$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.DOMAIN.EXT (KIDS) on Thursday, 09/26/13 at 09:41 ============================================================================= Run Date: DEC 11, 2013 Designation: ICD*18*72 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #64 Status: Released Compliance Date: JAN 10, 2014 ============================================================================= Associated patches: (v)ICD*18*65 <<= must be installed BEFORE `ICD*18*72' Subject: FY2014 ANNUAL DRG GROUPER UPDATE Category: - Routine - Other - Enhancement (Mandatory) Description: ============ This patch provides the annual update to the Medicare Severity Diagnosis Related Group (MS-DRG) Grouper v28.0. No code files are included in the patch, as all changes are handled programmatically by the pre-init routines ICD1872*. ASSOCIATED REMEDY TICKETS: ========================== 1) INC000000892006 - DRG Grouper - Other: FY14 ANNUAL GROUPER UPDATE 2) INC000000913160 - DRG Grouper - Other: inactivate DRG 119 ASSOCIATED NSRs: ================ N/A PARTICIPATING TEST SITES: ========================= Bay Pines, FL Tampa, FL Upstate New York HCS REMEDY OVERVIEW: ================ 1) INC000000892006 - DRG Grouper - Other: FY14 ANNUAL GROUPER UPDATE The changes were published in the Federal Register, Vol. 78, No. 160, dated August 19, 2013 with an effective date of October 1, 2013. All page references below are for this issue and resource documents can be found at http://www.cms.hhs.gov/. Note: For FY2014 there are no new, revised, or deleted diagnosis codes and no revised or deleted procedure codes that are usually announced in Tables 6A (New Diagnosis Codes), 6C (Invalid Diagnosis Codes), 6D (Invalid Procedure Codes), 6E (Revised Diagnosis Code Titles), and 6F (Revised Procedure Codes). Changes include: I. Revised DRGs. II. Revised DRG relative weights & average length of stay (ALOS) values for all DRGs. III. DRG reclassification changes to the Grouper. This is a summary of the additions/changes made: I. Routine ICD1872A was written to update the DRG file (#80.2). II. Routine ICD1872A is also used to update the finalized values for DRG relative weights and average length of stay (ALOS). Routines ICDDRG0 and ICDTBL0F-9F were added/modified to complete the proper grouping of the existing diagnosis codes and new procedure codes. III. DRG RECLASSIFICATION. Changes to other DRGs: ---------------------- 1. MDC 1 (p.50528) a. Effective 10/1/2013 cases that have a diagnosis code of V45.88 will move from MS-DRG 066 to MS-DRG 065. Also, the title for MS-DRG 065 will change to Intracranial Hemorrhage or Cerebral Infarction with CC or TPA in 24 Hours. 2. MDC 15 (p.50537) a. Effective 10/1/2013 cases that have diagnosis codes V64.00 through V64.04 and/or V64.06 through V64.3 will be reassigned from MS-DRG 794 to MS-DRG 795. 2) INC000000913160 - DRG Grouper - Other: inactivate DRG 119 This year's annual DRG Grouper patch will also inactivate DRG 119 VEIN LIGATION & STRIPPING. As a result of the FY2007 Medicare Severity DRG (MS-DRG) conversion, DRG 119 was inactivated and DRG 263 inherited the name/DRG description VEIN LIGATION & STRIPPING. INSTALLATION INSTRUCTIONS: ========================== NOTE: Please do not forget to do step 6. This is a very important step as it updates/recalculates the transfer DRGs for Patient Treatment File (PTF) records opened during the current fiscal year. This patch can be loaded with users on the system. However, it would be preferable if Medical Records coders were off the system. Install Time - 5 to 10 minutes. This patch does not involve global file restoration. Nonetheless, we suggest you create global saves on files: ICD DIAGNOSIS file (#80)- (^ICD9), ICD OPERATION/PROCEDURE file (#80.1)-(^ICD0) and DRG file (#80.2)-(^ICD) in the event problems develop during the install. If it became necessary to use the saved files, you should first kill all the records (except the zero node) before applying the global restores. 1. From the Kernel Installation and Distribution System Menu, select the Installation menu. 2. From this menu, you may elect to use the following options: (when prompted for INSTALL NAME, enter ICD*18.0*72) a. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. b. 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.). c. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. d. Print Transport Global - this option will allow you to view the components of the KIDS build. 3. Use the Install Package(s) option and select the package ICD*18.0*72. 4. When prompted, 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO 5. 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. 6. 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. 7. All routines beginning with ICD1872* can be deleted after the patch has been successfully installed. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1872A Before: n/a After: B66608863 **72** Routine Name: ICD1872F Before: n/a After: B57839283 **72** Routine Name: ICD1872G Before: n/a After: B57145678 **72** Routine Name: ICD1872H Before: n/a After: B59085584 **72** Routine Name: ICD1872I Before: n/a After: B57855307 **72** Routine Name: ICD1872J Before: n/a After: B60126347 **72** Routine Name: ICD1872K Before: n/a After: B62947364 **72** Routine Name: ICD1872O Before: n/a After: B2567254 **72** Routine Name: ICD1872P Before: n/a After: B782419 **72** Routine Name: ICDDRG0 Before: B61340730 After: B61340814 **1,2,7,10,14,17,20,24,27,30, 31,32,33,37,45,50,53,56,65,72** Routine Name: ICDTBL0F Before: n/a After: B23932948 **72** Routine Name: ICDTBL1F Before: n/a After: B9971146 **72** Routine Name: ICDTBL2F Before: n/a After: B50198543 **72** Routine Name: ICDTBL3F Before: n/a After: B9156224 **72** Routine Name: ICDTBL4F Before: n/a After: B43610678 **72** Routine Name: ICDTBL5F Before: n/a After: B7024084 **72** Routine Name: ICDTBL6F Before: n/a After: B13576539 **72** Routine Name: ICDTBL7F Before: n/a After: B15079902 **72** Routine Name: ICDTBL8F Before: n/a After: B25476870 **72** Routine Name: ICDTBL9F Before: n/a After: B5060420 **72** Routine list of preceding patches: 65 ============================================================================= User Information: Entered By : GILMORE,JEREMY Date Entered : AUG 19, 2013 Completed By: LEANORD,TATIANA Date Completed: DEC 03, 2013 Released By : FLINN,DAWN Date Released : DEC 11, 2013 ============================================================================= Packman Mail Message: ===================== $END TXT