============================================================================= Run Date: MAY 18, 2006 Designation: IB*2*276 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #305 Status: Released Compliance Date: JUN 18, 2006 ============================================================================= Associated patches: (v)IB*2*51 <<= must be installed BEFORE `IB*2*276' (v)IB*2*103 <<= must be installed BEFORE `IB*2*276' (v)IB*2*137 <<= must be installed BEFORE `IB*2*276' (v)IB*2*155 <<= must be installed BEFORE `IB*2*276' (v)IB*2*183 <<= must be installed BEFORE `IB*2*276' (v)IB*2*184 <<= must be installed BEFORE `IB*2*276' (v)IB*2*199 <<= must be installed BEFORE `IB*2*276' (v)IB*2*210 <<= must be installed BEFORE `IB*2*276' (v)IB*2*211 <<= must be installed BEFORE `IB*2*276' (v)IB*2*223 <<= must be installed BEFORE `IB*2*276' (v)IB*2*225 <<= must be installed BEFORE `IB*2*276' (v)IB*2*247 <<= must be installed BEFORE `IB*2*276' (v)IB*2*249 <<= must be installed BEFORE `IB*2*276' (v)IB*2*251 <<= must be installed BEFORE `IB*2*276' (v)PRCA*4.5*230<<= must be installed BEFORE `IB*2*276' (v)IB*2*309 <<= must be installed BEFORE `IB*2*276' (v)IB*2*317 <<= must be installed BEFORE `IB*2*276' Subject: HIPAA NCPDP - Global Category: - Routine - Enhancement (Mandatory) - Other - Informational - Data Dictionary Description: ============ The National Council for Prescription Drug Programs (NCPDP) standard was adopted under the Healthcare Insurance Portability and Accountability Act (HIPAA) for pharmacy claims. The HIPAA NCPDP - GLOBAL project involves six different applications that have been significantly changed to enable VA Medical Centers to perform third party electronic billing for prescriptions using the NCPDP standard. Below is a list of all the applications involved in this project along with their patch number: APPLICATION/VERSION PATCH ----------------------------------------------------------------- OUTPATIENT PHARMACY (OP) V. 7.0 PSO*7*148 INTEGRATED BILLING (IB) V. 2.0 IB*2*276 PHARMACY DATA MANAGEMENT (PDM) V. 1.0 PSS*1*90 CONSOLIDATED MAIL OUTPATIENT PHARMACY (CMOP) V. 2.0 PSX*2*48 ACCOUNTS RECEIVABLE (AR) V. 4.5 PRCA*4.5*230 ELECTRONIC CLAIMS MANAGEMENT ENGINE (ECME) V. 1.0 BPS*1*1 Veterans Health Information Systems and Technology Architecture (VistA) software applications and infrastructure were enhanced, in order to allow the electronic transmission of outpatient pharmacy prescription claims (WINDOW and MAIL fills) to third party payers via the network connections available through the Austin Automation Center (AAC). VistA will be enhanced to receive electronic adjudicated responses from the third party payers, which include real-time processing for Drug Review Utilization and Refill Too Soon rejects. Reject information will be displayed to the pharmacist as the prescription is being processed. The pharmacist will have the capability to take the appropriate action to ensure patient safety or to override the reject and resubmit the claim to the payer for payment. When a status of "PAYABLE" is returned by the payer for a released prescription, VistA will automatically create the bill in IB, authorize it and immediately create the receivable in the AR application. Since the exact amount being paid by the payer is known, a decrease adjustment will be automatically generated and applied so that the receivable is equal to the net amount due from the payer. The system also provides electronic payment matching capability (for electronically billable outpatient pharmacy prescriptions) using the existing Electronic Data Interchange (EDI) Lockbox functionality which processes other electronic payments from third party payers. This real-time electronic claims processing capability will be provided in accordance with the HIPAA, EDI and the NCPDP mandated format standards, specifically NCPDP Telecommunication Standard V. 5.1. Additional functionality delivered with this project includes: . Auto-Release/Outpatient Pharmacy Automation Interface (OPAI) Integration. . Back-billing capability to allow electronic billing of claims from within the IB application. . Capability to MOVE a group of subscribers from one insurance plan to another while automatically "expiring" the old plan, which is a major time saver. . Pharmacy Dispensed As Written (DAW) prescription processing. Overview of the Process: When a prescription is about to be filled and dispensed by the pharmacy, the OP application submits the prescription to the new ECME application. ECME then contacts IB to verify whether or not the prescription is electronically billable. If so, ECME gathers the information necessary to generate a NCPDP claim. The claim information is passed to the VistA Health Level Seven (HL7) package. The HL7 package then sends the billing information to the AAC, where it is routed to the corresponding third party insurance via Emdeon (formerly WebMD). Once the payer processes the information, the response coming back from the payer is passed back to the site that made the request, and the information is stored in the ECME package. If the third party payer accepted the claim, the adjudicated information is passed along to IB. If the claim was rejected the problem can be worked on and a new claim can be submitted to the payer. For electronically billable CMOP prescription processing, the third party claim is sent before the prescription information is transmitted to the CMOP facility to be filled. Once the adjudicating response is electronically received from the third party payer, if there are no Drug Utilization Review or Refill Too Soon rejects, the prescription is then transmitted to the CMOP facility. When the CMOP center sends the dispensing information back to VistA, the National Drug Code (NDC) information is checked against the NDC sent to the third party payer and, if different, a new claim is generated in the background and is sent to the third party payer. In case the CMOP facility indicates that it is unable to fill a "PAYABLE" prescription fill, a reversal is automatically submitted to the third party payer for the corresponding fill. Functional Description of IB modifications: ------------------------------------------------------------ The patch includes four new menu options: ECME Billing Events Report option [IB ECME BILLING EVENTS] This new option generates a report that captures and displays dataflow between the ECME and IB packages and can be used to resolve potential issues related to electronic claims processing. The report displays the time and data passed for the following types of ECME-IB interaction events: FINISH (billable status check on Finish Prescription), SUBMIT, RELEASED, BILLING, CLOSED, and REVERSED. Generate ECME Rx Bills option [IB GENERATE ECME RX BILLS] A new option that enables back-billing capability from the IB application. It allows the IB user to submit/re-submit any given Rx claim from this new IB option to ECME for claims submission. If there is an existing non-cancelled bill, it will not submit/re-submit the claim. Group Plan Status Report option [IBCNR PLAN STATUS REPORT] and Group Plan Status Inquiry option [IBCNR PLAN STATUS INQUIRY] These 2 new options are attached to the list of options found under the IBCNR E-Pharmacy Menu option [IBCNR E-PHARMACY MENU]. The NCPDP process requires that the users match Group Plans to Pharmacy Plans. Both the report option and inquiry option will assist users in evaluating GROUP INSURANCE PLAN file (#355.3) entries that have INACTIVE plans or need to be matched to pharmacy plans. Modified IB options --------------------------------------------------------------------------- Move Subscribers to a Different Plan option [IBCN MOVE SUBSCRIB TO PLAN] Enhancements were made to this existing option to move a group of patients (i.e. subscribers) from one Pharmacy Benefits Management (PBM) to another by expiring the old plan instead of the system always deleting it. The modified software will enable the user to delete or expire the old plan from the patient profile. Specifically, the software applies Effective Date to the 'MOVE SUBSCRIBERS' procedure which has the outcome of the previous insurance remaining in the Patient Profile, but EXPIRES on the assigned Effective Date. The reason to expire the old plan is intended for use when insurance groups change a PBM for processing electronic pharmacy claims. By leaving the old plan information intact (i.e. do not replace), the user will be able to monitor PBM changes that affect the electronic pharmacy claims. Additionally, members of the Mail Group "IB NEW INSURANCE", will receive a bulletin with the details on the performed procedure, including the list of patients. Copy and Cancel option [IB COPY AND CANCEL] and Cancel Bill option [IB CANCEL BILL] The software supporting these 2 options was modified to prevent the cancellation of an ECME bill if a reversal through the ECME package was not performed. If the software interprets that the user has not yet performed the ECME reversal on the bill, then a warning message will be displayed to the user that the bill needs to be cancelled by performing a reversal using the ECME package and the process terminates. If the software interprets the user has performed the reversal through ECME, then the software is mapped to the existing cancellation algorithm. The following enhancements were made to the $$STORESP^IBNCPDP function: ----------------------------------------------------------------------- Added 2 new elements, "CLOSE REASON" and "CLOSE COMMENT", to the INPUT array which supports the CLOSE CLAIM functionality. When the pharmacy user closes an ECME Claim, the Close Reason is being prompted and passed to IB. Depending on the user's response, the respective Claims Tracking (CT) record will be marked as "Billable" or "Non-billable" with a corresponding non-billable reason. When the user closes a claim in the ECME package, he will be able to enter a free text comment to the Comment prompt. The free text comment is passed to IB from ECME in the "CLOSE COMMENT" array element. The CLOSE COMMENT is stored in the ADDITIONAL COMMENT field (#1.08) and the CLOSE REASON is stored in the REASON NOT BILLABLE field (#.19) of the CLAIMS TRACKING file (#356) respectively. Added IB support for the automatic release of hold patient's copay charges. When the payer rejects an ECME claim, or a claim is closed by the user, IB will automatically pass the held first party charges to AR. IB will not allow ECME to send electronic claims if the AutoBiller already created the bill, unless the AutoBiller bill is cancelled. Added the new element, "DIVISION", to the INPUT array which contains a pointer value from an entry in the MEDICAL CENTER DIVISION file (#40.8). This DIVISION value is associated with the facility from which the Rx was filled. Modified the IB function to return non ECME-billable status if the DEA parameter is not defined. Modified the IB function to avoid billing problems causing incomplete bills when attempting to create an electronic pharmacy bill for a patient who does not have insurance for the current date. The following changes were done to the CT user screen: ----------------------------------------------------------------------- Modified the CT user's screen to display the actual NDC number for the prescription. Previously the CT screen displayed the NDC Number from the DRUG file (#50). Now the NDC Number will be pulled from the PRESCRIPTION file (#52) to correctly reflect the user's changes. Added capability to electronically re-submit the prescription associated with the CT record. It is also now possible to submit the Rx electronically if the CT record has the non-billable reason "NEEDS SC DETERMINATION". The patch modified the CLAIMS TRACKING EDIT List Manager screen to add the capability to submit ECME claims from the following menu options: [IBT EDIT TRACKING ENTRY] Claims Tracking Edit [IBT EDIT BI TRACKING ENTRY] Claims Tracking Edit ^XTMP subscripts - purge routine available ------------------------------------------- A purge routine, ^IBEVNTP, was created that will enable the IRM to remove ^XTMP subscripts that were built by the IB package if space for ^XTMP becomes an issue. The data at subscripts, "IBNCPDP-"_date, are referenced and reported by the IB ECME Billing Events report generated by the ECME Billing Events Report option [IB ECME BILLING EVENTS]. This purge should only be executed by the IRM and therefore will not be accessible by a Kernel menu option. The IRM will need to coordinate this purge operation with the appropriate billing/accounts receivable staff to determine how much data should be purged. Please note that the purge will automatically keep 35 consecutive days worth of data from the current date. To invoke the purge, the IRM will enter D EN^IBEVNTP at the programmer prompt. The ECME Billing Events Report option [IB ECME BILLING EVENTS] will need to be disabled before running the purge. Changes performed by the post-install procedure of the patch: -------------------------------------------------------------- 1. Edit HIPAA NCPDP FLAG option [IBCNR EDIT HIPAA NCPDP FLAG] is enabled which was distributed by the patch IB*2.0*251, but was placed 'Out of Order'. 2. Entries in the PLAN file (#366.03) are modified to change the default status of the LOCAL ACTIVE? field (#.03) of the APPLICATION subfile (#366.033) from "Active to "Inactive". That will impact only plans never edited by the user after installed from the patch IB*2.0*251, and plans last edited by the "HL7" Automated User. Those plans will need to be activated manually after the HIPAA NCPDP product deliverable is installed. 3. Installation of five new IB NON-BILLABLE REASONS: 1 - 90 DAY RX FILL NOT COVERED 2 - NOT A CONTRACTED PROVIDER 3 - INVALID MULTIPLES PER DAY SUPP 4 - REFILL TOO SOON 5 - INVALID NDC FROM CMOP These non-billable reasons, required for processing NCPDP-related claims, will be added to the NAME field (#.01) of the CLAIMS TRACKING NON-BILLABLE REASONS file (#356.8). If the above non-billable reasons already exist at the site, they will not be added. The ECME FLAG field (#.02) will be populated with "1" (external value = 'YES') to specific entries in the CLAIMS TRACKING NON-BILLABLE REASONS file (#356.8). This will enable their selection by the user when closing a claim in the ECME package. The following are the specific non-billable reasons: 1 - NOT INSURED 2 - SERVICE NOT COVERED 3 - COVERAGE CANCELED 4 - INVALID PRESCRIPTION ENTRY 5 - PRESCRIPTION DELETED 6 - PRESCRIPTION NOT RELEASED 7 - DRUG NOT BILLABLE 8 - 90 DAY RX FILL NOT COVERED 9 - NOT A CONTRACTED PROVIDER 10- INVALID MULTIPLES PER DAY SUPP 11- REFILL TOO SOON 12- INVALID NDC FROM CMOP 13- OTHER The following Close Reasons will allow the user to pass the prescription to the AutoBiller: 1 - DRUG NOT BILLABLE 2 - 90 DAY RX FILL NOT COVERED 3 - NOT A CONTRACTED PROVIDER 4 - OTHER 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. ROUTINES 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;**276**;21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IB20P276 N/A 9262749 276 IBCC 13125631 14885486 2,19,77,80,51,142,137,161, 199,241,155,276 IBCD4 9008498 8948712 14,80,106,160,309,276 IBCNRE5 996545 885524 251,276 IBCNRMFE 2164181 2197984 251,276 IBCNRP5 N/A 11132331 276 IBCNRP5P N/A 2925426 276 IBCNRPM2 5280988 5320643 251,276 IBCNRPS2 N/A 7463058 276 IBCNRPSI N/A 4404875 276 IBCNRRP1 6624813 6926442 251,276 IBCNRRP3 10632992 10768644 251,276 IBCNRU1 5504429 5409944 251,276 IBCNRXI1 N/A 1473341 276 IBCNRXI2 N/A 1169485 276 IBCNSBL1 12060842 13071091 6,28,82,249,276 IBCNSC 7873005 7873005 46,137,184,276 IBCNSM 6172375 6172375 28,46,56,52,82,103,199,276 IBCNSM4 2128700 2128700 56,82,199,276 IBCNSUR 9976021 11651982 103,276 IBCNSUR1 10539652 14024831 103,225,276 IBCNSUR3 N/A 3338084 276 IBCNSV 640320 640320 276 IBEVNTP N/A 5225662 276 IBJTCA1 16640403 17019930 39,80,106,137,223,276 IBJTLA1 4009027 4089168 39,80,61,51,153,137, 183,276 IBJTLB1 5118121 5198262 39,80,61,137,276 IBJTU1 4028868 4072963 39,80,276 IBJTU2 3725716 4866731 39,106,199,211,276 IBNCPBB N/A 16272595 276 IBNCPDP 355298 523997 223,276 IBNCPDP1 13353250 15150053 223,276 IBNCPDP2 16386559 10283346 223,276 IBNCPDP3 758252 11060726 223,276 IBNCPDP4 N/A 7364319 276 IBNCPDPC N/A 10283615 276 IBNCPDPE N/A 5184887 276 IBNCPDPH N/A 9068925 276 IBNCPDPI N/A 2279370 276 IBNCPDPL N/A 445562 276 IBNCPDPR N/A 10752602 276 IBNCPDPU 8111193 12162480 223,276 IBNCPDPV N/A 349858 276 IBNCPEB N/A 6977442 276 IBNCPER N/A 16448719 276 IBNCPER1 N/A 3531431 276 IBNCPNB N/A 5221677 276 IBNCPRR N/A 12405598 276 IBRFN 6843394 8862060 52,130,183,223,309,276 IBTOBI 9196556 9367202 91,160,199,309,276 IBTOBI1 6435712 7244659 276 IBTRE 10486066 10833415 122,51,276 IBTRED 8693656 8645997 71,91,160,247,309,276 IBTRED0 10072792 10474154 160,210,317,276 IBTUBOA 6817729 8106456 19,31,32,91,123,159,192,155,276 Total number of routines - 55 CHECK1^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IB20P276 N/A 43263639 276 IBCC 29504277 35414312 2,19,77,80,51,142,137,161, 199,241,155,276 IBCD4 16638912 16336305 14,80,106,160,309,276 IBCNRE5 2329009 1999828 251,276 IBCNRMFE 8157555 8335815 251,276 IBCNRP5 N/A 56002389 276 IBCNRP5P N/A 8700930 276 IBCNRPM2 20027669 20488193 251,276 IBCNRPS2 N/A 22515799 276 IBCNRPSI N/A 13445213 276 IBCNRRP1 29609111 32540421 251,276 IBCNRRP3 53017062 55033574 251,276 IBCNRU1 26171794 27266594 251,276 IBCNRXI1 N/A 4043997 276 IBCNRXI2 N/A 2709059 276 IBCNSBL1 30459723 33740946 6,28,82,249,276 IBCNSC 15839129 16200717 46,137,184,276 IBCNSM 17771600 18162142 28,46,56,52,82,103,199,276 IBCNSM4 3369599 3479873 56,82,199,276 IBCNSUR 19431263 23131946 103,276 IBCNSUR1 31275477 56652391 103,225,276 IBCNSUR3 N/A 6612795 276 IBCNSV 901933 922209 276 IBEVNTP N/A 8629537 276 IBJTCA1 36636595 37857636 39,80,106,137,223,276 IBJTLA1 6935024 7038251 39,80,61,51,153,137, 183,276 IBJTLB1 10319848 10448877 39,80,61,137,276 IBJTU1 6916217 6991546 39,80,276 IBJTU2 6821930 10627973 39,106,199,211,276 IBNCPBB N/A 87290144 276 IBNCPDP 929558 1650924 223,276 IBNCPDP1 38038071 52180701 223,276 IBNCPDP2 83089382 37659473 223,276 IBNCPDP3 1053057 48251954 223,276 IBNCPDP4 N/A 21200709 276 IBNCPDPC N/A 34220485 276 IBNCPDPE N/A 17582633 276 IBNCPDPH N/A 27130556 276 IBNCPDPI N/A 8352830 276 IBNCPDPL N/A 771797 276 IBNCPDPR N/A 26832098 276 IBNCPDPU 22391196 59250332 223,276 IBNCPDPV N/A 631181 276 IBNCPEB N/A 22026532 276 IBNCPER N/A 67228842 276 IBNCPER1 N/A 6437334 276 IBNCPNB N/A 20259867 276 IBNCPRR N/A 91643429 276 IBRFN 32970869 49341340 52,130,183,223,309,276 IBTOBI 26152194 26516930 91,160,199,309,276 IBTOBI1 15462814 18274759 276 IBTRE 23695025 25125140 122,51,276 IBTRED 22295125 22391684 71,91,160,247,309,276 IBTRED0 21782855 23652054 160,210,317,276 IBTUBOA 27828043 30890238 19,31,32,91,123,159,192,155,276 Total number of routines - 55 The following is a list of files included in this patch: UP SEND DATA DATE SEC. COMES SITE RSLV FILE # NAME DD CODE W/FILE DATA PTS -------------------------------------------------------------------- 356 CLAIMS TRACKING YES NO NO 356.8 CLAIMS TRACKING NON-BILLABLE YES NO NO REASONS The following is a list of fields included in this patch: Field Name (Number) File Name (Number) ------------------- --------------------- ECME NUMBER (#1.1) CLAIMS TRACKING (#356) ECME REJECT (#1.11) ClAIMS TRACKING (#356) ECME FLAG (#.02) CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) ECME PAPER FLAG (#.03) CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) The following is a list of templates included in this patch: Template Name Type File Name (Number) ------------- ---- --------- IBCNR PLAN STATUS INQUIRY LIST n/a IBNCPDP INSURANCE MANAGEMENT LIST n/a IBNCPDP LSTMN CT LIST n/a IBNCPDP LSTMN ELIGIBILITY LIST n/a IBNCPDP VIEW PAT INS LIST n/a The following is a list of new and modified options included in this patch: Option Name Type New/Modified ----------- ---- ------------ IB ECME BILLING EVENTS run routine New IB GENERATE ECME RX BILLS run routine New IBCNR E-PHARMACY MENU menu Modified IBCNR EDIT HIPAA NCPDP FLAG run routine Modified IBCNR EDIT NCPDP PROCESSOR run routine Modified IBCNR EDIT PAYER run routine Modified IBCNR EDIT PBM run routine Modified IBCNR EDIT PLAN run routine Modified IBCNR GROUP PLAN MATCH run routine Modified IBCNR GROUP PLAN WORKSHEET run routine Modified IBCNR PHARMACY PLAN REPORT run routine Modified IBCNR PLAN MATCH run routine Modified IBCNR PLAN STATUS INQUIRY action New IBCNR PLAN STATUS REPORT action New IBCNR TEST PAYER SHEET MATCH run routine Modified The following is a list of security keys included in this patch: SECURITY KEY ------------ IBCNR E-PHARMACY SUPERVISOR SEND TO SITE The following is a list of new and modified protocols included in this patch: Protocol Name Type New/Modified ------------- ---- ------------ IBCNR STATUS INQUIRY DETAIL ACTION New IBCNR STATUS INQUIRY LIST MENU New IBNCPDP PATIENT INSURANCE MENU New IBNCPDP PRTCL CT EXIT ACTION New IBNCPDP PRTCL CT MENU MENU New IBNCPDP QUIT ACTION New IBNCPDP VIEW AN BEN ACTION New IBNCPDP VIEW BEN USED ACTION New IBNCPDP VIEW ELIGIBILITY MENU New IBNCPDP VIEW EXP POL ACTION New IBNCPDP VIEW INSURANCE CO ACTION New IBTRED SUBMIT ECME ACTION New Test Sites: =========== ANN ARBOR, MI BATTLE CREEK, MI DETROIT, MI HEARTLAND-WEST, KS IRON MOUNTAIN, MI CENTRAL ARKANSAS LOUISVILLE, KY NEW YORK HARBOR HCS NORTH TEXAS HCS SAGINAW, MI Documentation Retrieval: ======================== The HIPAA NCPDP - GLOBAL project documentation is available on the ANONYMOUS.SOFTWARE directory at one of the following Office of Information (OI) Field Offices. Sites may retrieve documentation in one of the following ways: 1. The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. 2. Sites may also elect to retrieve documentation directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov The documentation distribution includes: FILE NAME DESCRIPTION ------------------------------------------------------------------------ BPS_1_UM_R0406.PDF ECME V. 1.0 User Manual BPS_1_TM_R0406.PDF ECME V. 1.0 Technical Manual/Security Guide ECME_HIPAA_NCPDP_1_IG.PDF HIPAA NCPDP Connection for EDI Pharmacy (Active Release) Installation Guide ECME_HIPAA_NCPDP_1_RN.PDF HIPAA NCPDP Connection for EDI Pharmacy (Active Release) Release Notes IB_2_PRCA_4_5_RN.PDF HIPAA NCPDP IB/AR Release Notes PSO_7_TM_R0406.PDF OP V. 7.0 Technical Manual/Security Guide PSO_7_P148_TM_CP.PDF OP V. 7.0 Technical Manual/Security Guide Change Pages PSO_7_UM_R0406.PDF OP V. 7.0 User Manual PSO_7_P148_UM_CP.PDF OP V. 7.0 User Manual Change Pages PSS_1_TM_R0406.PDF PDM V. 1.0 Technical Manual/Security Guide PSS_1_P90_TM_CP.PDF PDM V. 1.0 Technical Manual/Security Guide Change Pages PSS_1_UM_R0406.PDF PDM V.1.0 User's Manual PSS_1_P90_UM_CP.PDF PDM V.1.0 User's Manual Change Pages PSX_2_TM_R0406.PDF CMOP V. 2.0 Technical Manual PSX_2_P48_TM_CP.PDF CMOP V. 2.0 Technical Manual Change Pages PSX_2_UM_R0406.PDF CMOP V. 2.0 User's Manual PSX_2_P48_UM_CP.PDF CMOP V. 2.0 User's Manual Change Pages 3. Documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== IT IS VERY IMPORTANT THAT THESE INSTRUCTIONS ARE FOLLOWED STEP BY STEP IN THE EXACT ORDER INDICATED BELOW. ONCE STARTED, THE INSTALLATION NEEDS TO BE COMPLETED. FAILURE TO FULLY COMPLETE THE INSTALLATION (ONCE STARTED) WILL LIKELY CAUSE PROBLEMS FOR USERS OF THE 6 APPLICATIONS INVOLVED IN THIS PROJECT. BEFORE PROCEEDING, please read item number 12.2 and make sure you have the information needed in order to complete this installation. Users should not be on the system during installation of these patches. These patches should be installed during non-peak hours to avoid disruptions. Installation should take approximately 15 minutes. Notes: 1. You cannot queue this installation for a later time, because you will be prompted to enter information during the installation. 2. DO NOT install patch PSX*2*48 when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. 3. For existing test sites, stop the BPS NCPDP logical link. Turn off the logical link using the Start/Stop Links [HL START] option, which is on the Filer and Link Management Options option [HL MENU FILER LINK MGT] submenu of the HL7 Main Menu [HL MAIN MENU] option. When prompted for the HL LOGICAL LINK NODE, enter BPS NCPDP and when asked whether it is "Okay to shut down this job?", enter YES. 1. These patches will be sent to your system upon release from the National Patch Module: - Patch PSS*1*90 - Patch PSX*2*48 - Patch PRCA*4.5*230 Obtain the host file ECME_HIPAA_NCPDP_P3.KID, which contains the following three KIDS build distributions: PSO*7.0*148 BPS*1.0*1 IB*2.0*276 Sites may retrieve the host file in one of the following ways: 1.1 The preferred method is to FTP the file from download.vista.med.va.gov, which will transmit the file from the first available FTP server. 1.2 Sites may also elect to retrieve the file directly from a specific server as follows: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov 2. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 3. From this menu, for each of the three patches (PSS*1*90, PSX*2*48 and PRCA*4.5*230), you may select to use the following options: 3.1. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as Data Dictionaries (DDs) or templates. 3.2. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). 3.3. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. Note: When prompted for INSTALL NAME, you should enter the corresponding names for each patch as shown below: PATCH INSTALL NAME ----------------------------------- PSS*1*90 PSS*1.0*90 PSX*2*48 PSX*2.0*48 PRCA*4.5*230 PRCA*4.5*230 4. From the Installation menu, select the Install Package(s) option and for each one of the three patches (PSS*1*90, PSX*2*48 and PRCA*4.5*230) follow the instructions below: 4.1. When prompted for the "Select INSTALL NAME:", enter the corresponding name for the patch you are installing (see table above). 4.2. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." 4.3. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO." 4.4. When prompted, "Device: Home//" respond with the correct device and DO NOT queue to P-Message. 5. After the installation of the 3 patches is complete (PSS*1*90, PSX*2*48, PRCA*4.5*230), return to the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 6. From the Installation menu, select the Load a Distribution option. 7. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file ECME_HIPAA_NCPDP_P3.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]ECME_HIPAA_NCPDP_P3.KID). 8. When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... ECME HIPAA NCPDP P3 1.0 BPS*1.0*1 PSO*7.0*148 IB*2.0*276 Use INSTALL name ECME HIPAA NCPDP P3 1.0 to install this Distribution. 9. From the Installation menu, you may select to use the following options: (when prompted for "Select INSTALL NAME:", enter "ECME HIPAA NCPDP P3 1.0") 9.1. Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as Data Dictionaries (DDs) or templates. 9.2. Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, templates, etc.). 9.3. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 10. Back in the Installation menu, select the Install Package(s) option. 11. When prompted for the "Select INSTALL NAME:", enter "ECME HIPAA NCPDP P3 1.0." 12. For each one of the builds contained in the master build, the following set of prompts will be asked: Note: Information such as the example below about files contained in the build will be displayed for each KIDS build that contains Data Dictionary changes: Incoming Files: 52 PRESCRIPTION (Partial Definition) Note: You already have the 'PRESCRIPTION' File. 12.1. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? Yes//". For the builds PSO*7.0*148 and IB*2.0*276, respond "NO." For the BPS*1.0*1 build, respond "YES." 12.2. For the BPS*1.0*1 installation, when prompted for Incoming Mail Groups: "Enter the Coordinator for Mail Group 'BPS OPECC':" Please, contact your Medical Care Cost Recovery (MCCR) business department prior to installation to determine who will be the coordinator for this new mail group. This mail group will be used by the BPS Nightly Background Job. Its members will receive bulletins about electronic claims. 13. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." 14. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO." 15. When prompted, "Device: Home//" respond with the correct device and DO NOT queue this to P-Message. 16. TEST SITES ONLY: A post-installation step for test sites is to restart the BPS NCPDP Logical link. To turn on the logical link use the Start/Stop Links [HL START] option, which is on the Filer and Link Management Options option [HL MENU FILER LINK MGT] submenu of the HL7 Main Menu [HL MAIN MENU] option. When prompted for the HL LOGICAL LINK NODE, enter "BPS NCPDP" and that will enable the logical link. 17. The functionality will be implemented at sites in a phased schedule. Before performing the steps to activate ePharmacy functionality, all non-test sites should wait to be contacted by the Chief Business Office (CBO). Routine Information: ==================== Routine Name: IB20P276 Routine Name: IBCC Routine Name: IBCD4 Routine Name: IBCNRE5 Routine Name: IBCNRMFE Routine Name: IBCNRP5 Routine Name: IBCNRP5P Routine Name: IBCNRPM2 Routine Name: IBCNRPS2 Routine Name: IBCNRPSI Routine Name: IBCNRRP1 Routine Name: IBCNRRP3 Routine Name: IBCNRU1 Routine Name: IBCNRXI1 Routine Name: IBCNRXI2 Routine Name: IBCNSBL1 Routine Name: IBCNSC Routine Name: IBCNSM Routine Name: IBCNSM4 Routine Name: IBCNSUR Routine Name: IBCNSUR1 Routine Name: IBCNSUR3 Routine Name: IBCNSV Routine Name: IBEVNTP Routine Name: IBJTCA1 Routine Name: IBJTLA1 Routine Name: IBJTLB1 Routine Name: IBJTU1 Routine Name: IBJTU2 Routine Name: IBNCPBB Routine Name: IBNCPDP Routine Name: IBNCPDP1 Routine Name: IBNCPDP2 Routine Name: IBNCPDP3 Routine Name: IBNCPDP4 Routine Name: IBNCPDPC Routine Name: IBNCPDPE Routine Name: IBNCPDPH Routine Name: IBNCPDPI Routine Name: IBNCPDPL Routine Name: IBNCPDPR Routine Name: IBNCPDPU Routine Name: IBNCPDPV Routine Name: IBNCPEB Routine Name: IBNCPER Routine Name: IBNCPER1 Routine Name: IBNCPNB Routine Name: IBNCPRR Routine Name: IBRFN Routine Name: IBTOBI Routine Name: IBTOBI1 Routine Name: IBTRE Routine Name: IBTRED Routine Name: IBTRED0 Routine Name: IBTUBOA ============================================================================= User Information: Entered By : TUSEYEV,ANDREY Date Entered : MAY 27, 2004 Completed By: EVERETT,BRIAN Date Completed: APR 27, 2006 Released By : BOTTINI,STEVE Date Released : MAY 18, 2006 ============================================================================= Packman Mail Message: =====================