$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 03/30/11 at 16:05 ============================================================================= Run Date: MAY 11, 2011 Designation: ICD*18*49 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #50 Status: Released Compliance Date: JUN 11, 2011 ============================================================================= Associated patches: (v)ICD*18*46 <<= must be installed BEFORE `ICD*18*49' (v)ICD*18*48 <<= must be installed BEFORE `ICD*18*49' (v)ICD*18*50 <<= must be installed BEFORE `ICD*18*49' Subject: DRG GROUPER FIXES Category: - Routine Description: ============ The DRG (Diagnostic Related Group) Grouper is used to compute and display the DRG for a patient based on that patient's diagnoses and any operations/procedures performed. It uses a mixture of formulas, Diagnosis and Operation identifiers, and tables that rely on data added to the DRG file (#80.2), the ICD DIAGNOSIS file (#80) and the ICD OPERATION/PROCEDURE file (#80.1). These files, the date and the age of the patient determine the codes and other information needed to pass into the formulas and the tables used in those formulas to calculate the DRG. These codes and the DRG codes come from the Federal Register for Center for Medicare and Medicaid Services (CMS) and are updated and added to the yearly effective October 1 of the year. This patch corrects various DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1) HD0000000382253 - Incorrectly calculated DRGs 2) HD0000000445532 - Transfer DRG option error-DODRG+8^ICDDRG0 Duplicates: HD0000000446167 - Transfer DRG option error-DODRG+8^ICDDRG0 HD0000000446915 - DODRG+8^ICDDRG0 HD0000000462335 - DODRG+8^ICDDRG0 HD0000000453342 - DODRG+8^ICDDRG0 HD0000000478096 - DODRG+8^ICDDRG0 3) HD0000000421009 - DRG 659.61 issue 4) HD0000000411886 - DRG config.discrepancies on a PTF. Correct DRG Duplicate: HD0000000447522 - DRG configuration - 621 vs 620 crossed over incorrectly 5) HD0000000406110 - DRG was 244 Quantim screen but 259 on mapping screen 6) HD0000000392058 - DRG not Matching from QUANTIM to VISTA 513/506 and 827/829 ASSOCIATED NSR's: ================= N/A PARTICIPATING TEST SITES: ========================= Fargo, ND Portland, OR Tampa, FL Upstate New York HCS REMEDY OVERVIEW: ================ 1) HD0000000382253 - Incorrectly calculated DRGs Problem: ======== Vista is incorrectly calculating some Cancer DRGs. Solution: ========= Changed table routine ICDTBL8A,ICDTBL8B and ICDTBL8C to better identify Cancer DRGS. 2) HD0000000445532 - Transfer DRG option error-DODRG+8^ICDDRG0 Problem: ======== Vista is receiving an error when codes group directly to DRG 15. Solution: ========= Added a line to ICDTBL0C to group correctly to DRG 15. 3) HD0000000421009 - DRG 659.61 issue Problem: ======== Diagnosis code 659.61 shows as ungroupable. Solution: ========= Added identifier to Diagnosis code 659.61 to make code group correctly. Post install routine ICD1849L will make the update. 4) HD0000000411886 - DRG config.discrepancies on a PTF. Correct DRG Problem: ======== DRG calculating incorrectly in Vista as 620 instead of 621. Solution: ========= Changed table routine ICDTBL6B and ICDTBL6C to look for operation identifier to point to the correct DRG code. 5) HD0000000406110 - DRG was 244 Quantim screen but 259 on mapping screen Problem: ======== DRG calculating incorrectly in Vista as 259 instead of 244. Solution: ========= Changed table routine ICDTBL2B and ICDTBL2C to look for operation identifier to point to the correct DRG code. 6) HD0000000392058 - DRG not Matching from QUANTIM to VISTA 513/506 and 827/829 Problem: ======== DRG calculating incorrectly in Vista as 829 instead of 847. DRG calculating incorrectly in Vista as 506 instead of 513. Solution: ========= Corrected some Cancer groupings in ICDTBL8B and ICDTBL8C. Changed table routine ICDTBL5B and ICDTBL5C to look for operation identifier to point to the correct DRG code. INSTALLATION INSTRUCTIONS: =========================== This patch may be run with users on the system. However, it would be preferable if Medical Records coders were off the system. Installation will take less than 5 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. NOTE: If the required patches are not installed, the transport global will be removed. If the transport global is removed you will need to repeat this step. 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*49): 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*49. 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? YES//', respond Yes. When prompted,'Enter options you wish to mark as 'Out Of Order':', enter: PTF Menu [DG PTF MENU] When prompted,'Enter protocols you wish to mark as 'Out Of Order':', press enter. 7. Routines ICD1849* can be deleted after the patch has been successfully installed. 8. Following installation of this patch, it is necessary to run the Update Transfer DRGs for Current FY [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. 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 13 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1849L Before: n/a After: B1440029 **49** Routine Name: ICDTBL0C Before: B18886826 After: B19074130 **50,49** Routine Name: ICDTBL2B Before: B47636914 After: B49591762 **45,46,49** Routine Name: ICDTBL2C Before: B47636923 After: B49522128 **50,49** Routine Name: ICDTBL5B Before: B6476038 After: B6609745 **45,49** Routine Name: ICDTBL5C Before: B6476047 After: B6613705 **50,49** Routine Name: ICDTBL6B Before: B9188579 After: B9896620 **45,48,49** Routine Name: ICDTBL6C Before: B9188588 After: B9896629 **50,49** Routine Name: ICDTBL8A Before: B19162805 After: B24430641 **37,34,43,45,46,49** Routine Name: ICDTBL8B Before: B18743969 After: B24430650 **45,46,49** Routine Name: ICDTBL8C Before: B18743978 After: B24430659 **50,49** Routine list of preceding patches: 46, 48, 50 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : MAY 11, 2010 Completed By: LEANORD,TATIANA Date Completed: MAY 11, 2011 Released By : DANE,SIDNEY Date Released : MAY 11, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT