============================================================================= Run Date: JUL 10, 2006 Designation: FB*3.5*99 Package : FB - FEE BASIS Priority: EMERGENCY Version : 3.5 SEQ #88 Status: Released Compliance Date: JUL 12, 2006 ============================================================================= Associated patches: (v)FB*3.5*93 <<= must be installed BEFORE `FB*3.5*99' Subject: RBRVS 2006 ANNUAL FEE SCHEDULE UPDATE Category: - Routine - Other Description: ============ This patch adds the RBRVS fee schedule for the calendar year 2006 to the FEE BASIS software. ASSOCIATED REMEDY: ================= HD00000000138318 - ANNUAL UPDATE FOR RBRVS FEE SCHEDULE PARTICIPATING TEST SITES: ======================== El Paso VAMC Cheyenne VAMC Montana HCS Puget Sound VAMC REMEDY OVERVIEW: =============== This patch includes the data needed to calculate a fee schedule amount based on the Medicare Physician Fee Schedule (RBRVS) for calendar year 2006. The RBRVS fee schedule for future calendar years will be issued by a patch as they become available. The RBRVS fee schedule data is contained in four existing files. These files are all stored in global "^FB". The four files are: FEE BASIS GEOGRAPHIC INDEX (#162.96) file FEE BASIS CPT RVU (#162.97) file FEE BASIS MODIFIER TABLE INDEX (#162.98) file FEE BASIS HCFA CONVERSION (#162.99) file The additional data added by this patch will increase the size of the FB global by approximately 5 MB. If you are journaling ^FB, please insure you have adequate journal space before installing. 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. The calendar year 2006 RBRVS fee schedule will be used for payments that have a date of service on or after March 1, 2006. The RBRVS fee schedules for calendar years 1999, 2000, 2001, 2002, 2003, 2004 and 2005 will be will be retained in the computer and will continue to be used for payments that have a date of service on or after September 1, 1999 and before March 1, 2006. The computer would have used the 2005 RBRVS fee schedule for any payments entered prior to the installation of this patch that had a date of service on or after March 1, 2006. Existing payments are NOT modified by this patch. The fee schedule amount is only calculated when payments are entered or edited. The PLACE OF SERVICE code is used to determine if the facility or non-facility practice expense Relative Value Unit (RVU) should be used during RBRVS fee schedule calculations. The list of codes considered facility and non-facility has been updated by this patch to conform with Medicare practices. Prior to this patch: ------------------- Codes considered as facility setting - 21, 22, 23, 24, 26, 31, 34, 41, 42, 51, 52, 53, 56, 61 Codes considered as non-facility setting - 01,03, 04,11, 12, 13, 14, 15, 20, 25, 32, 33, 49, 50, 54, 55, 57, 60, 62, 65, 71, 72, 81, 99 After this patch is installed: ----------------------------- Codes considered as facility setting - 21, 22, 23, 24, 26, 31, 34, 41, 42, 51, 52, 53, 56, 61 Codes considered as non-facility setting - 01,03,04,09,11,12,13,14,15,20,25,32,33,49,50,54,55,57,60,62,65,71, 72,81,99 The following five options are used to enter or edit payments for the Medical Fee (outpatient) program: 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] The following four options are used to enter or edit ancillary payments for the Civil Hospital program: Ancillary Contract Hosp/CNH Payment [FBCH ANCILLARY PAYMENT] Multiple Ancillary Payments [FBCH MULTIPLE PAYMENTS] Patient Reimbursement for Ancillary [FBCH ANCILLARY REIMBURSEMENT] Services Edit Ancillary Payment [FBCH EDIT ANCILLARY PAYMENT] The following option is used to calculate a fee schedule amount without having to enter a payment: Calculate Payment Amount [FBAA FEE SCHEDULE RATE] INSTALLATION INSTRUCTIONS ========================= This patch may be installed during normal working hours with all users on the system. It is not necessary to disable any menu options or protocols when installing this patch. However, it is recommended that the install be run during non-peak hours to lessen the impact on system performance. ************************************************************************* * Install Time - The estimated install time for this patch is 1.5 hours.* * During testing, one site installed in less than 20 minutes while * * another site took over 2 hours. Installation time will vary. * ************************************************************************* 1. 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_5P99.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_5P99.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. Load the KIDS distribution that is contained in file FEE3_5P99.KID using the Load a Distribution option on the Installation menu. 3. Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution 4. From this menu, you may elect to use the following options (When prompted for the INSTALL NAME, enter FB*3.5*99): 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. 5. Use the Install Package(s) option and select the package FB*3.5*99. a. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', answer NO. b. When prompted 'Want to DISABLE Scheduled Options and Menu Options and Protocols? YES//', answer NO. c. A post install will make the RBRVS 2006 fee schedule available for use by filing the conversion factor. ROUTINE SUMMARY =============== The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;3.5;FEE BASIS;**[patch list]**;JAN 30, 1995 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- FBAAFS 5956867 5974036 4,53,71,92,99 FBAAFSR 5392334 5392466 4,53,71,84,92,93,99 FBXIP99* New 925956 99 The post install routine FBXIP99 may be deleted upon successful installation of this patch. Routine Information: ==================== Routine Name: FBAAFS Routine Name: FBAAFSR Routine Name: FBXIP99 ============================================================================= User Information: Entered By : KEHOE,THOMAS C Date Entered : MAY 26, 2006 Completed By: WERNER,GARY Date Completed: JUL 06, 2006 Released By : BOTTINI,STEVE Date Released : JUL 10, 2006 ============================================================================= Packman Mail Message: ===================== No routines included