============================================================================= Run Date: MAY 04, 2006 Designation: FB*3.5*93 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #86 Status: Released Compliance Date: JUN 04, 2006 ============================================================================= Associated patches: (v)FB*3.5*92 <<= must be installed BEFORE `FB*3.5*93' Subject: RVU API AND RELATED MODIFICATIONS Category: - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ This patch has been designed to support the "Conversion of VISN 3 Class III Radiology RVU Report To Class I" software. Fee Basis (FB) will be providing to the Radiology/Nuclear Medicine application an access point to Fee Basis data via the new private application programming interface (API) $$RVU^FBRVU, described in Integration Agreement (IA) #4799. The new API has been designed to retrieve Work Relative Value Units (RVU) from Fee Basis CPT RVU file (#162.97) by passing a CPT code, CPT Modifier(s) and a date as parameters. This patch will add a new field, NONPAYABLE (#.08) to the Fee Basis CPT RVU file (#162.97) data dictionary in order to mark those records that cannot be used to calculate Fee Basis fees. The records with the new field NONPAYABLE (#.08), set to 1 (Yes) will be used only by $$RVU^FBRVU to serve Radiology/Nuclear Medicine application. Additional code changes have been made in the Fee Basis software to prevent usage of these records in the normal Fee Basis fees calculation process. Thus, only those records with the NONPAYABLE (#.08) field set to null or 0 (No) will be used by software to calculate Fee Basis fees. In addition, this patch will update the Fee Basis CPT RVU file (#162.97) with the non-payable RVU values for 1999-2005 that were not imported in previous patches and new 2006 RVU data imported from Centers for Medicare and Medicaid Services (CMS) website, http://www.cms.hhs.gov/. The only purpose of this update is to provide the Radiology/Nuclear Medicine application with the RVU values for years 1999-2006. This update will NOT impact the Fee Basis calculation process, which still will be using 2005 schedule, since this patch will not update all necessary fields and files to make it possible. It will be done in a separate patch when Department Of Labor approves the new RVU values for 2006. The additional data added by this patch will increase the size of the FB global by approximately 4 MB.... If you are journaling ^FB, please insure you have adequate journal space before installing. Since the patch contains modifications to the software that calculates payments, installation of this patch will affect the menu options used to enter or edit payments for the Medical Fee program (outpatient) and ancillary payments for the Civil Hospital program. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following NOIS/Remedy Ticket(s): --------------------------------------------------------- There are no NOIS/Remedy tickets associated with this patch. COMPONENTS SENT WITH PATCH -------------------------- The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;Version;Package;**[patch list]**;Package Release Date CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- FBAAFSR 4931101 5392334 4,53,71,84,92,93 FBRVU N/A 1033831 93 Total number of routines: 2 CHECK1^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- FBAAFSR 29256596 33761820 4,53,71,84,92,93 FBRVU N/A 2953974 93 Total number of routines: 2 The following is a list of files included in this patch: UP SEND DATA DATE SEC. COMES SITE RSLV FILE # NAME DD CODE W/FILE DATA PTS -------------------------------------------------------------------- 162.97 FEE BASIS CPT RVU YES NO YES OVER NO Test Sites: ----------- Central Texes HCS Charleston VAMC Durham VAMC New York HCS Northport VAMC Tucson VAMC ================INSTALLATION INSTRUCTIONS ================= This patch may be installed during normal working hours with all users on the system. However, it is recommended that the install be run during non-peak hours to lessen the impact on system performance. If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Enter Payment [FBAA ENTER PAYMENT] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] C&P/Multiple Patient Payment Entry [FBAA C&P ENTER PAYMENT] Reimbursement Payment Entry [FBAA MEDICAL REIMBURSEMENT] Edit Payment [FBAA EDIT PAYMENT] Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Patient Reimbursement for Ancillary Services [FBCH ANCILLARY REIMBURSEMENT] Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] Calculate Payment Amount [FBAA FEE SCHEDULE RATE] Install Time - less than 15 minutes. 1. LOAD TRANSPORT GLOBAL --------------------- Retrieve the KIDS distribution host file. This patch will be distributed in a host file due to the amount of data contained in the patch. The name of the host file is: FEE3_5P93.KID Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The FEE3_5P93.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter FB*3.5*93): a. 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. b. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all components of this patch (routines, DD's, 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. 4. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option to start the patch install. b. When prompted Want KIDS to INHIBIT LOGONs during the install? YES// answer NO c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Enter Payment [FBAA ENTER PAYMENT] Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] C&P/Multiple Patient Payment Entry [FBAA C&P ENTER PAYMENT] Reimbursement Payment Entry [FBAA MEDICAL REIMBURSEMENT] Edit Payment [FBAA EDIT PAYMENT] Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Patient Reimbursement for Ancillary Services [FBCH ANCILLARY REIMBURSEMENT] Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] Calculate Payment Amount [FBAA FEE SCHEDULE RATE] e. When prompted 'Enter protocols you wish to mark as 'Out Of Order': press . Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: FBAAFSR Before: B29256596 After: B33761820 **4,53,71,84,92,93** Routine Name: FBRVU Before: n/a After: B2963314 **93** ============================================================================= User Information: Entered By : SHAMUKHAMEDOV,SHAVKAT Date Entered : SEP 19, 2005 Completed By: KUREK,STANLEY M Date Completed: APR 21, 2006 Released By : MARSHALL,FALENCIA B. Date Released : MAY 04, 2006 ============================================================================= Packman Mail Message: =====================