$TXT Created by SHAMUKHAMEDOV,SHAVKAT at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 10/30/03 at 18:47 ============================================================================= Run Date: NOV 25, 2003 Designation: FB*3.5*67 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #61 Status: Released Compliance Date: DEC 26, 2003 ============================================================================= Associated patches: (v)FB*3.5*61 <<= must be installed BEFORE `FB*3.5*67' Subject: PROBLEMS WITH MULTIPLE PAYMENT ENTRY Category: - Routine - Other Description: ============ This patch corrects two different problems in the Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] option that were addressed by NOIS calls: - the user is not allowed to process payments with ICD Diagnosis codes that start with the letter "V" or any other non-digit character; - when the multiple payment entry option is used to enter two different invoices by selecting another patient after the first invoice is complete, the adjustments from the first invoice can be inappropriately copied to the second one when the second invoice's claimed and paid amounts are the same. ASSOCIATED NOIS: --------------- 1. CHY-1003-50097 Can't use v code in Multiple Payment Entry option 2. LOU-1003-41399 PROBLEM w/MULTIPLE PAYMENT ENTRY 3. MAD-0903-42471 Fee Basis - Multiple Payment Option 4. COS-1003-42612 Data carry-over in multiple payment option ASSOCIATED E3R(s): ----------------- N/A PARTICIPATING TEST SITES: ------------------------ LOUISVILLE, KY MADISON, WI COLUMBUS, OH NOIS OVERVIEW: ------------- 1) CHY-1003-50097, LOU-1003-41399 and MAD-0903-42471 were entered to address the problem described below: Problem: ------- The Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] does not allow the user to enter payments if the ICD diagnosis code for the treatment starts with a non-digit character (V34.00 or E906.5, for example). The subroutine MULT^FBAAMP calls $$CHKICD9^FBCSV1 to make sure that the ICD code is active on the date of service. $$CHKICD9^FBCSV1 returns the ICD code itself if the code is active and returns null if it is inactive. The MULT^FBAAMP treats the return value of $$CHKICD9^FBCSV1 as zero if it starts with a non-digit character. This leads to repetition on the "Date of service" prompt. EXAMPLE: Select ICD DIAGNOSIS: V60.4 NO FAMILY ABLE TO CARE ...OK? Yes// (Yes) Select PLACE OF SERVICE: 11 OFFICE Select TYPE OF SERVICE: 2 SURGERY Service connected condition? n NO Amount Claimed: $: 2.99 Is $2.99 correct for Amount Claimed? Yes// YES Fee schedule amount is $232.45 from the 2003 RBRVS FEE SCHEDULE Amount Paid: $: 2.99// 2.99 Is $2.99 correct for Amount Paid? Yes// YES Current list of Remittance Remarks: none Select REMITTANCE REMARK: Date of Service: t (OCT 23, 2003) Date of Service: t (OCT 23, 2003) Date of Service: ^ Resolution: ---------- The routine FBAAMP has been changed and after modification it checks whether the return value of $$CHKICD9^FBCSV1 is null or not. This allows the Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] option to accept the ICD diagnosis codes that start with non-digit characters. 2) COS-1003-42612 was entered to address the problem described below: The adjustment that has been entered for the previous invoice can be inappropriately copied to the next invoice. The problem is caused by the local array FBADJ that is not killed after multiple payments processing is completed for the patient. When program is processing the next payment, which doesn't need an adjustment, it erroneously applies the old content of FBADJ array to the new payment. EXAMPLE: Amount Claimed: $: 200 Is $200 correct for Amount Claimed? Yes// YES Fee schedule amount is $156.75 from the 2003 RBRVS FEE SCHEDULE Amount Paid: $: 156.75// 156.75 Is $156.75 correct for Amount Paid? Yes// YES Current list of Adjustments: none Select ADJUSTMENT REASON: B13 Previously paid. Payment for this claim/service may have been provided in a previous payment. ADJUSTMENT GROUP: CO Contractual Obligations ADJUSTMENT AMOUNT: 43.25// 43.25 Current list of Remittance Remarks: none Select REMITTANCE REMARK: Date of Service: T-21 (OCT 09, 2003) Is 10/9/03 correct? Yes// YES REPAIR MOUTH LACERATION ....OK, DONE.... Invoice: 2427 Totals: $ 156.75 Date of Service: Select Patient: FEEPATIENT,MST B,MST B FEEPATIENT,MST B 5-4-30 000000000 SC VETERAN <*** skipped ***> Amount Claimed: $: 200 Is $200 correct for Amount Claimed? Yes// YES Fee schedule amount is $156.75 from the 2003 RBRVS FEE SCHEDULE Amount Paid: $: 156.75// 200 Is $200 correct for Amount Paid? Yes// YES Current list of Remittance Remarks: none Select REMITTANCE REMARK: Date of Service: 8/20/02 (AUG 20, 2002) Warning: The fee schedule amount (152.54) for this date of service differs from the initial fee schedule amount (156.75). Amount paid (200) exceeds the fee schedule amount. You may want to separately process this date of service. Is 8/20/02 correct? Yes// YES REPAIR MOUTH LACERATION ....OK, DONE.... Invoice: 2428 Totals: $ 200 Date of Service: Select Patient: Select FEE BASIS BATCH NUMBER: Select Payment menu Option: invoice Display <*** skipped ***> Invoice Number: 2428 Vendor Name: ACUTE CARE SPECIALISTS INC Date Received: 10/30/03 Invoice Date: 10/30/03 FPPS Claim ID: N/A Patient Account #: ('*' Reimb. to Patient '+' Cancel. Activity '#' Voided Payment) PATIENT SVC DATE CPT-MOD /REV BATCH NO. VOUCHER DATE FPPS LINE AMT CLAIMED AMT PAID UNITS ADJ CODE ADJ AMT REMIT RMK ========================================================================== FEEPATIENT,MST B 8/20/02 40830 1714 $ 200.00 $ 200.00 1 B13 $43.25 Resolution: ---------- The routine FBAAMP has been changed to kill the local array FBADJ after processing of the payment has been completed. 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 name Before Patch After Patch Patch List ------------ ------------ ----------- ---------------- FBAAMP 22067655 22148926 4,21,38,55,61,67 INSTALLATION INSTRUCTIONS ========================= This patch can be loaded with users in the system. Installation time will be less than 2 minutes. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. (DSM for Open VMS sites only) Disable routine mapping on all systems for the routines listed in the Routine Summary. NOTE: If the routines included in this patch are not currently in your mapped routine set, please skip this step. 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*67): 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*67. a. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', answer NO. b. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES. c. When prompted 'Enter options you wish to mark as 'Out Of Order':', enter the following options: Multiple Payment Entry [FBAA MULTIPLE PAYMENT ENTRY] d. When prompted 'Enter protocols you wish to mark as 'Out Of Order':', press . 6. (DSM for Open VMS sites only) Optional - Include the routines distributed with this patch in the mapped routine set. NOTE: This step is only necessary if you performed step 2 or if you wish to include the routines in your mapped set. Routine Information: ==================== Routine Name: - FBAAMP Routine Checksum: ============================================================================= User Information: Entered By : SHAMUKHAMEDOV,SHAVKAT Date Entered : OCT 23, 2003 Completed By: LANIGAN,VASSER Date Completed: NOV 25, 2003 Released By : JACKSON,SHERYL Date Released : NOV 25, 2003 ============================================================================= Packman Mail Message: ===================== $END TXT