CVA RI-SNF (CHAMPVA REIMB. INS.) CVA RI-OPT (CHAMPVA REIMB. INS.) CVA RI-RX (CHAMPVA REIMB. INS.) After this patch is installed there will have been the inactivations and the addition of the 8 records listed above to the Rate Schedule (#363) file. INSTALLATION INSTRUCTIONS: ========================== ******** IMPORTANT NOTE ******** Before installation, it's very important that you insure you don't already have an EXISTING Rate Schedule named EXACTLY as any of the Rate Schedules being added with this patch. It's unlikely that you do, but if so, the NEW Rate Schedule with the same name will not be added. Prior to installing this patch, please do a quick FM Inquiry into the Rate Schedule file (#363) and enter "CVA" (without the quotes). If you get no matches, no further action is needed. If any matches, make sure none are named exactly like the following: CVA RI-INPT CVA RI-OPT CVA RI-RX CVA RI-SNF CVA-INPT CVA-OPT CVA-RX CVA-SNF If you DO find any existing Rate Schedules named exactly as listed above, you'll have to rename it in the Rate Schedule file before installing the patch. We suggest appending the word "OLD" to the Rate Schedule name (.01 field). ******************************** The patch can be installed during the normal workday. There are no menu options which need to be disabled to install this patch. Install Time - Less than 2 minutes. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter IB*2.0*424) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). 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 IB*2.0*424. 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? NO//" respond NO. 7. Optional - Once this patch has been successfully installed you may delete the post-init routine: IB20P424. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P424 Before: n/a After: B34256380 **424** ============================================================================= User Information: Entered By : WANG,CHI Date Entered : SEP 16, 2009 Completed By: LANG,MICKEY Date Completed: APR 20, 2010 Released By : BOTTINI,STEVE Date Released : APR 20, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT