$TXT Created by MINARDI,CHRISTOPHER P. at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Thursday, 04/06/06 at 10:39 ============================================================================= Run Date: APR 25, 2006 Designation: IB*2*340 Package : IB - INTEGRATED BILLING Priority: EMERGENCY Version : 2 SEQ #303 Status: Released Compliance Date: APR 26, 2007 ============================================================================= Subject: CANCEL COPAY CHARGES FOR KATRINA VETERANS Category: - Routine Description: ============ This patch accompanies Accounts Receivable patch, PRCA*4.5*241, in support of veterans affected by Hurricane Katrina. Patch IB*2*340 can be installed immediately, and it must be installed prior to the installation of patch PRCA*4.5*241. The purpose of this patch is to support the VHA Chief Business Office (CBO) request to automatically cancel all veteran co-payments, charged to veterans affected by Hurricane Katrina, for treatment provided from 8/29/05 through 2/28/06. This action has been approved by the Office of the Under Secretary for Health. The patch provides two pieces of functionality: 1. Upon installation, the patch will add the new entry 'KATRINA AFFECTED VETERAN' to the IB CHARGE REMOVE REASONS (#350.3) file. 2. The patch provides the new routine IBAKAT, which will be invoked by the PRCA*4.5*241 post initialization process. This routine will identify the co-payment charges specified above that should be cancelled, and invoke Accounts Receivable to apply the appropriate credit to each veteran's account. Following is a detailed description of the processing that is completed when routine IBAKAT is invoked upon the installation of Accounts Receivable patch PRCA*4.5*241: 1. If the new entry in the IB CHARGE REMOVE REASONS (#350.3) file cannot be identified, processing will not continue and an error condition will be passed back to Accounts Receivable. 2. Every patient who has had a co-payment charge added to the INTEGRATED BILLING ACTION (#350) file since 8/29/05 will be analyzed. If the patient has been flagged as a Katrina veteran in the PATIENT (#2) file, but not yet flagged as having charges cancelled in the AR DEBTOR (#340) file, the patient's co-payment charges will be analyzed. 3. For each patient that meets the criteria in #2 above, the system will identify each charge that was created for treatment provided to the veteran from 8/29/05 through 2/28/06. This will include Means Test co-payment and per diem charges where either the charges 'Billed From' or 'Billed To' dates fall within this date range. Note that this only includes medication co-payment charges for prescriptions that were released between 8/29/05 and 2/28/06. Charges that have been cancelled will be ignored. 4. If a charge has been identified that is 'on hold' in Integrated Billing and has not yet been passed to Accounts Receivable (for example, because the veteran has billable health insurance), the charge will be cancelled only in Integrated Billing. The charge will be flagged with the cancellation reason 'KATRINA AFFECTED VETERAN.' 5. If a charge has been identified that has been passed to Accounts Receivable, the charge will not be cancelled in Integrated Billing. Accordingly, the veteran's maximum co-payment billing cap amount and Means Test billing clock will not be adjusted. Instead, only the veteran's account in Accounts Receivable will be decreased by the amount of the charge. *** Important Note *** In some cases, it may not be appropriate to decrease the veteran's account in Accounts Receivable, because the veteran's account was credited previously due to the receipt of an insurance company payment for the same episode of care. This software will search for such credit if the charge was placed on hold before being passed to Accounts Receivable. These credit adjustments to the veteran's account will be identified by examining all decrease adjustments applied to the corresponding receivable after the increase adjustment that represents the billed charge to the veteran. If any such credits are found, they will be deducted from the amount of the charge that will be used to decrease the veteran's account. 6. The veteran's account will be decreased in the following manner: a. If the receivable on which the charge was billed has a positive principal balance, that balance will be reduced from the receivable by creating a decrease adjustment. If the total charge could not be reduced from the receivable, the unreduced balance of the charge is saved and processed after all the veteran's charges have been processed. b. If the receivable on which the charge was billed does not have a positive principal balance, the total charge amount is saved and processed after all the veteran's charges have been processed. c. After all of the veteran's charges have been processed, any unreduced charge amounts are then processed in the following manner: i. All of the veteran's open and active receivables are examined to exempt interest and administrative charge balances, and decrease receivable balances. This process continues until the entire unreduced charge amount is exhausted. ii. If the entire unreduced charge amount is not consumed in the process described in (i) above, a pre-payment is created for the veteran in the amount of that balance of the unreduced charge amount that was not consumed. This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- There is no NSR associated with this patch. This patch addresses the following NOIS/Remedy Ticket(s): --------------------------------------------------------- There are 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: ;;2.0;INTEGRATED BILLING;**[patch list]**;21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBAKAT N/A 7551010 340 CHECK1^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IBAKAT N/A 24533552 340 Total number of routines - 1 Test Sites: ----------- Alexandria Biloxi Houston Little Rock Loma Linda Louisville New Orleans Wilmington Pre/Post Installation Overview ------------------------------ Upon installation, this patch will invoke the post initialization process by calling CANRES^IBAKAT. This process will add an entry to the IB CHARGE REMOVE REASONS (#350.3) file. Please note that routine IBAKAT is invoked when patch PRCA*4.5*241 is installed, and it may need to be executed in the future. Thus, this routine was written in a primary Integrated Billing namespace (IBA*) and should remain on the system after the installation of patches IB*2*340 and PRCA*4.5*241. ================INSTALLATION INSTRUCTIONS ================= **There are no options that need to be disabled for this installation.** 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*2.0*340): 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. b. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//' answer NO (unless otherwise indicated) c. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer NO (unless otherwise indicated) Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBAKAT Before: n/a After: B24533552 **340** ============================================================================= User Information: Entered By : FERRARESE,MARY ANN Date Entered : FEB 10, 2006 Completed By: KUREK,STANLEY M Date Completed: APR 25, 2006 Released By : MURRAY,JOHN J Date Released : APR 25, 2006 ============================================================================= Packman Mail Message: ===================== $END TXT