$TXT Created by BOWEN,MARY JANE at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 12/03/08 at 15:24 ============================================================================= Run Date: MAR 05, 2009 Designation: ICD*18*34 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #37 Status: Released Compliance Date: APR 05, 2009 ============================================================================= Associated patches: (v)ICD*18*10 <<= must be installed BEFORE `ICD*18*34' (v)ICD*18*14 <<= must be installed BEFORE `ICD*18*34' (v)ICD*18*37 <<= must be installed BEFORE `ICD*18*34' Subject: FIXES FOR INCORRECT DRG GROUPINGS Category: - Routine Description: ============ This patch corrects several DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1)HD0000000063944 - BRX-0504-11593 NULL SUBSCRIPT ERROR 2)HD0000000247982 - DRG's calculating incorrectly 3)HD0000000275769 - DRG in Vista shows 897 versus Quantim DRG of 983 4)HD0000000263825 - DRG GROUPER IN VISTA DOES NOT MATCH CORRECT DRG IN QUANTUM. VISTA DISPLAYS 292, SHOULD BE 293. 5)HD0000000258739 - Difference between the DRG in Quantim and the DRG in VistA DUPLICATE: HD0000000289542 - 2 Inpatient DRG's are incorrect. 6)HD0000000280770 - ICD-9 codes grouping to wrong code. 7)HD0000000280376 - VIP and Quantim - discrepancies 8)HD0000000278037 - DRG GROUPER 004 IN VISTA DOES NOT MATCH QUANTIM 003. ASSOCIATED NSRs: ================= N/A PARTICIPATING TEST SITES: ========================= Bronx, NY Buffalo, NY Huntington, WV Tampa, FL REMEDY OVERVIEW: ================ 1)HD0000000063944 - BRX-0504-11593 NULL SUBSCRIPT ERROR Problem: ======== Users get error since codes don't produce a valid DRG. Solution: ======== Changed the ICD tables ICDTLB2(FY04) & ICDTLB2A(FY05) to group to valid DRG 118. 2)HD0000000247982 - DRG's calculating incorrectly Problem: ======= Two DRG groupings are incorrect in VistA. DRG 238 calculates as DRG 300 in VistA and DRG 982 calculates as DRG 208. Solution: ======== For DRG 238 - add DRGs 237^238 as DRGs for procedure code 39.52. For DRG 982 - Add identifier "o" to procedure codes 37.72 and 37.83 Correct ICDTBL8 and IDCTBL8A to look for identifier. Routines used ICD1834E and ICD1834L. 3)HD0000000275769 - DRG in Vista shows 897 versus Quantim DRG of 983 Problem: ======= VistA DRG show incorrectly as 897. Solution: ======== Add diagnosis code 303.00 as code not CC with to code 291.81, updated in routine ICD1834A. 4)HD0000000263825 - DRG GROUPER IN VISTA DOES NOT MATCH CORRECT DRG IN QUANTUM. VISTA DISPLAYS 292, SHOULD BE 293. Problem: ======= VistA incorrectly calculation DRG 292 instead of 293. Solution: ======== Add diagnosis code 428.0 as code not CC with to code 425.4, updated in routine ICD1834A. 5)HD0000000258739 - Difference between the DRG in Quantim and the DRG in VistA Problem: ======= VistA shows incorrectly as DRG 13 instead of DRG 914. Solution: ======== Removed DRGs 11,12,13 from diagnosis code 959.01 so that DRG will group correctly to DRG 914 which is associated with the Diagnosis, updated in routine ICD1834D. 6)HD0000000280770 - ICD-9 codes grouping to wrong code. Problem: ======= Codes grouping to DRG 829 and should be DRG 837. Solution: ======== Corrected tables ICDTBL8 and ICDTBL8A to look for correct identifier "2" to correctly get DRG 837. 7)HD0000000280376 - VIP and Quantim - discrepancies Problem: ======= VistA shows incorrectly as DRG 199 instead of DRG 200. Solution: ======== Tables ICDTBL1, ICDTBL1A, ICDTBL2 and ICDTBL2A were changed to look for identifier "c" to group to the correct DRG 200. 8)HD0000000278037 - DRG GROUPER 004 IN VISTA DOES NOT MATCH QUANTIM 003. Problem: ======= VistA shows incorrectly as DRG 4 instead of DRG 3. Solution: ======== Correct ICDTBL0 and ICDTBL0A to look for identifier "0" to group to the correct DRG 3. INTALLATION 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. 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*34): 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*34. 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 NO. 7. All routines ICD1834* 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 20, 2000;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1834A Before: n/a After: B2522755 **34** Routine Name: ICD1834D Before: n/a After: B7126864 **34** Routine Name: ICD1834E Before: n/a After: B8414353 **34** Routine Name: ICD1834P Before: n/a After: B483786 **34** Routine Name: ICDTBL0 Before: B14918551 After: B15115970 **31,33,34** Routine Name: ICDTBL0A Before: B14919136 After: B15115403 **37,34** Routine Name: ICDTBL1 Before: B5951230 After: B6090309 **31,34** Routine Name: ICDTBL1A Before: B5951815 After: B6090894 **37,34** Routine Name: ICDTBL2 Before: B38947646 After: B39703744 **31,32,33,34** Routine Name: ICDTBL2A Before: B39939582 After: B40710309 **37,34** Routine Name: ICDTBL8 Before: B18000042 After: B18513124 **31,33,37,34** Routine Name: ICDTBL8A Before: B17865378 After: B18378735 **37,34** Routine Name: ICDTLB2 Before: B25994243 After: B25994392 **2,10,34** Routine Name: ICDTLB2A Before: B26464960 After: B26465109 **14,34** Routine list of preceding patches: 10, 14, 37 ============================================================================= User Information: Entered By : BOWEN,MARY JANE Date Entered : MAY 05, 2008 Completed By: SESSLER,APRIL Date Completed: MAR 05, 2009 Released By : HOLMES,MARY Date Released : MAR 05, 2009 ============================================================================= Packman Mail Message: ===================== $END TXT