$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 10/11/17 at 09:24 ============================================================================= Run Date: JAN 19, 2018 Designation: IB*2*610 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #554 Status: Released Compliance Date: FEB 19, 2018 ============================================================================= Subject: PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY2018 Category: - Routine Description: ============ This patch will update the administrative charge based on different rate types with new dispensing fees for third party pharmacy prescription claims with an effective date of January 1st, 2018. ASSOCIATED TICKET(S): ===================== 1. R16532421FY17 Pharmacy Administrative Fee for CY2018 2. R16533051FY17 TRICARE RX Administrative Fee Update for CY2018 ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Michael E. DeBakey VA Medical Center - Houston, Texas Jack C. Montgomery VA Medical Center - Muskogee, Oklahoma OVERVIEW: ========= 1. R16532421FY17 Pharmacy Administrative Fee for CY2018 Problem: -------- The Office of Community Care has requested an update to the administrative charge for third party pharmacy prescription with an effective date of January 1st, 2018. Rate Type Dispensing Fee ------------------- -------------- HUMANITARIAN 16.64 INELIGIBLE 16.64 INTERAGENCY 16.64 NO FAULT INS. 16.64 REIMBURSABLE INS. 16.64 TORT FEASOR 16.64 WORKERS' COMP. 16.64 Resolution: ----------- The post-init routine IB20P610 inactivates rate schedules containing the RX COST charge set for rate types: Reimbursable Insurance, No Fault Insurance, Tort Feasor, Humanitarian, Ineligible, Interagency, and Workers' Compensation with an inactive date of December 31, 2017. It also updates the adjustments for those rate types with the new dispensing fee ($16.64) effective January 1st, 2018 in the RATE SCHEDULE (#363) file. 2. R16533051FY17 TRICARE RX Administrative Fee Update for CY2018 Problem: -------- The Office of Community Care has requested an update of the pharmacy administrative fee for the Tricare and Tricare Reimbursement Insurance rate types with an effective date of January 1st, 2018. Rate Type Dispensing Fee ------------------- -------------- TRICARE REIMB. INS. 13.91 TRICARE 13.91 Resolution: ----------- The post-init routine IB20P610 inactivates the rate schedules containing the RX COST charge set for the TRICARE and TRICARE REIMB. INS. rate types with an inactive date of December 31, 2017. It also adds the updated rate schedules with the dispensing fee ($13.91) effective January 1st, 2018 in the RATE SCHEDULE (#363) file. ******* Note : This patch will NOT update any Rate Schedules if any Rate Types are currently set to INACTIVE. Please verify with Facility Revenue Manager(s) and local VistA support to ACTIVATE any Rate Types as needed. ******* 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 will take less than 2 minutes. 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: (When prompted for the INSTALL NAME, enter IB*2.0*610) 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: IB20P610. 6. Example of successful installation. ----------------------------------- Note: if results show otherwise, please check the settings of the rate schedules for the rate types in file (#363) or log a ticket with The Enterprise Service Desk for assistance. Patch IB*2.0*610 Post-Install starts... >>>Effect. JAN 01, 2018 of RX Rate Schedule Adjustment for the Rate Type: HUMANITARIAN added INELIGIBLE added INTERAGENCY added NO FAULT INS. added REIMBURSABLE INS. added TORT FEASOR added WORKERS' COMP. added TRICARE REIMB. INS. added TRICARE added Total 9 entries added to the RATE SCHEDULE file (#363) Patch IB*2.0*610 Post-Install is complete. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P610 Before: n/a After: B7444938 **610** ============================================================================= User Information: Entered By : Date Entered : SEP 20, 2017 Completed By: Date Completed: JAN 18, 2018 Released By : Date Released : JAN 19, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT