$TXT Created by ADES,ROBERT at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Wednesday, 11/08/06 at 16:02 ============================================================================= Run Date: SEP 25, 2007 Designation: IB*2*359 Package : IB - INTEGRATED BILLING Priority: Mandatory Version : 2 SEQ #341 Status: Released Compliance Date: OCT 26, 2007 ============================================================================= Associated patches: (v)IB*2*103 <<= must be installed BEFORE `IB*2*359' (v)IB*2*350 <<= must be installed BEFORE `IB*2*359' Subject: FIX CLAIMS TRACKING, ADJ CODE, MEDICARE INS. Category: - Routine Description: ============ This patch insures that while navigating in the Claims Tracking Edit Option after the user switches patients while in the View Patient (VP) menu and returns to the list of the patients claims that the claims that are listed are actually the indicated patients claims. It also adds adjustment code CO 194 to the list of codes automatically processed, and modifies function call GETWNR^IBCNSMM1 to return only Part A or Part B Medicare plans like it is supposed to. ASSOCIATED REMEDY TICKETS: ========================== HD0000000151867 WRONG PATIENT'S CT ENTRIES DISPLAY HD0000000159349 Add CO 194 to the list of adjustment codes that meet auto-generation criteria for MRA secondary claim. HD0000000144624 Problem with $$GETWNR^IBCNSMM1 and IBCN MEDICARE INSURANCE INTAKE PARTICIPATING TEST SITES: ========================= BRONX, NY HINES, IL MILWAUKEE, WI REMEDY OVERVIEW: ================ 1) HD0000000151867 WRONG PATIENT'S CT ENTRIES DISPLAY Problem: -------- While in any of the Claims Tracking Edit Options if the user selects VP (View Pat. Ins.) and then selects CP (Change Patients) when the user returns to the Claims Tracking Menu the previous patients claims are shown with the new patients heading information. Resolution: ----------- Add code so that once the user exits the VP option the Claims list will be rebuilt with the new patients information. 2) HD0000000159349 Add CO 194 to the list of adjustment codes that meet auto-generation criteria for MRA secondary claim. Problem: -------- Effective 10/2/06, a new adjustment code, CO 194, is going to be added to the adjustment code table. This code needs to be added to the list of adjustment codes that meet auto-generation criteria for MRA secondary claims. Resolution: ----------- Add CO 94 to the list of adjustment codes that are automatically processed. 3) HD0000000144624 Problem with $$GETWNR^IBCNSMM1 and IBCN MEDICARE INSURANCE INTAKE Problem: -------- While using the MEDICARE INSURANCE INTAKE option [IBCN MEDICARE INSURANCE INTAKE] a call is made to $$GET^IBCNSMM1 which is supposed to return information pertaining to Medicare Part A and Medicare Part B plans, but under certain circumstances it will return Railroad Medicare Part A and Medicare Part B information. Resolution: ----------- Before returning the Medicare information, validate that the information is strictly Medicare Part A and Medicare Part B. ************************************************************************* *IMPORTANT * * * *The fix for ticket 144624 operates under the premise that data * *in the GROUP INSURANCE PLAN (355.3) file follow the standard naming * *conventions for Part A and Part B plans for the GROUP NAME (.03) * *field. Standard Part A plans and Part B plans should be entered * *exactly as "PART A" and "PART B" respectively. A failure to comply * *with this may result in an error anytime the GETWNR^IBCNSMM1 function * *is called or the correct data my not be returned. * * * *To assist sites with this standardization, a post-install routine will * *call this function and flag any potential entries that may be * *problematic. If your site has potential errors a message will be sent * *to the IB EDI SUPERVISOR mail group and the message "POTENTIAL ISSUES * *FOUND - MESSAGE WILL BE SENT TO IB EDI SUPERVISOR MAIL GROUP" will be * *included in the installation messages, otherwise the message "NO * *POTENTIAL ISSUES WITH GROUP INSURANCE PLAN FILE FOUND will be * *included in the installation messages. * * * *Please see the MRA Users Guide page G-3 for Rail Road plan setup. * *This document can be found at: * *vaww.vistau.med.va.gov/VistaU/e-bp/e-mra/doc/MRAUsersGuide121604.pdf * * * ************************************************************************* INSTALLATION INSTRUCTIONS: ========================== It is not necessary to disable any options. You may install these routines at any time without interruption to users. It should take less than 2 minutes to install this patch. 1. Choose the PackMan message containing this patch and invoke the INSTALL/CHECK MESSAGE PackMan option. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may select to use the following options: (when prompted for INSTALL NAME, enter IB*2.0*359) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). d. 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. 4. Use the Install Package(s) option and select the package IB*2.0*359. 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. POST INIT CLEANUP -------------------------- Optional - Once this patch has been successfully installed you may delete the post init routine: IB20P359 ROUTINE SUMMARY: ================ The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;2.0;INTEGRATED BILLING;**[PATCH LIST]**;21-MAR-94 CHECK^XTSUMBLD results Routine Before Patch After Patch Patch List ------- ------------ ----------- ---------- IB20P359 N/A 10034245 359 IBCEMQC 8905683 8911052 155,323,302,350,359 IBCNSMM1 6405744 6958290 103,359 IBTRCD1 8060846 8211771 10,359 Number of Routines = 4 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IB20P359 Before: n/a After: B18924771 **359** Routine Name: IBCEMQC Before: B29836641 After: B29878168 **155,323,302,350,359** Routine Name: IBCNSMM1 Before: B23739699 After: B25964261 **103,359** Routine Name: IBTRCD1 Before: B25718348 After: B26162223 **10,359** Routine list of preceding patches: 10, 103, 350 ============================================================================= User Information: Entered By : ADES,ROBERT Date Entered : AUG 28, 2006 Completed By: DAWSON,TIM Date Completed: SEP 24, 2007 Released By : BOTTINI,STEVE Date Released : SEP 25, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT