$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Thursday, 09/30/21 at 09:10 ============================================================================= Run Date: NOV 22, 2021 Designation: IB*2*719 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #653 Status: Released Compliance Date: NOV 25, 2021 ============================================================================= Associated patches: (v)IB*2*693 <<= must be installed BEFORE `IB*2*719' Subject: REASONABLE CHARGES V4.22 Category: - Enhancement (Mandatory) - Routine Description: ============ ************************************************************************** Implementation of Reasonable Charges v4.22 is a two-step process: 1. Installation of this patch. This will inactivate Reasonable Charges v4.215 charges with an inactive date of 09/30/21. (See Installation Instructions.) 2. Uploading the Reasonable Charges v4.22 charges. This will load new charges with an effective date of 10/01/21 and needs to be done immediately after the patch install. (See Upload Instructions.) ************************************************************************** Reasonable Charges version 4.22 is a charge update to the existing Reasonable Charges billed to Third Party Payers. The primary update with this patch is to the charges, which will be implemented when the new RC v4.22 charges are uploaded (step 2). This version of Reasonable Charges implements the following charge changes: Effective Date of Reasonable Charges v4.22 is 10/01/21. Inactive Date of Reasonable Charges v4.215 is 09/30/21. Reasonable Charges v4.215 loaded on your system will be inactivated with an inactivation date of 09/30/21 when this patch is installed. Reasonable Charges v4.22 with an effective date of 10/01/21 will be loaded on your system when the charges are uploaded as described below. ************************************************************************ NOTE: This patch is being released with a shortened compliance date of 3 days. ************************************************************************ 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. INC19265092 - Initiate IB INPT Patch V4.22 for FY22 in VistA Problem: -------- Changes in the national Diagnosis Related Group (DRG) rates need to be distributed to all hospitals so that proper billing can take place. Resolution ----------- This patch updates the Reasonable Charges files and distributes them with a new version number and a new effective date. Routines: IBCRHBRV, IBYP719 Technical Description ===================== This patch exports 2 routines, one of which is the post-init (IBYP719). The post-init routine will inactivate all existing Reasonable Charges defined in the Charge Master. Reasonable Charges v4.215 will be inactivated with an inactivation date of 09/30/21 when the patch is installed. The following is an example of the post-init portion of the installation: Reasonable Charges v4.22 Post-Install ..... >> Inactivating Existing Reasonable Charges, Please Wait... Done. 247611 existing charges inactivated Reasonable Charges v4.22 Post-Install Complete Note: The actual number of charges inactivated and facility type of billing regions changed will vary based on the number of divisions billed at your site. This will also determine the time required for the installation. Test Sites: ----------- VA Connecticut HCS VISN 2 - Upstate New York Software and Documentation Retrieval Instructions: -------------------------------------------------- See the Upload Instructions below. Patch Installation: Pre/Post Installation Overview: ------------------------------- 1. Installation of this patch will inactivate Reasonable Charges v4.215 charges with an inactive date of 09/30/21. (See Installation Instructions.) 2. Uploading the Reasonable Charges v4.22 charges. This will load new charges with an effective date of 10/01/21 and needs to be done immediately after the patch install. (See Upload Instructions.) Pre-Installation Instructions: ------------------------------ If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file be disabled to prevent possible conflicts while running the KIDS Install. Other Vista users will not be affected. Enter/Edit Billing Information [IB EDIT BILLING INFO] Enter/Edit Charge Master [IBCR DISPLAY CHARGE MASTER] Install Time - less than 30 minutes - but will vary from site to site depending on the size of the CHARGE ITEM (#363.2) file which is searched for charges to inactivate in the post-init routine. Loading the Charge Master with the new RC v4.22 charges is separate from the patch installation and will take additional time per division. 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*719. 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. 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*719. 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? YES//', answer YES a. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following option: Option Name Menu Text ----------- --------- Enter/Edit Billing Information [IB EDIT BILLING INFO] Enter/Edit Charge Master [IBCR DISPLAY CHARGE MASTER] Press the Enter key when you are done selecting options. b. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . c. When prompted 'Delay Install (Minutes): (0 - 60): 0//', answer 0. Post-Installation Instructions: Optional - Once this patch has been successfully installed you may delete the post init routines: IBYP719. Back-Out/Roll Back Plan: ------------------------ This patch for the selection of Reasonable Charges version 4.22 can be backed out by installing the routines/packman message created from the installation instruction, Step 2.B. Backup a Transport Global. If any Reasonable Charges 4.215 were not inactivated successfully, please contact Help desk to log a ticket for assistance. UPLOAD REASONABLE CHARGES V4.22 -------------------------------- Follow instructions below: RC v4.22 Upload Instructions ********************** RC v4.22 Upload Instructions ********************** After patch installation, the Reasonable Charges v4.22 charges will need to be loaded into the Charge Master for each division billed at the site. The charges for each Division will require approximately 1.8 - 2.0 MB of disk space. Other files will be searched, but the new charges will be added to the CHARGE ITEM file (#363.2). Files Required for Upload: -------------------------- Sites may retrieve the charge files using Secure File Transfer Protocol (SFTP) in ASCII format at the location: /srv/vista/patches/SOFTWARE or by accessing the URL: https://download.vista.domain.ext/index.html/SOFTWARE. The Reasonable Charge v4.22 Host Files, effective 10/01/21: (ASCII) IBRC2110A.TXT Inpatient Facility Charges (DRG) IBRC2110B.TXT Facility Charge (CPT) IBRC2110C.TXT Physician Charges (CPT) IBRC2110D.TXT Service Category Codes IBRC2110E.TXT Area Factors IBRC2110F.TXT Site Identification Upload Instructions: ==================== Step 1: Get Host Files ----------------------- Retrieve the 6 Reasonable Charges v4.22 Host Files in ASCII format (see previous section). Step 2: Determine Divisions ---------------------------- Use the Print Charge Master [IBCR REPORTS FOR CHARGE MASTER] option and print the Billing Regions report to find which Billing Regions and Divisions have charges loaded onto your system. These are the divisions that will need new charges loaded. Step 3: Begin Upload Process ----------------------------- Use the Load Host File into Charge Master [IBCR HOST FILE LOAD] option to load Reasonable Charges onto your system for every division for which care is billed at your site. Carefully follow the instructions below, for each Billing Region. You will see the prompt: Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Below, in more detail, the steps will guide you through the process of selecting first 1.3, then 3, then 4, and wait until 4 stops before continuing on to the next division (and capturing or printing all output for future reference). Step 4: Load the Reasonable Charges ------------------------------------ From the menu, select option 1.3 - Load RC into XTMP This loads the Host Files into temporary storage and calculates charges for individual Divisions. - If there are no previously existing host files loaded, it will ask which version of Reasonable Charges to load. Select 4.22 - When loading Reasonable Charges v4.22 the IBRC2110x.TXT files may be used for multiple divisions without reloading. - If there exists any previously calculated charges (files) for a division, they will be displayed, and you will get the prompt: The above files already exist in XTMP. Delete the above files and continue with upload? Select Yes, to delete the previously calculated charges. - If there exist any previously loaded host files for any RC version, they will be displayed, and it will ask if they should be deleted. Select No, if the files are IBRC2110x.TXT since these are the correct files for v4.22, they may be re-used for multiple divisions. Select Yes only if the files are from a different version. - Select Division: Select the division number to load charges for. This should correspond to the Divisions associated with the Billing Regions determined previously. Once the correct division is selected, answer Yes to Calculate Charges. Step 5: Check Data Validity --------------------------- From the menu, select option 3 - Check Data Validity This is optional, but it is suggested that it be run at least once, for the first division loaded. If the resulting report has any Line Data Errors, then check that the latest version of CPT and DRG has been installed. The Error key at the end of the report does not mean that errors have occurred. It simply provides definitions of the types of errors that might occur. Check the individual line items in the report to see if any of the listed errors have been detected. Step 6: Load into Charge Master ------------------------------- From the menu, select option 4 - Load into Charge Master Moves the charges calculated in selection 1.3 to permanent storage in the Charge Master. The results report should match the examples below. It is important that this option completes before continuing. Allow the upload of a division's charges to finish before attempting to upload another division. A summary report will be printed when the upload is complete. This option uses the same temporary files to calculate the charges for all divisions, therefore they must be calculated and loaded serially. Step 7: Repeat steps 4-6 for each Division needed ------------------------------------------------- Steps 4-6 must be repeated for each division billed at your site. Refer to the Divisions that already have charges assigned using the Billing Region Report list determined previously. In most cases, simply using the above options for loading Reasonable Charges will result in the correct set up in the Charge Master. - Option 1.3, to calculate charges for a division - Option 4, to load those calculated charges into the Charge Master permanent files. However, if you are loading charges for a new site, or a site that may have changed its division number, then extra care is needed to ensure the setup of the Charge Master is correct. The following sections provide examples of displays and reports for the upload. ================= Reasonable Charges v4.22 Upload Details ================ The Charge Host Files should load with the following counts: The following files were created in XTMP, they will be purged in 2 days: ------------------------------------------------------------------------- IBRC2110A.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 766 IBRC2110B.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 8584 IBRC2110C.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 18221 IBRC2110D.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 30 IBRC2110E.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 917 IBRC2110F.TXT RC v4.22 Host File Upload, 9/23/21@13:32 by 1470 Any division that provides Inpatient Care should result in a summary with the following counts: IBCR UPLOAD RC 552 DAYTON VA MEDICAL CENTER, OH Count = 56148 IB Upload RC v4.22 552 DAYTON VA MEDICAL CENTER, OH, 9/23/21@15:30 by WANG, CHI Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 97 RC-INPT FAC PR 552 2 Inpt Fac 2 CPT 6 RC-INPT FAC HR 552 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 552 4 Inpt Fac/Phys 1 CPT 3141 RC-INPT FAC PR 552 5 Inpt PD Anc DRG 765 RC-INPT ANC 552 6 Inpt PD Anc ICU DRG 765 RC-INPT ANC ICU 552 7 Inpt PD R&B DRG 765 RC-INPT R&B 552 8 Inpt PD R&B ICU DRG 765 RC-INPT R&B ICU 552 9 Inpt Phys 1 CPT 8277 RC-PHYSICIAN INPT PR 552 10 Inpt Phys 3 CPT 271 RC-PHYSICIAN INPT MN 552 11 Opt Fac 1 CPT 8572 RC-OPT FAC PR 552 12 Opt Fac 2 CPT 6 RC-OPT FAC HR 552 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 552 14 Opt Fac/Phys 1 CPT 5389 RC-OPT FAC PR 552 15 Opt PD PHosp MISCE 1 RC-OPT MISC 552 16 Opt Phys 1 CPT 6929 RC-PHYSICIAN OPT PR 552 17 Opt Phys 3 CPT 235 RC-PHYSICIAN OPT MN 552 18 SNF Fac 1 CPT 7969 RC-SNF FAC PR 552 19 SNF Fac 2 CPT 6 RC-SNF FAC HR 552 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 552 21 SNF Fac/Phys 1 CPT 3608 RC-SNF FAC PR 552 22 SNF PD INC BEDSE 2 RC-SNF INC 552 23 SNF Phys 1 CPT 8293 RC-PHYSICIAN SNF PR 552 24 SNF Phys 3 CPT 271 RC-PHYSICIAN SNF MN 552 IB Upload Summary Report of Charge Items Loaded into the Charge Master ---------------------------------------------------------------------------- IBCR UPLOAD RC 552 DAYTON VA MEDICAL CENTER, OH Inpt Fac 1 97 of 97 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 97 entries added to the Charge Set RC-INPT FAC PR 552. Inpt Fac 2 6 of 6 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6 entries added to the Charge Set RC-INPT FAC HR 552. Inpt Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5 entries added to the Charge Set RC-INPT FAC ML 552. Inpt Fac/Phys 1 3141 of 3141 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 3141 entries added to the Charge Set RC-INPT FAC PR 552. Inpt PD Anc 765 of 765 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 765 entries added to the Charge Set RC-INPT ANC 552. Inpt PD Anc ICU 765 of 765 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 765 entries added to the Charge Set RC-INPT ANC ICU 552. Inpt PD R&B 765 of 765 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 765 entries added to the Charge Set RC-INPT R&B 552. Inpt PD R&B ICU 765 of 765 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 765 entries added to the Charge Set RC-INPT R&B ICU 552. Inpt Phys 1 8277 of 8277 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 8277 entries added to the Charge Set RC-PHYSICIAN INPT PR 552. Inpt Phys 3 271 of 271 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 271 entries added to the Charge Set RC-PHYSICIAN INPT MN 552. Opt Fac 1 8572 of 8572 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 8572 entries added to the Charge Set RC-OPT FAC PR 552. Opt Fac 2 6 of 6 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6 entries added to the Charge Set RC-OPT FAC HR 552. Opt Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5 entries added to the Charge Set RC-OPT FAC ML 552. Opt Fac/Phys 1 5389 of 5389 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5389 entries added to the Charge Set RC-OPT FAC PR 552. Opt PD PHosp 1 of 1 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 1 entries added to the Charge Set RC-OPT MISC 552. Opt Phys 1 6929 of 6929 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6929 entries added to the Charge Set RC-PHYSICIAN OPT PR 552. Opt Phys 3 235 of 235 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 235 entries added to the Charge Set RC-PHYSICIAN OPT MN 552. SNF Fac 1 7969 of 7969 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 7969 entries added to the Charge Set RC-SNF FAC PR 552. SNF Fac 2 6 of 6 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6 entries added to the Charge Set RC-SNF FAC HR 552. SNF Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5 entries added to the Charge Set RC-SNF FAC ML 552. SNF Fac/Phys 1 3608 of 3608 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 3608 entries added to the Charge Set RC-SNF FAC PR 552. SNF PD INC 2 of 2 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 2 entries added to the Charge Set RC-SNF INC 552. SNF Phys 1 8293 of 8293 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 8293 entries added to the Charge Set RC-PHYSICIAN SNF PR 552. SNF Phys 3 271 of 271 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 271 entries added to the Charge Set RC-PHYSICIAN SNF MN 552. Any provider based division that provides Outpatient Care only should result in a summary with the following counts: IBCR UPLOAD RC 552GA MIDDLETOWN VA CLINIC, OH Count = 21137 IB Upload RC v4.22 552GA MIDDLETOWN VA CLINIC, OH, 9/23/21@15:27 by WANG,CHI Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Opt Fac 1 CPT 8572 RC-OPT FAC PR 552GA 2 Opt Fac 2 CPT 6 RC-OPT FAC HR 552GA 3 Opt Fac 4 CPT 5 RC-OPT FAC ML 552GA 4 Opt Fac/Phys 1 CPT 5389 RC-OPT FAC PR 552GA 5 Opt PD PHosp MISCE 1 RC-OPT MISC 552GA 6 Opt Phys 1 CPT 6929 RC-PHYSICIAN OPT PR 552GA 7 Opt Phys 3 CPT 235 RC-PHYSICIAN OPT MN 552GA IB Upload Summary Report of Charge Items Loaded into the Charge Master ---------------------------------------------------------------------------- IBCR UPLOAD RC 552GA MIDDLETOWN VA CLINIC, OH Opt Fac 1 8572 of 8572 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 8572 entries added to the Charge Set RC-OPT FAC PR 552GA. Opt Fac 2 6 of 6 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6 entries added to the Charge Set RC-OPT FAC HR 552GA. Opt Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5 entries added to the Charge Set RC-OPT FAC ML 552GA. Opt Fac/Phys 1 5389 of 5389 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 5389 entries added to the Charge Set RC-OPT FAC PR 552GA. Opt PD PHosp 1 of 1 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 1 entries added to the Charge Set RC-OPT MISC 552GA. Opt Phys 1 6929 of 6929 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 6929 entries added to the Charge Set RC-PHYSICIAN OPT PR 552GA. Opt Phys 3 235 of 235 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. 235 entries added to the Charge Set RC-PHYSICIAN OPT MN 552GA. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[Patch List]**;21-MAR-94;Build 83 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCRHBRV Before: B54771573 After: B55183170 **148,169,245,270,285,298,325, 334,355,360,365,382,390,408, 412,423,427,439,445,462,468, 484,491,508,520,536,542,556, 559,573,584,600,612,628,634, 658,667,683,693,719** Routine Name: IBYP719 Before: n/a After: B5930456 **719** Routine list of preceding patches: 693 ============================================================================= User Information: Entered By : Date Entered : AUG 27, 2021 Completed By: Date Completed: NOV 22, 2021 Released By : Date Released : NOV 22, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT