$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 07/21/09 at 16:15 ============================================================================= Run Date: AUG 26, 2009 Designation: ICD*18*42 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #40 Status: Released Compliance Date: SEP 26, 2009 ============================================================================= Associated patches: (v)ICD*18*34 <<= must be installed BEFORE `ICD*18*42' Subject: FIXES FOR DIAGNOSTIC RELATED GROUP (DRG) GROUPER CALCULATIONS Category: - Routine Description: ============ This patch corrects several Diagnostic Related Group (DRG) Grouper calculations. In this patch MCC stands for Major Complicating Condition and CC stands for Complicating Condition. ASSOCIATED REMEDY TICKETS: ========================== 1) HD0000000306020 - DRG configuration crossed over incorrect 2) HD0000000308046 - No DRG being pulled to a bill 3) HD0000000322481 - DRG 343 and 743 not calculating correctly Duplicate: HD0000000323116 - DRG 4) HD0000000309669 - DRGs are incorrect ASSOCIATED NSRs: ================= N/A PARTICIPATING TEST SITES: ========================= Huntington, WV Portland, OR Upstate New York HCS REMEDY OVERVIEW: ================ 1) HD0000000306020 - DRG configuration crossed over incorrect Problem: ======== Site reported that DRG 343 is calculating as 376 in VistA. Solution: ========= Change ICDTBL3A to use variable ICDOR instead of IDCOP to get the surgical identifiers to use for calculation. 2) HD0000000308046 - No DRG being pulled to a bill Problem: ======= No DRG is being calculated for Obstetrician patients. Solution: ======== Add identifier D to Diagnosis code 659.71 for delivery. This will be done in routine ICD1842L 3) HD0000000322481 - DRG 343 and 743 not calculating correctly Problem: ======= a. DRG 343 is calculating as 376 in VistA b. DRG 743 is calculating as 761 in VistA Solution: ======== a. This DRG issue is being corrected in issue #1 b. Change ICDTBL7A to use variable ICDOR instead of IDCOP to get the surgical identifiers to use for calculation. 4) HD0000000309669 - DRGs are incorrect Problem: ======= DRG 280 is calculating as 282 in VistA, code should be MCC. Solution: ======== Change ICDTBL2A to not use check for diagnosis codes 410.71 and 428.0. This is making it a non MCC DRG. There are some cases where the combination will be an MCC. Changed ICDTBL2A to look for identifier H for secondary diagnosis and that will make the DRG an MCC. INSTALLATION INSTRUCTIONS: ========================== This patch may be run with users on the system, but it is recommended that Medical Records coders be off the system. Installation will take less than 2 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter ICD*18.0*42): a. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). b. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the Transport Global. c. Print Transport Global - this option will allow you to view the components of the KIDS build. d. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's or templates. 4. Use the Install Package(s) option and select the package ICD*18.0*42. 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. 7. All routines ICD1842* can be deleted after the patch has been successfully installed. POST-INSTALL INSTRUCTIONS: ========================== Following installation of this patch, it is necessary to run the Update Transfer DRG's for Current FY [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. This should be done soon after installing the patch, but should be run at a time when PTF options are not in use. This option updates/recalculates the transfer DRGs for PTF records opened during the current fiscal year. The option is locked with the DG PTFSUP security key. The Menu path is PTF Menu/Update DRG Information Menu/Update Transfer DRGs for current FY. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 13,2000;Build 16 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1842L Before: n/a After: B2704873 **42** Routine Name: ICD1842P Before: n/a After: B293889 **42** Routine Name: ICDTBL2A Before: B40710309 After: B40680504 **37,34,42** Routine Name: ICDTBL3A Before: B7476882 After: B7476988 **37,42** Routine Name: ICDTBL7A Before: B14033553 After: B14033261 **37,42** Routine list of preceding patches: 34 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : MAY 11, 2009 Completed By: SESSLER,APRIL Date Completed: AUG 12, 2009 Released By : HOLMES,MARY Date Released : AUG 26, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT