============================================================================= Run Date: FEB 08, 2016 Designation: IB*2*534 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #507 Status: Released Compliance Date: MAR 10, 2016 ============================================================================= Associated patches: (v)IB*2*494 <<= must be installed BEFORE `IB*2*534' (v)IB*2*511 <<= must be installed BEFORE `IB*2*534' Subject: EPHARMACY NCPDP CONTINUOUS MAINTENANCE STANDARDS Category: - Routine - Data Dictionary - Enhancement (Mandatory) 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*427 INTEGRATED BILLING (IB) V. 2.0 IB*2*534 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*19 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*77 PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*188 Patches PSX*2*77 and PSS*1*188 are being released as stand-alone patches, while the other three patches (PSO*7*427, IB*2*534, BPS*1*19) are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution BPS PSO IB BUNDLE 6.0. The two stand-alone patches and multi-build distribution can be installed in any order and do not need to installed at the same time. This specific patch contains the following functionality: --------------------------------------------------------- 1. In order to allow all discharge medications to be billed, the billing rules for inpatient prescriptions were modified so that all inpatient prescriptions will be billed to the third party payer. Note that the inpatient auto reversal process of the BPS Nightly Background Job will continue to reverse inpatient claims if the patients are still in an inpatient status five days after the prescription fill date. 2. The billing rules for processing claims with Environmental Indicators was changed: a. TRICARE/CHAMPVA claims with Environmental Indicators will be filled but not billed to the third party insurance. b. Active Duty prescriptions flagged for Environmental Indicators for patients whose Eligibility is TRICARE will be filled and billed to TRICARE. 3. Integrated Billing routines and databases were modified to support the new ECME Non-Billable Status Report [BPS RPT NON-BILLABLE REPORT] option. Please see the BPS*1.0*19 patch description for more information on this new report. Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- IB NCPDP EVENT LOG (#366.14) Modified EVENT sub-file (#366.141) Modified NON-BILLABLE REASON (#.02) New IB NCPDP NON-BILLABLE REASONS (#366.17) New Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------- N/A Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- N/A Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Additional Information: N/A New Service Requests (NSRs) --------------------------- 20130514 - NCPDP Continuous Maintenance Standards (Phase 2, Iteration 2) Patient Safety Issues (PSIs) ---------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Test Sites: ----------- VA Heartland West (Integrated)-Station 589 Central Arkansas Veterans Healthcare System (Little Rock, AR)-Station 598 Birmingham VA Medical Center (Birmingham, AL)-Station 521 Hunter Holmes McGuire VA Medical Center (Richmond, VA)-Station 652 James H. Quillen VA Medical Center (Mountain Home, TN)-Station 621 Lexington VA Medical Center (Lexington, KY)-Station 596 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 -------------------------------------------------------------------------- Release Notes/Installation Guide IB_2_0_P534_RN.PDF Binary Technical Manual/Security Guide IB_2_0_TM_R0116.PDF Binary Patch Installation: Pre/Post Installation Overview ------------------------------ There is a post-install routine associated with this patch named IB534PST. The purpose of the post install routine is to populate the new NON-BILLABLE STATUS field (#.02) of IB NCPDP EVENT LOG (#366.14) file. Depending on the number of records in the file, this process may take some time to run so it will be queued to run as a background task. A mail message will be sent indicating the results of the post-install process. You may delete routine IB534PST if the installation was successful and the mailman message indicates that the post-install was successful. Installation Instructions ------------------------- 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. This multi-build installation should take less than 5 minutes to install. This multi-build installation can be queued but should not be queued at a time when the BPS NIGHTY BACKGROUND JOB or CMOP transmission processes are scheduled. Pre-Installation Instructions ----------------------------- 1. OBTAIN PATCHES -------------- Obtain the host file BPS_1_19_PSO_IB.KID, which contains the following patches: BPS*1.0*19 PSO*7.0*427 IB*2.0*534 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.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The BPS_1_19_PSO_IB.KID host file is located in the 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_19_PSO_IB.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_19_PSO_IB.KID). When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB BUNDLE 6.0 IB*2.0*534 BPS*1.0*19 PSO*7.0*427 Use INSTALL NAME: BPS PSO IB BUNDLE 6.0 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 BUNDLE 6.0): 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 BUNDLE 6.0. a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:", enter BPS PSO IB BUNDLE 6.0. 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. Post-Installation Instructions ------------------------------ In order to verify the patch post-installation routine was run successfully, please examine the Install File for this patch and check the Mailman message that was created. Report any error messages to Product Support. You may delete the post-install routine IB534PST if the installation was successful and the mailman message indicates that the post-install was successful. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 18 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB534PST Before: n/a After: B14543577 **534** Routine Name: IBNCPDP1 Before:B191529259 After:B164054794 **223,276,339,363,383,405,384, 411,434,437,435,455,452,473, 494,534** Routine Name: IBNCPDPU Before:B122718985 After:B125879968 **223,276,347,383,405,384,437, 435,452,511,534** Routine Name: IBNCPEV3 Before: n/a After: B30560136 **534** Routine Name: IBNCPLOG Before: B76075004 After: B83304395 **342,339,363,383,411,435,452,534** ============================================================================= User Information: Entered By : Date Entered : AUG 26, 2014 Completed By: Date Completed: FEB 04, 2016 Released By : Date Released : FEB 08, 2016 ============================================================================= Packman Mail Message: ===================== No routines included