============================================================================= Run Date: SEP 14, 2006 Designation: IB*2*342 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #318 Status: Released Compliance Date: OCT 15, 2006 ============================================================================= Associated patches: (v)IB*2*276 <<= must be installed BEFORE `IB*2*342' Subject: HIPAA/NCPDP - ADDED IB NCPDP EVENT LOG FILE AND OTHER UPDATES Category: - Routine - Informational - Enhancement (Mandatory) - Data Dictionary Description: ============ This patch supports the National Council for Prescription Drug Programs (NCPDP) standard which was adopted under the Healthcare Insurance Portability and Accountability Act (HIPAA) for pharmacy claims. This patch is one of six to be released. Three patches will be released in a KIDS multi-build distribution containing: BPS*1*3, PSO*7*247, and IB*2*342. Three patches will be released individually and they are: PRCA*4.5*247, PSX*2*62, and PSS*1*115. There is no recommended order to installing the stand-alone patches and they can be installed independently of the multi-build as there is no dependency between the multi-build distribution and the stand-alone patches. For more specific instructions please refer to the installation steps provided in each of the stand-alone patches. Enhancements included in the release of the six patches are a new option that will enable the user to reopen a closed Electronic Claims Management Engine (ECME) claim; updates to the Rx Activity Log; and permanent storage of claims activity information as reported by the ECME Billing Events Report. Patch IB*2*342 includes the following modifications: 1. The software components supporting the pharmacy billing events interactions between Integrated Billing (IB), Outpatient Pharmacy (OP), and ECME were modified to store data in a permanent file. The IB NCPDP EVENT LOG file (#366.14) was created to store electronic pharmacy application interfacing events data. Additionally, data stored in this file is used by the ECME Billing Events Report option [IB ECME BILLING EVENTS] to provide details related to electronic pharmacy claims processing and about communication details between IB and the subscribing applications. The global root for the new file is ^IBCNR(366.14 and data growth will be continual. 2. A mail bulletin was added to inform the mailgroup that a patient copay has not been released from hold after several attempts to release. This existing mailgroup is defined at the MEANS TEST BILLING MAIL GROUP field (#.11) in the IB SITE PARAMETERS file (#350.9). 3. The existing mail bulletin that informed the mailgroup that a patient copay was released from hold was removed as it determined by the IB user that the mail bulletin was no longer needed for this condition. The existing mailgroup is defined at the MEANS TEST BILLING MAIL GROUP field (#.11) in the IB SITE PARAMETERS file (#350.9). 4. The software supporting the Clerk Productivity Report option [IB OUTPUT CLK PROD] was modified to include a divisional sort for POSTMASTER. 5. The software that is called by the $$STORESP^IBNCPDP function was modified to handle the newly created REOPEN event. This new REOPEN event is generated by the ECME application and calls the $$STORESP function in order for IB to store billing related data in the CLAIMS TRACKING file (#356). 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. Test Sites: =========== ANN ARBOR, MI CENTRAL ARKANSAS DETROIT, MI HEARTLAND WEST, KS IRON MOUNTAIN, MI LOUISVILLE, KY NEW YORK HARBOR HCS SAGINAW, MI COMPONENTS SENT WITH PATCH ========================== The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**276**;21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IB20P342 N/A 16330858 342 IBEVNTP 5225662 N/A 276 IBNCPDP2 10283346 9815393 223,276,342 IBNCPDP3 11060726 8883220 223,276,342 IBNCPDP4 7364319 12656132 276,342 IBNCPDPE 5184887 4881931 276,342 IBNCPEB 6977442 7716978 276,342 IBNCPER 16448719 N/A 276 IBNCPER1 3531431 N/A 276 IBNCPEV N/A 17153769 342 IBNCPEV1 N/A 6098128 342 IBNCPLOG N/A 11951861 342 IBNCPNB 5221677 7245176 276,342 IBNCPUT1 N/A 1749992 342 IBOCPDS 19377592 19436893 44,118,155,342 CHECK1^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IB20P342 N/A 71562414 342 IBEVNTP 8629537 N/A 276 IBNCPDP2 37659473 33216469 223,276,342 IBNCPDP3 48251954 30685314 223,276,342 IBNCPDP4 21200709 48050373 276,342 IBNCPDPE 17582633 15029269 276,342 IBNCPEB 22026532 25550057 276,342 IBNCPER 67228842 N/A 276 IBNCPER1 6437334 N/A 276 IBNCPEV N/A 84188155 342 IBNCPEV1 N/A 20779583 342 IBNCPLOG N/A 49413338 342 IBNCPNB 20259867 29299329 276,342 IBNCPUT1 N/A 5230751 342 IBOCPDS 59686442 59845655 44,118,155,342 Total number of routines - 15 Total number of new routines - 5 (including 1 post-install) Total number of deleted routines - 3 The following is the new file included in this patch: UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # NAME DD CODE W/FILE DATA PTS RIDE ----------------------------------------------------------------------------- 366.14 IB NCPDP EVENT LOG YES NO NO The following is the option included in this patch: Option Name Type New/Modified ----------- ---- ------------ IB ECME BILLING EVENTS run routine Modified Pre/Post Installation Overview ============================== The post-install routine was designed to move data from ^XTMP("IBNCPDP-") global into the IB NCPDP EVENT LOG file (#366.14) which is a new file created and exported with IB*2*342. The time required to accomplish this task may vary from site to site and depends on how many electronic pharmacy claims are processed daily at the site. The ^XTMP global will not be removed by the post-install process since the subscripts will be deleted as they expire and eventually they all will be deleted in 90 days from the installation date. Documentation Retrieval ======================= 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_R0806.PDF ECME V. 1.0 User Manual BPS_1_TM_R0806.PDF ECME V. 1.0 Technical Manual/Security Guides PSO_7_P247_UM_CP.PDF OP V. 7.0 User 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. Note: When downloading these files from the ftp server, set the file format to binary mode. Installation Instructions: ========================== Considerations: 1. Do not install the patch when ECME claims are being generated by the BPS Nightly Background Job [BPS NIGHTLY BACKGROUND JOB]. Wait for this job to finish or complete the installation before this job starts. 2. Do not install the patch when prescriptions are being transmitted to CMOP. Wait for the CMOP transmission to finish or complete the installation before the transmission starts. 3. It is recommended that the BPS PSO IB BUNDLE 1.0 multi-build be installed or QUEUED to be installed during off-peak hours to avoid disruptions. Due to a conversion process performed by the IB*2*342 post-install routine, installation time can be quite extensive (taking an estimated one to four hours to complete) for those sites that have been activated with the HIPAA NCPDP - GLOBAL software for more than one month. For those sites that have not yet been activated with the HIPAA NCPDP - GLOBAL software, the installation time will be less than 10 minutes. The conversion process mentioned above will not affect pharmacy and billing operations, therefore, users can be on the system during the IB*2*342 post-installation process. However, it is recommended that the ECME Billing Events Report [IB ECME BILLING EVENTS] option be disabled during installation as it may display irregular results if run during the installation process (see item 11 in the installation steps). To Install the BPS PSO IB BUNDLE 1.0 multi-build distribution: 1. Obtain the host file BPS_1_3_PSO_IB.KID, which contains the following three patch installs: BPS*1.0*3 PSO*7.0*247 IB*2.0*342 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.med.va.gov This will transmit the files from the first available FTP server. Sites may also elect to retrieve software 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 BPS_1_3_PSO_IB.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation menu. 3. From the Installation menu, select the Load a Distribution option. 4. When prompted for "Enter a Host File:", enter the full directory path where you saved the host file BPS_1_3_PSO_IB.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]BPS_1_3_PSO_IB.KID). 5. When prompted for "OK to continue with Load? NO//", enter "YES." The following will display: Loading Distribution... BPS PSO IB BUNDLE 1.0 BPS*1.0*3 PSO*7.0*247 IB*2.0*342 Use INSTALL name BPS PSO IB BUNDLE 1.0 to install this Distribution. 6. From the Installation menu, you may select to use the following options: (when prompted for "Select INSTALL NAME:", enter "BPS PSO IB BUNDLE 1.0") 6.1. 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. 6.2. 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.). 6.3. Verify Checksums in Transport Global - this option will ensure the integrity of the routines that are in the transport global. 7. Back in the Installation menu, select the Install Package(s) option. 8. When prompted for the "Select INSTALL NAME:", enter "BPS PSO IB BUNDLE 1.0." 9. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? Yes//" for the BPS*1.0*3 build, respond "YES." For the build IB*2.0*342, respond "NO." 10. When prompted "Want KIDS to INHIBIT LOGONs during the install? YES//", respond "NO." 11. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", enter "YES" 11.1 When prompted 'Enter options you wish to mark as 'Out Of Order':' Enter the following options: ECME Billing Events Report [IB ECME BILLING EVENTS] 11.2 When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press 12. When prompted, "Device: Home//" respond with the correct device or queue this to P-Message. 13. For sites that have already activated ePharmacy functionality, there is a post-installation step, which is to check the BPS NCPDP Logical link. In most cases, the link will be running (STATE=ENABLED or INACTIVE). If this link is not running it will need to be restarted. To turn on the logical link, run the Start/Stop Links [HL START] option located 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 prompted for "Method for running the receiver", choose the default of B - Background to enable the logical link. Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P342 Before: n/a After: B71562414 **342** Routine Name: IBEVNTP Before: B8629537 After: Delete Routine Name: IBNCPDP2 Before: B37659473 After: B33216469 **223,276,342** Routine Name: IBNCPDP3 Before: B48251954 After: B30685314 **223,276,342** Routine Name: IBNCPDP4 Before: B21200709 After: B48050373 **276,342** Routine Name: IBNCPDPE Before: B17582633 After: B15029269 **276,342** Routine Name: IBNCPEB Before: B22026532 After: B25550057 **276,342** Routine Name: IBNCPER Before: B67228842 After: Delete Routine Name: IBNCPER1 Before: B6437334 After: Delete Routine Name: IBNCPEV Before: n/a After: B84188155 **342** Routine Name: IBNCPEV1 Before: n/a After: B20779583 **342** Routine Name: IBNCPLOG Before: n/a After: B49413338 **342** Routine Name: IBNCPNB Before: B20259867 After: B29299329 **276,342** Routine Name: IBNCPUT1 Before: n/a After: B5230751 **342** Routine Name: IBOCPDS Before: B59686442 After: B59845655 **44,118,155,342** ============================================================================= User Information: Entered By : SHAMUKHAMEDOV,SHAVKAT Date Entered : APR 07, 2006 Completed By: EVERETT,BRIAN Date Completed: SEP 07, 2006 Released By : BOTTINI,STEVE Date Released : SEP 14, 2006 ============================================================================= Packman Mail Message: =====================