$TXT Created by HUA,PATRICK at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Monday, 12/08/03 at 12:34 ============================================================================= Run Date: JAN 26, 2004 Designation: IB*2*255 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #224 Status: Released Compliance Date: JAN 28, 2004 ============================================================================= Associated patches: (v)IB*2*15 <<= must be installed BEFORE `IB*2*255' Subject: FIX RX COPAY EXEMPTION FOR IVM Category: - Routine Description: ============ This patch is being released as EMERGENCY to prevent additional incorrect calculations of Rx Copay Exemptions. The upload of an IVM Converted Means Test (ORU~Z06) uses the same functionality as used in the upload of a Means Test for an INCOME TEST DATA (ORU~Z10) Transmission. All uploaded Means Tests re-calculate the COPAY INCOME EXEMPTION STATUS (#.04) field in the BILLING PATIENT (#354) File. The HL7 message for an IVM Converted Means Test contains no financial information. This causes the COPAY INCOME EXEMPTION STATUS to always be set to EXEMPT which is not always correct. This patch modifies the software so that the upload of an IVM Converted Means Test (ORU~Z06) no longer triggers a re-calculation of the COPAY INCOME EXEMPTION STATUS field in the BILLING PATIENT (#354) File. The COPAY INCOME EXEMPTION STATUS calculation will be blocked on the processing of an ORU~Z06 HL7 Transmission only. A subsequent patch (EAS*1.0*42 - Fix RX Copay Upload for IVM) will address the upload of an IVM Converted RX Co-Pay Test, where the updates to the RX COPAY CURRENT INCOME EXEMPTION STATUS field will be correctly handled. NOTE: When used, the PRINT/VERIFY PATIENT EXEMPTION STATUS [IB RX PRINT VERIFY EXEMP] option will still re-calculate an exemption incorrectly and Update the BILLING PATIENT file with the incorrect status for veterans whose Means Test has been converted by IVM. Patch IB*2.0*262 is under development to modify that option so that it will exclude IVM converted means tests when re-calculating exemptions. This patch addresses the following E3R(s): ------------------------------------------ There are no E3Rs associated with this patch. This patch addresses the following NOIS message(s): --------------------------------------------------- MAD-0503-40296 - IVM UPLOADS cause conflicts in status displays Overview of NOIS Message(s): --------------------------- MAD-0503-40296: IVM UPLOADS cause conflicts in status displays Problem: -------- The receipt of an IVM Converted Means Test changes the COPAY INCOME EXEMPTION STATUS to EXEMPT. Resolution: ----------- Correct the upload of a ORU~Z06 from IVM to not re-calculate the COPAY INCOME EXEMPTION STATUS. Test Sites: ----------- Madison West Palm Beach ================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 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: ;;2.0;INTEGRATED BILLING;**[patch list]**; 21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBAMTED 3624105 3638236 15,255 Total number of routines - 1 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 IB*2.0*255): 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 INHIBIT LOGONs during the install? YES//' answer NO. c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer NO. 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. When the installation is complete, be sure to re-start the filers if you chose to stop them. Routine Information: ==================== Routine Name: - IBAMTED Original Code: ; -- do medication copayment exemption processing D ^IBAMTED1 Modified Code: ; -- do medication copayment exemption processing D:'$D(EASZ06) ^IBAMTED1 Routine Checksum: ============================================================================= User Information: Entered By : HUA,PATRICK Date Entered : NOV 26, 2003 Completed By: MULLER,RICHARD Date Completed: JAN 26, 2004 Released By : GANUS,MAUNETTE Date Released : JAN 26, 2004 ============================================================================= Packman Mail Message: ===================== $END TXT