============================================================================= Run Date: AUG 25, 2016 Designation: IB*2*550 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #520 Status: Released Compliance Date: SEP 24, 2016 ============================================================================= Associated patches: (v)IB*2*416 <<= must be installed BEFORE `IB*2*550' (v)IB*2*516 <<= must be installed BEFORE `IB*2*550' (v)IB*2*526 <<= must be installed BEFORE `IB*2*550' (v)IB*2*534 <<= must be installed BEFORE `IB*2*550' Subject: MCCF ePHARMACY COMPLIANCE PHASE 3 Category: - Routine - Other - Enhancement (Mandatory) - Data Dictionary 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*448 INTEGRATED BILLING (IB) V. 2.0 IB*2*550 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*20 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*79 PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*192 All five of these patches are being released in the Kernel Installation and Distribution System (KIDS) multi-build distribution. KIDS multi-build name: BPS PSO IB PSX PSS BUNDLE 9.0 KIDS Host File name: BPS_1_20_PSO_IB_PSX_PSS.KID This specific patch contains the following functionality: --------------------------------------------------------- 1. The Patient Release of Information [IBCNR RELEASE OF INFORMATION] option contains actions to add a new ROI and to view/edit an existing ROI. These actions were modified to allow the user to enter any date for the expiration date as long as it is after the effective date of the ROI. 2. The e-Pharmacy Menu [IBCNR E-PHARMACY MENU] contains a new report option of RER ROI Expiration Report [IBCNR ROI EXPIRATION REPORT] without requiring a security key. 3. The new ROI Expiration Report [IBCNR ROI EXPIRATION REPORT] will prompt the user for the following: Beginning Expiration Date Ending Expiration Date Status of (A)ctive, (I)nactive, or (B)oth The beginning expiration date has a default value of T-180 and the ending expiration date has a default value of T+60. 4. The new ROI Expiration Report [IBCNR ROI EXPIRATION REPORT] will display patient name, insurance name, date of death, effective date, expiration date, date added and the drug name. The report is sorted by expiration date in reverse chronological order. 5. The Group Plan Worksheet Report [IBCNR GROUP PLAN WORKSHEET] will display the VA Plan ID instead of the Pharmacy Plan. 6. The option Match Multiple Group Plans [IBCNR GROUP PLAN MATCH] will display the VA Plan ID instead of the Pharmacy Plan. 7. The option Match Group Plan to a Pharmacy [IBCNR PLAN MATCH] will display the VA Plan ID instead of the Pharmacy Plan. 8. IB Billing Determination will use the new ePharmacy Billable fields to assess billable status of the ePharmacy prescription. 9. IB Billing Determination will use the new field called Sensitive Diagnosis Drug to determine drugs used exclusively to treat a sensitive diagnosis and will examine the system to find a Release of Information (ROI) record on file to determine if the drug is billable or not. 10. When the system automatically populates the non-billable reason and the associated free text ROI reason, the system will use "ROI NOT OBTAINED" and free text reason "NO ACTIVE/VALID ROI FOR DRUG OR INSURANCE". 11. The IB back billing processes shall use the same date of service algorithm used in outpatient pharmacy and in ECME. A claim can be back-billed through Claims Tracking and the action to Generate ECME Rx Bills. 12. The IB Billing Event Log shall contain new drug file fields in the finish event for billing events that do not generate a claim because of non-billable determination. 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 DRUG ECME BILLABLE (#7.06) New DRUG ECME BILLABLE TRICARE (#7.07) New DRUG ECME BILLABLE CHAMPVA (#7.08) New DRUG SENSITIVE DIAGNOSIS (#7.09) 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 ----------- ---- ------------- IBCNR E-PHARMACY MENU menu Modified IBCNR EDIT PAYER run routine Delete IBCNR ROI EXPIRATION run routine New REPORT Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- IBCNR GROUP PLAN List N/A Modified MATCH IBCNR PLAN MATCH List N/A Modified Additional Information: N/A New Service Requests (NSRs) --------------------------- 20140411 - Medical Care Collection Fund (MCCF) ePharmacy Compliance Phase 3 Patient Safety Issues (PSIs) ---------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ----------- VA HEARTLAND - WEST, VISN 15 (589) LEXINGTON VAMC-LEESTOWN (596) HUNTER HOLMES MCGUIRE HOSPITAL - RICHMOND (652) BIRMINGHAM VAMC (521) CENTRAL ARKANSAS HEALTH CARE SYSTEM - LITTLE ROCK (598) Documentation Retrieval Instructions ------------------------------------ Updated 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 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://www.domain.ext/vdl Title File Name Transfer Mode ---------------------------------------------------------------------------- Release Notes/Installation Guide IB_2_0_P550_RN.PDF Binary User Manual IB_2_0_UM.PDF Binary Technical Manual/Security Guide IB_2_0_TM.PDF Binary Patch Installation: Pre/Post Installation Overview ------------------------------ There is a post-install routine associated with this patch named POST^IBY550PO. The purpose of the post-install routine is to: a. Remove the references to the Payer file (365.12) from the ePharmacy PLAN file (366.03). Both the data and the field definition are removed. b. Remove all E-PHARM payer application data from the Payer file (365.12). ePharmacy does not use the Payer file. c. Remove the E-PHARM entry from the payer application dictionary file (365.13). The post-install routine is automatically deleted by the system if allowed by your Kernel site parameters configuration. You may delete this routine if the installation was successful and it is not automatically deleted by KIDS. Installation Instructions ------------------------- Please see the Installation Instructions associated with patch BPS*1.0*20. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 25 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCBB11 Before: B95727608 After: B96464375 **51,343,363,371,395,392,401, 384,400,436,432,516,550** Routine Name: IBCNEHLI Before: B8196060 After: B7817332 **184,252,251,271,300,416,550** Routine Name: IBCNRE1 Before: B14123296 After: Delete Routine Name: IBCNRE2 Before: B12782236 After: B12751444 **251,550** Routine Name: IBCNRHLT Before: B14102069 After: B13273530 **251,435,550** Routine Name: IBCNRHLU Before: B7442206 After: B8116443 **251,550** Routine Name: IBCNRMFE Before: B8335815 After: B7262621 **251,276,550** Routine Name: IBCNRMFK Before: B5880062 After: B5869085 **251,550** Routine Name: IBCNRP Before: B23991821 After: B23991702 **251,516,550** Routine Name: IBCNRPM2 Before: B20488193 After: B20472874 **251,276,550** Routine Name: IBCNRRP3 Before: B58110020 After: B58130731 **251,276,516,550** Routine Name: IBCNRU1 Before: B36756107 After: B30407184 **251,276,435,550** Routine Name: IBCNRZCM Before: B3893703 After: B3870682 **251,550** Routine Name: IBCNRZP0 Before: B925392 After: Delete Routine Name: IBCNRZPL Before: B7494348 After: B6548655 **251,550** Routine Name: IBCNRZPP Before: n/a After: B13594389 **550** Routine Name: IBCNRZRX Before: B13620171 After: Delete Routine Name: IBNCPBB1 Before: B4732084 After: B4476268 **384,550** Routine Name: IBNCPDP Before: B5636694 After: B14785713 **223,276,363,383,384,411,435, 452,550** Routine Name: IBNCPDP1 Before:B164054794 After:B179115393 **223,276,339,363,383,405,384, 411,434,437,435,455,452,473, 494,534,550** Routine Name: IBNCPDP2 Before: B84172572 After: B82759628 **223,276,342,347,363,383,405, 384,411,435,452,526,550** Routine Name: IBNCPDPU Before:B125879968 After:B126640808 **223,276,347,383,405,384,437, 435,452,511,534,550** Routine Name: IBNCPDR Before: B7723137 After: B9280847 **384,550** Routine Name: IBNCPDR1 Before: B4262134 After: B3213258 **384,550** Routine Name: IBNCPDR2 Before: B8736079 After: B9323055 **384,550** Routine Name: IBNCPDR4 Before: B32682440 After: B31809366 **384,550** Routine Name: IBNCPDRA Before: n/a After: B35956392 **550** Routine Name: IBNCPDRB Before: n/a After: B19609001 **550** Routine Name: IBNCPEV Before:B102192248 After: B98081615 **342,363,383,384,411,435,452, 521,516,550** Routine Name: IBNCPEV1 Before: B67774383 After: B78796257 **342,339,363,411,435,452,516,550** Routine Name: IBNCPLOG Before: B83304395 After: B86545576 **342,339,363,383,411,435,452, 534,550** Routine Name: IBNCPUT1 Before: B20040520 After: B21678012 **342,363,384,550** Routine Name: IBTRKR3 Before: B54376358 After: B54454971 **13,43,121,160,247,275,260, 309,336,312,339,347,405,384, 550** Routine Name: IBY550PO Before: n/a After: B5495891 **550** Routine list of preceding patches: 416, 516, 526, 534 ============================================================================= User Information: Entered By : Date Entered : APR 02, 2015 Completed By: Date Completed: JUL 07, 2016 Released By : Date Released : AUG 25, 2016 ============================================================================= Packman Mail Message: ===================== No routines included