$TXT Created by COTHRAN,HAL at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 03/03/04 at 11:28 ============================================================================= Run Date: MAR 16, 2004 Designation: FB*3.5*69 Package : FB - FEE BASIS Priority: Mandatory Version : 3.5 SEQ #65 Status: Released Compliance Date: APR 16, 2004 ============================================================================= Associated patches: (v)FB*3.5*46 <<= must be installed BEFORE `FB*3.5*69' (v)FB*3.5*58 <<= must be installed BEFORE `FB*3.5*69' (v)FB*3.5*61 <<= must be installed BEFORE `FB*3.5*69' Subject: ENHANCE REPORTS AND FEE SCHEDULE COMPILATION Category: - Enhancement (Mandatory) - Print Template - Routine - Other Description: ============ ******************************** N O T E ******************************** CoreFLS sites must coordinate the installation of this patch with the FB-CoreFLS development team. ************************************************************************* This enhancement patch updates several existing outputs to display additional data, adds one new report for unauthorized claims, and updates the fee schedule compilation to consider units. Associated NOIS: ================ N/A Associated E3R: =============== N/A Test Sites: ============= Columbus, OH Shreveport, LA Louisville, KY Anchorage, AK The Fee Basis User Manual is being updated to reflect the changes introduced by this patch. The updated manual will be available shortly (a day or two) after the patch release date. It can be downloaded from the VistA Document Library web page. http://www.va.gov/vdl The changes made by this patch are described below: 1. Enhance selected existing reports to include new data captured since patch FB*3.5*61. This patch modifies many existing outputs to include some of the new invoice data elements that are being collected. The modified outputs (formats) are listed below along with the options that can be used to generate them. a. Suspension Letter (Outpatient/Ancillary, Pharmacy, CH/CNH) Suspension Letter Print [FBAA SUSPENSION LETTER PRINT] Individual Suspension Letter Print [FBAA SUSPENSION LETTER INDIV] b. Display Payment During Void (Outpatient/Ancillary, Pharmacy, CH/CNH) Medical Void Payment [FBAA MEDICAL VOID PAYMENT] - only outpatient/ancillary format Medical Delete Void Payment [FBAA CANCEL MEDICAL VOID] - only outpatient/ancillary format Pharmacy Void Payment [FBAA PHARMACY VOID PAYMENT] - only pharmacy format Pharmacy Delete Void Payment [FBAA CANCEL PHARMACY VOID] - only pharmacy format CH Void Payment [FBCH VOID PAYMENT] - only CH/CNH format CH Delete Void Payment [FBCH DELETE VOID] - only CH/CNH format CNH Void Payment [FBCNH VOID PAYMENT] - only CH/CNH format CNH Delete Void Payment [FBCNH DELETE VOID] - only CH/CNH format c. Unauthorized Claim Disposition Letter (Outpatient/Ancillary, Pharmacy, CH/CNH) Batch Print Letters [FBUC BATCH PRINT LETTERS] Reprint Letter(s) [FBUS REPRINT LETTER(S)] Release a Batch [FBAA SUPERVISOR RELEASE] d. Pending Pricer Rejects Report (CH) Pending Pricer Rejects Report [FBCH PRICER REJECTS] e. Invoice Display (CH/CNH) Delete Inpatient Invoice [FBCH DELETE INVOICE] Edit CNH Payment [FBCNH EDIT PAYMENT] f. Payment Reports (Outpatient, Pharmacy, CH/CNH, Ancillary) Veteran Payments Output [FB PAY VETERAN] Vendor Payments Output [FB PAY VENDOR] g. Prescription Pending Pharmacy Review Report (Pharmacy) Prescriptions Pending Pharmacy Review [FBAA LIST PENDING RX] h. Payment Listing for Vendor/Veteran (Outpatient, Pharm, CH/CNH, Anc) Payment Listing for Vendor/Veteran [FB VENDOR/VETERAN PAYMENTS] i. Potential Cost Recovery Rpt (Outpatient, Pharm, CH/CNH, Ancillary) Potential Cost Recovery Report [FB PCR] 2. Add new report to list unauthorized EDI claims that were disapproved. This patch creates a new report to the unauthorized claims module. The new report lists unauthorized claims that are an EDI claim from the FPPS system and have been dispositioned within the specified period as Disapproved, Cancelled/Withdrawn, or Abandoned. The new option is Disapproved EDI Claim Report [FBUC DISAPPROVED EDI]. It is attached to the Outputs for Unauthorized Claims [FBUC OUTPUTS] menu. Here is a sample screenshot of the resulting output: Select Outputs for Unauthorized Claims Option: Disapproved EDI Claim Report Beginning Date: Jan 01, 2004// 1/1/03 (JAN 01, 2003) Ending Date: Jan 07, 2004// 1/4/04 (JAN 04, 2004) DEVICE: HOME// UCX/TELNET Right Margin: 80// UNAUTHORIZED EDI CLAIMS THAT WERE NOT APPROVED 1/7/04 From Date: 1/1/03 To Date: 1/4/04 Page: 1 Date of Disposition Disposition FPPS Claim ID Fee Program Veteran Vendor Treatment From Treatment To Amt Claimed ========================================================================= 8/19/03 ABANDONED 6666666 CIVIL HOSPITAL BAKER,JOYCE ABC DEF GHI 8/18/03 8/19/03 666.66 Reason for Disapproval: NON-EMERGENT CARE Reason for Disapproval: VA FACILITIES AVAILABLE Reason for Disapproval: DENIAL OF TRAVEL 3. Update VA fee schedule compilation to consider units for claims with a date of service in FY 2004. When the VA Fee Schedule (75th Percentile) is compiled with a Beginning Date in fiscal year 2004 or later, the software will divide the amount claimed by the number of units and use the result (amount claimed per unit) to determine the 75th percentile amount that is stored in the FEE BASIS FEE SCHEDULE file for that year. Payments are selected based on the date of service and only invoices with a date of service in fiscal year 2004 or later will have been entered into the computer after it has been updated to ask for units. The following option is modified: Compile Fee Schedule [FBAA CALCULATE SCHEDULE] 4. Modify Selection Capability for Suspension Letters Module. This patch adds new sort/selection options for Suspense Letters. Below is the new added prompt and the associated help text: Only print letters for claims that were submitted via (EDI/NON-EDI/ALL):ALL// ? Enter EDI to just print suspension letters for EDI claims from the FPPS system. Enter NON-EDI to just print suspension letters for claims that are not EDI. Enter ALL to print suspension letters for both EDI and NON-EDI claims. Select one of the following: 1 EDI 2 NON-EDI 3 ALL Only print letters for claims that were submitted via (EDI/NON-EDI/ALL):ALL// The following options are modified: Suspension Letter Print [FBAA SUSPENSION LETTER PRINT] Individual Suspension Letter Print [FBAA SUSPENSION LETTER INDIV] ====================== INSTALLATION INSTRUCTIONS ====================== If installed during the normal workday it is recommended that the following menu options (File #19) and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Civil Hospital Main Menu [FBCH MAIN MENU] Community Nursing Home Main Menu [FBCNH MAIN MENU] Medical Fee Main Menu [FBAA MEDICAL MAIN MENU] Pharmacy Fee Main Menu [FBAA PHARMACY MAIN MENU] Telephone Inquiry Menu [FB PHONE MENU] Unauthorized Claim Main Menu [FBUC MAIN] Install Time - The estimated install time for this patch is approximately 5 minutes. 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. DISABLE ROUTINE MAPPING (DSM for Open VMS sites only) ----------------------- Disable routine mapping on all systems for the routines listed in step 3 below. NOTE: If the routines included in this patch are not currently in your mapped routine set, please skip this step. 3. 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: ;;3.5;FEE BASIS;**[patch list]**;JAN 30, 1995 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== FBAAPAY 9445961 10065513 4,69 FBAAPHV 6264884 6397892 69 FBAASL1 8410756 9533778 12,23,69 FBAASLP 16771618 20642793 12,4,23,69 FBAAVP 17910714 17798210 4,69 FBCHRJP 7378212 7844723 58,69 FBCHSL1 8977915 9713625 23,69 FBCHVP 14393612 16066434 55,69 FBPAY 13313543 13437041 32,69 FBPAY2 11748130 13652012 4,32,55,69 FBPAY21 7884857 8815975 4,32,69 FBPAY3 15784792 17995621 12,32,69 FBPAY67 18376860 21882302 4,32,55,69 FBPAY671 14518507 16684095 4,32,55,69 FBPCR2 14583604 16598692 4,48,55,69 FBPCR3 10716908 12176860 48,69 FBPCR67 11000783 12698451 4,48,55,69 FBPCR671 10141617 11732695 4,48,55,69 FBPHON 14158436 14012530 4,69 FBPHON1 9639317 11013196 4,69 FBUCDE N/A 5221553 69 FBUCLET2 6574872 9847994 38,46,69 FBXIP69E N/A 3219159 69 Total number of routines: 23 New Routines: 2 The following is a list of template(s) included in this patch. Type Name File Comments ------ ------------------------------ ------ ----------- PRINT FBAA RX PENDING 162.1 modified LIST FBPHONE MENU N/A modified The following is a list of option(s) included in this patch. Menu Text Option Name Comments --------------------------------- ---------------------- -------- Disapproved EDI Claim Report FBUC DISAPPROVED EDI new Outputs for Unauthorized Claims FBUC OUTPUTS add item 4. 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: 5. Select Installation Option: -------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter FB*3.5*69): 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. 6. 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 Rebuild Menu Trees Upon Completion of Install? YES//' answer per your site's normal procedures. c. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//' answer NO. d. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES. e. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Civil Hospital Main Menu [FBCH MAIN MENU] Community Nursing Home Main Menu [FBCNH MAIN MENU] Medical Fee Main Menu [FBAA MEDICAL MAIN MENU] Pharmacy Fee Main Menu [FBAA PHARMACY MAIN MENU] Telephone Inquiry Menu [FB PHONE MENU] Unauthorized Claim Main Menu [FBUC MAIN] f. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . 7. REBUILD MAPPED ROUTINE(S) (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. 8. DELETE INSTALL ROUTINES FROM SYSTEM ----------------------------------- (Optional) Delete the FBXIP69E environmental check routine. Routine Information: ==================== Routine Name: - FBAASLP Routine Checksum: Routine Name: - FBAASL1 Routine Checksum: Routine Name: - FBCHSL1 Routine Checksum: Routine Name: - FBAAPAY Routine Checksum: Routine Name: - FBAAVP Routine Checksum: Routine Name: - FBAAPHV Routine Checksum: Routine Name: - FBCHVP Routine Checksum: Routine Name: - FBUCLET2 Routine Checksum: Routine Name: - FBUCDE Routine Checksum: Routine Name: - FBCHRJP Routine Checksum: Routine Name: - FBPHON1 Routine Checksum: Routine Name: - FBPCR2 Routine Checksum: Routine Name: - FBPCR3 Routine Checksum: Routine Name: - FBPCR67 Routine Checksum: Routine Name: - FBPCR671 Routine Checksum: Routine Name: - FBPAY Routine Checksum: Routine Name: - FBPAY2 Routine Checksum: Routine Name: - FBPAY21 Routine Checksum: Routine Name: - FBPAY3 Routine Checksum: Routine Name: - FBPAY67 Routine Checksum: Routine Name: - FBPAY671 Routine Checksum: Routine Name: - FBXIP69E Routine Checksum: Routine Name: - FBPHON Routine Checksum: ============================================================================= User Information: Entered By : BAUMANN,SCOTT A Date Entered : NOV 18, 2003 Completed By: TORRANCE,LORI Date Completed: MAR 11, 2004 Released By : JACKSON,SHERYL Date Released : MAR 16, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT