$TXT Created by at MNTVBB.DOMAIN.EXT (KIDS) on Monday, 03/25/24 at 08:23 ============================================================================= Run Date: APR 08, 2024 Designation: IB*2*786 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #720 Status: Released Compliance Date: APR 11, 2024 ============================================================================= Subject: 2024 REASONS NOT BILLED (RNB) FILE UPDATE Category: - Routine Description: ============ ************************************************************************** NOTE: This patch is being released as an Emergency Patch with a shortened compliance. ************************************************************************** Patch IB*2.0*786 updates the CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file to reflect 2024 updates. There will be four (4) additions, three (3) deactivations and eighteen (18) reactivations. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- N/A Forms Associated: Form Name File 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 ----------- ---- -------------------- 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: New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A Defect Tracking System Ticket(s) & Overview: ============================================ 1. INC30778688 CLAIMS TRACKING NON-BILLABLE REASONS File Changes 2024 The CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file needs to be updated to reflect changes for 2024. Resolution: ----------- The post install routine (IB20P786) included in this patch will update the CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file. There will be eighteen (18) reactivations, three (3) deactivations and four (4) additions. Routine: IB20P786 Update requested RNB Codes as described below: Reason Not Billable (4 New) ================================== Code Description ECME Flag ECME Paper Flag ---- ----------- --------- --------------- RX28 MISSING NDC NO NO B99 RX BILLED PAPER CLAIM NO NO VA12 PACT ACT 103 YES NO B11 DOD PROVIDER TX DOD PT AT VA NO NO Reason Not Billable (3 Deactivated) ================================== Code Description ---- ----------- BL10 BILLING LIMITATIONS CV30 NO COVERAGE 999 OTHER Reason Not Billable (18 Reactivated) ================================== Code Description ---- ----------- MC13 72 HOUR RULE MC20 APPT CANCELLED/PT NOT SEEN BL01 CHARGES SPLIT CV12 CUSTODIAL/RESIDENTIAL CARE MC10 DUPLICATE ENCOUNTER MC08 GLOBAL SURGERY CV03 HMO POLICY RX08 INVALID MULTIPLE PER DAY SUPP DC01 NO DOCUMENTATION DC02 NO TX PROVIDED/ADVICE ONLY MC22 NON-BILLABLE DME/PROSTHETIC MC14 RESIDENT SUPERVISION NOT MET RX15 RX DISCOUNT CARD RX14 RX MEDICARE PART D MC21 SEEN BY PROVIDER ON SAME DAY BL08 COMBINED CHARGES MC02 REFUSES TO SIGN RELEASE (ROI) MC04 RESEARCH VISIT Test Sites: ----------- Sioux Falls VA HCS VA Connecticut HCS VA Pittsburgh HCS VISN 2 (Upstate New York HCS) SNOW Change Order #: -------------------- Sioux Falls VA HCS - CHG0467712 VA Connecticut HCS - CHG0467257 VA Pittsburgh HCS - CHG0467357 VISN 2 (Upstate New York HCS) - CHG0467257 Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message. Patch Installation: ------------------- Pre/Post Installation Overview: 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 IB*2.0*786. 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. The backup message can be used to restore the routines and components of the build to the pre-patch condition. However, it is NOT recommended to use this backup to restore the system as it will NOT 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*786. iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select one of the following: B Build R Routines Enter response: Build iv. When prompted "Do you wish to secure your build? 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 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*786. 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 routine, IB20P786, from your production system after the patch has been successfully verified. Installation Verification: -------------------------- The Calculate and Show Checksum Values [XTSUMBLD-CHECK1] option can be run to compare the routine checksums to what is documented in the patch description. Use the 'Install File Print' option to review the updates and ensure that the install has been completed. For an example: Note: If results show otherwise, please check the settings for the codes in the CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file or log a ticket with the Enterprise Service Desk for assistance. Running Post-Install Routine: POST^IB20P786 IB*2.0*786 Post-Install starting ..... >> Adding Reason Not Billable (RNB) RX28 MISSING NDC B99 RX BILLED PAPER CLAIM VA12 PACT ACT 103 B11 DOD PROVIDER TX DOD PT AT VA >> Inactivating Reason Not Billable (RNB) BL10 BILLING LIMITATIONS CV30 NO COVERAGE 999 OTHER >> Reactivating Reason Not Billable (RNB) MC13 72 HOUR RULE MC20 APPT CANCELLED/PT NOT SEEN BL01 CHARGES SPLIT CV12 CUSTODIAL/RESIDENTIAL CARE MC10 DUPLICATE ENCOUNTER MC08 GLOBAL SURGERY CV03 HMO POLICY RX08 INVALID MULTIPLES PER DAY SUPP DC01 NO DOCUMENTATION DC02 NO TX PROVIDED/ADVICE ONLY MC22 NON-BILLABLE DME/PROSTHETIC MC14 RESIDENT SUPERVISION NOT MET RX15 RX DISCOUNT CARD RX14 RX MEDICARE PART D MC21 SEEN BY PROVIDER ON SAME DAY BL08 COMBINED CHARGES MC02 REFUSES TO SIGN RELEASE (ROI) MC04 RESEARCH VISIT Total 25 codes updated in CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file IB*2.0*786 Post-Install is complete. 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 the patch installer decides to back out this patch, the patch installer should log a Service Now ticket or contact the Enterprise Service Desk (ESD) at 855-673-4357. Backout or rollback of the software will be a joint decision between the development team, VA site/region personnel and other appropriate VA personnel and will require their concurrence. 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 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P786 Before: n/a After: B13853703 **786** ============================================================================= User Information: Entered By : Date Entered : JAN 22, 2024 Completed By: Date Completed: APR 08, 2024 Released By : Date Released : APR 08, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT