$TXT Created by . III at MNTVBB.DOMAIN.EXT (KIDS) on Wednesday, 11/16/22 at 09:55 ============================================================================= Run Date: FEB 06, 2023 Designation: IB*2*754 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #681 Status: Released Compliance Date: FEB 13, 2023 ============================================================================= Subject: PHARMACY ADMINISTRATIVE FEE UPDATE FOR CY 2023 Category: - Routine Description: ============ *** Please Note: This patch has a shortened compliance date of 7 days. *** Integrated Billing patch, IB*2.0*754, updates 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, 2023. The following rate types will be created: Rate Type Dispensing Fee -------------------- ------------- CC MTF REIMB INS 14.95 CC NO-FAULT AUTO 14.95 CC REIMB INS 14.95 CC TORT FEASOR 14.95 CC WORKERS' COMP 14.95 CCN NO-FAULT AUTO 14.95 CCN REIMB INS 14.95 CCN TORT FEASOR 14.95 CCN WORKERS' COMP 14.95 CHOICE NO-FAULT AUTO 14.95 CHOICE REIMB INS 14.95 CHOICE TORT FEASOR 14.95 CHOICE WORKERS' COMP 14.95 DENTAL REIMB. INS. 14.95 HUMANITARIAN 14.95 HUMANITARIAN REIMB. INS. 14.95 INELIGIBLE 14.95 INELIGIBLE REIMB. INS. 14.95 INTERAGENCY 14.95 NO FAULT INS. 14.95 REIMBURSABLE INS. 14.95 TORT FEASOR 14.95 WORKERS' COMP. 14.95 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. INC24928935:Initiate RX Admin Charge Update for CY23 non-Tricare Problem: -------- The Office of Community Care has requested an update to the pharmacy administrative charge for 23 rate types with an effective date of January 1st, 2023. Resolution: ----------- The post-init routine IB20P754 was created to inactivate rate schedules with the RX COST charge set for 23 rate types with an inactive date of December 31st, 2022. It includes Community Care (CC), Community Care Network (CCN) or Choice for No-Fault Auto, Reimbursable Insurance, Tort Feasor, Worker's Compensation, and CCN Military Treatment Facility (MTF)/Humanitarian/Ineligible/Interagency Reimbursable Insurance, and Humanitarian, Ineligible, Interagency, No Fault Insurance, Reimbursable Insurance, Tort Feasor, Worker's Compensation. It also adds the new rate schedules with the administrative fee starting on January 1st, 2023 to the RATE SCHEDULE file (#363). ************************************************************************** Note: This patch will NOT update any Rate Schedules if any 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: ----------- Durham VAMC VA Pittsburgh HCS Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. 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 patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter IB*2.0*754) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). d. Backup a Transport Global option - This option will 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 Build. However, it is NOT recommended to use this backup to restore the system as it will NOT restore your system to pre-patch condition. When prompted for a response: Select one of the following: B Build R Routines Enter response: Build ***Please refer to the section below, "Back-Out/Roll Back Plan".*** 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? NO//" respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//" respond NO. Post-Installation Instructions: ------------------------------- Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: IB*2.0*754 Post-Install starts..... >>>Effect. JAN 01, 2023 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*754 Post-Install is complete. Note: If results show otherwise, please check the settings of the rate schedules for the rate types in 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 cannot be restored from a backup Transport Global. In the event that a site decides to back out this patch, the site should log a Service Now ticket or reach out to the Enterprise Service Desk at 855-673-4357, option 5. The development team will need to issue a follow-on patch in order to comprehensively back-out 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P754 Before: n/a After: B10793809 **754** ============================================================================= User Information: Entered By : III Date Entered : NOV 14, 2022 Completed By: Date Completed: FEB 06, 2023 Released By : Date Released : FEB 06, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT