$TXT Created by at TAS-EBIL-HFD.AAC.DOMAIN.EXT (KIDS) on Wednesday, 09/23/20 at 10:56 ============================================================================= Run Date: NOV 16, 2020 Designation: IB*2*641 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #625 Status: Released Compliance Date: DEC 16, 2020 ============================================================================= Associated patches: (v)IB*2*623 <<= must be installed BEFORE `IB*2*641' (v)IB*2*659 <<= must be installed BEFORE `IB*2*641' Subject: MCCF EDI TAS EBILLING BUILD 10/13 Category: - Routine - Other - Enhancement (Mandatory) - Data Dictionary Description: ============ 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: * Transmit 837 Transactions Through New Platform The following modifications have been made to the transmission process of the 837 transaction using the new Transaction Application Suite (TAS) technology platform: o Proprietary Health Care Claim: Professional, Institutional, Dental transactions will be created using FHIR (Fast Healthcare Interoperability Resources) and transmitted to FSC. o The HL7 FHIR transaction data is available to the Integrated Billing (IB) personnel via VistA. NOTE - The Vista software needed for the FHIR transmission is installed in the OFF position. There will be a controlled implementation scheduled over a four-month period, and sites will be instructed when to turn FHIR ON. * Modified Claims Status Awaiting Resolution [IBCE CLAIMS STATUS AWAITING] to display a warning to billers who attempt to resubmit previously rejected claims on the CSA worklist without making any changes using one of the following actions from the worklist: Resubmit by Print Retransmit Bill Print Bill * Created Resubmission/Printing Claims No Changes CSA Report [IBCE RESUB FROM CSA RPT] for authorized users holding the IB SUPERVISOR KEY providing information on previously rejected claims that were resubmitted without any changes. * Enter/Edit Billing Information [IB EDIT BILLING INFO] - added fatal edit to require Place of Service on professional claims. * Enter/Edit Billing Information [IB EDIT BILLING INFO] - added fatal edit to require at least one nonzero-dollar revenue code present on a claim. * Enhancements to EDI Claim Status Report [IBCED EDI CLAIM STATUS REPORT] to allow a summary option to the previous detail report. * Skilled Nursing Facility (SNF) claims: Enhanced Vista to use the STATEMENT COVERS FROM (#151) field rather than EVENT DATE (#.03) field in the BILL/CLAIMS (#399) file as Date of Service when determining which VA specific Resource Utilization Group/Health Insurance Prospective Payment System (RUG/HIPPS) Skilled Nursing Facility (SNF) code - 'ZZZZZ' or 'AAA00' - for Medicare primary institutional Part A claims with Bill Type equals to 21x, 22x or 23x with Revenue code 0022. 'ZZZZZ' should be sent for statement from dates on or after 10/1/2019. Patch Components ================ Files & Fields Associated: File Name (#) New/Modified/ Sub-file Name (#) Field Name (Number) Deleted ------------------- --------------------------------- ------------- BILL STATUS MESSAGE (#361) SUBMITTED 'AS IS' DT/TM sub-file (#361.04) New Sub-file EDI TRANSMISSION BATCH (#364.1) BATCH NUMBER (#.01) Modified IB FORM SKELETON DEFINITION (#364.6) Mod file entry Screen: I $$INCLUDE^IBY641PR(6,Y) IB FORM FIELD CONTENT (#364.7) Mod file entry Screen: I $$INCLUDE^IBY641PR(7,Y) 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 ----------- ---- ------------- IBCE 837 EDI REPORTS menu Modified IBCE RESUB FROM CSA RPT run routine New 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 --------------------- ------------- N/A Security Keys Associated: New/Modified/ Security Key Name Deleted ----------------- ------------- N/A Templates, Input Associated: New/Modified/ Template Name Type File Name (Number) Deleted ------------- ---- ------------------ ------------- N/A 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) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Defect Tracking System Ticket(s) & Overview ------------------------------------------- N/A Test Sites: ---------- VA Boston Healthcare System (Boston, MA) Hunter Holmes McGuire Hospital (Richmond, VA) Northern California Healthcare System (Martinez, CA) Captain James Lovell Federal Health Care Center (North Chicago, IL) Orlando VA Medical Center (Orlando, FL) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE. Documentation can also be obtained at location: /srv/vista/patches/SOFTWARE in binary format. Documentation Title File Name --------------------------------------------------------------------- Deployment, Installation, Back-out, and IB_2_0_P641_IG.PDF Rollback Guide (IB*2.0*641) EDI User Guide IB_2_0_P641_EDI_UG.PDF Integrated Billing (IB) V.2.0 Technical Manual IB_2_0_P641_TM.PDF Patch Installation: Pre/Post Installation Overview ------------------------------ Pre-Install routine is to correct one existing issue to only send homebound indicator with value of 'Y' by updating the proper output formatter entry. Post-install routine runs at test sites to correct statuses on Medicare secondary claims that were not updated on a prior version of this patch. Pre-Installation Instructions ----------------------------- No pre-installation instructions. 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 build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 2. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. or XXXXX BUILD X.X) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. Select the Backup a Transport Global option to create a backup message of any routines exported with this patch. For each patch you can specify what to backup; the entire Build or just Routines. When asked to specify what to backup, select Routines. It is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. C. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. 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 of the components of this patch, such as routines, DDs, templates, etc. D. Select the Install Package(s) option and choose the patch to install. i. If prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//', answer YES. ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO. iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', answer YES. a. When prompted 'Enter options you wish to mark as 'Out Of Order':', select the following option: Option Name Menu Text ----------- --------- Claims Status Awaiting [IBCE CLAIMS STATUS Resolution AWAITING] Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press the Enter key. c. When prompted 'Delay Install (Minutes): (0 - 60): 0//', answer 0. Post-Installation Instructions ------------------------------ The eBilling team will reach out to the sites to coordinate enabling FHIR processing starting after the 30 day compliance period. The eBilling team plans to enable by Consolidated Patient Accounting Centers (CPAC) and further even down to the Veterans Integrated Service Network (VISN) level with the first couple CPACs. 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 61 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCB1 Before: B75444272 After: B84105683 **70,106,51,137,161,182,155, 327,432,592,623,641** Routine Name: IBCBB1 Before:B132843227 After:B134579294 **27,52,80,93,106,51,151,148, 153,137,232,280,155,320,343, 349,363,371,395,384,432,447, 488,554,577,592,608,623,641** Routine Name: IBCBB2 Before: B59608888 After: B60368668 **51,137,210,245,232,296,320, 349,371,403,432,447,473,488, 461,623,641** Routine Name: IBCE Before: B26531409 After: B33975557 **137,283,296,371,623,659,641** Routine Name: IBCE837 Before: B93949653 After: B97101641 **137,191,197,232,296,349,547, 592,623,641** Routine Name: IBCE837A Before: B55539011 After: B57409973 **137,191,211,232,296,377,592, 623,641** Routine Name: IBCE837H Before: B24646452 After: B24876572 **623,641** Routine Name: IBCE837I Before: B25760500 After: B29216183 **623,641** Routine Name: IBCE837K Before: B10284174 After: B12407269 **623,641** Routine Name: IBCECOB2 Before:B186108392 After:B189797800 **137,155,433,432,447,488,516, 592,641** Routine Name: IBCECSA4 Before: B61845851 After: B97887194 **137,155,320,371,433,516,641** Routine Name: IBCEDP Before: B34247980 After: B38464284 **377,592,641** Routine Name: IBCEDS Before: B75763086 After: B85826763 **377,641** Routine Name: IBCEF11 Before: B98194583 After: B99138579 **51,137,155,309,335,348,349, 371,432,447,473,516,577,592, 608,623,641** Routine Name: IBCEF22 Before:B109118409 After:B110134039 **51,137,135,155,309,349,389, 432,488,516,577,608,623,641** Routine Name: IBCEFG7 Before: B54668730 After: B55882516 **52,84,96,51,137,191,320,608,641** Routine Name: IBCEM03 Before: B48666797 After: B52141773 **137,199,296,348,349,592,623,641** Routine Name: IBCEPTC Before: B96345243 After: B98240966 **296,320,348,349,547,592,623, 659,641** Routine Name: IBCEPTC3 Before: B91463160 After: B93002251 **320,547,608,641** Routine Name: IBCERPN Before: n/a After: B42123270 **641** Routine Name: IBCESRV Before: B71687947 After: B78063164 **137,181,196,232,296,320,407, 623,641** Routine Name: IBCEXTRP Before: B53771713 After: B55444304 **137,197,211,348,349,377,592, 623,641** Routine Name: IBCF Before: B24102162 After: B25740458 **33,63,52,121,51,137,349,641** Routine Name: IBY641PO Before: n/a After: B24937783 **641** Routine Name: IBY641PR Before: n/a After: B3894773 **641** Routine list of preceding patches: 659 ============================================================================= User Information: Entered By : HRISTOPHER Date Entered : JAN 09, 2019 Completed By: Date Completed: NOV 16, 2020 Released By : Date Released : NOV 16, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT