$TXT Created by HARPER,AMY R at DEVFEX.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 10/11/05 at 17:14 ============================================================================= Run Date: DEC 06, 2005 Designation: IB*2*329 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #292 Status: Released Compliance Date: JAN 06, 2006 ============================================================================= Associated patches: (v)IB*2*307 <<= must be installed BEFORE `IB*2*329' Subject: CMAC 2005 NON-FACILITY Category: - Routine - Enhancement (Mandatory) Description: ============ The CHAMPUS Maximum Allowable Charges (CMAC) charges were redesigned beginning with 2005 charges. This redesign included categorizing the CMAC charges into Facility and Non-Facility charges. This patch is an update to allow the sites access to the 'Non-Facility' CMAC charges. The patch IB*2*307 CMAC 2005 was released July 2005 to allow the new CMAC charge structure to be uploaded into the Charge Master. At that time, it was understood that all VA sites met the criteria of a CMAC 'Facility'. Therefore, IB*2*307 only allowed the CMAC 'Facility' charges to be loaded into the Charge Master. However, it has since been determined that many VA Community Based Outpatient Clinic (CBOC) sites fit the criteria of the CMAC 'Non-Facility' category. Therefore, this patch is being released as an update to the original CMAC 2005 patch to allow the sites the ability to load the 'Non-Facility' CMAC charges. With the installation of this patch and the load of the CMAC charges, all CMAC 2005 charges will be available for use on a bill. The 'Facility/Physician' charges will be the default category used for all bills. Therefore, if the 'Non-Facility' or 'Non-Physician' charges are needed, they must be manually selected (Enter/Edit Billing Information [IB EDIT BILLING INFO], screen 6/7, option 6) Special Note: Implementation of CMAC 2005 is a two step process. The first step is installation of this patch, which is mandatory. The second step is uploading CMAC charges and is optional, depending on if your site uses the CMAC. Patch IB*2*307 allowed the loading of the Category 1, Facility/Physician and Category 3, Facility/Non-Physician CMAC charges. Patch IB*2*329 will allow the loading of all CMAC charges, including the Category 2, Non- Facility/Physician and Category 4, Non-Facility/Non-Physician CMAC charges. ----------------------------------------------------------------------- General Description of CMAC 2005 now available at sites: The CHAMPUS Maximum Allowable Charges (CMAC) charges were redesigned in 2005 to define 4 Categories of charges: Category 1, Facility/Physician: Services of MDs, DOs, optometrists, podiatrists, psychologists, oral surgeons, occupational therapists, speech therapists, physical therapists, and audiologists provided in a facility setting. Category 2, Non-Facility/Physician: Services of MDs, DOs, optometrists, podiatrists, psychologists, oral surgeons, occupational therapists, speech therapists, physical therapists, and audiologists provided in a non- facility setting, including provider offices, home settings. Category 3, Facility/Non-Physician: Services of all other providers not found in category 1, provided in a facility setting Category 4, Non-Facility/Non-Physician: Services of all other providers not found in category 2, provided in a non-facility setting. Four Charge Sets will be created in the Charge Master corresponding to the four CMAC categories and will be set up as Professional charges: - CMAC xxx FAC/PHYS charges correspond to category 1. Default. - CMAC xxx FAC/NONPHYS charges correspond to category 3 - CMAC xxx NONFAC/PHYS charges correspond to category 2 - CMAC xxx NONFAC/NONPHYS charges correspond to category 4 Category 1, Facility/Physician charges will always be the default charges on a bill. Therefore, if any of the other 3 categories need to be applied to a bill, they must be manually selected on screen 6/7, option 6 of Enter/Edit Billing Information [IB EDIT BILLING INFO] Designation of VA CBOC's: - Non-Facility: When care is provided in a VA Community Based Outpatient Clinic (CBOC) using Place of Service (POS) 11 you should use the Non- facility CMAC rates under categories 2 & 4. The CBOC's with POS 11 should not bill a separate facility charge when using Non-facility rates under categories 2 & 4. - Facility: VA Institutions that qualify as Facility sites of services when billing TRICARE should be downloading CMAC charges under categories 1 (physicians) and 3 (non physicians) when services are being billed. The effective date of the CMAC 2005 charges is 04/01/05. Beginning with the CMAC 2005, the upload of the charges will automatically create the correct Charge Sets, ask for the associated divisions, and assign those charge sets to the Rate Schedules that already have any CMAC charges assigned. ----------------------------------------------------------------------- This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- 20050907 CMAC This patch addresses the following NOIS/Remedy Ticket(s): --------------------------------------------------------- There is no NOIS/Remedy tickets associated with this patch. COMPONENTS SENT WITH PATCH -------------------------- Routines: --------- The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;Version;Package;**[patch list]**;Package Release Date CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== IBCRHBC3 9250464 11056309 307,329 Number of Routines = 1 CHECK1^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== IBCRHBC3 24573051 31650402 307,329 Number of Routines = 1 Test Sites: ----------- NORTHERN CALIFORNIA HCS SOUTH TEXAS HCS WILMINGTON VAMC Pre/Post Installation Overview ------------------------------ The implementation of CMAC 2005 charges is a two step process. The first step is installation of this patch. The second step is the optional load of the charges as described in the Post Installation Instructions. ================INSTALLATION INSTRUCTIONS ================= If installed during the normal workday, it is recommended that the following selection in the OPTION (#19) file be disabled to prevent possible conflicts while running the KIDS Install. Other VISTA users will not be affected. IBCR CHARGE MASTER IRM MENU Charge Master IRM Menu Install Time - less than 5 minutes 1. LOAD TRANSPORT GLOBAL --------------------- Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. 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: 3. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter IB*2*329): 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. 4. 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. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//' Answer YES unless your system does this in a nightly TaskMan process. 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: IBCR CHARGE MASTER IRM MENU Charge Master IRM Menu e. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . 5. UPLOAD CMAC 2005 Charges for Non-Facility charges ------------------------------------------------- Follow the instructions below, if needed. ****************** POST-INSTALLATION INSTRUCTIONS ******************* Upload of the CMAC charges is required only if your site uses the CMAC. Two subsections for loading of the charges have been provided: one section for loading only the 'Non-Facility' charges and a general section for loading all CMAC charges. A. Determine if CMAC charges are needed at your sites. Only continue if your site does use CMAC. B. If your site already loaded the CMAC 2005 after the release of IB*2*307 and only needs to upload the CMAC 2005 'Non-Facility' charges, then follow the 'NON-FACILITY CMAC 2005 INSTALLATION INSTRUCTIONS'. If there exists within the Charge Master a Charge Set 'CMAC xxx FAC/PHYS', then there are CMAC 2005 charges for locality xxx. C. If you need to install a new complete set of CMAC 2005 charges, then follow the 'CMAC 2005 INSTALLATION INSTRUCTIONS'. ========== NON-FACILITY CMAC 2005 INSTALLATION INSTRUCTIONS ========== Complete the following steps to load the CMAC 2005 'Non-Facility' charges for localities that already have the CMAC 2005 'Facility' charges loaded. Set-Up Steps ------------ 1. Compile the list of localities CMAC charges are needed for. As this is basically a re-load to get additional charges for existing sets, you may determine which localities are needed by searching for sets already in the Charge Master. In the Enter/Edit Charge Master [IBCR DISPLAY CHARGE MASTER] option, action CS - Charge Set, then action RG - Billing Region. Find all Billing Regions 'CMAC xxx'. Note the xxx 3 digit CMAC locality number and identify the zip code of that locality by the associated Divisions. This 3 digit locality number and zip code will be needed to identify the proper charges to obtain. 2. Obtain the sets of CMAC charge files required, in ASCII. It is possible the files used initially to load the CMAC 2005 are still available locally on your system, '2005CMACxxx.TXT'. If these are available, they may be used, otherwise complete the following: The CMAC files are available at: http://vaww.cf.webdev.va.gov/vadod Select CMAC Rates, then CMAC Rates. Enter the zip code of a primary site that requires CMAC charges. A file of CMAC charges will be created for the Locality which contains the entered zip code. Right click on the 3-digit code in the Locality Code column and save the file to your local system. This 3-digit code is the Locality the charges apply to. Be sure the 3-digit code locality is one already loaded on your site, from the list obtained in step 1. Complete the process for each division zip charges are needed for. The CMAC files created will be named: 2005CMACxxx.TXT w/xxx is locality. 3. If new files were obtained in step 2, then move these CMAC files to a directory accessible to VISTA. Use ASCII format. Load CMAC 'Non-Facility' Charges into VISTA: -------------------------------------------- 4. Enter Charge Master IRM Menu [IBCR CHARGE MASTER IRM MENU] option, then Load Host File into Charge Master [IBCR HOST FILE LOAD] option. 5. Select 1.1 Load CMAC into XTMP. If there are any CMAC files already loaded, then they will be listed. Delete them and continue. 6. Enter the correct Path where the CMAC files were placed in 3. 7. All available CMAC files will be displayed. Enter the file to load. Be sure this is one of the localities identified in step 1. 8. If component charges are desired, then enter the appropriate Modifier. Professional Component Modifier: // 26 Technical Component Modifier: // TC 9. Calculate and Compile CMAC charges into Charge Master form. Enter Yes to 'Proceed with upload now' The required Charge Master elements will be automatically created. Note the following example illustrates that this locality had previously been loaded for the 'Facility' charges and the previously existing Charge Set is used. But the 'Non-Facility' charges are new, since it adds new Charge Sets. Proceed with upload now? YES >> CMAC 348 FAC/PHYS Charge Set used <<< >> CMAC 348 FAC/NONPHYS Charge Set used <<< >> CMAC 348 NONFAC/PHYS Charge Set added <<< Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI >> CMAC 348 NONFAC/NONPHYS Charge Set added <<< Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI IMPORTANT: If the locality your loading does not indicate it is using existing Charge Sets for the two 'FAC/' sets, then no charges for the locality exist on your system. STOP. This set of installation instructions are not appropriate for this locality, go to the CMAC 2005 INSTALLATION INSTRUCTIONS. The result is 12 sets of CMAC charges for the locality: IBCR UPLOAD 2005CMAC348.TXT 348 Count = 36778 IB upload of Host file 2005CMAC348.TXT, on 10/11/05@13:14:41 by TEST Subfile Item Count Charge Set ------- ---- ----- ----------------------- 1 FAC/NONPHYS CAT 3 CPT 6746 CMAC 348 FAC/NONPHYS 2 FAC/NONPHYS PC CPT 897 CMAC 348 FAC/NONPHYS 3 FAC/NONPHYS TC CPT 986 CMAC 348 FAC/NONPHYS 4 FAC/PHYS CAT 1 CPT 7837 CMAC 348 FAC/PHYS 5 FAC/PHYS PC CPT 917 CMAC 348 FAC/PHYS 6 FAC/PHYS TC CPT 1006 CMAC 348 FAC/PHYS 7 NONFAC/NONPHYS CAT 4 CPT 6746 CMAC 348 NONFAC/NONPHYS 8 NONFAC/NONPHYS PC CPT 897 CMAC 348 NONFAC/NONPHYS 9 NONFAC/NONPHYS TC CPT 986 CMAC 348 NONFAC/NONPHYS 10 NONFAC/PHYS CAT 2 CPT 7837 CMAC 348 NONFAC/PHYS 11 NONFAC/PHYS PC CPT 917 CMAC 348 NONFAC/PHYS 12 NONFAC/PHYS TC CPT 1006 CMAC 348 NONFAC/PHYS 10. Delete 'Facility' Charges Because the 'Facility' sets of charges are already loaded they must be deleted before loading into the Charge Master to ensure no duplicate charges are created. Select 5 Delete XTMP files, then delete the 'FAC' Subfiles: 1-6. The result is the set of 'Non-Facility' only charges to be loaded: IBCR UPLOAD 2005CMAC348.TXT 348 Count = 36778 IB upload of Host file 2005CMAC348.TXT, on 10/11/05@11:51:36 by TEST Subfile Item Count Charge Set ------- ---- ----- ----------------------- 1 NONFAC/NONPHYS CAT 4 CPT 6746 CMAC 348 NONFAC/NONPHYS 2 NONFAC/NONPHYS PC CPT 897 CMAC 348 NONFAC/NONPHYS 3 NONFAC/NONPHYS TC CPT 986 CMAC 348 NONFAC/NONPHYS 4 NONFAC/PHYS CAT 2 CPT 7837 CMAC 348 NONFAC/PHYS 5 NONFAC/PHYS PC CPT 917 CMAC 348 NONFAC/PHYS 6 NONFAC/PHYS TC CPT 1006 CMAC 348 NONFAC/PHYS 11. Check Data Validity of charges created Select 3 Check Data Validity and print the result. It is expected that there will be 14 Wxxxx procedure charges that can not be found. This is ok. 12. Load charges into the Charge Master Select 4 Load into Charge Master. Select a device to print the result. The results should be a clean load except for one duplicate and the 14 Wxxxx procedures which can not be loaded. This is ok. 13. Repeat Steps 5-12 for each CMAC Locality file needed, after the load is completed and the results report is printed. Example CMAC Upload Report for locality 348 ------------------------------------------- IB Upload Summary Report of Charge Items Loaded into the Charge Master -------------------------------------------------------------------------- IBCR UPLOAD 2005CMAC348.TXT 348 NONFAC/NONPHYS CAT 4 6746 of 6746 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 6746 entries added to CMAC 348 NONFAC/NONPHYS NONFAC/NONPHYS PC 897 of 897 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 897 entries added to CMAC 348 NONFAC/NONPHYS NONFAC/NONPHYS TC 986 of 986 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 986 entries added to CMAC 348 NONFAC/NONPHYS NONFAC/PHYS CAT 2 7837 of 7837 records checked, 1 duplicates, 0 with $=0 14 line/data errors or warnings found .18% error rate 7822 entries added to CMAC 348 NONFAC/PHYS 7824 =W0002^3050401^^6.55^ Line/Data Error: Item not found in source file 7825 =W0003^3050401^^8.36^ Line/Data Error: Item not found in source file 7826 =W0004^3050401^^8.82^ Line/Data Error: Item not found in source file 7827 =W0005^3050401^^9.83^ Line/Data Error: Item not found in source file 7828 =W0006^3050401^^9.87^ Line/Data Error: Item not found in source file 7829 =W0007^3050401^^10.28^ Line/Data Error: Item not found in source file 7830 =W0008^3050401^^10.64^ Line/Data Error: Item not found in source file 7831 =W0009^3050401^^10.91^ Line/Data Error: Item not found in source file 7832 =W0010^3050401^^10.91^ Line/Data Error: Item not found in source file 7833 =W0011^3050401^^11.11^ Line/Data Error: Item not found in source file 7834 =W0012^3050401^^11.36^ Line/Data Error: Item not found in source file 7835 =W0016^3050401^^13.29^ Line/Data Error: Item not found in source file 7836 =W0018^3050401^^13.39^ Line/Data Error: Item not found in source file 7837 =W0019^3050401^^13.91^ Line/Data Error: Item not found in source file NONFAC/PHYS PC 917 of 917 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 917 entries added to the CMAC 348 NONFAC/PHYS NONFAC/PHYS TC 1006 of 1006 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 1006 entries added to CMAC 348 NONFAC/PHYS ======================================================================== ================== CMAC 2005 INSTALLATION INSTRUCTIONS ================= Complete the following steps to load the CMAC 2005 charges for any locality. Upload of the CMAC charges is required only if your site uses the CMAC. Set-Up Steps: ------------- 1. Determine if CMAC charges are needed at your site. Only continue if your site does use CMAC. 2. Compile the list of Divisions CMAC charges are needed for. This list should include both the Division number and the zip code of the location of the division. 3. Obtain the sets of CMAC charge files required, in ASCII. These files are available at: http://vaww.cf.webdev.va.gov/vadod Select CMAC Rates, then CMAC Rates. Enter the zip code of a primary site that requires CMAC charges. A file of CMAC charges will be created for the Locality which contains the entered zip code. Right click on the 3-digit code in the Locality Code column and save the file to your local system. This 3-digit code is the Locality the charges apply to. The CMAC charges are based on a Locality code. Many zip codes are contained within each Locality. Therefore, it is likely that one set of CMAC charges will be applicable to several divisions. Complete the process for each division zip code charges are needed for. If the same file, as identified by the 3-digit code, is created for multiple division zip codes, then only one is needed, but make note of all the divisions that are contained within that locality. The CMAC files created will be named: 2005CMACxxx.TXT w/xxx is locality. 4. Move the CMAC files to a directory accessible to VISTA. Use ASCII. CMAC Upload into VISTA: ----------------------- 5. Enter Charge Master IRM Menu [IBCR CHARGE MASTER IRM MENU] option, then Load Host File into Charge Master [IBCR HOST FILE LOAD] option. 6. Select 1.1 Load CMAC into XTMP. If there are any CMAC files already loaded, then they will be listed. Delete them and continue. 7. Enter the correct Path where the CMAC files were placed in 4. 8. All available CMAC files will be displayed. Enter the file to load. Note: CMAC 2005 files name format: '2005CMACxxx.TXT' CMAC files pre-2005 format: 'CMACxxx.TXT' 9. If component charges are desired, then enter the appropriate Modifier. Professional Component Modifier: // 26 Technical Component Modifier: // TC 10. Calculate and Compile CMAC charges into Charge Master form. Enter Yes to 'Proceed with upload now' The required Charge Master elements will be automatically created: - Billing Region (there will be a warning about no division) - Charge Sets (4) will be created if not already defined. >> CMAC xxx FAC/PHYS >> CMAC xxx FAC/NONPHYS >> CMAC xxx NONFAC/PHYS >> CMAC xxx NONFAC/NONPHYS - The Charge Sets will be added to Rate Schedules that already have other CMAC charges assigned. >> If there are no Rate Schedules with CMAC assigned then these will have to be added manually. (see step 14) - Division will be asked. Enter all Divisions whose zip codes are covered by the Locality, as determined in step 3. >> These charges will only be applied to the divisions added. Therefore, if no division or not all needed divisions are added here then they must be added after the upload. (see step 15) The end result of this step is a set of temporary VISTA files containing the CMAC charges in a form appropriate for loading into the Charge Master. 11. Check Data Validity of charges created Select 3 Check Data Validity and print the result. It is expected that there will be one duplicate charge and 14 Wxxxx procedure charges that can not be found. This is ok. 12. Load charges into the Charge Master Select 4 Load into Charge Master. Select a device to print the result. The results should be a clean load except for one duplicate and the 14 Wxxxx procedures which can not be loaded. 13. Repeat Steps 6-12 for each CMAC Locality file needed, after the load is completed and the results report is printed. 14. Add new Charge Sets to Rate Schedules, if necessary. When the charges are set up in step 10, it will add the new Charge Sets to any Rate Schedule that already has CMAC charges assigned. If none were found, then the following message is displayed and the links must be manually set. *** Warning: CMAC 359 FAC/PHYS not added to any Rate Schedule, set manually using Enter/Edit Charge Master option. Add the new Charge Sets to Rate Schedules for the Billing Rates that should be billed using CMAC: Use the Enter/Edit Charge Master [IBCR DISPLAY CHARGE MASTER] option Select Action RS - Rate Schedule, then add the new Charge Sets to the appropriate Rate Schedule. The 'FAC/PHYS' Set should be AUTO = Yes. All others should be AUTO = BLANK. 15. Add Divisions to new Billing Regions, if necessary. When the charges are set up in step 10, it will add the new Billing Region that defines the divisions that may use the charges. If no division or not all necessary divisions were added, then they need to be assigned after the upload. Any division not assigned to a CMAC Billing Region will not be able to use the CMAC charges. Add all divisions covered by a CMAC locality to the corresponding Billing Region: Use the Enter/Edit Charge Master [IBCR DISPLAY CHARGE MASTER] option Select Action CS - Charge Set, then Select Action RG - Billing Regions then add the Divisions to the appropriate CMAC Billing Region. 16. Optional: Add Revenue Code - CPT links for CMAC. The CMAC charges may be set up so the charges for specific procedures are associated with specific revenue codes. To do this use the Revenue Code - CPT links functionality. There are two options: a. Use the Standard Revenue Code Links already defined. If the Revenue Code CPT links already defined will work for the CMAC, then assign the CMAC to the current set. In the Charge Master Main Menu, use the Print Option V-Rev Cd Links to print out the existing links to determine if these will work for the CMAC. If the existing links are ok, then assign the CMAC to the existing special group: in the Enter/Edit Charge Master, SG - Special Groups, ED - Edit Special Groups: Select Action: Quit// ED Edit Special Groups Enter/Edit a Special Group: Select BILLING SPECIAL GROUPS NAME: STANDARD RVCD LINKS REVENUE CODE LINK This was exported Nationally, only the assigned Billing Rates may be edited. This group has associated Revenue Code Links. Type can not be edited. Select BILLING RATE: RC PHYSICIAN MN// CMAC CHARGE SET: ORDER: Select BILLING RATE: b. Create new Revenue Code - CPT Links just for CMAC. If the Revenue Code CPT links already defined will NOT work for the CMAC, then create a new set of links just for the CMAC. Create the new links Special Group: in the Enter/Edit Charge Master, SG - Special Groups, ED - Edit Special Groups: Select Action: Quit// ED Edit Special Groups Enter/Edit a Special Group: Select BILLING SPECIAL GROUPS NAME: LOCAL RVCD LINKS CMAC Are you adding 'LOCAL RVCD LINKS CMAC' as a new BILLING SPECIAL GROUPS (the 4TH)? No// Y (Yes) BILLING SPECIAL GROUPS TYPE: R REVENUE CODE LINK NAME: LOCAL RVCD LINKS CMAC Replace TYPE: REVENUE CODE LINK// Select BILLING RATE: CMAC CHARGE SET: ORDER: Select BILLING RATE: Then set up the actual links, enter RV - Revenue Code Links: Select Action: Next Screen// RV Revenue Code Links Select CPT to display. Select CPT: 80048 BASIC METABOLIC PANEL {any CPT} A new screen will display, enter ED - Edit Link (this is an example, replace with desired CPT's and Revenue Codes) Select Action: Quit// ED Edit Link Enter/Edit a Revenue Code Link: Select BILLING SPECIAL GROUPS NAME: LOCAL RVCD LINKS CMAC REVENUE CODE LINK Select REVENUE CODE: 301 LAB/CHEMISTRY CHEMISTRY ...OK? Yes// (Yes) LOCAL RVCD LINKS CMAC REVENUE CODE: 301// PROCEDURE 1: 80048 BASIC METABOLIC PANEL PROCEDURE 2: 87999 MICROBIOLOGY PROCEDURE Repeat this step for all links needed. Example temporary XTMP files created for Locality 387 ----------------------------------------------------- IBCR UPLOAD 2005CMAC387.TXT 387 Count = 36778 IB upload of Host file 2005CMAC387.TXT, on 10/11/05@13:42:33 by TEST Subfile Item Count Charge Set ------- ---- ----- ----------------------- 1 FAC/NONPHYS CAT 3 CPT 6746 CMAC 387 FAC/NONPHYS 2 FAC/NONPHYS PC CPT 897 CMAC 387 FAC/NONPHYS 3 FAC/NONPHYS TC CPT 986 CMAC 387 FAC/NONPHYS 4 FAC/PHYS CAT 1 CPT 7837 CMAC 387 FAC/PHYS 5 FAC/PHYS PC CPT 917 CMAC 387 FAC/PHYS 6 FAC/PHYS TC CPT 1006 CMAC 387 FAC/PHYS 7 NONFAC/NONPHYS CAT 4 CPT 6746 CMAC 387 NONFAC/NONPHYS 8 NONFAC/NONPHYS PC CPT 897 CMAC 387 NONFAC/NONPHYS 9 NONFAC/NONPHYS TC CPT 986 CMAC 387 NONFAC/NONPHYS 10 NONFAC/PHYS CAT 2 CPT 7837 CMAC 387 NONFAC/PHYS 11 NONFAC/PHYS PC CPT 917 CMAC 387 NONFAC/PHYS 12 NONFAC/PHYS TC CPT 1006 CMAC 387 NONFAC/PHYS Example Upload Report of CMAC for Locality 387 ---------------------------------------------- IB Upload Summary Report of Charge Items Loaded into the Charge Master -------------------------------------------------------------------------- IBCR UPLOAD 2005CMAC387.TXT 387 FAC/NONPHYS CAT 3 6746 of 6746 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 6746 entries added to CMAC 387 FAC/NONPHYS FAC/NONPHYS PC 897 of 897 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 897 entries added to CMAC 387 FAC/NONPHYS FAC/NONPHYS TC 986 of 986 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 986 entries added to CMAC 387 FAC/NONPHYS FAC/PHYS CAT 1 7837 of 7837 records checked, 1 duplicates, 0 with $=0 14 line/data errors or warnings found .18% error rate 7822 entries added to the Charge Set CMAC 387 FAC/PHYS 7824 =W0002^3050401^^6.41^ Line/Data Error: Item not found in source file 7825 =W0003^3050401^^8.18^ Line/Data Error: Item not found in source file 7826 =W0004^3050401^^8.63^ Line/Data Error: Item not found in source file 7827 =W0005^3050401^^9.62^ Line/Data Error: Item not found in source file 7828 =W0006^3050401^^9.65^ Line/Data Error: Item not found in source file 7829 =W0007^3050401^^10.05^ Line/Data Error: Item not found in source file 7830 =W0008^3050401^^10.41^ Line/Data Error: Item not found in source file 7831 =W0009^3050401^^10.68^ Line/Data Error: Item not found in source file 7832 =W0010^3050401^^10.68^ Line/Data Error: Item not found in source file 7833 =W0011^3050401^^10.86^ Line/Data Error: Item not found in source file 7834 =W0012^3050401^^11.11^ Line/Data Error: Item not found in source file 7835 =W0016^3050401^^13^ Line/Data Error: Item not found in source file 7836 =W0018^3050401^^13.1^ Line/Data Error: Item not found in source file 7837 =W0019^3050401^^13.61^ Line/Data Error: Item not found in source file FAC/PHYS PC 917 of 917 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 917 entries added to the Charge Set CMAC 387 FAC/PHYS FAC/PHYS TC 1006 of 1006 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 1006 entries added to CMAC 387 FAC/PHYS NONFAC/NONPHYS CAT 4 6746 of 6746 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 6746 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/NONPHYS PC 897 of 897 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 897 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/NONPHYS TC 986 of 986 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 986 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/PHYS CAT 2 7837 of 7837 records checked, 1 duplicates,0 with $=0 14 line/data errors or warnings found .18% error rate 7822 entries added to CMAC 387 NONFAC/PHYS 7824 =W0002^3050401^^6.41^ Line/Data Error: Item not found in source file 7825 =W0003^3050401^^8.18^ Line/Data Error: Item not found in source file 7826 =W0004^3050401^^8.63^ Line/Data Error: Item not found in source file 7827 =W0005^3050401^^9.62^ Line/Data Error: Item not found in source file 7828 =W0006^3050401^^9.65^ Line/Data Error: Item not found in source file 7829 =W0007^3050401^^10.05^ Line/Data Error: Item not found in source file 7830 =W0008^3050401^^10.41^ Line/Data Error: Item not found in source file 7831 =W0009^3050401^^10.68^ Line/Data Error: Item not found in source file 7832 =W0010^3050401^^10.68^ Line/Data Error: Item not found in source file 7833 =W0011^3050401^^10.86^ Line/Data Error: Item not found in source file 7834 =W0012^3050401^^11.11^ Line/Data Error: Item not found in source file 7835 =W0016^3050401^^13^ Line/Data Error: Item not found in source file 7836 =W0018^3050401^^13.1^ Line/Data Error: Item not found in source file 7837 =W0019^3050401^^13.61^ Line/Data Error: Item not found in source file NONFAC/PHYS PC 917 of 917 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 917 entries added to CMAC 387 NONFAC/PHYS NONFAC/PHYS TC 1006 of 1006 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 1006 entries added to CMAC 387 NONFAC/PHYS Example Upload of CMAC for Locality 387 --------------------------------------- Select Charge Master IRM Menu Option: Load Host File into Charge Master Select one of the following: 1.1 Load CMAC into XTMP 1.2 Load AWP into XTMP 1.3 Load RC into XTMP 1.4 Load TP into XTMP 2 Assign Charge Set 3 Check Data Validity 4 Load into Charge Master 5 Delete XTMP files Enter response: 1.1 Load CMAC into XTMP Upload CMAC Host File: 'CMACxxx.TXT' or 'yyyyCMACxxx.TXT' w/xxx = locality Enter the file path: USER$:[TEMP]// USER$:[TEST] CMAC Host files available for upload in: USER$:[TEST] 2005CMAC369.TXT 2005CMAC378.TXT 2005CMAC387.TXT Enter a Host File Name: 2005CMAC387.TXT Professional Component Modifier: // 26 Technical Component Modifier: // TC File: 2005CMAC387.TXT Effective: Apr 01, 2005 Proceed with upload now? YES >> CMAC 387 Billing Region added *** Warning: No MC division defined, no division added to Region >> CMAC 387 FAC/PHYS Charge Set added Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI >> CMAC 387 FAC/NONPHYS Charge Set added Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI >> CMAC 387 NONFAC/PHYS Charge Set added Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI >> CMAC 387 NONFAC/NONPHYS Charge Set added Charge Set added to Rate Schedule TRICARE Charge Set added to Rate Schedule TRICARE RI Enter the Divisions associated with these charges: CMAC 387 Select DIVISION: ALB 1 ALBANY 500 2 ALBANY2 500GH 3 ALBANY3 500 CHOOSE 1-3: 1 ALBANY 500 Are you adding 'ALBANY' as a new DIVISION (the 1ST for this BILLING REGION)? No// Y (Yes) Select DIVISION: Loading 2005CMAC387.TXT into ^XTMP ...................... ........................................................ Done. 7837 lines processed. The following files were created, they will be purged in 2 days: IBCR UPLOAD 2005CMAC387.TXT 387 Count = 36778 IB upload of Host file 2005CMAC387.TXT, on 10/11/05@13:42:33 by TEST Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 FAC/NONPHYS CAT 3 CPT 6746 CMAC 387 FAC/NONPHYS 2 FAC/NONPHYS PC CPT 897 CMAC 387 FAC/NONPHYS 3 FAC/NONPHYS TC CPT 986 CMAC 387 FAC/NONPHYS 4 FAC/PHYS CAT 1 CPT 7837 CMAC 387 FAC/PHYS 5 FAC/PHYS PC CPT 917 CMAC 387 FAC/PHYS 6 FAC/PHYS TC CPT 1006 CMAC 387 FAC/PHYS 7 NONFAC/NONPHYS CAT 4 CPT 6746 CMAC 387 NONFAC/NONPHYS 8 NONFAC/NONPHYS PC CPT 897 CMAC 387 NONFAC/NONPHYS 9 NONFAC/NONPHYS TC CPT 986 CMAC 387 NONFAC/NONPHYS 10 NONFAC/PHYS CAT 2 CPT 7837 CMAC 387 NONFAC/PHYS 11 NONFAC/PHYS PC CPT 917 CMAC 387 NONFAC/PHYS 12 NONFAC/PHYS TC CPT 1006 CMAC 387 NONFAC/PHYS 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 2005CMAC387.TXT 387 Count = 36778 IB upload of Host file 2005CMAC387.TXT, on 10/11/05@13:42:33 by TEST Subfile Item Count Charge Set ------- ---- ----- ------------------------- 1 FAC/NONPHYS CAT 3 CPT 6746 CMAC 387 FAC/NONPHYS 2 FAC/NONPHYS PC CPT 897 CMAC 387 FAC/NONPHYS 3 FAC/NONPHYS TC CPT 986 CMAC 387 FAC/NONPHYS 4 FAC/PHYS CAT 1 CPT 7837 CMAC 387 FAC/PHYS 5 FAC/PHYS PC CPT 917 CMAC 387 FAC/PHYS 6 FAC/PHYS TC CPT 1006 CMAC 387 FAC/PHYS 7 NONFAC/NONPHYS CAT 4 CPT 6746 CMAC 387 NONFAC/NONPHYS 8 NONFAC/NONPHYS PC CPT 897 CMAC 387 NONFAC/NONPHYS 9 NONFAC/NONPHYS TC CPT 986 CMAC 387 NONFAC/NONPHYS 10 NONFAC/PHYS CAT 2 CPT 7837 CMAC 387 NONFAC/PHYS 11 NONFAC/PHYS PC CPT 917 CMAC 387 NONFAC/PHYS 12 NONFAC/PHYS TC CPT 1006 CMAC 387 NONFAC/PHYS Load the above files into the Charge Master? YES A summary report of the results will be printed. Report requires 120 columns OUTPUT DEVICE: HOME// UCX/TELNET Loading data into Charge Master: IBCR UPLOAD 2005CMAC387.TXT 387 FAC/NONPHYS CAT 3 ............. ....................................................... IBCR UPLOAD 2005CMAC387.TXT 387 FAC/NONPHYS PC ......... IBCR UPLOAD 2005CMAC387.TXT 387 FAC/NONPHYS TC .......... IBCR UPLOAD 2005CMAC387.TXT 387 FAC/PHYS CAT 1 ............... ................................................................ IBCR UPLOAD 2005CMAC387.TXT 387 FAC/PHYS PC .......... IBCR UPLOAD 2005CMAC387.TXT 387 FAC/PHYS TC ........... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/NONPHYS CAT 4 ............. ....................................................... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/NONPHYS PC......... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/NONPHYS TC.......... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/PHYS CAT 2 ............ ................................................................... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/PHYS PC .......... IBCR UPLOAD 2005CMAC387.TXT 387 NONFAC/PHYS TC ........... IB Upload Summary Report of Charge Items Loaded into the Charge Master -------------------------------------------------------------------------- IBCR UPLOAD 2005CMAC387.TXT 387 FAC/NONPHYS CAT 3 6746 of 6746 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 6746 entries added to CMAC 387 FAC/NONPHYS FAC/NONPHYS PC 897 of 897 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 897 entries added to CMAC 387 FAC/NONPHYS FAC/NONPHYS TC 986 of 986 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 986 entries added to CMAC 387 FAC/NONPHYS FAC/PHYS CAT 1 7837 of 7837 records checked, 1 duplicates, 0 with $=0 14 line/data errors or warnings found .18% error rate 7822 entries added to the Charge Set CMAC 387 FAC/PHYS 7824 =W0002^3050401^^6.41^ Line/Data Error: Item not found in source file 7825 =W0003^3050401^^8.18^ Line/Data Error: Item not found in source file 7826 =W0004^3050401^^8.63^ Line/Data Error: Item not found in source file 7827 =W0005^3050401^^9.62^ Line/Data Error: Item not found in source file 7828 =W0006^3050401^^9.65^ Line/Data Error: Item not found in source file 7829 =W0007^3050401^^10.05^ Line/Data Error: Item not found in source file 7830 =W0008^3050401^^10.41^ Line/Data Error: Item not found in source file 7831 =W0009^3050401^^10.68^ Line/Data Error: Item not found in source file 7832 =W0010^3050401^^10.68^ Line/Data Error: Item not found in source file 7833 =W0011^3050401^^10.86^ Line/Data Error: Item not found in source file 7834 =W0012^3050401^^11.11^ Line/Data Error: Item not found in source file 7835 =W0016^3050401^^13^ Line/Data Error: Item not found in source file 7836 =W0018^3050401^^13.1^ Line/Data Error: Item not found in source file 7837 =W0019^3050401^^13.61^ Line/Data Error: Item not found in source file FAC/PHYS PC 917 of 917 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 917 entries added to the Charge Set CMAC 387 FAC/PHYS FAC/PHYS TC 1006 of 1006 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 1006 entries added to CMAC 387 FAC/PHYS NONFAC/NONPHYS CAT 4 6746 of 6746 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 6746 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/NONPHYS PC 897 of 897 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 897 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/NONPHYS TC 986 of 986 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 986 entries added to CMAC 387 NONFAC/NONPHYS NONFAC/PHYS CAT 2 7837 of 7837 records checked, 1 duplicates,0 with $=0 14 line/data errors or warnings found .18% error rate 7822 entries added to CMAC 387 NONFAC/PHYS 7824 =W0002^3050401^^6.41^ Line/Data Error: Item not found in source file 7825 =W0003^3050401^^8.18^ Line/Data Error: Item not found in source file 7826 =W0004^3050401^^8.63^ Line/Data Error: Item not found in source file 7827 =W0005^3050401^^9.62^ Line/Data Error: Item not found in source file 7828 =W0006^3050401^^9.65^ Line/Data Error: Item not found in source file 7829 =W0007^3050401^^10.05^ Line/Data Error: Item not found in source file 7830 =W0008^3050401^^10.41^ Line/Data Error: Item not found in source file 7831 =W0009^3050401^^10.68^ Line/Data Error: Item not found in source file 7832 =W0010^3050401^^10.68^ Line/Data Error: Item not found in source file 7833 =W0011^3050401^^10.86^ Line/Data Error: Item not found in source file 7834 =W0012^3050401^^11.11^ Line/Data Error: Item not found in source file 7835 =W0016^3050401^^13^ Line/Data Error: Item not found in source file 7836 =W0018^3050401^^13.1^ Line/Data Error: Item not found in source file 7837 =W0019^3050401^^13.61^ Line/Data Error: Item not found in source file NONFAC/PHYS PC 917 of 917 records checked, 0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 917 entries added to CMAC 387 NONFAC/PHYS NONFAC/PHYS TC 1006 of 1006 records checked,0 duplicates, 0 with $=0 0 line/data errors or warnings found 0% error rate 1006 entries added to CMAC 387 NONFAC/PHYS 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: Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBCRHBC3 Before: B24573051 After: B31650402 **307,329** ============================================================================= User Information: Entered By : HARPER,AMY R Date Entered : OCT 06, 2005 Completed By: KUREK,STANLEY M Date Completed: DEC 01, 2005 Released By : BOTTINI,STEVE Date Released : DEC 06, 2005 ============================================================================= Packman Mail Message: ===================== $END TXT