$TXT Created by HOLLOWAY,THOMAS J at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 01/19/05 at 14:28 ============================================================================= Run Date: FEB 15, 2005 Designation: IB*2*285 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #272 Status: Released Compliance Date: MAR 18, 2005 ============================================================================= Associated patches: (v)IB*2*270 <<= must be installed BEFORE `IB*2*285' Subject: REASONABLE CHARGES 2.3 Category: - Routine Description: ============ ************************************************************************ Until the following steps are completed, the charges that are currently being used are the latest active charges. For new (2005) charges, you need to load the charges that come with this patch. 1) The installation of this patch from the KIDS menu (see below) will inactivate Reasonable Charges V2.1, effective 12/31/04. This will leave the billing department with no valid charges for Event Dates after 12/31/04. 2) Then, after this patch is installed, IRM or the Billing department needs to load the new charges for each division. The effective date will be 1/1/05. Step 2 needs to be done as soon as possible after Step 1, or billing will likely have problems getting rates to drop on a claim. To facilitate this, you should have already retrieved and placed the 6 rates files noted in the UPLOAD INSTRUCTIONS portion of this document, prior to installing the patch. All of the Installation and Update instructions are contained in this patch description. ************************************************************************ Reasonable Charges version 2.3 is a charge update to the existing Reasonable Charges billed to Third Party Payers. This patch contains new DRG charges and new SNF Per Diem charges. All other charges have their effective date updated. Effective Date of Reasonable Charges v2.3 is 01/01/2005. The Reasonable Charges v2.1 loaded on your system will be inactivated with an inactivation date of 12/31/04 when this patch is installed. ASSOCIATED NOIS: ================ 1. ISP-0904-N0746 REASONABLE CHARGES UPDATE ASSOCIATED E3R(s): ================== N/A PARTICIPATING TEST SITES: ========================= Albany, NY Dublin, GA Phoenix, AZ West Palm Beach, FL NOIS OVERVIEW: ============== 1. ISP-0904-N0746 REASONABLE CHARGES UPDATE Problem: -------- Changes in the national DRG rates need to be distributed to all hospitals so that proper billing can take place. Resolution: ----------- This patch updates the Reasonable Charges files and distributes them with a new version number and a new effective date. Technical Description ===================== This patch exports 2 routines, one of which is the post-init (IBYPSD). The post-init will complete the following: 1. Inactivate all existing Reasonable Charges defined in the Charge Master. Reasonable Charges v2.1 will be inactivated with an inactivation date of 12/31/04 when this patch is installed. The following is an example of the post-init portion of the installation. Reasonable Charges v2.3 Post-Install ..... >> Inactivating Existing Reasonable Charges, Please Wait... Done. 166328 existing charges inactivated Reasonable Charges v2.3 Post-Install Complete Note: The actual number of charges inactivated will vary based on the number of divisions billed at your site. This will also determine the time required for the installation. 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: 2.0;INTEGRATED BILLING;**[patch list]**;21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBCRHBRV 20513280 20489180 148,169,245,270,285 IBYPSD N/A 4426539 285 Number of Routines = 2 INSTALLATION INSTRUCTIONS ========================= If installed during the normal workday, it is recommended that the following selections in the OPTION (#19) file be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. Enter/Edit Billing Information [IB EDIT BILLING INFO] Load Host File into Charge Master [IBCR HOST FILE LOAD] Install Time - less than 30 minutes. This time will vary from site to site depending on the size of the Charge Item (#363.2) file. 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 above. NOTE: If the routines included in this patch are not currently in your mapped routine set, please skip this step. 3. 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 4. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2.0*285): 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. 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 YES d. When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: Enter/Edit Billing Information [IB EDIT BILLING INFO] Load Host File into Charge Master [IBCR HOST FILE LOAD] e. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . 6. 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. 7. CLEAN UP POST INIT ROUTINE -------------------------- Optional - Once this patch has been successfully installed you may delete the post init routine: IBYPSD 8. UPLOAD REASONABLE CHARGES V2.3 ------------------------------ Follow the instructions below. ============= Reasonable Charges v2.3 Upload Instructions ============= After patch installation, the RC v2.3 (Reasonable Charges v2.3) charges for each division billed at a site will need to be loaded into the Charge Master. The charges for each Division will require approximately 1.8 - 2.0 Mb of disk space. Other files will be searched, but the updates will be made to the Charge Item (#363.2) file. Files Required for Upload: ========================== The charge files are available on the following CIO Field Offices' Anonymous.Software directories. Use the appropriate FTP capability to retrieve the files (ASCII). OI FIELD OFFICE FTP ADDRESS DIRECTORY =============== =========== ========= ALBANY ftp.fo-albany.med.va.gov anonymous.software HINES ftp.fo-hines.med.va.gov anonymous.software SALT LAKE ftp.fo-slc.med.va.gov anonymous.software FIRST AVAILABLE SERVER download.vista.med.va.gov anonymous.software The Reasonable Charge v2.3 Host Files, effective 01/01/05: IBRC0501A.TXT Inpatient Facility Charges (DRG) IBRC0501B.TXT Facility Charge (CPT) IBRC0501C.TXT Physician Charges (CPT) IBRC0501D.TXT Service Category Codes IBRC0501E.TXT Area Factors IBRC0501F.TXT Site Identification Upload Instructions: ==================== Step 1: Get Host Files ----------------------- Retrieve the 6 Reasonable Charges v2.3 Host Files in ASCII format (see previous section). Step 2: Determine Divisions ---------------------------- Use the Print Charge Master [IBCR REPORTS FOR CHARGE MASTER] option and print the Billing Regions report to find which Billing Regions and Divisions have charges loaded onto your system. These are the divisions that will need new charges loaded. Step 3: Begin Upload Process ----------------------------- Use the Load Host File into Charge Master [IBCR HOST FILE LOAD] option to load Reasonable Charges onto your system for every division for which care is billed at your site. Carefully follow the instructions below, for each Billing Region. You will see the prompt: Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Below, in more detail, the steps will guide you through the process of selecting first 1.3, then 3, then 4, and waiting until 4 stops before continuing on to the next division (and capturing or printing all output for future reference). Step 4: Load the Reasonable Charges --------------------------------------- From the menu, select option 1.3 - Load RC into XTMP This loads the Host Files into temporary storage and calculates charges for individual Divisions. - If there are no previously existing host files loaded, it will ask which version of Reasonable Charges to load. Select 2.3 - When loading Reasonable Charges v2.3, the IBRC0501x.TXT files may be used for multiple divisions without reloading. - If there exist any previously calculated charges (files) for a division, they will be displayed, and you will get the prompt: The above files already exist in XTMP. Delete the above files and continue with upload? Select Yes to delete the previously calculated charges. - If there exist any previously loaded host files for any RC version, they will be displayed, and it will ask if they should be deleted. Select No if the files are IBRC0501x.TXT since these are the correct files for v2.3 and you would not want to delete them. Select Yes only if the files are from a different version. - Select Division: Select the division number to load charges for. This should correspond to the Divisions associated with the Billing Regions determined previously. Once the correct division is selected, answer Yes to Calculate Charges. Step 5: Check Data Validity -------------------------------------- This is optional, but it is suggested that it be run at least once, for the first division loaded. From the menu, select option 3 - Check Data Validity. If the resulting report has any Line Data Errors, then check that the latest version of CPT and DRG has been installed. The Error key at the end of the report does not mean that errors have occurred. It simply provides definitions of the types of errors that might occur. Check the individual line items in the report to see if any of the listed errors have been detected. *** NOTE *** There are three new DRG codes distributed by patch ICD*18.0*14. They are 541, 542 and 543. If you load RC v2.3 prior to loading ICD*18.0*14 you will see errors for these three DRG codes. If this happens you will need to reload RC v2.3 after you have loaded ICD*18.0*14. Step 6: Load into Charge Master ------------------------------------------ From the menu, select option 4 - Load into Charge Master Moves the charges calculated in selection 1.3 to permanent storage in the Charge Master. The results report should match the examples below. It is important that this option completes before continuing. Allow the upload of a division's charges to finish before attempting to upload another division. A summary report will be printed when the upload is complete. This option uses the same temporary files to calculate the charges for all divisions, therefore they must be calculated and loaded serially. Step 7: Repeat steps 4-6 for each Division needed ------------------------------------------------- Steps 4-6 must be repeated for each division billed at your site. Refer to the Divisions that already have charges assigned using the Billing Region Report list determined previously. In most cases, simply using the above options for loading Reasonable Charges will result in the correct set up in the Charge Master. - Option 1.3, selection 2, to calculate RC v2.3 charges for a division - Option 4, to load those calculated charges into the Charge Master permanent files. However, if you are loading charges for a new site, or a site that may have changed it's division number, then extra care is needed to ensure the setup of the Charge Master is correct. The following sections provide some additional information about the upload. ================ Reasonable Charges v2.3 Upload Examples ================ The Charge Host Files should load with the following counts: IBRC0501A.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 522 IBRC0501B.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 5349 IBRC0501C.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 13312 IBRC0501D.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 30 IBRC0501E.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 915 IBRC0501F.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 824 Any division that provides Inpatient Care should result in a summary with the following counts: Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 11 RC-INPT FAC PR 516 2 Inpt Fac 2 CPT 7 RC-INPT FAC HR 516 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 516 4 Inpt Fac/Phys 1 CPT 2291 RC-INPT FAC PR 516 5 Inpt PD Anc DRG 521 RC-INPT ANC 516 6 Inpt PD Anc ICU DRG 521 RC-INPT ANC ICU 516 7 Inpt PD R&B DRG 521 RC-INPT R&B 516 8 Inpt PD R&B ICU DRG 521 RC-INPT R&B ICU 516 9 Inpt Phys 1 CPT 7081 RC-PHYSICIAN INPT PR 516 10 Inpt Phys 3 CPT 270 RC-PHYSICIAN INPT MN 516 11 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516 12 Opt Fac 2 CPT 7 RC-OPT FAC HR 516 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 516 14 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516 15 Opt PD PHosp MISCE 1 RC-OPT MISC 516 16 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516 17 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516 18 SNF Fac 1 CPT 5164 RC-SNF FAC PR 516 19 SNF Fac 2 CPT 7 RC-SNF FAC HR 516 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 516 21 SNF Fac/Phys 1 CPT 3544 RC-SNF FAC PR 516 22 SNF PD INC BEDSE 2 RC-SNF INC 516 23 SNF Phys 1 CPT 7097 RC-PHYSICIAN SNF PR 516 24 SNF Phys 3 CPT 270 RC-PHYSICIAN SNF MN 516 Any Provider based division that provides Outpatient Care should result in a summary with the following counts: Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516GB 2 Opt Fac 2 CPT 7 RC-OPT FAC HR 516GB 3 Opt Fac 4 CPT 5 RC-OPT FAC ML 516GB 4 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516GB 5 Opt PD PHosp MISCE 1 RC-OPT MISC 516GB 6 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516GB 7 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516GB Any division with Non-Provider Based Freestanding Care should result in a summary with the following counts: Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 FS Phys 1 CPT 13020 RC-PHYSICIAN FS PR 516BZ 2 FS Phys 3 CPT 270 RC-PHYSICIAN FS MN 516BZ 3 FS Phys/Add 00 1 CPT 966 RC-PHYSICIAN FS PR 516BZ 4 FS Phys/Opt 1 CPT 163 RC-PHYSICIAN FS PR 516BZ 5 FS Phys/Opt 4 CPT 5 RC-PHYSICIAN FS ML 516BZ 6 FS Phys/Opt TC 1 CPT 26 RC-PHYSICIAN FS PR 516BZ ========================================================================== ==== Reasonable Charges v2.3 Installation and Upload Process Example ===== Select Installation Option: 6 Install Package(s) Select INSTALL NAME: IB*2.0*285 Loaded from Distribution 1/10/05@15:39:43 => IB*2*285 This Distribution was loaded on Jan 10, 2005@15:39:43 with header of IB*2*285 It consisted of the following Install(s): IB*2.0*285 Checking Install for Package IB*2.0*285 Install Questions for IB*2.0*285 Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// Enter options you wish to mark as 'Out Of Order': IB EDIT BILLING INFO Enter/Edit Billing Information Enter options you wish to mark as 'Out Of Order': IBCR HOST FILE LOAD Load Host File into Charge Master Enter options you wish to mark as 'Out Of Order': Enter protocols you wish to mark as 'Out Of Order': Delay Install (Minutes): (0-60): 0// Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// INCOMING TELNET Install Started for IB*2.0*285 : Jan 10, 2005@15:53:21 Build Distribution Date: Jan 10, 2005 Installing Routines: Jan 10, 2005@15:53:22 IB*2.0*285 ----------------------------------------------------------------------------- Running Post-Install Routine: POST^IBYPSD Reasonable Charges v2.3 Post-Install ..... >> Inactivating Existing Reasonable Charges, Please Wait... Done. 166328 existing charges inactivated Reasonable Charges v2.3 Post-Install Complete Updating Routine file... Updating KIDS files... IB*2.0*285 Installed. Jan 10, 2005@15:58:48 Install Message sent #2249 ----------------------------------------------------------------------------- +------------------------------------------------------------+ 100% | 25 50 75 | Complete +------------------------------------------------------------+ Install Completed End of Install ========================================================== Start of Upload The following shows two divisions being processed. A few extraneous lines have been removed for brevity but the critical parts of the process are shown. Select OPTION NAME: IBCR HOST FILE LOAD Load Host File into Charge Master Load Host File into Charge Master Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 1.3 Load RC into XTMP Upload National Reasonable Charges Host Files to Temporary Vista Files (XTMP) ----------------------------------------------------------------------------- Select the version of Reasonable Charges to upload. Select one of the following: 1 Reasonable Charges version 1.0 1.1 Reasonable Charges version 1.1 1.2 Reasonable Charges version 1.2 1.4 Reasonable Charges version 1.4 2 Reasonable Charges version 2.0 2.1 Reasonable Charges version 2.1 2.3 Reasonable Charges version 2.3 Enter response: 2.3 Reasonable Charges version 2.3 Upload National Reasonable Charges v2.3 Host Files to Temporary Vista files --------------------------------------------------------------------------- Enter the file path: USER$:[BAYP4]// SYS$SYSDEVICE:[ANONYMOUS.TMP] Reasonable Charges Host Files found: SYS$SYSDEVICE:[ANONYMOUS.TMP] ------------------------------------ RC v2.3 Inpatient Facility Charges: IBRC0501A.TXT RC v2.3 Outpatient Facility Charges: IBRC0501B.TXT RC v2.3 Professional Charges: IBRC0501C.TXT RC v2.3 Service Category Codes: IBRC0501D.TXT RC v2.3 Area Factors: IBRC0501E.TXT RC v2.3 VA Sites and Zip Codes: IBRC0501F.TXT All required host files found. Proceed with upload of National Reasonable Charges Host Files now? YES Loading National Reasonable Charges v2.3 Host Files into temporary local file ------------------------------------------------------------------------------ RC v2.3 Inpatient Facility Charges IBRC0501A.TXT..... RC v2.3 Outpatient Facility Charges IBRC0501B.TXT.................... ............................... RC v2.3 Professional Charges IBRC0501C.TXT.................... .............................................................................. ............................... RC v2.3 Service Category Codes IBRC0501D.TXT RC v2.3 Area Factors IBRC0501E.TXT......... RC v2.3 VA Sites and Zip Codes IBRC0501F.TXT........ Upload of Reasonable Charges v2.3 Host Files Complete. The following files were created in XTMP, they will be purged in 2 days: ------------------------------------------------------------------------ IBRC0501A.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 522 IBRC0501B.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 5349 IBRC0501C.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 13312 IBRC0501D.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 30 IBRC0501E.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 915 IBRC0501F.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 824 ***************************************************************************** Select Site to calculate Reasonable Charges v2.3 for load into Charge Master ----------------------------------------------------------------------------- Select Division: 516 BAY PINES is a valid Medical Center division on your system. 516 BAY PINES, FL 337 1 Calculate RC v2.3 charges for this division? YES Calculating Reasonable Charges v2.3 for 516 BAY PINES, FL: ----------------------------------------------------------------------------- 516 BAY PINES, FL - Inpatient and SNF Charges >> RC-INPT R&B 516 Charge Set used >> RC-INPT ANC 516 Charge Set used >> RC-INPT R&B ICU 516 Charge Set used >> RC-INPT ANC ICU 516 Charge Set used >> RC-SNF INC 516 Charge Set used >> RC-INPT FAC PR 516 Charge Set used >> RC-INPT FAC HR 516 Charge Set used >> RC-INPT FAC ML 516 Charge Set used >> RC-SNF FAC PR 516 Charge Set used >> RC-SNF FAC HR 516 Charge Set used >> RC-SNF FAC ML 516 Charge Set used >> RC-INPT FAC PR 516 Charge Set used >> RC-SNF FAC PR 516 Charge Set used >> RC-PHYSICIAN INPT PR 516 Charge Set used >> RC-PHYSICIAN INPT MN 516 Charge Set used >> RC-PHYSICIAN SNF PR 516 Charge Set used >> RC-PHYSICIAN SNF MN 516 Charge Set used 516 BAY PINES, FL - Outpatient Charges >> RC-OPT FAC PR 516 Charge Set used >> RC-OPT FAC HR 516 Charge Set used >> RC-OPT FAC ML 516 Charge Set used >> RC-OPT MISC 516 Charge Set used >> RC-OPT FAC PR 516 Charge Set used >> RC-PHYSICIAN OPT PR 516 Charge Set used >> RC-PHYSICIAN OPT MN 516 Charge Set used.................................. .............................................................................. ........................................................................... Done. The following files were created, they will be purged in 2 days: IBCR UPLOAD RC 516 BAY PINES, FL Count = 45108 IB Upload RC v2.3 516 BAY PINES, FL, 1/10/05@16:19 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 11 RC-INPT FAC PR 516 2 Inpt Fac 2 CPT 7 RC-INPT FAC HR 516 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 516 4 Inpt Fac/Phys 1 CPT 2291 RC-INPT FAC PR 516 5 Inpt PD Anc DRG 521 RC-INPT ANC 516 6 Inpt PD Anc ICU DRG 521 RC-INPT ANC ICU 516 7 Inpt PD R&B DRG 521 RC-INPT R&B 516 8 Inpt PD R&B ICU DRG 521 RC-INPT R&B ICU 516 9 Inpt Phys 1 CPT 7081 RC-PHYSICIAN INPT PR 516 10 Inpt Phys 3 CPT 270 RC-PHYSICIAN INPT MN 516 11 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516 12 Opt Fac 2 CPT 7 RC-OPT FAC HR 516 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 516 14 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516 15 Opt PD PHosp MISCE 1 RC-OPT MISC 516 16 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516 17 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516 18 SNF Fac 1 CPT 5164 RC-SNF FAC PR 516 19 SNF Fac 2 CPT 7 RC-SNF FAC HR 516 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 516 21 SNF Fac/Phys 1 CPT 3544 RC-SNF FAC PR 516 22 SNF PD INC BEDSE 2 RC-SNF INC 516 23 SNF Phys 1 CPT 7097 RC-PHYSICIAN SNF PR 516 24 SNF Phys 3 CPT 270 RC-PHYSICIAN SNF MN 516 Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 3 Check Data Validity Check files waiting to be loaded into the Charge Master for data validity. IBCR UPLOAD RC 516 BAY PINES, FL Count = 45108 IB Upload RC v2.3 516 BAY PINES, FL, 1/10/05@16:19 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 11 RC-INPT FAC PR 516 2 Inpt Fac 2 CPT 7 RC-INPT FAC HR 516 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 516 4 Inpt Fac/Phys 1 CPT 2291 RC-INPT FAC PR 516 5 Inpt PD Anc DRG 521 RC-INPT ANC 516 6 Inpt PD Anc ICU DRG 521 RC-INPT ANC ICU 516 7 Inpt PD R&B DRG 521 RC-INPT R&B 516 8 Inpt PD R&B ICU DRG 521 RC-INPT R&B ICU 516 9 Inpt Phys 1 CPT 7081 RC-PHYSICIAN INPT PR 516 10 Inpt Phys 3 CPT 270 RC-PHYSICIAN INPT MN 516 11 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516 12 Opt Fac 2 CPT 7 RC-OPT FAC HR 516 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 516 14 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516 15 Opt PD PHosp MISCE 1 RC-OPT MISC 516 16 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516 17 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516 18 SNF Fac 1 CPT 5164 RC-SNF FAC PR 516 19 SNF Fac 2 CPT 7 RC-SNF FAC HR 516 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 516 21 SNF Fac/Phys 1 CPT 3544 RC-SNF FAC PR 516 22 SNF PD INC BEDSE 2 RC-SNF INC 516 23 SNF Phys 1 CPT 7097 RC-PHYSICIAN SNF PR 516 24 SNF Phys 3 CPT 270 RC-PHYSICIAN SNF MN 516 Report requires 120 columns OUTPUT DEVICE: HOME// INCOMING TELNET Right Margin: 80// Data validity check on temporary files: IBCR UPLOAD RC 516 BAY PINES, FL Inpt Fac 1 . IBCR UPLOAD RC 516 BAY PINES, FL Inpt Fac 2 . IBCR UPLOAD RC 516 BAY PINES, FL Inpt Fac 4 . IBCR UPLOAD RC 516 BAY PINES, FL Inpt Fac/Phys 1....................... IBCR UPLOAD RC 516 BAY PINES, FL Inpt PD Anc ...... IBCR UPLOAD RC 516 BAY PINES, FL Inpt PD Anc ICU...... IBCR UPLOAD RC 516 BAY PINES, FL Inpt PD R&B ...... IBCR UPLOAD RC 516 BAY PINES, FL Inpt PD R&B ICU...... IBCR UPLOAD RC 516 BAY PINES, FL Inpt Phys 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL Inpt Phys 3 ... IBCR UPLOAD RC 516 BAY PINES, FL Opt Fac 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL Opt Fac 2 . IBCR UPLOAD RC 516 BAY PINES, FL Opt Fac 4 . IBCR UPLOAD RC 516 BAY PINES, FL Opt Fac/Phys 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL Opt PD PHosp . IBCR UPLOAD RC 516 BAY PINES, FL Opt Phys 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL Opt Phys 3 ... IBCR UPLOAD RC 516 BAY PINES, FL SNF Fac 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL SNF Fac 2 . IBCR UPLOAD RC 516 BAY PINES, FL SNF Fac 4 . IBCR UPLOAD RC 516 BAY PINES, FL SNF Fac/Phys 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL SNF PD INC . IBCR UPLOAD RC 516 BAY PINES, FL SNF Phys 1 ............................ IBCR UPLOAD RC 516 BAY PINES, FL SNF Phys 3 ... IB Upload Data Validity Check on Temporary files 1/10/05@16:26:50 Page 1 ---------------------------------------------------------------------------- IBCR UPLOAD RC 516 BAY PINES, FL Inpt Fac 1 11 of 11 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Inpt Fac 2 7 of 7 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Inpt Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Inpt Fac/Phys 1 2291 of 2291 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Inpt PD Anc 521 of 521 records checked, 0 duplicates, 2 with $=0 3 line/data errors or warnings found for a .58% error rate. 2074 = DRG541^3050101^^8984.67^^ Line/Data Error: Item not foun d in source file 2078 = DRG542^3050101^^10125.71^^ Line/Data Error: Item not foun d in source file 2082 = DRG543^3050101^^11411.68^^ Line/Data Error: Item not foun d in source file Inpt PD Anc ICU 521 of 521 records checked, 0 duplicates, 2 with $=0 3 line/data errors or warnings found for a .58% error rate. 2076 = DRG541^3050101^^8984.67^^ Line/Data Error: Item not foun d in source file 2080 = DRG542^3050101^^10125.71^^ Line/Data Error: Item not foun d in source file 2084 = DRG543^3050101^^11411.68^^ Line/Data Error: Item not foun d in source file Inpt PD R&B 521 of 521 records checked, 0 duplicates, 2 with $=0 3 line/data errors or warnings found for a .58% error rate. 2073 = DRG541^3050101^^1072.81^^ Line/Data Error: Item not foun d in source file 2077 = DRG542^3050101^^1209.06^^ Line/Data Error: Item not foun d in source file 2081 = DRG543^3050101^^1362.61^^ Line/Data Error: Item not foun d in source file Inpt PD R&B ICU 521 of 521 records checked, 0 duplicates, 2 with $=0 3 line/data errors or warnings found for a .58% error rate. 2075 = DRG541^3050101^^2151.91^^ Line/Data Error: Item not foun d in source file 2079 = DRG542^3050101^^2425.21^^ Line/Data Error: Item not foun d in source file 2083 = DRG543^3050101^^2733.2^^ Line/Data Error: Item not foun d in source file Inpt Phys 1 7081 of 7081 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Inpt Phys 3 270 of 270 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Fac 1 5336 of 5336 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Fac 2 7 of 7 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Fac/Phys 1 4554 of 4554 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt PD PHosp 1 of 1 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Phys 1 7097 of 7097 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. Opt Phys 3 270 of 270 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Fac 1 5164 of 5164 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Fac 2 7 of 7 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Fac 4 5 of 5 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Fac/Phys 1 3544 of 3544 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF PD INC 2 of 2 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Phys 1 7097 of 7097 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SNF Phys 3 270 of 270 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found for a 0% error rate. SUBFILE/SET ERROR: This error results when a problem is found in the definition of the subfile that has been uploaded or the Charge Set that has been assigned to it. All processing of the subfile is stopped, no part of the subfile will be loaded into the Charge Master. LINE/DATA ERROR: A data error in a required field has been found in a line read from the file. The chargeable item defined by that line will be ignored, it will NOT be added to the Charge Master. LINE/DATA WARNING: A data error in a non-required field has been found in a line read from the file. The chargeable item defined by that line will be ignored, it will NOT be added to the Charge Master. Records found that are duplicates of existing charge entries or have a 0 charge are NOT added nor reported individually. Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 4 Load into Charge Master Check files waiting to be loaded into the Charge Master for data validity. IBCR UPLOAD RC 516 BAY PINES, FL Count = 45108 IB Upload RC v2.3 516 BAY PINES, FL, 1/10/05@16:19 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 11 RC-INPT FAC PR 516 2 Inpt Fac 2 CPT 7 RC-INPT FAC HR 516 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 516 4 Inpt Fac/Phys 1 CPT 2291 RC-INPT FAC PR 516 5 Inpt PD Anc DRG 521 RC-INPT ANC 516 6 Inpt PD Anc ICU DRG 521 RC-INPT ANC ICU 516 7 Inpt PD R&B DRG 521 RC-INPT R&B 516 8 Inpt PD R&B ICU DRG 521 RC-INPT R&B ICU 516 9 Inpt Phys 1 CPT 7081 RC-PHYSICIAN INPT PR 516 10 Inpt Phys 3 CPT 270 RC-PHYSICIAN INPT MN 516 11 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516 12 Opt Fac 2 CPT 7 RC-OPT FAC HR 516 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 516 14 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516 15 Opt PD PHosp MISCE 1 RC-OPT MISC 516 16 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516 17 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516 18 SNF Fac 1 CPT 5164 RC-SNF FAC PR 516 19 SNF Fac 2 CPT 7 RC-SNF FAC HR 516 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 516 21 SNF Fac/Phys 1 CPT 3544 RC-SNF FAC PR 516 22 SNF PD INC BEDSE 2 RC-SNF INC 516 23 SNF Phys 1 CPT 7097 RC-PHYSICIAN SNF PR 516 24 SNF Phys 3 CPT 270 RC-PHYSICIAN SNF MN 516 Load the above files into the Charge Master? YES A summary report of the results will be printed. Report requires 120 columns [report prints to selected device] [now update charges for another division] Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 1.3 Load RC into XTMP Upload National Reasonable Charges Host Files to Temporary Vista Files (XTMP) ----------------------------------------------------------------------------- IBCR UPLOAD RC 516 BAY PINES, FL Count = 45108 IB Upload RC v2.3 516 BAY PINES, FL, 1/10/05@16:19 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 Inpt Fac 1 CPT 11 RC-INPT FAC PR 516 2 Inpt Fac 2 CPT 7 RC-INPT FAC HR 516 3 Inpt Fac 4 CPT 5 RC-INPT FAC ML 516 4 Inpt Fac/Phys 1 CPT 2291 RC-INPT FAC PR 516 5 Inpt PD Anc DRG 521 RC-INPT ANC 516 6 Inpt PD Anc ICU DRG 521 RC-INPT ANC ICU 516 7 Inpt PD R&B DRG 521 RC-INPT R&B 516 8 Inpt PD R&B ICU DRG 521 RC-INPT R&B ICU 516 9 Inpt Phys 1 CPT 7081 RC-PHYSICIAN INPT PR 516 10 Inpt Phys 3 CPT 270 RC-PHYSICIAN INPT MN 516 11 Opt Fac 1 CPT 5336 RC-OPT FAC PR 516 12 Opt Fac 2 CPT 7 RC-OPT FAC HR 516 13 Opt Fac 4 CPT 5 RC-OPT FAC ML 516 14 Opt Fac/Phys 1 CPT 4554 RC-OPT FAC PR 516 15 Opt PD PHosp MISCE 1 RC-OPT MISC 516 16 Opt Phys 1 CPT 7097 RC-PHYSICIAN OPT PR 516 17 Opt Phys 3 CPT 270 RC-PHYSICIAN OPT MN 516 18 SNF Fac 1 CPT 5164 RC-SNF FAC PR 516 19 SNF Fac 2 CPT 7 RC-SNF FAC HR 516 20 SNF Fac 4 CPT 5 RC-SNF FAC ML 516 21 SNF Fac/Phys 1 CPT 3544 RC-SNF FAC PR 516 22 SNF PD INC BEDSE 2 RC-SNF INC 516 23 SNF Phys 1 CPT 7097 RC-PHYSICIAN SNF PR 516 24 SNF Phys 3 CPT 270 RC-PHYSICIAN SNF MN 516 The above files already exist in XTMP. Delete the above files and continue with upload? YES. These files already exist in XTMP: ---------------------------------- IBRC0501A.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 522 IBRC0501B.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 5349 IBRC0501C.TXT RC v2.3 Host File Upload, 1/10/05@16:04 by HOLLOWAY,T 13312 IBRC0501D.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 30 IBRC0501E.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 915 IBRC0501F.TXT RC v2.3 Host File Upload, 1/10/05@16:05 by HOLLOWAY,T 824 Delete the above XTMP files and reload the Host files? NO Select Site to calculate Reasonable Charges v2.3 for load into Charge Master ---------------------------------------------------------------------------- Select Division: 516BZ 1) 516BZ FORT MYERS, FL 339 3 RC versions 1,1.1,1.2,1.4,2,2.1 appear to be already loaded for 516BZ. 516BZ FT MYERS OPC is a valid Medical Center division on your system. 516BZ FORT MYERS, FL 339 3 Calculate RC v2.3 charges for this division? YES Calculating Reasonable Charges v2.3 for 516BZ FORT MYERS, FL: ----------------------------------------------------------------------------- 516BZ FORT MYERS, FL - Freestanding Charges >> RC-PHYSICIAN FS PR 516BZ Charge Set used >> RC-PHYSICIAN FS MN 516BZ Charge Set used >> RC-PHYSICIAN FS PR 516BZ Charge Set used >> RC-PHYSICIAN FS ML 516BZ Charge Set used >> RC-PHYSICIAN FS PR 516BZ Charge Set used >> RC-PHYSICIAN FS PR 516BZ Charge Set used................................... Done. The following files were created, they will be purged in 2 days: IBCR UPLOAD RC 516BZ FORT MYERS, FL Count = 14450 IB Upload RC v2.3 516BZ FORT MYERS, FL, 1/11/05@10:07 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 FS Phys 1 CPT 13020 RC-PHYSICIAN FS PR 516BZ 2 FS Phys 3 CPT 270 RC-PHYSICIAN FS MN 516BZ 3 FS Phys/Add 00 1 CPT 966 RC-PHYSICIAN FS PR 516BZ 4 FS Phys/Opt 1 CPT 163 RC-PHYSICIAN FS PR 516BZ 5 FS Phys/Opt 4 CPT 5 RC-PHYSICIAN FS ML 516BZ 6 FS Phys/Opt TC 1 CPT 26 RC-PHYSICIAN FS PR 516BZ Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 4 Load into Charge Master Check files waiting to be loaded into the Charge Master for data validity. IBCR UPLOAD RC 516BZ FORT MYERS, FL Count = 14450 IB Upload RC v2.3 516BZ FORT MYERS, FL, 1/11/05@10:07 by HOLLOWAY,THOMAS Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 FS Phys 1 CPT 13020 RC-PHYSICIAN FS PR 516BZ 2 FS Phys 3 CPT 270 RC-PHYSICIAN FS MN 516BZ 3 FS Phys/Add 00 1 CPT 966 RC-PHYSICIAN FS PR 516BZ 4 FS Phys/Opt 1 CPT 163 RC-PHYSICIAN FS PR 516BZ 5 FS Phys/Opt 4 CPT 5 RC-PHYSICIAN FS ML 516BZ 6 FS Phys/Opt TC 1 CPT 26 RC-PHYSICIAN FS PR 516BZ Load the above files into the Charge Master? y YES A summary report of the results will be printed. [report prints to selected device] [now update charges for another division as necessary] Routine Information: ==================== Routine Name: - IBCRHBRV Routine Checksum: Routine Name: - IBYPSD Routine Checksum: ============================================================================= User Information: Entered By : HOLLOWAY,THOMAS J Date Entered : SEP 13, 2004 Completed By: DAWSON,TIM Date Completed: FEB 14, 2005 Released By : BOTTINI,STEVE Date Released : FEB 15, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT