$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Tuesday, 03/13/18 at 16:14 ============================================================================= Run Date: JUN 08, 2018 Designation: IB*2*619 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #566 Status: Released Compliance Date: JUL 09, 2018 ============================================================================= Associated patches: (v)IB*2*564 <<= must be installed BEFORE `IB*2*619' Subject: AUTO-REMOVE TC MODIFIER FOR MEDICARE CLAIMS Category: - Routine Description: ============ This patch addresses the following issue: Technical Component (TC) modifier needs to be automatically removed from any procedure on institutional Medicare only bills, in the Enter/Edit Billing Information [IB EDIT BILLING INFO] option. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): -------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. R18501755FY18 Auto-remove the TC modifier for Medicare claims Problem: -------- The Community Care Office (OCC) has requested Technical Component (TC) modifier be automatically removed from any procedure on institutional bills for Medicare only, in the Enter/Edit Billing Information [IB EDIT BILLING INFO] option. For any other payer scenario, append the TC modifier where appropriate. Resolution: ----------- Routine IBCU7A was modified to automatically remove the TC modifier from any procedure on institutional bills for Medicare, if the payer sequence is primary, the primary payer or the secondary payer is Medicare, and the only professional charge on the procedure is 26 modified. A POST-INIT routine IB20P619 was created to remove the TC modifier for Medicare on existing bills based on above requirements in the BILL/CLAIMS (#399) file. TEST SITES: ----------- Boston HCS Coatesville VAMC Software and Documentation Retrieval Instructions: -------------------------------------------------- N/A Patch Installation: Pre/Post Installation Overview: ------------------------------- 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 15 minutes-but will vary from site to site depending on the size of the BILL/CLAIMS (#399) file, which is searched for the TC modifier for Medicare to update in the post-init routine. Pre-Installation Instructions: ------------------------------ N/A Installation Instructions: -------------------------- 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation & Distribution System Menu, select the Installation Menu. From this menu, you may select to use the following options. When prompted for the INSTALL NAME, enter the patch IB*2.0*619: a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). d. 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//", respond NO. ** 7. During install, verify that all entries were added successfully. If an error is displayed, please create a ticket. Post-Installation Instructions: ------------------------------- You may delete the routine IB20P619 from your production system after the patch has been successfully verified. Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: IB*2.0*619 Post-Install starts ..... TC modifier removed for Medicare on total 2 bills of the BILL/CLAIMS (#399) file IB*2.0*619 Post-Install is complete. Back-Out Plan: -------------- This patch can be backed out by installing the routines/packman message created from the installation instruction, Step 3.d. Backup a Transport Global. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 34 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P619 Before: n/a After: B6123081 **619** Routine Name: IBCU7A Before: B49515881 After: B51776414 **245,287,483,564,619** Routine list of preceding patches: 564 ============================================================================= User Information: Entered By : Date Entered : FEB 05, 2018 Completed By: Date Completed: JUN 07, 2018 Released By : Date Released : JUN 08, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT