$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 07/03/08 at 14:18 ============================================================================= Run Date: SEP 26, 2008 Designation: ICD*18*36 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #34 Status: Released Compliance Date: OCT 27, 2008 ============================================================================= Associated patches: (v)ICD*18*7 <<= must be installed BEFORE `ICD*18*36' (v)ICD*18*31 <<= must be installed BEFORE `ICD*18*36' Subject: CORRECT CODING OF BILATERAL KNEE/HIP PROCEDURES Category: - Routine Description: ============ This patch contains fixes for the following: 1.Corrects calculation for bilateral knee and hip procedures. 2 Corrects calculation of DRG 310. 3.Corrects DRG descriptions for FY08 for the DRG GROUPER[ICD DRG GROUPER] option. ASSOCIATED REMEDY TICKETS: ========================= 1. HD0000000232838 - DRG group wrong in PTF, but fine in IB 2. HD0000000253483 - We have a visit where Vista is showing a DRG of 309 and Quantam VIP Stand Alone shows a DRG of 310 3. HD0000000258132 - DRG GROUPER option not working correctly for FY08 ASSOCIATED NSR'S: ================ N/A PARTICIPATING TEST SITES: ======================== Bay Pines, FL Tennessee Valley HCS Tampa, FL REMEDY OVERVIEW: =============== 1. HD0000000232838 - DRG group wrong in PTF, but fine in IB Problem: ======== The DRG calculator only calculates one code if there are duplicates and PTF screens don't allow entry of more than one operation code. Solution: ========= Patch ICD*18*36 will correct the DRG calculations for FY07 and FY08. Routine ICDTBL4 has been changed for the calculation. Routine ICDDRGM has been changed to set up the surgical arrays for the calculation for the DRG GROUPER[ICD DRG GROUPER] option. Patch DG*5.3*785 will correct routine DGPTFJC to allow the entry of the second code. REMEDY OVERVIEW: =============== 2. HD0000000253483 - We have a visit where Vista is showing a DRG of 309 and Quantam VIP Stand Alone shows a DRG of 310. Problem: ======== Vista is calculating a DRG of 309 that should be 310. Solution: ========= Routine ICD18P36 will update the procedure file by adding code 427.31 to the CODE NOT CC WITH multiple(#80.03) in the ICD DIAGNOSIS file (# 80)for code 427.32. REMEDY OVERVIEW: =============== 3. HD0000000258132 - DRG GROUPER option not working correctly for FY08 Problem: ======== DRG GROUPER[ICD DRG GROUPER] option is not displaying the correct description for FY08. Solution: ========= Routine ICDDRGM has been changed to get the correct description for the DRG displayed. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ NOTE: ==== This patch will not show the correct DRG calculation for the bilateral procedures unless patch DG*5.3*785 is also installed as the DG patch will allow for entry of the second code on the PTF screens and set up the surgical arrays used to calculate the DRG for bilateral procedures. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ INSTALLATION INSTRUCTIONS: =========================== This patch may be run with users on the system, HOWEVER because the Registration options need to be placed out of order, we suggest it be installed after business hours. 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. 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*36): 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*36. 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', 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':', hit enter. 7. Routine ICD18P36 may be deleted when install has been successfully completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 14 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD18P36 Before: n/a After: B2240510 **36** Routine Name: ICDDRGM Before: B24746187 After: B25118508 **7,36** Routine Name: ICDTBL4 Before: B19401736 After: B22171596 **31,36** Routine list of preceding patches: 7, 31 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : JUN 09, 2008 Completed By: SESSLER,APRIL Date Completed: SEP 26, 2008 Released By : HOLMES,MARY Date Released : SEP 26, 2008 ============================================================================= Packman Mail Message: ===================== $END TXT