$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Monday, 10/22/18 at 15:03 ============================================================================= Run Date: JAN 14, 2019 Designation: IB*2*632 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #579 Status: Released Compliance Date: JAN 31, 2019 ============================================================================= Subject: PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY2019 Category: - Routine Description: ============ Patch, IB*2.0*632, will update the administrative charge based on different rate types with new dispensing fee for third party pharmacy prescription claims with an effective date of January 1st, 2019. Rate Type Dispensing Fee ------------------- -------------- DENTAL REIMB. INS. 17.66 HUMANITARIAN 17.66 HUMANITARIAN REIMB. INS. 17.66 INELIGIBLE 17.66 INELIGIBLE REIMB. INS. 17.66 INTERAGENCY 17.66 NO FAULT INS. 17.66 REIMBURSABLE INS. 17.66 TORT FEASOR 17.66 WORKERS' COMP. 17.66 TRICARE 14.73 TRICARE REIMB. INS. 14.73 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 Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- Blood Bank Team Coordination: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: ============================================ 1. INC1870769-Initiate IB RX Administration Fee patch for CY19 Problem: -------- The Office of Community Care has requested an update to the pharmacy administrative charge for different rate types for outpatient pharmacy with an effective date of January 1st, 2019. Resolution: ----------- The post-init routine IB20P632 was created to inactivate rate schedules containing the RX COST charge set for rate types: Dental Reimbursable Insurance, Humanitarian, Humanitarian Reimbursable Insurance, Ineligible, Ineligible Reimbursable Insurance, Interagency, No Fault Insurance, Reimbursable Insurance, Tort Feasor and Workers' Compensation with an inactive date of December 31, 2018. It also adds the new rate schedules with the administrative fee starting on January 1st, 2019 in the RATE SCHEDULE (#363) file. 2. INC2128666-TRICARE Pharmacy Administrative Fee for 2019 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, 2019. Resolution: ----------- The post-init routine IB20P632 was created to inactivate rate schedules containing the RX COST charge set for rate types: Tricare and Tricare Reimbursable Insurance. ************************************************************************** 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 Veterans Information Systems and Technology Architecture (VistA) support to ACTIVATE any Rate Types as needed. ************************************************************************** TEST SITES: =========== Bay Pines VA Healthcare System Chillicothe VA Medical Center 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 2 minutes. 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*632: 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. Post-Installation Instructions: ------------------------------- You may delete the routine IB20P628 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: Note: If results show otherwise, please check the settings of the rate schedules for the rate types in RATE SCHEDULE (#363) file or log a ticket with The Enterprise Service Desk for assistance. IB*2.0*632 Post-Install starts..... >>>Effect. JAN 01, 2019 of RX Rate Schedule Adjustment for the Rate Type: DENTAL REIMB. INS. added HUMANITARIAN added HUMANITARIAN REIMB. INS. added INELIGIBLE added INTERAGENCY added INELIGIBLE REIMB. INS. added NO FAULT INS. added REIMBURSABLE INS. added TORT FEASOR added WORKERS' COMP. added TRICARE added TRICARE REIMB. INS. added Total 12 entries added to the Rate Schedule file (#363) IB*2.0*632 Post-Install is complete. Back-Out/Roll Back Plan: ------------------------ The Enter/Edit Charge Master option [IBCR DISPLAY CHARGE MASTER] can be used to remove the newly added rate schedules for those rate types under the Charge Master menu. Or contact Help desk to log a ticket for assistance if it is necessary. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P632 Before: n/a After: B10977808 **632** ============================================================================= User Information: Entered By : Date Entered : SEP 11, 2018 Completed By: Date Completed: JAN 10, 2019 Released By : Date Released : JAN 14, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT