$TXT Created by at TAS-EBIL-HFD.AAC.DOMAIN.EXT (KIDS) on Thursday, 11/14/19 at 21:23 ============================================================================= Run Date: JAN 09, 2020 Designation: IB*2*623 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #599 Status: Released Compliance Date: FEB 08, 2020 ============================================================================= Associated patches: (v)IB*2*608 <<= must be installed BEFORE `IB*2*623' Subject: MCCF EDI TAS EBILLING BUILD 7/8/9 Category: - Data Dictionary - Routine - Other - Enhancement (Mandatory) - Input Template Description: ============ Important Note: There are **MANDATORY** pre installation activities associated with this install. Before install: * Set up CONNECTOR PROXY through FOUNDATIONS MANAGEMENT [XOBU SITE SETUP MENU]. * Integrated Billing (IB) Staff MUST empty the 837 extract/transmission queue PRIOR to the installation of this patch. Please reference instructions from the Pre/Post Installation Overview for further details. Integrated Billing (IB) is a software module within Veterans Health Information Systems and Technology Architecture (VistA) that provides the ability for billing personnel to submit claims in either a paper or electronic format to third-party payers. The following features of the IB software will be affected by this patch: * Secondary Payer IDs Modified the IB software so that existing Insurance Company entries in the Insurance Company (#36) file have a defined EDI ID NUMBER - INST (#3.04) field and EDI ID NUMBER - PROF (#3.02) field in addition to Claim Office ID Qualifier and Claim Office ID number in the secondary ID fields : EDI INST SECONDARY ID QUAL(1) (#6.01), EDI INST SECONDARY ID(1) (#6.02), EDI INST SECONDARY ID QUAL(2) (#6.03), EDI INST SECONDARY ID(2) (#6.04), EDI PROF SECONDARY ID QUAL(1) (#6.05), EDI PROF SECONDARY ID(1) (#6.06), EDI PROF SECONDARY ID QUAL(2) (#6.07), EDI PROF SECONDARY ID(2)(#6.08) fields. When there is no Secondary Professional or Institutional Payer ID defined in VistA and a claim(s) is transmitted to the payer(s) and the Health Care Clearing House (HCCH) has an electronic agreement with the payer(s), the HCCH needs to do a lookup of the Payer IDs and return them to VistA in a 277STAT transaction. The VistA software should use the Secondary Payer IDs in the 277STAT message to update the Payer ID and the Claim Office ID #s, including the Claim Office ID Qualifier and Payer IDs for the corresponding companies in the Insurance Company file (#36) when those fields are blank. If for some reason, an Insurance Company does not have any available fields for a Claim Office ID number, the attempt will be logged as "*N/A Full" on the corresponding report - HCCH Payer ID Report [IB HCCH PAYER ID REPORT]. * HCCH Payer ID Report [IB HCCH PAYER ID REPORT]- Secondary Payer ID Modified the HCCH Payer ID Report to allow user to run the report and include secondary payers for a specified period of time that identifies which Insurance Company payer identification numbers the system has either changed or attempted to change as a result of a 277STAT message received from the HCCH. Added a new column for "Clm-Off-ID" (Claim Office ID). If the HCCH Payer ID Report contains any attempts with a value of "*N/A Full", the following legend will print under the report heading: "'*' = No available fields to allow for an update in the insurance file". * Dental Claims Mock-up Modified the Enter/Edit Billing Information [IB EDIT BILLING INFO] option, to allow the biller to see what information will be transmitted on a dental claim before completing. The IB software is able to generate a mock-up of the claim with the Dental data for viewing only after the users finish capturing all the information through billing screen 10. The mock-up is similar in format to what is displayed for the CMS-1500, block 24. The software provides the users with the ability to correct the claim after the display of the mock-up. A new warning -"Only 4 diagnosis codes are allowed on a dental transaction" - was added when authorizing a dental claim. * Alternate Payer ID The IB software has been modified to submit a secondary claim (that contains an alternate payer ID) to the secondary payer using the alternate payer ID, not the payer's primary Payer ID. * CSA-Separate TRICARE/CHAMPVA The VistA software has been modified to allow the user to sort the Claims Status Awaiting Resolution [IBCE CLAIMS STATUS AWAITING] Worklist to identify MCCF (Medical Care Collections Fund) and Non-MCCF claims. The following new prompt has been provided to the user to allow for this new sorting feature: "Search by (M)CCF, (N)on-MCCF, or (B)oth? M//" When this patch is installed at a site, the Non-MCCF Rate Types List under section [12] Non-MCCF Pay-To Providers in the IB Site Parameters will be prepopulated with the following rate types and will be used for the Non-MCCF Claims search: o CHAMPVA REIMB. INS. o CHAMPVA o TRICARE REIMB. INS. o TRICARE o INTERAGENCY o INELIGIBLE o INELIGIBLE REIMB. INS. o SHARING AGREEMENT o DOD DISABILITY EVALUATION o DOD SPINAL CORD INJURY o DOD TRAUMATIC BRAIN INJURY o DOD BLIND REHABILITATION o TRICARE DENTAL o TRICARE PHARMACY Other current Rate Types that are not listed above will be applied to the MCCF claims search. * Implement ROI (Release of Information) The VistA software has been modified to implement ROI changes so that the software is compliant with the Mission Act requirements. To be compliant, the software has been modified in the following ways if the claim's Date of Service is on or after "01/28/2019": o Will not prompt for the ROI form for a sensitive record. o Will not prevent a claim from being completed for a sensitive record. o Will send an "I" ("I"nformed consent to release Medical Information for Conditions or Diagnoses regulated by federal statutes) in piece 7 of the CL1 segment of the 837 messages to FSC. * Skilled Nursing Facility (SNF) claims: For date of service on or after 10/01/2019, the IB software will use and send a VA specific ZZZZZ RUG/HIPPS code for Medicare primary institutional Part A claims with Bill Type equals to 21x, 22x or 23x with Revenue code 0022 Patch Components: ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- INSURANCE COMPANY (#36) 277EDI ID NUMBER sub-file (#36.017) 277EDI TYPE (#.03) New IB SITE PARAMETERS (#350.9) 837 FHIR ENABLED? (#8.21) New EDI TRANSMIT BILL (#364) 837 FHIR TRANS REQUEST (#.09) New RESUBMISSION (#.1) New IB FORM SKELETON DEFINITION (#364.6) Screen: I $$INCLUDE^IBY623PR(6,Y) Modified entries IB FORM FIELD CONTENT (#364.7) Screen: I $$INCLUDE^IBY623PR(7,Y) Modified entries BILL/CLAIMS (#399) IS DUPLICATE? (#23) New Bulletins Associated: New/Modified/ Bulletin Name Deleted ------------- ------------- N/A Dialogs Associated: New/Modified/ Dialog Name Deleted ----------- ------------- N/A Forms Associated: New/Modified/ Form Name File Name (Number) Deleted --------- ------------------ ------------- N/A Functions Associated: New/Modified/ Function Name Deleted ------------- ------------- N/A HL Logical Link: New/Modified/ HL Logical Name Deleted --------------- ------------- N/A HL7 Application Parameters: New/Modified/ HL7 Parameter Name Deleted ------------------ ------------- N/A HLO Application Registry: New/Modified/ HLO Registry Name Deleted ----------------- ------------- N/A Help Frames Associated: New/Modified/ Help Frame Name Deleted --------------- ------------- N/A Mail Groups Associated: New/Modified/ Mail Group Name Deleted --------------- ------------- N/A Options Associated: New/Modified/ Option Name Type Deleted ----------- ---- ------------- IBTAS EBILLING RPCS Broker New (Client/Server) Parameter Definitions: New/Modified/ Parameter Name Deleted -------------- ------------- N/A Parameter Template: New/Modified/ Template Name Deleted ------------- ------------- N/A Protocols Associated: New/Modified/ Protocol Name Deleted ------------- ------------- N/A Remote Procedures Associated: New/Modified/ Remote Procedure Name Deleted --------------------- ------------- IBTAS 837 ACK New IBTAS 837 CLAIM DATA New IBTAS 837 EDICLAIMS New IBTAS HEALTH New Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates, Input Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- IB SCREEN6 Input BILL/CLAIMS (#399) Modified IB SCREEN7 Input BILL/CLAIMS (#399) Modified Templates, List Associated: New/Modified/ Template Name Type Deleted ------------- ---- ------------- N/A Templates, Print Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A Templates, Sort Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A New Service Requests (NSRs) ---------------------------- None Patient Safety Issues (PSIs) ----------------------------- None Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ---------- Asheville Butler Central Alabama Detroit Las Vegas Documentation Retrieval Instructions ------------------------------------ Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- Deployment, Installation, ib_2_0_p623_ig.pdf Binary Back-out/Rollback Guide (IB*2.0*623) EDI User Guide ib_2_0_p623_edi_ug.pdf Binary Integrated Billing (IB) V.2.0 ib_2_0_p623_tm.pdf Binary Technical Manual Patch Installation: Pre/Post Installation Overview ------------------------------ ************************************************************************* * IMPORTANT NOTE * * There are **MANDATORY** pre installation activities associated with * * this install. * * * * Prior to install * * 1) Set up CONNECTOR PROXY through FOUNDATIONS MANAGEMENT [XOBU SITE * * SETUP MENU]. * * 2) Integrated Billing (IB) Staff MUST empty the 837 * * extract/transmission queue PRIOR to the installation of this patch. * * * ************************************************************************* HOW TO SET UP CONNECTOR PROXY USER THROUGH FOUNDATIONS: ======================================================= First, the site Information Resource Management (IRM), ESL Enterprise Service Line, or designated representative must contact William Jutzi (William.Jutzi@domain.ext), John Smith (John.Smith5@domain.ext) or Jessica Ikley (Jessica.Ikley@domain.ext) to get the access/verify code for CONNECTOR PROXY for your site. This will be sent encrypted via outlook. Using Vista Option FOUNDATIONS MANAGEMENT [XOBU SITE SETUP MENU]: <<< VistALink Parameters >>> VistALink Version: 1.6 Heartbeat Rate: 180 Latency Delta: 180 <<< VistALink Listener Status Log >>> ID Box-Volume Port Status Status Date/Time Configuration Enter ?? for more actions SP Site Parameters SL Start Listener CFG Manage Configurations STP Stop Listener CP Enter/Edit Connector Proxy User SB Start Box RE Refresh CU Clean Up Log CM Connection Manager Select Action:Quit// CP Enter/Edit Connector Proxy User Enter NPF CONNECTOR PROXY name : TAS,CONNECTOR PROXY Are you adding TAS,CONNECTOR PROXY as a new NEW PERSON (the 198970TH)? No// Y (Yes) Checking SOUNDEX for matches. . Type to continue or '^' to exit: ^ Do you still want to add this entry: NO//Y Want to edit ACCESS CODE (Y/N): Y Enter a new ACCESS CODE : *********** Please re-type the new code to show that I have it right: *********** OK, Access code has been changed! The VERIFY CODE has been deleted as a security measure. You will need to enter a new VERIFY code so the user can sign-on. Want to edit VERIFY CODE (Y/N): Y Enter a new VERIFY CODE: ************ Please re-type the new code to show that I have it right: ************ HOW TO EMPTY THE 837 EXTRACT TRANSMISSION QUEUE: =============================================================== The site Information Resource Management (IRM) MUST coordinate with the Billing Department to ensure that the 837 extract/transmission queue is empty. Once the Billing Department has completed the instructions, the Billing department is to inform IRM that the patch installation may proceed. The instructions to empty the queue are as follows: Select the option: TRANSMIT EDI BILLS - MANUAL [IBCE 837 MANUAL TRANSMIT] What is the purpose of this option? This option is used to by-pass the normal daily/nightly transmission queues if the need arises to get the claim to the payer quickly. When is this option used? There are occasions when there is a need to transmit a claim(s) immediately instead of waiting for the batching frequency as scheduled in the MCCR Site Parameters. This option will allow sending individual claim(s) or all claims in a ready for extract status. Upon selecting this option, you will be prompted with the following: Select one of the following: A Transmit (A)LL bills in READY FOR EXTRACT status S Transmit only (S)ELECTED bills You should select 'A' for ALL There are no other mandatory pre-installation activities associated with this patch. ------------------------------------------------------------------------ The Pre-install routine (IBY623PR) is used to screen claims output formatter file entries included with the build and clear out any extraneous data associated with the entries before installing them. The Post-install routine (IBY623PO) will automatically do the following: * Add the "IBTAS,APPLICATION PROXY" user to the New Person file [#200]. * The Non-MCCF Rate Types List under section [12] Non-MCCF Pay-To Providers in the IB Site Parameters will be prepopulated with the following rate types and will be used for the Non-MCCF Claims search: o CHAMPVA REIMB. INS. o CHAMPVA o TRICARE REIMB. INS. o TRICARE o INTERAGENCY o INELIGIBLE o INELIGIBLE REIMB. INS. o SHARING AGREEMENT o DOD DISABILITY EVALUATION o DOD SPINAL CORD INJURY o DOD TRAUMATIC BRAIN INJURY o DOD BLIND REHABILITATION o TRICARE DENTAL o TRICARE PHARMACY All other Rate Types that were previously defined in the system for this IB Site Parameter will also be applied to the MCCF claims search. Both IBY623PR and IBY623PO routines may be manually deleted by IT/IRM upon completion of the installation. Post-Installation instructions ------------------------------ N/A 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 2 minutes to install. 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 option. When prompted for the INSTALL enter the patch # (i.e., IB*2.0*623): 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. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' You may press return to accept the default answer of NO IF your system rebuilds menu trees nightly using TaskMan. If you do not have this scheduled as a nightly task, you must answer YES to rebuild the menu trees. This could affect users on the system and your installation time will increase. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' Press return to accept the default of NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' Press return to accept the default of NO. 8. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. 9. At the Device prompt enter where you wish the Install messages to print. You can queue the install by entering a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// Backout Procedure: ------------------ The Backout procedure of this patch should be performed only with the concurrence and participation of the appropriate VA site/region personnel. The decision to back out the patch will be a joint decision between VA site/region personnel and other appropriate VA personnel. For more information pertaining to the Backout Procedure, please refer to the "Deployment, Installation, Back-out/Rollback Guide" for this patch. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 70 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCB1 Before: B70254714 After: B75444272 **70,106,51,137,161,182,155, 327,432,592,623** Routine Name: IBCB2 Before: B53477183 After: B55241475 **52,51,161,182,155,447,592,623** Routine Name: IBCBB Before: B85882091 After:B105632554 **80,51,137,288,327,361,371, 377,400,432,461,547,592,623** Routine Name: IBCBB1 Before:B130250613 After:B132843227 **27,52,80,93,106,51,151,148, 153,137,232,280,155,320,343, 349,363,371,395,384,432,447, 488,554,577,592,608,623** Routine Name: IBCBB2 Before: B57578092 After: B59608888 **51,137,210,245,232,296,320, 349,371,403,432,447,473,488, 461,623** Routine Name: IBCCC2 Before:B139322972 After:B151138395 **80,106,124,138,51,151,137, 161,182,211,245,155,296,320, 348,349,371,400,433,432,447, 516,577,592,608,623** Routine Name: IBCE Before: B25142847 After: B25961337 **137,283,296,371,623** Routine Name: IBCE837 Before: B88399984 After: B93949653 **137,191,197,232,296,349,547, 592,623** Routine Name: IBCE837A Before: B52481474 After: B55539011 **137,191,211,232,296,377,592,623** Routine Name: IBCE837H Before: n/a After: B24646452 **623** Routine Name: IBCE837I Before: n/a After: B25760500 **623** Routine Name: IBCE837K Before: n/a After: B10284174 **623** Routine Name: IBCE837L Before: n/a After:B142355439 **623** Routine Name: IBCECSA Before: B60060653 After: B69575708 **137,320,623** Routine Name: IBCECSA1 Before: B43330691 After: B49959476 **137,283,288,320,368,623** Routine Name: IBCEF11 Before:B100824598 After: B98194583 **51,137,155,309,335,348,349, 371,432,447,473,516,577,592, 608,623** Routine Name: IBCEF22 Before:B107716996 After:B109118409 **51,137,135,155,309,349,389, 432,488,516,577,608,623** Routine Name: IBCEF72 Before: B59075267 After: B64748547 **232,320,349,432,516,592,623** Routine Name: IBCEFP Before:B118488673 After:B119401920 **432,447,473,516,592,623** Routine Name: IBCEM03 Before: B46770743 After: B48666797 **137,199,296,348,349,592,623** Routine Name: IBCEPTC Before: B93542817 After: B95452309 **296,320,348,349,547,592,623** Routine Name: IBCERP7 Before: B33534777 After: B40941379 **577,592,623** Routine Name: IBCESRV Before: B69744017 After: B71687947 **137,181,196,232,296,320,407,623** Routine Name: IBCEST Before: B99553380 After:B133235961 **137,189,197,135,283,320,368, 397,407,577,592,623** Routine Name: IBCEU7 Before: B36671868 After: B38663293 **432,592,623** Routine Name: IBCEXTRP Before: B50603879 After: B53771713 **137,197,211,348,349,377,592,623** Routine Name: IBCF23A Before: B52551501 After: B52870803 **51,432,516,547,577,592,608,623** Routine Name: IBCSC6 Before: B15100068 After: B15643849 **52,80,109,106,51,137,343,400, 432,623** Routine Name: IBCSC7 Before: B6990382 After: B7195789 **52,80,109,106,343,400,432,623** Routine Name: IBCSCH Before: B50914116 After: B53996574 **52,80,106,124,138,51,148,137, 161,245,232,287,348,349,374, 371,395,400,432,447,458,488, 623** Routine Name: IBCSCH2 Before: B35721054 After: B81743485 **374,623** Routine Name: IBJPS Before: B6807999 After: B7758278 **39,52,70,115,143,51,137,161, 155,320,348,349,377,384,400, 432,494,461,516,547,592,608, 623** Routine Name: IBJPS2 Before: B59492878 After: B62122372 **39,52,115,143,51,137,161,155, 320,348,349,377,384,400,432, 494,461,516,547,592,608,623** Routine Name: IBTASHLT Before: n/a After: B716320 **623** Routine Name: IBY623PO Before: n/a After: B21565752 **623** Routine Name: IBY623PR Before: n/a After: B3335042 **623** Routine list of preceding patches: 608 ============================================================================= User Information: Entered By : HRISTOPHER Date Entered : APR 18, 2018 Completed By: Date Completed: JAN 09, 2020 Released By : Date Released : JAN 09, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT