$TXT Created by ZEIGLER,EDWARD L at MNTDEM.FO-ALBANY.MED.VA.GOV  (KIDS) on Tuesday, 02/04/03 at 13:49
=============================================================================
Run Date: FEB 24, 2003                     Designation: IB*2*204
Package : IB - INTEGRATED BILLING             Priority: Mandatory
Version : 2       SEQ #182                       Status: Released
                  Compliance Date: MAR 27, 2003
=============================================================================

Associated patches: (v)IB*2*153    <<= must be installed BEFORE `IB*2*204'
                    (v)IB*2*159    <<= must be installed BEFORE `IB*2*204'

Subject: REGIONAL COUNSEL ENHANCEMENT

Category: 
  - Routine

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

 This enhancement is at the request of the Chief Business Office.  This 
 enhancement will provide the Billing staff with the capability viewing 
 reason codes associated with outstanding claims that are referred to the 
 Office of Regional Counsel (RC).
  
 The existing RC interface was created in response to VHA Directive 
 97-023, which mandated automated transmission of outstanding claims from 
 the AR application to RC.  This communication, however, did not include 
 the identification of reason codes with descriptions of action, which 
 makes tracking and follow-up of claims difficult.  The Accounts 
 Receivable patch PRCA*4.5*189 will implement the capture of this 
 information.  Along with the capture, it was requested this information 
 be viewable to the billing staff.
  
  
 Functional Description
 ----------------------
 After installation of this patch when users use the option "Third Party 
 Follow-Up Report [IBJD FOLLOW-UP THIRD PARTY]" and include the 
 receivables that have been referred to Regional Counsel, the report will 
 indicate the reason code for the referral if one exists.  The reason code 
 will be printed in parenthesis where there used to be an asterisk.  The 
 possible choices for the referral are:
  
          1 - LITIGATION ISSUES
          2 - VET NOT RESP FOR COST OF CARE 
          3 - REFUSAL TO PAY GOV HOSPITAL 
          4 - VETERAN PAID DIRECTLY
          5 - MCCR REF WITH RC CONSENT
  
 In order to allow for receivables that have previously been referred, it 
 is possible that a receivable may not have a reason code.  If there is no 
 reason code then an asterisk will be printed in place of the reason code 
 number.
  
  
 Additionally the option "First Party Follow-Up Report [IBJD FOLLOW-UP 
 FIRST PARTY]" has been enhanced to include charges related to Long Term 
 Care.
  
  
 Finally in anticipation of the reactivation of the IVM interface to 
 perform back billing when a corrected MT status is identified, the 
 interface has been updated to handle the new tiered co-payment 
 determination functionality.
  
  
 Technical Description
 ---------------------
 The routines IBJDF11 and IBJDF12 have been modified to print the reason 
 code if it exists.
  
 The routines IBJDF4, IBJDF41, and IBJDF42 have been modified to allow for 
 selection and printing of LTC Charges.
  
 The IBAMTV2 has been modified to perform the new outpatient tiered MT 
 co-payment determination when an IVM transmission is received.
  
  
   ================INSTALLATION INSTRUCTIONS =================
  
 Install Time - 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 routine 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 routine(s) included in this patch.  
    The second line of each of these routine(s) will look like: 
  
    <tab>;;2.0;INTEGRATED BILLING;**[patch list]**;21-MAR-94
  
                           CHECK^XTSUMBLD results 
  
    Routine name      Before Patch        After Patch       Patch List 
    ------------      ------------        -----------       ----------
      IBAMTV2           4260911             4434216         15,153,204
      IBJDF11           8470414             8573587         69,80,118,128,204
      IBJDF12           7489880             7620349         69,118,128,123,204
      IBJDF4            8029016             8067651         123,204
      IBJDF41          12791884            12829433         123,159,204
      IBJDF42          10177884            10361646         123,204
  
    Total number of routines: 6
  
  
  
 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 
                                                             ===
         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 
  
    Select Installation Option: 
  
 5. SELECT INSTALLATION OPTION 
    --------------------------
    NOTE: The following are OPTIONAL (When prompted for the INSTALL NAME, 
          enter IB*2.0*204):
  
    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 the 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. INSTALL KIDS PATCH 
    ------------------
    a. Choose the Install Package(s) option of the Installation menu 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 and Menu Options? 
       YES//', answer YES.  
    d. When prompted "Enter options you wish to mark as 'Out of Order':",
       enter the following options:
   
         Third Party Follow-Up Report [IBJD FOLLOW-UP THIRD PARTY]
         First Party Follow-Up Report [IBJD FOLLOW-UP FIRST PARTY]
   
    e. When prompted 'Enter protocols you wish to mark as 'Out Of Order:'
       enter RETURN
  
  
 7. REBUILD MAPPED ROUTINE (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:
  - IBJDF12


Routine Checksum:

Routine Name:
  - IBJDF11


Routine Checksum:

Routine Name:
  - IBJDF4


Routine Checksum:

Routine Name:
  - IBJDF41


Routine Checksum:

Routine Name:
  - IBJDF42


Routine Checksum:

Routine Name:
  - IBAMTV2


Routine Checksum:

=============================================================================
User Information:                               
Entered By  : ZEIGLER,EDWARD L              Date Entered : DEC 10, 2002
Completed By: MOHSENE,DIANA                 Date Completed: FEB 21, 2003
Released By : HOLDEN,BARBARA A             Date Released : FEB 24, 2003
=============================================================================


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

$END TXT