$TXT Created by at TAS-EBIL-HFD.AAC.DOMAIN.EXT (KIDS) on Wednesday, 07/27/22 at 13:24 ============================================================================= Run Date: SEP 08, 2022 Designation: IB*2*718 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #669 Status: Released Compliance Date: OCT 08, 2022 ============================================================================= Associated patches: (v)IB*2*447 <<= must be installed BEFORE `IB*2*718' (v)IB*2*532 <<= must be installed BEFORE `IB*2*718' (v)IB*2*608 <<= must be installed BEFORE `IB*2*718' (v)IB*2*639 <<= must be installed BEFORE `IB*2*718' (v)IB*2*641 <<= must be installed BEFORE `IB*2*718' (v)IB*2*665 <<= must be installed BEFORE `IB*2*718' Subject: MCCF EDI TAS eBilling 19 Category: - Enhancement (Mandatory) - Data Dictionary - Routine 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: Value code enhancements: * Improve data validation for Value Codes (VC) on Billing Screens * VistA shall display up to 5 VC's in Screen <5> and display additional VC's in screen 5, section [9] subsequent page for Outp/UB04 claims * VistA shall display up to 5 VC's in Screen <5> and display additional VC's in screen 5, section [9] subsequent page for Inpt/UB04 claims Printing dental claims is not currently supported in VistA: * Remove PRINT prompt from Dental claims Properly handle split Medicare Remittance Advice (MRA) issue edge cases: * Stop multiple split MRA's from being combined in VistA when received in the same file from Financial Services Center (FSC) * Capturing MRA EOB Data from 'Split' Claims that were not properly marked as split with the MA15 indicator Resending Valid Duplicates * Set the IsValidDuplicate flag to True when retransmitting claims using Multiple CSA Message Management [IBCEMC MULT CSA MSG MANAGEMENT] menu option * Set the IsValidDuplicate flag to True when retransmitting claims using Multiple Status Messages [IBCEM CSA MSG MAN] protocol from the Claims Status Awaiting Resolution [IBCE CLAIMS STATUS AWAITING] menu option * Set the IsValidDuplicate flag to True when retransmitting claims using View/Resubmit Claims - Live or Test [IBCE PREV TRANSMITTED CLAIMS] menu option. While this flag was being set properly in most cases, there was a timing issue that intermittently occurred, more frequently when larger numbers of claims were resubmitted, that failed to set this flag causing claims to stop processing at Financial Services Center (FSC) and never make it to the HealthCare ClearingHouse (HCCH). Move workarounds previously performed by FSC pre-processor to Vista post-processer: * If PRF-2 equals RX1-2 and RX1-7 has contents, remove PRF-9 and PRF-10 before the claim is sent to FSC * Remove all National Provider Identifiers NPIs from claims submitted to Medicare before sending to FSC Prevent incorrect provider types from being entered: * Prevent users from assigning a Facility type entry to an Operating Provider at the claim level for a UB-04 claim * Prevent users from assigning a Facility type entry to an Operating Provider at the line level for a UB-04 claim * Prevent users from assigning a Facility type entry to a Referring Provider at the claim level for a UB-04 claim * Prevent users from assigning a Facility type entry to a Rendering Provider at the claim level for a UB-04 claim * Prevent users from assigning a Facility type entry to an Attending Provider at the claim level for a UB-04 claim * Prevent users from assigning a Facility type entry to an Other Operating Provider at the claim level for a UB-04 claim * Prevent users from assigning a Facility type entry to a Referring Provider at the line level for a UB-04 claim * Prevent users from assigning a Facility type entry to a Rendering Provider at the line level for a UB-04 claim * Prevent users from assigning a Facility type entry to an Other Operating Provider at the line level for a UB-04 claim * Prevent users from assigning a Facility type entry to a Referring Provider at the claim level for a CMS1500 claim * Prevent users from assigning a Facility type entry to a Supervising Provider at the claim level for a CMS1500 claim * Prevent users from assigning a Facility type entry to a Referring Provider at the line level for a CMS1500 claim * Prevent users from assigning a Facility type entry to a Supervising Provider at the line level for a CMS1500 claim * Prevent users from assigning a Facility type entry to a Referring Provider at the claim level for a Dental claim * Prevent users from assigning a Facility type entry to a Supervising Provider at the claim level for a Dental claim * Prevent users from assigning a Facility type entry to an Assistant Surgeon at the claim level for a Dental claim * Prevent users from assigning a Facility type entry to a Referring Provider at the line level for a Dental claim * Prevent users from assigning a Facility type entry to a Supervising Provider at the line level for a Dental claim * Prevent users from assigning a Facility type entry to an Assistant Surgeon at the line level for a Dental claim Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------- ------------------- -------------------- IB ERROR (#350.8) New Entries Screen: I $$INCLUDE^IBY718PR(8,Y) IB NON/OTHER VA BILLING PROVIDER (#355.93) PROVIDER TYPE (#.02) Modified EXPLANATION OF BENEFITS (#361.1) Modified PARTIAL EOB (#.22) New IB FORM FIELD CONTENT (#364.7) Screen: I $$INCLUDE^IBY718PR(7,Y) Modified entries BILL/CLAIMS (#399) PROVIDER sub-file (#399.0222) PERFORMED BY (#.02) Modified LINE PROVIDER sub-file (#399.0404) LINE PERFORMED BY (#.02) Modified MCCR UTILITY (#399.1) Modified VALUE CODE AMOUNT SCREEN (#2) New Forms Associated: Form Name File Name (Number) New/Modified/Deleted --------- ------------------ ------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- IBTAS EBILLING RPCS Broker Modified (Client/Server) Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name New/Modified/Deleted ----------------- -------------------- N/A Templates, Input Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Templates, List Associated: Template Name Type New/Modified/Deleted ------------- ---- -------------------- N/A Templates, Print Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Templates, Sort Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- IBTAS 837 CLAIM NUMBER Modified Parameter Definitions Associated: Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- N/A Bulletins Associated: Bulletin Name New/Modified/Deleted ------------- -------------------- N/A Dialogs Associated: Dialog Name New/Modified/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: ----------- Alexandria VA Health Care System Alexandria, LA Beckley VA Medical Center Beckley, WV Salem VA Medical Center Salem, VA Ioannis A. Lougaris VAMC Reno, NV 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 Title File Name --------------------------------------------------------------------- IB*2*718 Deployment, Installation, Back-out, IB_2_0_P718_DIBR.PDF and Rollback Guide EDI Integrated Billing User Guide IB_2_0_P718_EDI_UG.PDF Integrated Billing (IB) V.2.0 Technical Manual IB_2_0_P718_TM.PDF Patch Installation: ------------------- Pre/Post Installation Overview: Pre/post installation routines can be deleted after they run. Pre-install routine, IBY718PR, is used as a filter to determine which file entries are included with the build. The post-install routine,IBY718PO, is used to correct a spelling error on a help message for an existing entry. 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: 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. ) B. Select the Backup a Transport Global option to create a backup message. You must use this option for each patch contained in the Host File. For each patch you can specify what to backup; the entire Build or just Routines. The backup message can be used to restore just the routines or everything that will restore your system to pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build IB*2.0*718 iii. When prompted for the following, enter "R" for Routines. Select one of the following: B Build R Routines Enter response: Routines iv. When prompted "Do you wish to secure this message? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. 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? NO//', answer . ii. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . iii. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer . Post-Installation Instructions: Pre/post installation routines can be deleted after they run. Pre-install routine, IBY718PR, is used as a filter to determine which file entries are included with the build. The post-install routine,IBY718PO, is used to correct a spelling error on a help message for an existing entry. Back-Out/Roll Back Plan: ------------------------ 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 73 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCB1 Before: B84105683 After: B85530631 **70,106,51,137,161,182,155, 327,432,592,623,641,718** Routine Name: IBCBB5 Before: B8194886 After: B9734041 **51,137,371,718** Routine Name: IBCE835 Before: B40332409 After: B63369271 **137,135,155,377,431,718** Routine Name: IBCE835A Before: B9804553 After: B14829273 **135,431,718** Routine Name: IBCE837 Before: B97101641 After:B101929018 **137,191,197,232,296,349,547, 592,623,641,718** Routine Name: IBCE837A Before: B57409973 After: B58464650 **137,191,211,232,296,377,592, 623,641,718** Routine Name: IBCE837H Before: B28202841 After: B31381005 **623,641,650,665,718** Routine Name: IBCE837N Before: n/a After: B2173336 **718** Routine Name: IBCE837P Before: n/a After: B66571972 **718** Routine Name: IBCEF74 Before: B50291931 After: B52627949 **232,280,155,290,291,320,358, 343,374,432,592,718** Routine Name: IBCEFG Before: B32402792 After: B33016248 **52,51,718** Routine Name: IBCEMCA1 Before: B46309574 After: B48015526 **320,718** Routine Name: IBCEMQC Before: B30540187 After: B31296647 **155,323,302,350,359,447,718** Routine Name: IBCEMU1 Before: B59079187 After:B107056528 **135,155,432,718** Routine Name: IBCEOB Before:B103862269 After:B110615868 **137,135,265,155,377,407,431, 432,488,639,718** Routine Name: IBCEXTRP Before: B55444304 After: B61912002 **137,197,211,348,349,377,592, 623,641,718** Routine Name: IBCFP1 Before: B34736940 After: B35595658 **54,52,80,121,51,137,155,320, 348,349,718** Routine Name: IBCSC4 Before: B25978379 After: B28260219 **52,51,210,245,155,287,349, 403,400,461,592,718** Routine Name: IBCU4 Before: B24318712 After: B50235686 **109,122,137,245,349,371,399, 461,532,718** Routine Name: IBCVC Before: B12760924 After:B173581345 **371,400,432,718** Routine Name: IBY718PO Before: n/a After: B61762678 **718** Routine Name: IBY718PR Before: n/a After: B4062339 **718** Routine list of preceding patches: 447, 532, 639, 665 ============================================================================= User Information: Entered By : HRISTOPHER Date Entered : AUG 23, 2021 Completed By: Date Completed: SEP 08, 2022 Released By : Date Released : SEP 08, 2022 ============================================================================= Packman Mail Message: ===================== $END TXT