$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 01/20/21 at 11:14 ============================================================================= Run Date: FEB 22, 2021 Designation: IB*2*691 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #631 Status: Released Compliance Date: MAR 08, 2021 ============================================================================= Subject: PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY 2021 Category: - Routine Description: ============ Patch IB*2.0*691 will update the administrative charge based on the following rate types, with new dispensing fee for third party pharmacy prescription claims, with an effective date of January 1st, 2021. Rate Type Dispensing Fee -------------------- ------------- CC MTF REIMB INS 20.71 CC NO-FAULT AUTO 20.71 CC REIMB INS 20.71 CC TORT FEASOR 20.71 CC WORKERS' COMP 20.71 CCN NO-FAULT AUTO 20.71 CCN REIMB INS 20.71 CCN TORT FEASOR 20.71 CCN WORKERS' COMP 20.71 CHOICE NO-FAULT AUTO 20.71 CHOICE REIMB INS 20.71 CHOICE TORT FEASOR 20.71 CHOICE WORKERS' COMP 20.71 DENTAL REIMB. INS. 20.71 HUMANITARIAN 20.71 HUMANITARIAN REIMB. INS. 20.71 INELIGIBLE 20.71 INELIGIBLE REIMB. INS. 20.71 INTERAGENCY 20.71 NO FAULT INS. 20.71 REIMBURSABLE INS. 20.71 TORT FEASOR 20.71 WORKERS' COMP. 20.71 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 Coordination: N/A New Service Requests (NSRs): N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- 1. INC14438464 NATIONAL PATCH DEVELOPMENT - IB RX ADMINISTRATIVE FEE PATCH FOR CY 2021 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, 2021. Resolution: ----------- The post-install routine, IB20P619, was created to inactivate rate schedules with the RX COST charge set for these 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 31st, 2020. It also adds the new rate schedules with the administrative fee starting on January 1st, 2021 in the RATE SCHEDULE file (#363). ************************************************************************** Note: This patch will NOT update those Rate Schedules for which Rate Types are currently set to INACTIVE. Please verify with Facility Revenue Manager(s) and local VistA support to ACTIVATE any Rate Types as needed. *************************************************************************** Test Sites: ----------- VA Pittsburgh HCS Jack C. Montgomery VAMC (Muskogee) 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 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 IB*2.0*691. B. Select the Backup a Transport Global option to create a backup message of any routines exported with this 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. Please see Back-Out plan section for additional information. When prompted for a response, select Routines: Select one of the following: B Build R Routines Enter response: Routines 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, IB*2.0*691. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer NO ii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO Post-Installation Instructions: ------------------------------- You may delete the routine, IB20P691, 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*691 Post-Install starts..... >>>Effect. JAN 01, 2021 of RX Rate Schedule Adjustment for the Rate Type: CC MTF REIMB INS CC NO-FAULT AUTO CC REIMB INS CC TORT FEASOR CC WORKERS' COMP CCN NO-FAULT AUTO CCN REIMB INS CCN TORT FEASOR CCN WORKERS' COMP CHOICE NO-FAULT AUTO CHOICE REIMB INS CHOICE TORT FEASOR CHOICE WORKERS' COMP DENTAL REIMB. INS. HUMANITARIAN HUMANITARIAN REIMB. INS. INELIGIBLE INTERAGENCY INELIGIBLE REIMB. INS. NO FAULT INS. REIMBURSABLE INS. TORT FEASOR WORKERS' COMP. Total 23 entries added to the Rate Schedule file (#363) IB*2.0*691 Post-Install is complete. Note: If results show otherwise, please check the settings of the rate schedules for the rate types in RATE SCHEDULE file (#363) or log a ticket with The Enterprise Service Desk for assistance. Back-Out/Roll Back Plan: ------------------------ Due to the complexity of this patch, it is not recommended for back-out, and a restore from a backup of the Transport Global should not be attempted. In the event that a patch installer decides to back out this patch, the patch installer should create a ticket in ServiceNow (SNOW). The development team will need to issue a follow-on patch in order to comprehensively back-out this patch and restore the system to a functioning state. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P691 Before: n/a After: B10326134 **691** ============================================================================= User Information: Entered By : Date Entered : NOV 13, 2020 Completed By: Date Completed: FEB 22, 2021 Released By : Date Released : FEB 22, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT