$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Monday, 08/18/14 at 17:55 ============================================================================= Run Date: OCT 22, 2014 Designation: IB*2*461 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #481 Status: Released Compliance Date: NOV 05, 2014 ============================================================================= Associated patches: (v)LEX*2*80 <<= must be installed BEFORE `IB*2*461' (v)IB*2*458 <<= must be installed BEFORE `IB*2*461' (v)ICD*18*57 <<= must be installed BEFORE `IB*2*461' (v)ICD*18*64 <<= must be installed BEFORE `IB*2*461' (v)IB*2*488 <<= must be installed BEFORE `IB*2*461' (v)IB*2*494 <<= must be installed BEFORE `IB*2*461' Subject: IB ICD-10 CLASS 1 REMEDIATION Category: - Routine - Data Dictionary - Input Template - Enhancement (Mandatory) - Other Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Prod_Overview_Guide_Group_8A.pdf) posted on the Anonymous.Software directory for installation order. This is critical for proper functionality of the ICD-10 Software. The International Classification of Diseases, Tenth Revision (ICD-10) Class 1 Software Remediation project replaces the 30-year-old set of diagnosis and procedure codes (ICD-9-CM) that medical personnel use. Dates of service or dates of discharge for inpatients, that occur on or after the implementation date, will use the ICD-10 code set. Clinical Modification (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 codes to more than 68,000. Procedure Coding System (ICD-10-PCS) procedure codes increase from about 3,800 ICD-9 codes to nearly 87,000. Both systems also expand the number of characters allotted to seven alpha-numeric characters. This value does not include the decimal point, which follows the third character for the ICD-10-CM code set. There is no decimal point in the ICD-10-PCS code set. These code sets have the potential to reveal more about quality of care, so that data can be used in a more meaningful way to better understand complications, better design clinically robust algorithms, and better track the outcomes of care. ICD-10-CM also incorporates greater specificity and clinical detail to provide information for clinical decision making and outcomes research. This patch updates Integrated Billing (IB) to accommodate ICD-10 code versions when activated. Integrated Billing (IB) will expand the ICD code sets used to include both ICD-9 and ICD-10. In each case where the ICD-9 code sets are currently used the new ICD-10 codes set will be available when activated. The following modifications are required for Integrated Billing (IB) to be compliant. In all the following cases when a date is concerned it is relative to the ICD-10 Activation Date. The short name or description of both Diagnosis and Procedures has been extended from 30 characters to 60 characters in ICD-10. Display screens throughout IB have been modified to display an expanded Code description, where possible. In many cases the full expanded 60 character descriptions could not be used due to space limitations. Most searches for ICD codes no longer allow a view of the entire list of codes, starting at the first code, using '?'. This is now only available if Inactive Codes are also viewed as in the Bill Diagnosis entry/edit. Since the list of ICD codes is now so large viewing the entire list takes some time. Both ICD-9 and ICD-10 Diagnosis and Procedure codes will be available within Integrated Billing, based on the date of service and the ICD-10 activation date. Bill Coding Version ------------------- The Bill Statement Covers To Date will determine the ICD code version allowed on the bill. Each bill must be coded in either ICD-9 or ICD-10. - ICD-9 codes if the Statement To Date is before the ICD-10 activation - ICD-10 codes if the Statement To Date is on/after the ICD-10 activation The ICD Diagnosis and ICD Procedures on a bill must be consistent and part of the same coding version. A new Bill Edit Check will enforce coding version consistency. Bill Inpatient Timeframe ------------------------ An inpatient bill will be allowed to span the ICD-10 activation date. For Inpatient stays that span the ICD-10 activation date a bill coded in ICD-10 may cover care before the activation date. Bill Outpatient Timeframe ------------------------- An Outpatient bill may not span the ICD-10 Activation Date. - When creating an Outpatient bill and the Statement From Date entered is before the ICD-10 activation date the default for the Statement To Date will be one day before the activation date. - When creating an Outpatient bill and the Statement From Date entered is before the ICD-10 activation date then a Statement To Date after the activation date will not be allowed. - When editing Outpatient bill dates on Screen 7 the Statement From Date and Statement To Date will not be allowed to span the ICD-10 activation date. - An additional edit check error has been added if the Statement From Date and Statement To Date span the ICD-10 activation date. Bill Enter/Edit of Diagnosis and Procedures ------------------------------------------- On a Bill the look up and selection of ICD Diagnosis and Procedures has been updated to accommodate the two ICD coding versions: ICD-9 and ICD-10. A bill should not have both ICD-9 and ICD-10 codes. For both ICD Diagnosis and ICD Procedures the Statement To Date or end date of the bill will determine which set of codes are available on the bill. Bills with a Statement To Date less than the ICD-10 activation date will allow ICD-9 codes. Bills with a Statement To Date on or after the ICD-10 activation date will allow ICD-10 codes. When certain Diagnosis are displayed for selection on a bill the inactive codes are displayed but not allowed to be placed on the bill. In these cases active and inactive codes of the coding version applicable to the bill will be displayed. - Bill Diagnosis on Screen 4 for Inpatient and Screen 5 for Outpatient. - Patient Reason for Visit on Screen 10 for Outpatient UB04. The short name or description of both Diagnosis and Procedures has been extended from 30 characters to 60 characters in ICD-10. The display of these names has been lengthened to the extent available on the screens. External Cause of Injury codes ICD-9 began with E as the first character. External Cause of Injury codes ICD-10 begin with V, W, X, or Y. - Entry of External Cause of Injury (E) codes is limited to 3 in ICD-9. - There is no restriction on the number of codes in ICD-10 for either E codes or the V, W, X or Y External Cause of Injury codes. Bill Charge DRG Calculation --------------------------- The calculation of the DRG used for charges on Inpatient Institutional bills has been updated. This DRG is based on the Movement data in PTF and is displayed under each movement Diagnosis on the Screen 4 PTF Diagnosis. - The Present on Admission (POA) indicator assigned to a Diagnosis in PTF will be included in the calculation. - The DRG calculation will be based on the code version of the Diagnosis assigned to the movement. Inpatient bills that span the ICD-10 activation date may have ICD-10 codes assigned for movements before the ICD-10 activation. In this case the DRG calculation will be based on ICD-10 although the movement date is within the ICD-9 timeframe. Bill Procedure Coding Method ---------------------------- The BILL/CLAIMS PROCEDURE CODING METHOD (#399,.09) has been modified from ICD-9-CM to ICD. This change affects both the field and the display on Screen 4 and Screen 5 of Enter/Edit Billing Information [IB EDIT BILLING INFO] option. Bill Edit Checks ---------------- Several Bill Edit Checks have been modified or added primarily due to changes in the definitions of ICD-10 Diagnosis. Several of these coding rules being checked are based on a type of diagnosis that is defined by the first character of the code. With the transition to ICD-10 the character identifying the type has changed in some cases. For example the External Cause of Injury codes. ICD-9 External Cause of Injury codes first character is an E ICD-10 External Cause of Injury codes first character is V, W, X, or Y The result is the following updates to the Bill Edit Checks differentiated by the code version: - Principle Diagnosis cannot begin with an E code for ICD-9 - Principle Diagnosis cannot begin with a V, W, X, or Y code for ICD-10 - Inpatient Principle Diagnosis begins with a V code warning for ICD-9 - Inpatient Principle Diagnosis begins with a Z code warning for ICD-10 - More than 3 E codes on a bill warning for ICD-9 Note there is no corresponding limit on the number of V, W, X or Y codes in ICD-10 - Pregnancy Diagnosis on the bill with no corresponding Occurrence Code 10 Last Menstrual Period error, the determination of Pregnancy code is updated for code version: Diagnosis in ICD-9: V22*-V24*, V27*-V28*, 630*-677 Diagnosis in ICD-10: O00.*-O9A.*, Z34.*-Z36.*, Z37.*-Z39.*, Z3A.* - An Outpatient bill's Statement Dates cannot span the ICD-10 activation. There is no corresponding limit on Inpatient bills. Inpatient bills may span the ICD-10 activation date. - The code version of all ICD codes on the bill must match the code version defined by the Statement To Date, either ICD-9 or ICD-10. This includes the ICD codes in the following fields: Bill Diagnosis (screens 4/5) Admitting Diagnosis (screen 10), Inpatient Patient Reason for Visit Diagnosis (screen 10, Outpatient) Bill Procedures (screens 4/5) Default Prescription Diagnosis Site Parameter --------------------------------------------- A site parameter exists to provide a Default Diagnosis that is automatically added to a bill when a Prescription is added to the bill. This capability is updated to accommodate both an ICD-9 and ICD-10 Diagnosis. - The existing IB SITE PARAMETERS, DEFAULT RX REFILL DX (#350.9, 1.29) will remain available for the ICD-9 version Diagnosis. - A new IB SITE PARAMETERS field DEFAULT RX REFILL DX ICD-10 (#350.9, 7.05) is created for the ICD-10 version of the Diagnosis. When this patch is installed this new field will be set to a default value of Z76.0 - Encounter for issue of repeat prescription One of the two Default Rx Diagnosis will be viewable and editable based on date in the MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] option, IB Site Parameter Screen. When editing a bill in Enter/Edit Billing Information the Default Diagnosis automatically added to a bill when a prescription is added will be determined based on the bill Statement To Date. The ICD-10 Default Diagnosis will be automatically added to bills with a Statement To Date on or after the ICD-10 Activation date. Form Output Extract - IB 837 Transmission ------------------------------------------- The EDI Extract of a claim has been updated to be ICD-10 compliant. The Diagnosis and Procedure Qualifiers that identify the codes on the EDI extracts have been updated to distinguish between ICD-9 and ICD-10 codes. Note the External Cause of Injury Diagnosis codes are uniquely identified on the UB04 form. The following are the types of diagnosis and procedures extracted and their corresponding Qualifier. - DC1-Principle Diagnosis (not External Cause of Injury) ICD-9 is BK - DC1-Principle Diagnosis (not External Cause of Injury) ICD-10 is ABK - DC1-Diagnosis (not Principle/External Cause of Injury-UB) ICD-9 is BF - DC1-Diagnosis (not Principle/External Cause of Injury-UB) ICD-10 is ABF - DC1-Diagnosis External Cause of Injury (E) on UB04 ICD-9 is BN - DC1-Diagnosis External Cause of Injury (V,X,W,Y) on UB04 ICD-10 ABN - DC1-Diagnosis External Cause of Injury (E) on CMS ICD-9 is BF - DC1-Diagnosis External Cause of Injury (V,X,W,Y) on CMS ICD-10 is ABF - PC1-Principle Procedure ICD-9 is BR - PC1-Principle Procedure ICD-10 is BBR - PC1-Procedure (not Principle) ICD-9 is BQ - PC1-Procedure (not Principle) ICD-10 is BBQ - CLIA-Admitting Diagnosis (Inpatient) ICD-9 is BJ - CL1A-Admitting Diagnosis (Inpatient) ICD-10 is ABJ - CL1A-Patient Reason for Visit (UB04 - Outpatient) ICD-9 is PR - CL1A-Patient Reason for Visit (UB04 - Outpatient) ICD-10 is APR Note this patch only updates the EDI Extract for the Code Qualifiers. eClaims has already updated the EDI Extract for the extended Code length, where needed. Form Output Extract - UB-04 Locally Printed ------------------------------------------- The ICD-10 Diagnosis code is 8 characters with a decimal, however the printed UB-04 allows only 7 characters for the Diagnosis. The decimal in the Diagnosis code is not required to print since it is implied. Therefore the decimal will be removed from all Diagnosis printed on a bill, allowing the Diagnosis to fit correctly in the UB-04 form locators: FL 67 - Principle Diagnosis FL 67A-Q - Other Diagnosis FL 69 - Admitting Diagnosis (Inpatient) FL 70a-c - Patient Reason for Visit (Outpatient) FL 72a-c - External Cause of Injury (ECI) codes The External Cause of Injury (ECI) section (FL 72a-c) is no longer used. Therefore the ICD-10 ECI codes (V, W, X, Y codes) will be printed with the other Bill Diagnosis in Form Locators 67A-Q. Third Party Joint Inquiry ------------------------- The short name or description of both Diagnosis and Procedures has been extended from 30 characters to 60 characters in ICD-10. The TPJI Bill Procedure and Bill Diagnosis Screens have been update to display the entire ICD code description. Claims Tracking --------------- The primary updates required for Claims Tracking were to displays and the addition of the Present On Admission indicator. - The CLAIMS TRACKING, ADMITTING REASON (ICD) (#356, .3) name was changed to the more generic, ICD from ICD-9. - The Patients Admitting Movements Admitting Diagnosis is displayed on both the Claims Tracking Extended screen and the Claims Tracking Appeal/Denial Extended screen. However if the appeal/denial review date was after the patient was discharged the Admitting Diagnosis was not found or displayed on the Appeal/Denial Extended screen. This has been corrected. The Inpatient Diagnosis and Procedures and DRG calculation have been updated for ICD-10. The Diagnosis Update (DU) and Procedure Update (PU) actions available to enter codes to calculate an DRG for Inpatient stays: - The Inpatient Diagnosis selection display of active and inactive codes will be limited to the coding version applicable to the admission date of the stay. - An new INPATIENT DIAGNOSIS, POA INDICATOR (#356.9, .05) has been added with the following selections to indicate if the diagnosis related condition was present when the patient was admitted: Y = Present at the time of inpatient admission N = Not present at the time of inpatient admission U = Documentation is insufficient to determine if condition was present W = Provider is unable to clinically determine if condition was present This POA indicator will default to Yes when a Diagnosis is entered. - Within the Update actions the list of Diagnosis (DU) has been updated to display the code version and the POA indicator. - Within the Update actions the list of Procedure (PU) has been updated to display the code version. - The DRG calculation has been updated to include the new POA Indicator. Technical Description: ====================== In Claims Tracking two API's that get Outpatient encounter data had been retired but were still being used: SDCO3 (#403) and SDCO4 (#404). These two API's have been replaced by the supported API SDOE (#2546). The Expanded Claims Tracking Screen and Inquire to Claims Tracking report use these APIs, but the API update results in no functional change. ICD API (#3990) ICDCODE previously used to get ICD Diagnosis and Procedure data is being retired and replaced by the new ICD API (#5747) ICDEX. All instances in IB of the use of ICDCODE have been replaced by ICDEX. Throughout IB the functions in the utility IBACSV are used to get the data on the various codes, including ICD Diagnosis and Procedures. Therefore many of the changes necessary for conversion to ICD-10 were accomplished by updating the API calls in this utility. The IB ERROR (#350.8) codes have been updated in the post-init: - IB071: The existing IB NO DX Error code (IB071) message updated, ICD-9 replaced with ICD: A claim must contain an ICD diagnosis. - IB354: A new IB354 Error Code has been added: Statement Covers To date cannot span into ICD-10 effective period. - IB355: A new IB355 Error Code has been added: The Principal (first- entered) diagnosis cannot begin with a V, W, X or Y. - IB356: A new IB356 Error Code has been added: ICD Code Set Version does not correspond to Statement Covers To Date. The following IB FORM FIELD CONTENT (#364.7) entry's Format Code (1) have been modified. These entries are deleted in the pre-init and re-added during the install to ensure an accurate update. IB 837 Transmission: Inpatient UB Form - Entry #40 - PC1: Procedure Code Qualifiers - BR/BQ - Entry #1635 - CL1A-15: Admitting Diagnosis - BJ/ABJ IB 837 Transmission: Outpatient UB Form - Entry #1617 - CL1A-17: Patient Reason for Visit (1) Qualifier - PR/APR - Entry #1619 - CL1A-19: Patient Reason for Visit (2) Qualifier - PR/APR - Entry #1620 - CL1A-20: Patient Reason for Visit (2) Diagnosis - Entry #1621 - CL1A-21: Patient Reason for Visit (3) Qualifier - PR/APR - Entry #1622 - CL1A-22: Patient Reason for Visit (3) Diagnosis Locally Printed: UB-04 Form - Entry #1298 - FL-67: PRIN DIAG CODE (FL-67/1/1) - Entry #1346 - FL-67: OTHER DIAG CODE 1 (FL-67A/1/1) - Entry #1347 - FL-67: OTHER DIAG CODE 2 (FL-67B/1/1) - Entry #1348 - FL-67: OTHER DIAG CODE 3 (FL-67C/1/1) - Entry #1349 - FL-67: OTHER DIAG CODE 4 (FL-67D/1/1) - Entry #1350 - FL-67: OTHER DIAG CODE 5 (FL-67E/1/1) - Entry #1351 - FL-67: OTHER DIAG CODE 6 (FL-67F/1/1) - Entry #1352 - FL-67: OTHER DIAG CODE 7 (FL-67G/1/1) - Entry #1353 - FL-67: OTHER DIAG CODE 8 (FL-67H/1/1) - Entry #1354 - FL-67: OTHER DIAG CODE 9 (FL-67I/1/1) - Entry #1302 - FL-67: OTHER DIAG CODE 10(FL-67J/1/1) - Entry #1314 - FL-67: OTHER DIAG CODE 11(FL-67K/1/1) - Entry #1315 - FL-67: OTHER DIAG CODE 12(FL-67L/1/1) - Entry #1355 - FL-67: OTHER DIAG CODE 13(FL-67M/1/1) - Entry #1356 - FL-67: OTHER DIAG CODE 14(FL-67N/1/1) - Entry #1357 - FL-67: OTHER DIAG CODE 15(FL-67O/1/1) - Entry #1358 - FL-67: OTHER DIAG CODE 16(FL-67P/1/1) - Entry #1359 - FL-67: OTHER DIAG CODE 17(FL-67Q/1/1) - Entry #1370 - FL-69: ADM DIAG CODE (FL-69) - Entry #1407 - FL-70: PATIENT REASON DX (FL-70/1/1) - Entry #1408 - FL-70: PATIENT REASON DX (FL-70/1/2) - Entry #1409 - FL-70: PATIENT REASON DX (FL-70/1/3) - Entry #1371 - FL-72: ECI (FL-72A/1/1) - Entry #1412 - FL-72: ECI (FL-72B/1/1) - Entry #1414 - FL-72: ECI (FL-72C/1/1) Note the Bill Diagnosis Qualifiers BN/ABN, BF/ABF, BK/ABK have also changed however the related Form Field entry #41 - DC1 Diagnosis Code calls a procedure to determine the Diagnosis Qualifiers. This procedure has been updated so entry #41 has not changed and does not need to be exported (ID1^IBCEF2). Two Input Templates are re-compiled in the post-init. The templates did not change but a field edited within templates did change: BILL/CLAIMS PROCEDURE CODING METHOD (#399,.09). Therefore the templates are not exported but re-compiled: - IB SCREEN4 - Enter/Edit of Inpatient Billing information - IB SCREEN5 - Enter/Edit of Outpatient Billing Information The following options have been updated with this patch: - Third Party Joint Inquiry [IBJ THIRD PARTY JOINT INQUIRY] - Enter/Edit Billing Information [IB EDIT BILLING INFO] - MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] - Claims Tracking Edit [IBT EDIT TRACKING ENTRY] - Inquire to Claims Tracking [IBT OUTPUT CLAIM INQUIRY] - View/Print EDI Bill Extract Data [IBCE EDI VIEW/PRINT EXTRACT] Patch Components: ================= Files & Fields Associated: File Name (Number) Field Name (Number) Change ------------------ ------------------- --------- IB SITE PARAMETERS (#350.9) DEFAULT RX REFILL DX ICD-10 (7.05) New CLAIMS TRACKING (#356) ADMITTING REASON (ICD) (.3) Modified INPATIENT DIAGNOSIS (#356.9) POA INDICATOR (.05) New BILL/CLAIMS (#399) PROCEDURE CODING METHOD (.09) Modified File & Field Data Entries: File Name (Number) Date Entry Change ------------------ ------------------- --------- IB ERROR File (#350.8) Entry Code IB071 Modified IB ERROR File (#350.8) Entry Code IB354 New IB ERROR File (#350.8) Entry Code IB355 New IB ERROR File (#350.8) Entry Code IB356 New IB SITE PARAMETERS (#350.9) DEFAULT RX REFILL DX ICD-10 New IB FORM FIELD CONTENT File (#364.7) (32 entries modified) Entry #40: 837 - Procedure Code Qualifier Modified Entry #1298: UB-04 - PRIN DIAG CODE (FL-67/1/1) Modified Entry #1302: UB-04 - OTHER DIAG CODE 10(FL-67J/1/1) Modified Entry #1314: UB-04 - OTHER DIAG CODE 11(FL-67K/1/1) Modified Entry #1315: UB-04 - OTHER DIAG CODE 12(FL-67L/1/1) Modified Entry #1346: UB-04 - OTHER DIAG CODE 1 (FL-67A/1/1) Modified Entry #1347: UB-04 - OTHER DIAG CODE 2 (FL-67B/1/1) Modified Entry #1348: UB-04 - OTHER DIAG CODE 3 (FL-67C/1/1) Modified Entry #1349: UB-04 - OTHER DIAG CODE 4 (FL-67D/1/1) Modified Entry #1350: UB-04 - OTHER DIAG CODE 5 (FL-67E/1/1) Modified Entry #1351: UB-04 - OTHER DIAG CODE 6 (FL-67F/1/1) Modified Entry #1352: UB-04 - OTHER DIAG CODE 7 (FL-67G/1/1) Modified Entry #1353: UB-04 - OTHER DIAG CODE 8 (FL-67H/1/1) Modified Entry #1354: UB-04 - OTHER DIAG CODE 9 (FL-67I/1/1) Modified Entry #1355: UB-04 - OTHER DIAG CODE 13(FL-67M/1/1) Modified Entry #1356: UB-04 - OTHER DIAG CODE 14(FL-67N/1/1) Modified Entry #1357: UB-04 - OTHER DIAG CODE 15(FL-67O/1/1) Modified Entry #1358: UB-04 - OTHER DIAG CODE 16(FL-67P/1/1) Modified Entry #1359: UB-04 - OTHER DIAG CODE 17(FL-67Q/1/1) Modified Entry #1370: UB-04 - ADM DIAG CODE (FL-69) Modified Entry #1371: UB-04 - ECI (FL-72A/1/1) Modified Entry #1407: UB-04 - PATIENT REASON DX (FL-70/1/1) Modified Entry #1408: UB-04 - PATIENT REASON DX (FL-70/1/2) Modified Entry #1409: UB-04 - PATIENT REASON DX (FL-70/1/3) Modified Entry #1412: UB-04 - ECI (FL-72B/1/1) Modified Entry #1414: UB-04 - ECI (FL-72C/1/1) Modified Entry #1617: 837 - Patient Reason for Visit Qualifier (1) Modified Entry #1619: 837 - Patient Reason for Visit Qualifier (2) Modified Entry #1620: 837 - Patient Reason for Visit (2) Modified Entry #1621: 837 - Patient Reason for Visit Qualifier (3) Modified Entry #1622: 837 - Patient Reason for Visit (3) Modified Entry #1635: 837 - Code List Qualifier Code (BJ) Modified Forms Associated: NA Mail Groups Associated: NA Options Associated: NA - None Exported Protocols Associated: NA Security Keys Associated: NA Templates Associated: NA - None Exported Patient Safety Issues (PSIs): NA Remedy Ticket(s) & Overview: NA New Service Requests (NSRs): ---------------------------- NSR 20070902, ICD-10-CM Conversion Test Sites: ---------- Boise Detroit Dublin Houston North Chicago Northampton Orlando 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.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode -------------------------------------------------------------------------- IB v2.0 User Manual IB_2_0_R0914_UM.PDF Binary IB v2.0 Technical Manual IB_2_0_R0914_TM.PDF Binary IB*2*461 Release Notes ICD-10_RN_IB_2_461.PDF Binary ICD-10 Overview Guide ICD-10_PROD_OVERVIEW_GUIDE_GROUP_8A.PDF Binary Patch Installation: ================== Pre-Installation Overview: -------------------------- The Pre-init (IBY461PR) will complete the following: - Deletes 32 entries in the IB FORM FIELD CONTENT (#364.7) file updated by this patch. entries are re-added by the installation: Entry #: 40, 1298, 1302, 1314, 1315, 1346, 1347, 1348, 1349, 1350, 1351, 1352, 1353, 1354, 1355, 1356, 1357, 1358, 1359, 1370, 1371, 1407, 1408, 1409, 1412, 1414, 1617, 1619, 1620, 1621, 1622, 1635 Post-Installation Overview: ------------------------------- The Post-init (IBY461PO) will complete the following: - Set value of the new IB SITE PARAMETERS, DEFAULT RX REFILL DX ICD-10 (#350.9,7.05) to Z76.0 Encounter for issue of repeat prescription. - Recompile two Input Templates. The templates did not change so they are not exported but one of the fields edited in the templates did change: IB SCREEN4 and IB SCREEN5. - Update one entry in the IB ERROR (#350.8): IB NO DX Error code (IB071) - Add three new IB ERROR (#350.8) codes: IB354, IB355, IB356 Installation Instructions: -------------------------- This patch should be installed during non-peak hours when no Integrated Billing users are on the system to minimize potential disruption to users. Make sure that when installing the patch the Queue Means Test Compilation of Charges [IB MT NIGHT COMP] is not running. This patch should take less than 5 minutes to install. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter the patch #: IB*2.0*461 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 DDs 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, DDs, 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. Enter IB*2.0*461. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' respond NO. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond YES 8. Enter options you wish to mark as 'Out Of Order': enter the following Third Party Joint Inquiry [IBJ THIRD PARTY JOINT INQUIRY] Enter/Edit Billing Information [IB EDIT BILLING INFO] MCCR Site Parameter Display/Edit [IBJ MCCR SITE PARAMETERS] Claims Tracking Edit [IBT EDIT TRACKING ENTRY] Inquire to Claims Tracking [IBT OUTPUT CLAIM INQUIRY] View/Print EDI Bill Extract Data [IBCE EDI VIEW/PRINT EXTRACT] 9. If prompted 'Delay Install (Minutes): (0 - 60): 0//' respond 0. 10. You may delete the pre and post init routines after the installation: IBY461PR, IBY461PO. Post-Installation Instructions: ------------------------------- There are no Post-installation actions required by this patch. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 58 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBACSV Before: B17068380 After: B25291630 **210,266,461** Routine Name: IBCA Before: B24308332 After: B24815247 **43,80,109,106,137,312,461** Routine Name: IBCBB Before: B73668257 After: B76368179 **80,51,137,288,327,361,371, 377,400,432,461** Routine Name: IBCBB0 Before: B13617325 After: B23527911 **377,400,461** Routine Name: IBCBB2 Before: B54197066 After: B57578092 **51,137,210,245,232,296,320, 349,371,403,432,447,473,488, 461** Routine Name: IBCBB21 Before: B14595417 After: B16839261 **51,137,210,232,155,291,348, 349,403,400,432,447,461** Routine Name: IBCEF2 Before: B64374819 After: B68782434 **52,85,51,137,232,155,296,349, 403,400,432,488,461** Routine Name: IBCEU4 Before: B53347889 After: B53666319 **51,137,210,155,290,403,461** Routine Name: IBCRBG Before: B58097586 After: B66489178 **52,80,106,51,142,159,210,245, 382,389,461** Routine Name: IBCSC102 Before: B41181952 After: B41297495 **432,447,461** Routine Name: IBCSC10B Before: B42359591 After: B44148706 **432,461** Routine Name: IBCSC4 Before: B25396440 After: B25534082 **52,51,210,245,155,287,349, 403,400,461** Routine Name: IBCSC4D Before: B60745629 After: B61931126 **55,62,91,106,124,51,210,403, 400,461** Routine Name: IBCSC5 Before: B17112329 After: B17240137 **52,125,51,210,266,288,287, 309,389,447,461** Routine Name: IBCSC5C Before: B51873840 After: B52563078 **27,52,130,51,160,260,309,315, 339,347,363,381,405,432,461** Routine Name: IBCSCH1 Before: B35678936 After: B35679785 **106,125,51,245,266,395,458,461** Routine Name: IBCU4 Before: B20382256 After: B24388158 **109,122,137,245,349,371,399,461** Routine Name: IBCU7 Before: B76838380 After: B77808645 **62,52,106,125,51,137,210,245, 228,260,348,371,432,447,488, 461** Routine Name: IBCU72 Before: B16150008 After: B16208907 **62,210,473,461** Routine Name: IBJPS Before: B3719053 After: B3981041 **39,52,70,115,143,51,137,161, 155,320,348,349,377,384,400, 432,494,461** Routine Name: IBJPS2 Before: B40350434 After: B41765087 **39,52,115,143,51,137,161,155, 320,348,349,377,384,400,432, 494,461** Routine Name: IBJTBB Before: B2945074 After: B2939768 **39,210,461** Routine Name: IBJTBC Before: B13013403 After: B14403478 **39,80,51,137,210,349,461** Routine Name: IBTOBI4 Before: B21631408 After: B21974181 **91,125,51,210,266,389,461** Routine Name: IBTRDD Before: B7262514 After: B7274149 **458,461** Routine Name: IBTRE3 Before: B26529518 After: B29082624 **10,60,210,266,461** Routine Name: IBTRE4 Before: B28379338 After: B28830584 **10,210,266,461** Routine Name: IBTRE6 Before: B15005544 After: B22956072 **210,461** Routine Name: IBTRED0 Before: B23670458 After: B23857712 **160,210,317,276,458,461** Routine Name: IBTRV2 Before: B22166861 After: B23882166 **60,210,266,461** Routine Name: IBY461PO Before: n/a After: B11297610 **461** Routine Name: IBY461PR Before: n/a After: B2709631 **461** ============================================================================= User Information: Entered By : Date Entered : AUG 23, 2011 Completed By: Date Completed: OCT 21, 2014 Released By : Date Released : OCT 22, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT