$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Tuesday, 08/29/17 at 10:38 ============================================================================= Run Date: JAN 11, 2018 Designation: IB*2*564 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #553 Status: Released Compliance Date: FEB 10, 2018 ============================================================================= Associated patches: (v)IB*2*483 <<= must be installed BEFORE `IB*2*564' Subject: TIMEFRAME OF BILL FIX & AUTO-POPULATE FOR TC MODIFIER Category: - Routine - Data Dictionary Description: ============ This patch addresses two issues: 1. The first issue involves missing Timeframe of Bill data in the associated display field when 'O NON-PAY/ZERO CLAIM' is selected in the Enter/Edit Billing Information [IB EDIT BILLING INFO] option. 2. The second issue concerns the Technical Component (TC) modifier which doesn't automatically populate to any procedure on an institutional bill if the only professional charge on the procedure is 26 modified in the Enter/Edit Billing Information [IB EDIT BILLING INFO] option. ASSOCIATED TICKET: ================== 1. I10022937FY16 Integrated Billing - Other 2. I10589810FY16 TC Modifier not auto-populate on CPT/HCPCS codes ASSOCIATED NSR(s): ================== N/A PARTICIPATING TEST SITES: ========================= Connecticut (West Haven) Erie VAMC OVERVIEW: ========= 1. I10022937FY16 - Integrated Billing - Other Problem: -------- The Billing Timeframe data doesn't populate to the associated display field when 'O NON-PAY/ZERO CLAIM' is selected in the option. Resolution: ----------- The set of 'O' letter code for 'NON-PAY/ZERO CLAIM' is replaced with the set of '0' numeric code in the data definition of the 'TIMEFRAME OF BILL' field (#.06) and 'UB - 04 TIMEFRAME OF BILL' field (#.26) in the BILL/ CLAIMS file (#399). A post-init routine IB20P564 was created to correct the timeframe data on the billing entry if the set of 'O' letter code exists in the BILL/CLAIMS file (#399). DATA DICTIONARY - BEFORE CHANGE: DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ---------------------------------------------------------------------------- 399,.06 TIMEFRAME OF BILL 0;6 SET (Required) TYPE OF BILL (3RD DIGIT) '1' FOR ADMIT THRU DISCHARGE; '2' FOR INTERIM - FIRST CLAIM; '3' FOR INTERIM - CONTINUING CLAIM; '4' FOR INTERIM - LAST CLAIM; '5' FOR LATE CHARGES ONLY; '6' FOR ADJUSTMENT PRIOR CLAIM; '7' FOR REPLACEMENT PRIOR CLAIM; '8' FOR VOID/CANCEL PRIOR CLAIM; 'O' FOR NON-PAY/ZERO CLAIM; LAST EDITED: JAN 16, 2007 HELP-PROMPT: Enter the code which defines the frequency of this bill. DESCRIPTION: This code defines the frequency of this bill. 399,.26 UB-04 TIMEFRAME OF BILL 0;26 SET (Required) '1' FOR ADMIT THRU DISCHARGE; '2' FOR INTERIM - 1ST CLAIM; '3' FOR INTERIM - CONTINUING CLAIM; '4' FOR INTERIM - LAST CLAIM; '5' FOR LATE CHARGES ONLY; '6' FOR ADJUSTMENT CLAIM; '7' FOR REPLACEMENT CLAIM; '8' FOR VOID/CANCEL PRIOR CLAIM; 'O' FOR NON-PAY/ZERO CLAIM; LAST EDITED: FEB 12, 2007 HELP-PROMPT: Enter the appropriate UB-04 timeframe of bill DESCRIPTION: This field contains the code representing the timeframe of the value for the bill. This is the 3rd digit of the 3-digit UB-04 type of bill. DATA DICTIONARY - AFTER CHANGE: DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ---------------------------------------------------------------------------- 399,.06 TIMEFRAME OF BILL 0;6 SET (Required) TYPE OF BILL (3RD DIGIT) '1' FOR ADMIT THRU DISCHARGE; '2' FOR INTERIM - FIRST CLAIM; '3' FOR INTERIM - CONTINUING CLAIM; '4' FOR INTERIM - LAST CLAIM; '5' FOR LATE CHARGES ONLY; '6' FOR ADJUSTMENT PRIOR CLAIM; '7' FOR REPLACEMENT PRIOR CLAIM; '8' FOR VOID/CANCEL PRIOR CLAIM; '0' FOR NON-PAY/ZERO CLAIM; LAST EDITED: JUN 27, 2017 HELP-PROMPT: Enter the code which defines the frequency of this bill. DESCRIPTION: This code defines the frequency of this bill. 399,.26 UB-04 TIMEFRAME OF BILL 0;26 SET (Required) '1' FOR ADMIT THRU DISCHARGE; '2' FOR INTERIM - 1ST CLAIM; '3' FOR INTERIM - CONTINUING CLAIM; '4' FOR INTERIM - LAST CLAIM; '5' FOR LATE CHARGES ONLY; '6' FOR ADJUSTMENT CLAIM; '7' FOR REPLACEMENT CLAIM; '8' FOR VOID/CANCEL PRIOR CLAIM; '0' FOR NON-PAY/ZERO CLAIM; LAST EDITED: JUN 27, 2017 HELP-PROMPT: Enter the appropriate UB-04 timeframe of bill DESCRIPTION: This field contains the code representing the timeframe of the value for the bill. This is the 3rd digit of the 3-digit UB-04 type of bill. 2. I10589810FY16 - TC Modifier not auto-populate on CPT/HCPCS codes Problem: -------- The Technical Component (TC) modifier doesn't automatically add to any procedure on institutional bills if the only professional charge on the procedure is 26 modified. Resolution: ----------- Routine IBCU7A was modified to automatically add the TC modifier to any procedure on institutional bills or remove it from any procedure on professional bills if the only professional charge on the procedure is 26 modified. ***** NOTE ***** The TC modifier can be manually deleted from the linked CPT MODIFIER SEQUENCE selection on any procedure and the question for applying procedure updates for charges also needs to be answered as 'NO' where applicable. Examples within under [4] Code Method in screen <4> or screen <5> of Enter/Edit Billing Information [IB EDIT BILLING INFO] option: Select CPT MODIFIER SEQUENCE: 1// @ SURE YOU WANT TO DELETE THE ENTIRE '1' CPT MODIFIER SEQUENCE? Y (Yes) Apply Procedure Updates for Charges? YES// NO INSTALLATION INSTRUCTIONS: ========================== It is recommended that this patch be installed outside of normal business hours to avoid any complications resulting from users on the system. Installation should take less than 10 minutes - but will vary from site to site depending on the size of the BILL/CLAIMS file (#399) which searches for the Timeframe of Bill to update in the post-init routine. 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [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 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2.0*564): 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 DD's 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, DD's, 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. Select Installation Option: Install Package(s) **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO. 5. CLEAN UP POST-INIT ROUTINE -------------------------- Optional - Once this patch has been successfully installed you may delete the post-init routine: IB20P564. 6. Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: Timeframe of Bill Fix Post-Install ...... >>>>Total 20 bills updated in the Bill/Claims (#399) file Timeframe of Bill Fix Post-Install Complete 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: IB20P564 Before: n/a After: B3579589 **564** Routine Name: IBCU7A Before: B47720475 After: B49515881 **245,287,483,564** Routine list of preceding patches: 483 ============================================================================= User Information: Entered By : Date Entered : MAR 18, 2016 Completed By: Date Completed: JAN 11, 2018 Released By : Date Released : JAN 11, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT