============================================================================= Run Date: DEC 26, 2013 Designation: IB*2*494 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #464 Status: Released Compliance Date: JAN 25, 2014 ============================================================================= Associated patches: (v)IB*2*432 <<= must be installed BEFORE `IB*2*494' (v)IB*2*473 <<= must be installed BEFORE `IB*2*494' Subject: EPHARMACY OPERATING RULES Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ This patch has enhancements that extend the capabilities of the Veterans Health Information Systems and Technology Architecture (VistA) electronic pharmacy (ePharmacy) billing system. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH --------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*421 INTEGRATED BILLING (IB) V. 2.0 IB*2*494 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*15 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*74 ACCOUNTS RECEIVABLE (PRCA) V. 4.5 PRCA*4.5*295 The patches (PSO*7*421, IB*2*494, BPS*1*15, PSX*2*74 and PRCA*4.5*295) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution BPS PSO IB PSX PRCA BUNDLE 8.0. The purpose of this software package is to ensure National Council for Prescription Drug Programs (NCPDP) D.0 - D.9 transactions are functional in the Electronic Data Interchange (EDI) New Standards and Operating Rules environment and includes annual External Code List (ECL) updates into NCPDP fields. The package also provides the ability to alert the pharmacist at the time of prescription processing regarding the days' supply benefit. This specific patch contains the following functionality: --------------------------------------------------------- 1. Action RX ECME Information in option IBJ Third Party Joint Inquiry [IBJ THIRD PARTY JOINT INQUIRY] is modified to display an additional line with information on cancelled bills above Payment Information. 2. Several options are decommissioned by the post-install routine IBY494PO for this patch: a. Option IB Drugs non covered report [IB DRUGS NON COVERED REPORT] is deleted. b. The e-Pharmacy Menu [IBCNR E-PHARMACY MENU] is modified to remove the following options from the menu: EHNF Edit HIPAA NCPDP FLAG ENP Edit NCPDP PROCESSOR APPLICATION Sub-file EPAY Edit PAYER APPLICATION Sub-file EPBM Edit PBM APPLICATION Sub-file NON Drugs non covered report c. Tasked option EPHARMACY SHARED MATCHES REPORT - TASKMAN [IBCNR SHARED MATCHES RPT TASK] is deleted and any existing tasks de-scheduled. d. The IB SITE PARAMETERS file (#350.9) is modified to remove fields: Drug Non Covered Recheck Period (#11.02) Non covered Reject Codes sub-file (#350.912) e. IB Billing Determination is modified to remove call to $$CHCK^IBNCDNC so that there is no check to see if the drug/plan is stored in the IB NDC NON COVERED BY PLAN file (#366.16). 3. Several files and fields are decommissioned by the post-install routine IBY494PO for this patch: a. NON COVERED REJECT CODES Sub-File (#350.912) is removed from the IB SITE PARAMETERS FILE (#350.9). b. DRUG NONCOVERED RECHECK PERIOD field (#11.02) is removed from the IB SITE PARAMETERS FILE (#350.9). c. IB NDC NON COVERED BY PLAN file (#366.16) is removed from VistA. d. DBIA# 5185 to allow ECME access to Integrated Billing data for IB NDC NON COVERED BY PLAN file (#366.16) is deactivated. Patch Components ================ The following is a list of field modifications included in this patch: File Name (#) New/Mod/ Sub-File Name (#) Field Name (#) Deleted ------------------- ------------------- -------- IB SITE PARAMETERS (#350.9) DRUG NONCOVERED RECHECK PERIOD (#11.02) Deleted NON COVERED REJECT CODES (#12) Deleted IB NDC NON COVERED BY PLAN (#366.16) Entire File Deleted Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- IBCNR SHARED MATCHES RPT TASK run routine Deleted IBCNR E-PHARMACY MENU menu Modified IB DRUGS NON COVERED REPORT run routine Deleted IB SITE MGR MENU menu Modified IB TRICARE ENGINE START run routine Deleted IB TRICARE ENGINE STOP run routine Deleted IB TRICARE MENU menu Deleted IB TRICARE REVERSE run routine Deleted IB TRICARE RESUBMIT run routine Deleted IB TRICARE REJECT run routine Deleted IB TRICARE TRANSMISSION run routine Deleted IB TRICARE DEL REJECT run routine Deleted Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type New/Modified/Deleted ------------- ---- -------------------- IBJT ECME RESP INFO LIST Modified Additional Information: N/A New Service Requests (NSRs): ------------------------------------------------------------- 20110503 - Electronic Data Interchange (EDI) New Standards and Operating Rules (Veterans Health Administration) VHA Provider-Side TCRs Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview: ------------------------------------- N/A Test Sites: ---------- Birmingham VAMC, AL Mountain Home VAMC, TN Richmond VAMC, VA Little Rock VAMC, AR Jackson VAMC, MS 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.domain.ext/. 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.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode -------------------------------------------------------------------- IB Release Notes/ IB_2_0_P494_RN.PDF Binary Installation Guide (IB*2.0*494) Patch Installation: Pre/Post Installation Overview ------------------------------ There is a post-install routine associated with this patch named POST^IBY494PO. The purpose of the post-install routine is to perform the decommissioning described above. The post-install routine is automatically deleted by the system if allowed by your Kernel site parameters configuration. You may delete routine IBY494PO if the installation was successful and it is not automatically deleted by KIDS. Installation Instructions ------------------------- This patch should take less than a minute to install. DO NOT QUEUE the installation of this patch. To avoid disruptions, these patches should be installed during non-peak hours when there is minimal activity on the system. Avoid times when ECME claims are being transmitted. Of particular concern are the options below. 1. BPS NIGHTLY BACKGROUND JOB [BPS NIGHTLY BACKGROUND JOB] Do not install the patch when ECME claims are being generated by the BPS Nightly Background Job option. Wait for this job to finish or complete the installation before this job starts. 2. Scheduled CS Transmission [PSXR SCHEDULED CS TRANS] and Scheduled Non-CS Transmission [PSXR SCHEDULED NON-CS TRANS] Do not install the patch when prescriptions are being transmitted to CMOP. Wait for the CMOP transmissions to finish or complete the installation before the transmissions start. Both the CS (Controlled Substances) and the non-CS CMOP transmission options should be checked. Check with Pharmacy Service or your Pharmacy ADPAC to find out when CMOP transmissions occur. Pre-Installation Instructions ----------------------------- 1. OBTAIN PATCHES -------------- Obtain the host file BPS_1_15_PSO_IB_PSX_PRCA.KID, which contains the following patches: BPS*1.0*15 PSO*7.0*421 IB*2.0*494 PSX*2.0*74 PRCA*4.5*295 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.domain.ext 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.domain.ext Hines ftp.fo-hines.domain.ext Salt Lake City ftp.fo-slc.domain.ext The BPS_1_15_PSO_IB_PSX_PRCA.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 BPS_1_15_PSO_IB_PSX_PRCA.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_15_PSO_IB_PSX_PRCA.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB PSX BUNDLE 8.0 BPS*1.0*15 PSO*7.0*421 IB*2.0*494 PSX*2.0*74 PRCA*4.5*295 Use INSTALL NAME: BPS PSO IB PSX PRCA BUNDLE 8.0 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 BPS PSO IB PSX PRCA BUNDLE 8.0): 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 data dictionaries 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, data dictionaries, 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. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of this KIDS patch. This will need to be run for the BPS PSO IB PSX PRCA BUNDLE 8.0. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter BPS PSO IB PSX PRCA BUNDLE 8.0. c. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//", enter YES unless your system does this in a nightly TaskMan process. 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? NO//", enter NO. f. When prompted "Device: HOME//", respond with the correct device but do not queue this install. Post-Installation Instructions ------------------------------ In order to verify the patch post-installation routine was run successfully, please examine the Install File for this patch and report any error messages to Product Support. Please also confirm the patch post-installation routine, IBY494PO, was removed if allowed by your Kernel site parameter configuration. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 11 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCNSC01 Before: B55647455 After: B57572758 **52,137,191,184,232,320,349, 371,399,416,432,494** Routine Name: IBJPS Before: B3750253 After: B3719053 **39,52,70,115,143,51,137,161, 155,320,348,349,377,384,400, 432,494** Routine Name: IBJPS2 Before: B43690193 After: B40350434 **39,52,115,143,51,137,161,155, 320,348,349,377,384,400,432, 494** Routine Name: IBJTRX Before: B76083313 After: B80926965 **435,452,494** Routine Name: IBNCPDP1 Before:B196557252 After:B191529259 **223,276,339,363,383,405,384, 411,434,437,435,455,452,473, 494** Routine Name: IBY494PO Before: n/a After: B92100972 **494** Routine list of preceding patches: 432, 473 ============================================================================= User Information: Entered By : GUSTAFSON,ERIC S Date Entered : DEC 18, 2012 Completed By: LOSEY,BILL Date Completed: OCT 01, 2013 Released By : POST,HELEN Date Released : DEC 26, 2013 ============================================================================= Packman Mail Message: ===================== No routines included