$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Thursday, 04/25/19 at 17:26 ============================================================================= Run Date: JUL 22, 2019 Designation: IB*2*644 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #586 Status: Released Compliance Date: AUG 21, 2019 ============================================================================= Associated patches: (v)IB*2*377 <<= must be installed BEFORE `IB*2*644' Subject: MULTIPLE LINE ITEMS WITH 1ST SERVICE DATE; BILLING FACILITY NAME DISCREPANCY Category: - Routine Description: ============ This patch addresses the following issues: -Insurance claims with multiple service line items/dates on the bill are not electronically transmitted properly. -The BILLING FACILITY NAME (#200) field in the INSTITUTION (#4) file is not correctly populated on the uniform billing form UB-04 FL-1. 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 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. INC3318511 - Insurance claims with multiple line items/dates on a single bill are not transmitting electronically properly. Problem: -------- Insurance claims on the bill in the Electronic Data Interchange (EDI) Transmission, displays only the first date of service listed on all service line items instead of an individual date of service for each service line item. Resolution: ------------ Routine IBCEFG1 was modified to pull the procedure date to the 'Service Date From' field for each service line item for the EDI transmission if it can be determined by the associated procedure, otherwise it will use the start date of the statement on the bill. 2. INC3333745 - Billing Facility Naming discrepancy resulting in denied claims for NCCPAC. Problem: -------- The BILLING FACILITY NAME (#200) field in the INSTITUTION (#4) file does not display to the correct uniform billing form, UB-04 FL-1, resulting in claims being denied by payers. Resolution: ----------- Post-init routine IB20P644, was created to modify the FORMAT CODE (#1) field in the IB FORM FIELD CONTENT (#364.7) file for the BILLING PROVIDER NAME (FL-1/1) form field. If the BILLING FACILITY NAME (#200) field of the INSTITUTION (#4) file exists, the Facility Name will be used. If not, the NAME (#.01) field of the INSTITUTION (#4) file will be used for the UB-04 FL-1 uniform billing form. TEST SITES: ----------- MARTINSBURG VAMC VA MARYLAND HCS Software and Documentation Retrieval Instructions: -------------------------------------------------- N/A Pre/Post Installation Overview: Pre-Installation Instructions: This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. Installation Instructions: The installation will install new and modified routines. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL NAME enter the patch # (ex. IB*2.0*644): 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 DDs 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, DDs, 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 the Install Package(s) option and choose the patch to install, IB*2.0*644. a. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO b. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO Pre/Post Installation Overview: ------------------------------- You may delete the routine IB20P644 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*644 Post-Install starts ..... Format code updated for National BILLING PROVIDER NAME (FL-1/1) in the #364.7 IB*2.0*644 Post-Install is complete. Back-Out Plan: -------------- Prior to installing the updated KIDS package, the site/region should have saved a backup of the routines in a mail message using the Backup a Transport Global [XPD BACKUP] menu option. The message containing the backed-up routines can be loaded with the "Xtract PackMan" function at the Message Action prompt. The PackMan function INSTALL/CHECK MESSAGE is then used to install the backed-up routines onto the VistA system. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P644 Before: n/a After: B7540275 **644** Routine Name: IBCEFG1 Before: B23263677 After: B23251268 **52,51,137,181,197,232,288, 349,371,377,644** Routine list of preceding patches: 377 ============================================================================= User Information: Entered By : Date Entered : MAR 11, 2019 Completed By: Date Completed: JUL 22, 2019 Released By : Date Released : JUL 22, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT