============================================================================= Run Date: JUL 01, 2016 Designation: IB*2*530 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #515 Status: Released Compliance Date: JUL 31, 2016 ============================================================================= Associated patches: (c)PRCA*4.5*303 install with patch `IB*2*530' (v)PRCA*4.5*298<<= must be installed BEFORE `IB*2*530' (v)IB*2*511 <<= must be installed BEFORE `IB*2*530' (v)BPS*1*17 <<= must be installed BEFORE `IB*2*530' (v)IB*2*516 <<= must be installed BEFORE `IB*2*530' Subject: MCCF ENHANCEMENTS PROJECT - CARC/RARC Category: - Routine - Data Dictionary - Enhancement (Mandatory) Description: ============ ***************************************************************************** NOTICE: The patch bundle PRCA IB MCCF EDI 1.0 (IB*2.0*530/PRCA*4.5*303) must be installed first, then install two standalone patches, IB*2.0*529 and PRCA*4.5*304. Patch IB*2.0*529 must be installed before installing PRCA*4.5*304. Install all patches close together so that your site has all of the features released as part of this enhancement. ***************************************************************************** MCCF (Medical Care Collection Fund) Enhancement for uniform use of CARC/RARC (Claims Adjustment Reason Codes/Remittance Advice Remark Codes) Codes. This patch implements changes to the Veterans Health Information Systems and Technology Architecture (VistA) Accounts Receivable (AR) software requested by the Veterans Health Administration (VHA) Chief Business Office (CBO) Business Solutions to comply with legislative changes mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) as amended by Public Law (P.L.) 111-148, the Patient Protection and Affordable Care Act (PPACA), Section 1104. VHA uses the following standard, unique identifiers and Electronic Data Interchange (EDI) transactions in support of its third-party revenue and collections operation: - National Provider Identifier (NPI) - 270/271 Health Care Eligibility Benefit Inquiry and Response - 837 Health Care Claims - Institutional and Professional - National Council Pharmacy Drug Program (NCPDP) Pharmacy Transactions - 835 Health Care Claim Payment/Advice - Claim Adjustment Reason Codes (CARC) - Remittance Advice Remark Codes (RARC) - Electronic Funds Transfer (EFT) - Electronic Explanation of Benefits (EEOB) - Electronic Remittance Advice (ERA) - Third Party Joint Inquiry (TPJI) This patch adds the following: - Created a new Action option on the TPJI screen to allow accounts receivable staff to further investigate issues with EEOBs, ERAs and EFTs. - Created Menu for the above screen - Created action option for ERA Summary Information screen to display additional ERA data and EEOB information. - Created action option to print EEOBs and additional data. Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- EXPLANATION OF BENEFITS (#361.1) Modified PAYER ID (#.03) Modified ENTRY DATE/TIME (#.05) Modified EOB PAID DATE (#.06) Modified TRACE NUMBER (#.07) Modified CORRECTED PRIORITY PAYER TYPE Modified (#1.15) Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Functions Associated: New/Modified/ Function Name 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 ------------- ------------- IBCNE JT VIEW EXP ELIG BEN SCREEN Modified IBJ EXIT Modified IBJT 835 ADDITIONAL DATA New IBJT ACTIVE LIST SCREEN SKIP Modified IBJT AR ACCOUNT PROFILE SCREEN Modified IBJT AR COMMENT HISTORY SCREEN Modified IBJT BILL CHARGES SCREEN Modified IBJT BILL DX SCREEN Modified IBJT BILL PROCEDURES SCREEN Modified IBJT CHANGE BILL Modified IBJT CLAIM SCREEN MENU Modified IBJT CLAIM SCREEN SKIP Modified IBJT CT/IR COMMUNICATIONS LIST SCREEN Modified IBJT ECME RESP INFO SCREEN Modified IBJT EDI STATUS SCREEN Modified IBJT ERA 835 INFORMATION New IBJT ERA 835 MENU New IBJT ERA 835 PRINT EEOB New IBJT ERA 835 RECEIPT PROF New IBJT EXIT MENU New IBJT HS HEALTH SUMMARY Modified IBJT NS VIEW AN BEN SCREEN Modified IBJT NS VIEW EXP POL SCREEN Modified IBJT NS VIEW INS CO SCREEN Modified IBJT PT ELIGIBILITY SCREEN Modified Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- IBJT 835 EEOB List New PRINT IBJT ADDITIONAL List New 835 DATA IBJT ERA 835 List New INFORMATION Additional Information: N/A New Service Requests (NSRs) ---------------------------- NSR# 20130515 - Uniform Use of CARC and RARC (835) Rule Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- N/A Problem: ------- N/A Resolution: ---------- N/A Test Sites: ---------- Alexandria VA Health Care System (Alexandria, LA) - Station 502 Huntington VA Medical Center (Huntington, WV) - Station 581 South Texas Veterans Health Care System (San Antonio, TX) - Station 671 Software and Documentation Retrieval Instructions: ---------------------------------------------------- Software being released as a host file and/or documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software and/or documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: domain.ext Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode --------------------------------------------------------------------------- Integrated Billing User Manual IB_2_0_UM.PDF (binary) Integrated Billing Technical Manual IB_2_0_TM.PDF (binary) /Security Guide Integrated Billing Release Notes IB_2_0_P530_RN.PDF (binary) EPAYMENTS USER MANUAL (EDI LOCKBOX) EPAYMENTS_USER_ (binary) MANUAL_R0516.PDF Patch Installation: Pre/Post Installation Overview ------------------------------ Note: The patch bundle PRCA IB MCCF EDI 1.0 (IB*2.0*530/PRCA*4.5*303) must be installed first, then install two standalone patches, IB*2.0*529 and PRCA*4.5*304. Patch IB*2.0*529 must be installed before installing PRCA*4.5*304. Install all patches close together so that your site has all of the features released as part of this enhancement. There are no special instructions to be performed before installing the patch. Post Install routine will reindex the modified files for the new indices. After the post-install is complete you can safely remove the routine IB20P530. Pre-Installation Instructions ----------------------------- This patch may be installed with users on the system. Installation should take less than 5 minutes. No options need to be disabled. Installation Instructions ------------------------- This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. This patch can be obtained from the ANONYMOUS.SOFTWARE directory at one of the OI Field Offices. The preferred method is to retrieve the files from DOWNLOAD.VISTA.DOMAIN.EXT, which will transmit the file from the first available server. Sites may elect to retrieve the files from a specific server. OI FIELD OFFICE ADDRESS DIRECTORY --------------------------------------------------------------------- Albany DOMAIN.EXT Hines DOMAIN.EXT Salt Lake City DOMAIN.EXT The software distribution includes: FILE NAME DESCRIPTION ------------------------------------------------------- PRCA_IB_MCCF_EDI_1_0.KID KIDS Build 1. Retrieve the file PRCA_IB_MCCF_EDI_1_0.KID using one of the methods described above. This file contains the patches PRCA*4.5*303 and IB*2.0*530 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, select the option Load a Distribution and when prompted for "Enter a Host File:" enter the full directory path where you saved the file PRCA_IB_MCCF_EDI_1_0.KID When prompted for OK to continue with Load? NO//", enter "YES." 4. When prompted to; "Enter the Coordinator for Mail Group 'CARC_RARC_DATA':", please respond with the appropriate person. 5. From the "Installation ..." menu, run the following three KIDS options. When prompted for INSTALL NAME, enter PRCA IB MCCF EDI 1.0 5 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. 4 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.). 2 Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 6. Use the Install Package(s) option and when prompted for "INSTALL NAME" enter PRCA IB MCCF EDI 1.0. 7. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' respond YES. By answering YES to rebuild the menu trees warn them that it could affect users on the system and installation times may increase. 8. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 9. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. 10. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. 11. You may delete the post install routines after installation: PR45P303 IB20P530 Post-Installation Instructions ------------------------------ There are no special Post-installation actions required by this patch. If the installation was successful routine IB20P530 can be safely removed. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 71 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P530 Before: n/a After: B4312048 **530** Routine Name: IBJDF11 Before: B27610057 After: B29071797 **69,80,118,128,204,205,227,451,530** Routine Name: IBJTAD Before: n/a After: B39399972 **530** Routine Name: IBJTEP Before: n/a After:B140265417 **530** Routine Name: IBJTEP1 Before: n/a After: B37006051 **530** Routine Name: IBJTLA1 Before: B11361045 After: B12051503 **39,80,61,51,153,137,183,276, 451,516,530** Routine Name: IBJTLB1 Before: B11794378 After: B12752963 **39,80,61,137,276,451,516,530** Routine Name: IBJTPE Before: n/a After:B131608692 **530** Routine Name: IBJTTB1 Before: B17288056 After: B24663260 **39,530** Routine Name: IBJTU1 Before: B7959085 After: B8838308 **39,80,276,451,516,530** Routine Name: IBJTU6 Before: B7149148 After: B8750017 **452,530** Routine list of preceding patches: 452, 516 ============================================================================= User Information: Entered By : Date Entered : JUN 09, 2014 Completed By: Date Completed: JUN 15, 2016 Released By : Date Released : JUL 01, 2016 ============================================================================= Packman Mail Message: ===================== No routines included