$TXT Created by                 at DAYT17.FO-BAYPINES.DOMAIN.EXT  (KIDS) on Wednesday, 10/01/14 at 14:08
=============================================================================
Run Date: MAR 16, 2015                     Designation: LR*5.2*448
Package : LR - LAB SERVICE                    Priority: Mandatory
Version : 5.2       SEQ #360                    Status: Released
                  Compliance Date: APR 16, 2015
=============================================================================

Associated patches: (v)LR*5.2*350  <<= must be installed BEFORE `LR*5.2*448'

Subject: CPT BILLING ISSUES IN LAB

Category: 
  - Routine

Description:
============

 This patch addresses the following 2 issues:
  
 1. Problems with ES Display List selections.
  
 2. Active CPT codes in file 64 are rejected as inactive.
  
 Blood Bank Review:
 ==================
 EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*448 does not 
 contain any changes to the VISTA BLOOD BANK Software as defined by 
 ProPath standard titled: BBM Team Review of VistA Patches.
  
 EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*448 does not 
 alter or modify any software design safeguards or safety critical 
 elements functions.
  
 RISK ANALYSIS: Changes made by patch LR*5.2*448 have no effect on Blood 
 Bank software functionality, therefore RISK is none.
  
 Associated Remedy Ticket(s):
 ============================
 1. INC000000895757 - LRCAPES CPT code issue
 2. INC000001058933 - Active CPT rejected as inactive
  
 Associated NSR(s):
 ==================
 N/A
    
 Participating Testing Sites:
 ============================
 Mountain Home VAMC
 Houston VAMC
 Heartland West (Kansas City)
  
 Remedy Overview:
 ================
  
 1. INC000000895757 - LRCAPES CPT code issue
  
 Problem:
 --------
 The ES (Electronic Signature) Display List is a list of the most commonly
 used CPT (Current Procedural Terminology)/NLT (National Laboratory Test)
 codes used in Lab CPT Billing. However when using the ES Display List,
 an invalid selection can be made leading to the assignment of the wrong
 CPT code.
  
 Solution:
 ---------
 Modify routines LRCAPES and LRCAPES1 to not allow an invalid selection
 from the ES Display List and to display a warning when such a selection is
 made.
  
 Routines: LRCAPES, LRCAPES1  
  
 2. INC000001058933 - Active CPT rejected as inactive
  
 Problem:
 --------
 A CPT code that is linked to an active WKLD CODE (#64) file is sometimes
 rejected as inactive. This happens because the routine only checks the
 first WKLD CODE that is linked to the CPT code. A CPT code is often linked
 to multiple WKLD CODEs over time, some of which are active and some are
 inactive.
  
 Solution:
 ---------
 Modify routine LRCAPES1 to look through all WKLD CODEs that are linked to
 a CPT code to see if any of them are active.
     
 Routine: LRCAPES1
  
   ==================== INSTALLATION INSTRUCTIONS ====================
   The install time for this patch is less than 2 minutes. This patch
   can be installed when Laboratory users are on the system.
  
   NOTE: Kernel patches must be current on the target system to avoid
         problems loading and/or installing this patch.
  
  
   1. Use the 'INSTALL/CHECK MESSAGE' option of the PackMan menu. This
      option will load the KIDS patch onto your system.
  
   2. The patch has now been loaded into a Transport global on your
      system. You now need to use KIDS to install the transport global.
  
   3. On the 'Kernel Installation & Distribution System' Menu (KIDS),
      select the 'Installation' menu.
  
   4. Use the 'Verify Checksum in Transport Global' option and verify that
      all routines have the correct checksums.
  
   5. On the KIDS menu, under the 'Installation' menu, use the following
      Options:
         Print Transport Global
         Compare Transport Global to Current System
         Backup a Transport Global
  
      If you wish to preserve a copy of the routines exported in this patch
      prior to installation, you should use the 'Backup a Transport Global'
      option at this time. You may also compare the routines in your
      production account to the routines in the patch by using the 'Compare
      a Transport Global to Current System' option.
  
  
   6. Use the 'Install Package(s)' option under the 'Installation' menu and
      select the package 'LR*5.2*448.
  
      When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//,
      choose 'NO'.
  
      When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
      Protocols? NO//', choose 'NO'.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 1

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: LRCAPES
    Before: B86635853   After: B87234278  **274,259,349,308,350,448**
Routine Name: LRCAPES1
    Before: B78998804   After: B91936521  **274,308,350,448**
 
Routine list of preceding patches: 350

=============================================================================
User Information:
Entered By  :                               Date Entered  : SEP 30, 2014
Completed By:                               Date Completed: MAR 09, 2015
Released By :                               Date Released : MAR 16, 2015
=============================================================================


Packman Mail Message:
=====================

$END TXT