============================================================================= Run Date: SEP 19, 2011 Designation: IB*2*449 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #420 Status: Released Compliance Date: SEP 21, 2011 ============================================================================= Associated patches: (v)IB*2*367 <<= must be installed BEFORE `IB*2*449' Subject: CD PATIENT COPAY EXEMPTION Category: - Routine - Other - Enhancement () Description: ============ *********************************ATTENTION*********************************** Note: This patch is an emergency released with a 48-hour compliance. This patch is being released in support of the Enrollment System Re-design (ESR) 3.5 Public Law 111-163 project. IB*2*449 is being released along with DG*5.3*840 (Registration) and IVM*2*149 (Income Verification Match) in host file: DG_53_P840.KID. It is imperative that these patches be installed no later than the compliance date. Your understanding and support is appreciated. ************************************************************************** On May 5, 2010, the President signed into law, Public Law (PL) 111-163, the Caregivers and Veterans Omnibus Health Services Act of 2010. This law provides assistance to caregivers of Veterans and improves the provisions of health care services to Veterans. Section 511, Prohibitions on collections of copayments from Veterans who are Catastrophically Disabled. This patch is being issued in support of some of these provisions. With the install of this patch and the other related patches (DG*5.3*840 and IVM*2*149), Veterans who are identified as being Catastrophically Disabled will no longer be charged copayments for Means Test/Geographic Means Test related Outpatient Visits, Inpatient Visits and Outpatient Medications from the effective date of their Catastrophically Disabled determination and installation forward. This does not affect Extended Care/Long Term Care Copayments. These patches do not cancel charges created prior to the install, sites should continue to use the CBO guidance they have been provided to cancel those previously billed charges where necessary. To provide support for the cancellation of charges that have occurred since the effective date of May 5, 2010 for Catastrophically Disabled, a new Reasons Not Billable is being added to the IB CHARGE REMOVE REASONS (#350.3) for selection during all types of cancellations of copayments: CATASTROPHICALLY DISABLED To assist in identifying charges already created for Catastrophically Disabled patients, a new report Catastrophically Disabled Copay Report [IB CD CHARGE REPORT] is being added to the Patient Billing Reports Menu [IB OUTPUT PATIENT REPORT MENU]. During installation of this patch the report will be produced automatically for charges that were created since May 5, 2010 and the patient's Catastrophically Disability effective date. This report needs a printer of at least 132 columns. It is important this report is shared with the site's revenue department. If needed the report can be re-run by the new menu option. Report Option Details: - The report is based on the Date of Decision date stored in the Patient (#2) file. - Even though charges may be cancelled, the report may continue to show $0 charges. If the charge in IB is cancelled but there are still charges on the AR side on the same bill number they will continue to appear on the report. This is because there is no way of determining which charges on an AR bill are actually cancelled vs not cancelled. Sites should not expect to see a clean report, the report is for informational purposes for review. After review of a specified timeframe is completed it is recommended sites use subsequent timeframes for review. Associated Remedy Ticket(s): ============================ 1. HD0000000469489 - add a new cancellation reason Catastrophically Disabled Problem: ------- Patients who were designated as catastrophically disabled no longer have to pay copayments and are going to be reimbursed for co-payments back to May of 2010. Site is requesting to add this as a cancellation reason for selection when cancellation occurs. Resolution: ---------- With the install of this patch all a new cancellation reason will be made available for selection. Associated New Service Request (NSR): ===================================== TBD Test Sites: =========== Charleston VAMC, SC Northport VAMC, NY Upstate New York HCS, NY The enhancements made by this patch are summarized below: --------------------------------------------------------- Exemption Reason ---------------- A new Exemption Reason (#354.2) file entry is being added by the post-install of this patch (IB20P449) of CATASTROPHICALLY DISABLED. Exemption Update ---------------- The exemption processing routine (IBARXEU1) is being updated to include an additional data element for evaluation of Outpatient Medication Copayment exemption. The associated DG*5.3*840 patch will include an indicator for Catastrophically Disabled in the $$AUTOINFO^DGMTCOU1 API. IB will use that additional data element to automatically exempt Catastrophically Disabled patients using the new Exemption Reason. Charge Removal Reason --------------------- A new IB Charge Removal Reasons (#350.3) file entry is being added by the post-install of this patch (IB20P449): CATASTROPHICALLY DISABLED Components Sent With Patch: =========================== The following is a list of options included in this patch: IB CD CHARGE REPORT SEND TO SITE IB OUTPUT PATIENT REPORT MENU USE AS LINK FOR MENU/ITEM/SUBSCRIBERS SOFTWARE DOCUMENTATION AND RETRIEVAL: ===================================== The user documentation is available on the Office of Information Field Office (OIFO) ANONYMOUS.SOFTWARE directories listed below: OIFO FTP address Directory Albany ftp.fo-albany.med.va.gov anonymous.software Hines ftp.fo-hines.med.va.gov anonymous.software Salt Lake City ftp.fo-slc.med.va.gov anonymous.software VistA download site download.vista.med.va.gov anonymous.software The user documentation files listed below may be obtained via FTP. The preferred method is to download the files from: download.vista.med.va.gov This method transmits the files from the first available FTP server. Sites may also select to retrieve documentation from a specific server as shown in the above table. The following files should be downloaded in the binary FTP mode. Filename Description -------- ----------- IB_2_0_TM.PDF Revised Integrated Billing (IB) V. 2.0 Technical Manual IB_2_0_UM.PDF Revised Integrated Billing (IB) V. 2.0 User Manual Note: Use Binary mode when transferring the .PDF file(s). The .PDF files can be read on a PC using the Adobe Acrobat Reader program. The VistA Documentation Library [VDL] contains all end-user manuals. SOFTWARE RETRIEVAL ================== The software for this patch is not being distributed through the National Patch Module. This patch is being distributed as a host file. The host file will contain two (2) KIDS builds. Host File Name: DG_53_P840.KID Builds: DG*5.3*840 IB*2.0*449 IVM*2.0*149 Sites may retrieve the software directly using FTP from the ANONYMOUS.SOFTWARE directory at the following Office of Information (OI) Field Offices: Albany: ftp.fo-albany.med.va.gov Hines: ftp.fo-hines.med.va.gov Salt Lake City: ftp.fo-slc.med.va.gov First available download: download.vista.med.va.gov **Note: Use ASCII mode when transferring the .KID file Installation Instructions: ========================== The install of this patch should NOT be queued. The installer will be prompted for a device selection during the post-install. The report should be queued as it will take some time depending on the site's activity in the INTEGRATED BILLING ACTION (#350) file since May 5, 2010. To avoid disruptions, this patch should be installed when users are not on the system and during non-peak hours. Of particular concern would be the items below. - Do not install the patch when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. Check with Pharmacy Service or your pharmacy Automated Data Processing Application Coordinator (ADPAC) to find out when CMOP transmissions occur. - If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] UPDATE BATCH JOB FOR HL7 v2.3 [VAFC BATCH UPDATE] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] Release Medication [PSO RELEASE] Installation will take less than 5 minutes. 1. OBTAIN PATCHES ============== Obtain the host file DG_53_P840.KID, which contains the following three patch installs: DG*5.3*840 IB*2.0*449 IVM*2.0*149 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The DG_53_P840.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. From the Installation menu, select the LOAD A DISTRIBUTION option. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file DG_53_P840.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]DG_53_P840.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... DG*5.3*840 IB*2.0*449 IVM*2.0*149 Use INSTALL NAME: DG*5.3*840 to install this distribution. 3. RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD: ================================================== From the Installation menu, you may select to use the following options (when prompted for the INSTALL NAME, enter DG*5.3*840): 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. INSTALL MULTI-BUILD: ==================== This is the step to start the installation of this KIDS build. This will need to be run for DG*5.3*840 multi-build. a. Choose the Install Package(s) option to start the install. b. When prompted for the "Select INSTALL NAME:", enter DG*5.3*840. c. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' Answer NO. d. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" enter NO. e. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" enter YES. f. When prompted "Enter options you wish to mark as 'Out Of Order':" enter the following options: Register a Patient [DG REGISTER PATIENT] Load/Edit Patient Data [DG LOAD PATIENT DATA] UPDATE BATCH JOB FOR HL7 v2.3 [VAFC BATCH UPDATE] Patient Prescription Processing [PSO LM BACKDOOR ORDERS] Release Medication [PSO RELEASE] g. When prompted "Enter protocols you wish to mark as 'Out Of Order':" enter . h. When prompted "Delay Install (Minutes): (0-60): 0//" enter an appropriate number of minutes to delay the installation in order to give users enough time to exit the disabled options before the installation starts. i. When prompted "Device: Home//" respond with the correct device. 5. The IB post-install routine delivered with IB*2*449 will do the tasks listed below. The time required to accomplish these tasks is less than 2 minutes however the post-install report will take some time and should be queued. The post-install routine IB20P449 is being left on the system after the install. Once this patch has been successfully installed you may delete the post init routine: IB20P449 a. A new Exemption Reason (#354.2) file entry is being added by the post-install of this patch (IB20P449) of CATASTROPHICALLY DISABLED. b. A new IB Charge Removal Reasons (#350.3) file entry is being added by the post-install of this patch (IB20P449): CATASTROPHICALLY DISABLED c. A device prompt is issued for the post-install report. This report should be queued and sent to a printer of at least 132 columns. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P449 Before: n/a After: B10083206 **449** Routine Name: IBARXEU1 Before: B17664186 After: B17685834 **26,112,74,275,367,449** Routine Name: IBOCDRPT Before: n/a After: B17809803 **449** Routine list of preceding patches: 367 ============================================================================= User Information: Entered By : ZEIGLER,EDWARD L Date Entered : FEB 22, 2011 Completed By: MORRIS,DARLENE V Date Completed: AUG 19, 2011 Released By : KUBIAK,PHILLIP A Date Released : SEP 19, 2011 ============================================================================= Packman Mail Message: ===================== No routines included