$TXT Created by WANG,CHI at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 01/26/12 at 13:39 ============================================================================= Run Date: MAY 10, 2012 Designation: IB*2*469 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #436 Status: Released Compliance Date: JUN 10, 2012 ============================================================================= Subject: FY2012 OCCURRENCE/VALUE/CONDITION/REVENUE CODE UPDATES Category: - Routine Description: ============ This patch contains updates to the MCCR Utility (#399.1) file and the Revenue Code (#399.2) file for FY2012. ASSOCIATED REMEDY TICKETS: ========================== 1. HD0000000584459 Need FY2012 Occurrence/Value/Condition/Revenue code updates ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= James A. Haley Veterans' Hospital - Tampa Lebanon VA Medical Center - Lebanon Baltimore MD VAMC Upstate New York HCS REMEDY OVERVIEW: ================ 1. HD0000000584459 Need FY2012 Occurrence/Value/Condition/Revenue code updates Problem: -------- The Chief Business Office has requested the following updates to the the MCCR Utility (#399.1) file and the Revenue Code (#399.2) file. Resolution: ----------- Created a post-init routine IB20P469 to contain updates for the following codes in these two files: The MCCR Utility (#399.1) file will have the following updates made to 15 Value Codes, 22 Occurrence Codes, and 18 Condition Codes. Value Codes: 01 MOST COMMON SEMI-PRIVATE ROOM RATE (name updated) 32 MULTIPLE PATIENT AMBULANCE TRANSPORT (new) 43 DISABLED BENEFICIARY UNDER AGE OF 65 WITH LGHP (name update) 44 AMT AGRED FRM PRIMEPYMT > THN PYMT REC, MSP CLMS (name updated) 52 SPEECH-LANGUAGE THERAPY VISITS (name updated) 54 NEWBORN BIRTH WEIGHT IN GRAMS (new) 55 ELIGIBILITY THRESHOLD FOR CHARITY CARE (new) 66 MEDICAID SPEND DOWN AMOUNT (new) 69 STATE CHARITY CARE PERCENT (new) 83 LIFETIIME RESERVE DAYS (new) A7 CO-PAYMENT PAYER A (new) B7 CO-PAYMENT PAYER B (new) C7 CO-PAYMENT PAYER C (new) D4 CLINICAL TRIAL NUMBER ASSIGNED BY THE NLM/NIH (new) G8 FACILITY WHERE INPATIENT HOSPICE SERVICE IS DELIVERED (new) Occurrence Codes: 01 ACCIDENT/MEDICAL COVERAGE (name updated) 02 NO FAULT INSURANCE INVOLVED INCLUDING AUTO ACCIDENT/OTHER (name updated) 05 ACCIDENT/NO MEDICAL OR LIABILITY COVERAGE (name updated) 26 DATE SNF BED BECAME AVAILABLE (name updated) 27 DATE OF HOSPICE CERTIFICATION OR RECERTIFICATION (name updated) 30 DATE OF OP SPEECH-LANGUAGE PATH PLAN EST/LAST REVWD (name updated) 33 FIRST DAY THE COORD PD FOR ESRD BENEFICIARIES CVRD BY EGHP (name updated) 34 DATE OF ELECTION OF EXTENDED CARE SERVICES (name updated) 36 DATE OF IP HOSP DISCHG FOR COVERED TRANSPLANT PATIENT (name updated) 37 DATE OF IP HOSP DISCHG FOR NON-COVERED TRANSPLANT PATIENT (name updated) 45 DATE TREATMENT STARTED FOR SPEECH-LANGUAGE THERAPY (name updated) A4 SPLIT BILL DATE (name updated) E1 RZD FOR NATIONAL ASSIGNMENT (name updated) E2 RZD FOR NATIONAL ASSIGNMENT (name updated) E3 RZD FOR NATIONAL ASSIGNMENT (name updated) F1 RZD FOR NATIONAL ASSIGNMENT (name updated) F2 RZD FOR NATIONAL ASSIGNMENT (name updated) F3 RZD FOR NATIONAL ASSIGNMENT (name updated) G1 RZD FOR NATIONAL ASSIGNMENT (name updated) G2 RZD FOR NATIONAL ASSIGNMENT (name updated) G3 RZD FOR NATIONAL ASSIGNMENT (name updated) DR DISASTER RELATED OCCURRENCE CODE (new) Condition Codes: 04 INFORMATION ONLY BILL (name updated) 06 ESRD PATIENT IN FIRST 30 MONTHS OF ENTITLE CVRD BY EGHP (name updated) 51 ATTESTATION OF UNRELATED OUTPATIENT NONDIAGNOSTIC SERVICES (new) 58 TERMINATED MEDICARE ADVANTAGE ENROLLEE (name updated) 69 IME/DGME/N&AH PAYMENT ONLY (name updated) 78 NEW COVERAGE NOT IMPLEMENTED BY MANAGED CARE PLAN (name updated) 79 CORF SERVICES PROVIDED OFFSITE (name updated) BO MEDICARE COORDINATED CARE DEMONSTRATION CLAIM (new) B1 BENEFICIARY INELIGIBLE FOR DEMONSTRATION PROGRAM (new) B2 CRITICAL ACCESS HOSPITAL AMBULANCE ATTESTATION (new) B3 PREGNANCY INDICATOR (new) BP GULF OIL SPILL OF 2010 (new) EO CHANGE IN PATIENT STATUS (new) H3 REOCCURRENCE OF GI BLEED (MA) CATEGORY (name updated) H4 REOCCURRENCE OF PNEUMONIA (MB) CATEGORY (name updated) H5 REOCCURRENCE OF PERICARDITIS (MC) CATEGORY (name updated) P1 DO NOT RESUCITATE (DNR) FOR PUBLIC HEALTH REPORTING ONLY (new) WO UNITED MINE WORKERS OF AMERICA (UMWA) DEMO INDICATOR (new) The Revenue Code (#399.2) file will have these 7 codes reserved for future use: 184, 709, 719, 749, 759, 799, 910, and have these 61 codes activated if they are not active: 173, 174, 191, 192, 193, 194, 199, 241, 242, 243, 344, 392, 451, 452, 456, 479, 489, 499, 524, 525, 526, 527, 528, 547, 548, 583, 609, 615, 616, 623, 658, 663, 669, 670, 671, 672, 679, 681, 682, 683, 684, 689, 770, 780, 860, 861, 882, 905, 906, 907, 930, 931, 947, 948, 951, 952, 971, 973, 976, 978, 979. This file will also be updated with the following 3 changes: 970 PROFESSIONAL SERVICES - EXTENSION OF 096X (new) 521 RURAL/FQHC - HEALTH CLINIC (description updated) 522 HOME VISIT BY RHC/FQHC PRACTITIONER (description updated) INSTALLATION INSTRUCTIONS: ========================== It is recommended that this patch be installed outside of normal business hours to avoid any complications resulting from users on the system. Installation will take less than 2 minutes. 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*469): 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 the installation of this KIDS patch: a. Choose the Install Package(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 DISABLE Scheduled Options, Menu Options, and Protocols? NO//' answer NO 5. CLEAN UP POST-INIT ROUTINE -------------------------- Optional - Once this patch has been successfully installed you may delete the post-init routine: IB20P469. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 10 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P469 Before: n/a After: B52239866 **469** ============================================================================= User Information: Entered By : WANG,CHI Date Entered : JAN 09, 2012 Completed By: DAWSON,TIM Date Completed: MAY 03, 2012 Released By : BROWN,GAYLE F Date Released : MAY 10, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT