============================================================================= Run Date: FEB 17, 2012 Designation: IB*2*447 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #432 Status: Released Compliance Date: MAR 19, 2012 ============================================================================= Associated patches: (v)IB*2*133 <<= must be installed BEFORE `IB*2*447' (v)IB*2*206 <<= must be installed BEFORE `IB*2*447' (v)IB*2*240 <<= must be installed BEFORE `IB*2*447' (v)IB*2*359 <<= must be installed BEFORE `IB*2*447' (v)IB*2*389 <<= must be installed BEFORE `IB*2*447' (v)IB*2*432 <<= must be installed BEFORE `IB*2*447' (v)IB*2*451 <<= must be installed BEFORE `IB*2*447' (v)IB*2*455 <<= must be installed BEFORE `IB*2*447' Subject: E-CLAIMS ITERATION 5 Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Input Template - Other Description: ============ This Integrated Billing (IB) patch expands the HIPAA 5010 enhancements introduced in patch IB*2.0*432. The intent of this patch is to: 1. Add new fields to the Enter/Edit Billing Information option [IB EDIT BILLING INFO] to allow users to enter additional data elements to claims for health care services provided to patients. 2. Modify the logic which calculates what the monetary amounts that were bill to the secondary payers on the MRA Statistics Report option [IBCEM MRA STATISTICS REPORT]. 3. Modify the outbound 837 Heath Care Claims transmissions to incorporate the additional or modified data elements that may be added to a claim. 4. Modify the printing process for outpatient, UB04 claims to print the Priority (Type) of Admission. 5. Modify the printing process for UB04 and CMS-1500 claims to allow the printing of Revenue/Procedure codes with zero dollar amounts. 6. Modify the Insurance Company Entry/Edit option [IBCN INSURANCE CO EDIT] to allow users to assign additional MEDIGAP policies as Type of Plan for an Insurance Company. 7. Create a new option called the Non-MRA Productivity Report option [IBCEM NON-MRA REPORT]. 8. Modify the mnemonic for the Third Party Billing Menu [IB THIRD PARTY BILLING MENU]. 9. Modify the Insurance Payment Trend Report option [IB OUTPUT TREND REPORT] to display the Insurance Plan Group Number. 10. Modify the Correct Rejected/Denied Bill option [IB CORRECT REJECTED/DENIED] to allow the correction of claims to non-accruing funds such as TRICARE claims. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- IB ERROR (#350.8) New/Modified Entries BILL FORM TYPE LOCAL BILLING Modified (#353) SCREEN(#2.09) TRANSPORT REASON FULL DICTIONARY New CODE(#353.4) AMBULANCE CONDITION FULL DICTIONARY New INDICATORS(#353.5) TYPE OF PLAN EFFECTIVE DATE (#14) New (#355.1) TYPE OF PLAN EFFECTIVE DATE (#.01) New (#355.14) GROUP CODE (#1) New TYPE OF PLAN GROUP CODE (#.01) New (#355.141) REASON CODE (#1) New TYPE OF PLAN REASON CODE (#.01) New (#355.1411) PART A PERCENTAGE (#1) New PART B PERCENTAGE (#2) New IB NON/OTHER VA BILLING LICENSE STATE (#.16) New PROVIDER (#355.93) EXPLANATION OF EOB TYPE(#.04) Modified BENEFITS(#361.1) ENTRY DATE/TIME(#.05) Modified IB DATA ELEMENT New/Modified Entries DEFINITION(#364.5) IB FORM SKELETON New/Modified Entries DEFINITION(#364.6) IB FORM FIELD New/Modified Entries CONTENT(#364.7) BILL/CLAIMS(#399) BILL CLASSIFICATION Modified (#.05) BILL CHARGE TYPE Modified (#.27) PATIENT WEIGHT (LB) New (#287) TRANSPORT REASON CODE New (#288) AMBULANCE TRANSPORT New DISTANCE(#289) ROUND TRIP PURPOSE New DESCRIPTION(#290) STRETCHER PURPOSE New DESCRIPTION(#291) AMBULANCE CONDITION New INDICATOR(#399.0292) PROCEDURES(#399.0304) PROCEDURES(#.01) Modified DIVISION(#5) Modified REVENUE CODE(#399.042) CHARGES(#.02) Modified MANUALLY EDITED(#.16) New Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- IB OUTPUT MANAGEMENT REPORTS menu Modified IBCEM NON-MRA REPORT run routine New IB OUTPUT PATIENT REPORT MENU menu Modified IB COPY SECOND/THIRD Deleted Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- IB SCREEN5 INPUT BILL/CLAIMS(399) Modified IB SCREEN6 INPUT BILL/CLAIMS(399) Modified IB SCREEN7 INPUT BILL/CLAIMS(399) Modified IB SCREEN8 INPUT BILL/CLAIMS(399) Modified IB SCREEN9 INPUT BILL/CLAIMS(399) New IBCEM COB List BILL/CLAIMS(#399) Modified MANAGEMENT IBCEM MRA List BILL/CLAIMS(#399) Modified MANAGEMENT IBJT INACTIVE List BILL/CLAIMS(#399) Modified LIST New Service Requests (NSRs) ---------------------------- 20090216 - eClaims Phase 5 Remedy Ticket(s) & Overview --------------------------- N/A Test Sites: ---------- Altoona North Florida/South Georgia Palo Alto VISN 2 Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.med.va.gov/. This transmits 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 Documentation can also be found on the VA Software Documentation Library at: http://www4.va.gov/vdl/ Title File Name FTP Mode --------------------------------------------------------------- IB Release Notes/ IB_2_0_P447_RN.PDF Binary Installation Guide (IB*2*P447) EDI Billing User Guide EDI_USER_GUIDE_R0312.PDF Binary IB Technical Manual/ IB_2_0_P447_TM.PDF Binary Security Guide Patch Installation: Pre/Post Installation Overview ------------------------------ The post-install routine will set up the server process to move the mail message from FSC into the file AR MEDICAL DEDUCTIBLE ALERTS PART A (#436.1). Note: The Pre-Install and Post-Install routines will be removed at the end of the installation. **** Please note, if you select the option below, Compare Transport Global to Current System, and select #1 Full Comparison, you will get a system error: S+1^DIQ ^IBA(364.6,2209,0) due to a known issue with the KIDS Full Compare option (see Remedy Ticket HD0000000449218). You can run any of the other 3 compare options without issue. Installation Instructions ------------------------- You should install this patch during non-peak hours, when no Integrated Billing or Accounts Receivable users are on the system. This patch should take less than 5 minutes to install. There are no options to disable. 1. OBTAIN PATCHES -------------- Obtain the host file ECLAIMS_5_5010.KID, which contains the following two patch installs: PRCA*4.5*275 IB*2.0*447 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 ECLAIMS_5_5010.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [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 Select Installation Option: 3. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- 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 ECLAIMS_5_5010.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]ECLAIMS_5_5010.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... ECLAIMS 5 BUNDLE 1.0 PRCA*4.5*275 IB*2.0*447 Use INSTALL NAME: ECLAIMS 5 BUNDLE 1.0 to install this Distribution. 4. 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 ECLAIMS 5 BUNDLE 1.0) 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.). **** Please note, if you select the option below, Compare Transport Globalto Current System, and select #1 Full Comparison, you will get a system error: S+1^DIQ ^IBA(364.6,2209,0) due to a known issue with the KIDS Full Compare option (see Remedy Ticket HD0000000449218). You can run any of the other 3 compare options without issue. c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of the KIDS patches. **** Note: The install questions will be displayed twice, first for PRCA*4.5*275 and then for IB*2.0*447. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter ECLAIMS 5 BUNDLE 1.0 c. When prompted for 'Enter the Coordinator for Mail Group 'MDA':", respond with the name of the Mail Group Coordinator for the Accounts Receivable package or a facility Mail Group Coordinator. d. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO e. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//', respond YES *** Please Note: It is important that you respond to these prompts in the proper order or else the IB menus will not be rebuilt. f. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', respond NO. g. When prompted to DISABLE Scheduled Options, Menu Options, and Protocols YES//', respond NO. 6. Routines ^IBY447PO and ^IBY447PR will be deleted upon completion of installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[PATCH LIST]**;21-MAR-94;Build 80 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCAPP Before: B19459268 After: B21485583 **432,447** Routine Name: IBCAPP1 Before: B37999170 After: B38009717 **432,447** Routine Name: IBCAPP2 Before: B40572879 After: B43298709 **432,447** Routine Name: IBCB2 Before: B52497710 After: B52688677 **52,51,161,182,155,447** Routine Name: IBCBB1 Before: B87354166 After: B98716914 **27,52,80,93,106,51,151,148, 153,137,232,280,155,320,343, 349,363,371,395,384,432,447** Routine Name: IBCBB13 Before: n/a After: B19726855 **447** Routine Name: IBCBB2 Before: B49120476 After: B50172747 **51,137,210,245,232,296,320, 349,371,403,432,447** Routine Name: IBCBB21 Before: B15422214 After: B14595417 **51,137,210,232,155,291,348, 349,403,400,432,447** Routine Name: IBCBB6 Before: B579316 After: B235040 **51,447** Routine Name: IBCBB7 Before: B26711457 After: B27582918 **51,137,240,447** Routine Name: IBCC Before: B58814397 After: B57603103 **2,19,77,80,51,142,137,161, 199,241,155,276,320,358,433, 432,447** Routine Name: IBCCC Before: B20747072 After: B20967189 **80,109,106,51,320,433,432,447** Routine Name: IBCCC2 Before: B89240196 After:B108841715 **80,106,124,138,51,151,137, 161,182,211,245,155,296,320, 348,349,371,400,433,432,447** Routine Name: IBCCCB Before: B88589489 After: B65683261 **80,106,51,151,137,182,155, 323,436,432,447** Routine Name: IBCECOB1 Before: B99389484 After:B102535687 **137,155,288,348,377,417,432,447** Routine Name: IBCECOB2 Before:B156849928 After:B167373990 **137,155,433,432,447** Routine Name: IBCEF Before: B55741819 After: B58449164 **52,80,51,137,288,296,361,371,447** Routine Name: IBCEF1 Before: B58389025 After: B60116186 **52,124,51,137,210,155,349,371,447** Routine Name: IBCEF11 Before: B72157495 After: B73456164 **51,137,155,309,335,348,349, 371,432,447** Routine Name: IBCEFP Before: B85133537 After:B100162925 **432,447** Routine Name: IBCEMQC Before: B29878168 After: B30540187 **155,323,302,350,359,447** Routine Name: IBCEMSR Before: B49071063 After: B53975881 **155,288,294,349,447** Routine Name: IBCEMSR2 Before: n/a After: B83574265 **447** Routine Name: IBCEMSR3 Before: n/a After:B132530577 **447** Routine Name: IBCEMSR4 Before: n/a After:B110188807 **447** Routine Name: IBCEMSR5 Before: n/a After: B7131681 **447** Routine Name: IBCEMU4 Before: B1508771 After: B29651910 **288,432,447** Routine Name: IBCEP5A Before: B21730261 After: B26443385 **137,232,320,348,447** Routine Name: IBCEP8 Before:B124106207 After:B124149510 **51,137,232,288,320,343,374, 377,391,400,436,432,447** Routine Name: IBCRBC2 Before: B26657513 After: B28219080 **52,106,138,148,245,370,447** Routine Name: IBCRBC3 Before: B14097205 After: B15092850 **52,106,138,51,447** Routine Name: IBCRBE Before: B31036524 After: B31355983 **52,106,245,287,447** Routine Name: IBCRBF Before: B6390569 After: B10793881 **52,106,51,447** Routine Name: IBCRCC Before: B32466815 After: B34225525 **52,80,106,138,245,223,309, 347,370,383,427,455,447** Routine Name: IBCSC102 Before: B40563126 After: B41181952 **432,447** Routine Name: IBCSC11 Before: n/a After: B7658686 **52,51,447** Routine Name: IBCSC5 Before: B16666314 After: B17112329 **52,125,51,210,266,288,287, 309,389,447** Routine Name: IBCSC8 Before: B8784188 After: B7203948 **432,447** Routine Name: IBCSC9 Before: B7447010 After: B7536045 **447** Routine Name: IBCSCE Before: B9117892 After: B9204544 **52,80,91,106,51,137,236,245, 287,349,371,400,432,447** Routine Name: IBCSCH Before: B47256662 After: B48120299 **52,80,106,124,138,51,148,137, 161,245,232,287,348,349,374, 371,395,400,432,447** Routine Name: IBCSCP Before: B10801833 After: B11636365 **52,51,161,266,432,447** Routine Name: IBCSCU Before: B12080989 After: B12535542 **52,51,348,432,447** Routine Name: IBCU5 Before: B14993646 After: B14664584 **8,52,80,117,51,206,447** Routine Name: IBCU61 Before: B5204953 After: B6243488 **153,447** Routine Name: IBCU62 Before: B9904267 After: B10149874 **133,447** Routine Name: IBCU7 Before: B78100882 After: B81426431 **62,52,106,125,51,137,210,245, 228,260,348,371,432,447** Routine Name: IBCU7B Before: B52236174 After: B55412712 **432,447** Routine Name: IBCU9 Before: n/a After: B4596044 **447** Routine Name: IBJTTC Before: B68420577 After: B69337757 **39,377,431,432,447** Routine Name: IBOTR2 Before: B18730525 After: B22290146 **21,42,52,80,100,118,128,451,447** Routine Name: IBOTR3 Before: B27079166 After: B29774240 **42,80,100,118,128,133,447** Routine Name: IBY447PO Before: n/a After: B4342146 **447** Routine Name: IBY447PR Before: n/a After: B24484648 **447** Routine list of preceding patches: 133, 206, 240, 359, 389, 432, 451, 455 ============================================================================= User Information: Entered By : JUTZI,WILLIAM CHRISTOPHER Date Entered : FEB 01, 2011 Completed By: ROBBINS,BRADLEY Date Completed: FEB 09, 2012 Released By : CAULFIELD,MARY Date Released : FEB 17, 2012 ============================================================================= Packman Mail Message: ===================== No routines included