$TXT Created by THEROUX,JOHN at MNTVBB.FO-ALBANY.MED.VA.GOV (KIDS) on Tuesday, 09/04/07 at 14:09 ============================================================================= Run Date: OCT 30, 2007 Designation: ICD*18*30 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #28 Status: Released Compliance Date: NOV 30, 2007 ============================================================================= Associated patches: (v)ICD*18*27 <<= must be installed BEFORE `ICD*18*30' Subject: FIX DRG CALCULATIONS Category: - Routine Description: ============ This patch corrects certain DRG calculations. ASSOCIATED REMEDY TICKETS: ========================== 1) HD 160982 - DRG's are wrong (according to Lead Coder) 2) HD 196966 - Procedures not grouping to 573 like they should ASSOCIATED E3R's: ================= N/A PARTICIPATING TEST SITES: ========================= Cheyenne, WY Connecticut HCS Cincinnati, OH REMEDY OVERVIEW: ================ 1) HD 160982 - DRG's are wrong (according to Lead Coder) Problem: ======== Use of procedures 00.66 in conjunction with 37.71 & 37.81 is yielding DRG 555 instead of DRG 551. Solution: ========= Routine ICDTLB6C has been modified to use DRG 551 because it is higher in the surgical hierarchy than DRG 555. 2) HD 196966 - Procedures not grouping to 573 like they should a) Problem: =========== Use of procedure 56.51 in conjunction with 57.71 is yielding DRG 303 instead of DRG 573. a) Solution: ============ Routine ICDDRG0 has been modified to call routine ICDDRG11 which will use DRG 573 because it is higher in the surgical hierarchy than DRG 303. b) Problem: =========== Dx codes 824.2 with 799.02 and procedure 79.36 is yielding DRG 219 instead of 218. b) Solution: ============ Routine ICD1830G will correct Dx 799.02 to be a complication/ comorbidity thus yielding DRG 218. INSTALLATION INSTRUCTIONS: =========================== This patch may be run with users on the system. However, it would be preferable if Medical Records coders were off the system. Installation will take less than 5 minutes. Please ensure that your programming variables are set, including your DUZ(0)="@", otherwise installation will abort. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload the KIDS distribution included with this message. NOTE: If the required patches are not installed, the transport global will be removed. If the transport global is removed you will need to repeat this step. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter ICD*18.0*30): a. 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.). b. Verify Checksums in Transport Global - this option will allow you to ensure the integrity of the routines that are in the transport global. c. Print Transport Global - this option will allow you to view the components of the KIDS build. 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 ICD*18.0*30. 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? NO//', respond Yes. When prompted,'Enter options you wish to mark as 'Out Of Order':', enter: PTF Menu [DG PTF MENU] When prompted,'Enter protocols you wish to mark as 'Out Of Order':', press enter. 7. Routines ICD1830* can be deleted after the patch has been successfully installed. 8. Following installation of this patch, it is necessary to run the [DG PTF UPDATE TRANSFER DRGs] option in order to make the transfer DRGs correspond to the appropriate grouper. This option updates/recalculates the transfer DRGs for PTF records opened during the current fiscal year (since 10/1/2007). The option is locked with the DG PTFSUP security key. The Menu path is PTF Menu/Update DRG Information Menu/Update Transfer DRGs for current FY. ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;18.0;DRG Grouper;**[patch list]**;Oct 13,2000;Build 2 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== ICD1830G N/A 628136 30 ICD1830V N/A 464587 30 ICDDRG0 15198496 15212172 1,2,7,10,14 17,20,24,27,30 ICDTLB6C 15695198 15701449 24,30 Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 13,2000;Build 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD1830G Before: n/a After: B881066 **30** Routine Name: ICD1830V Before: n/a After: B732340 **30** Routine Name: ICDDRG0 Before: B35757184 After: B36037586 **1,2,7,10,14,17,20,24,27,30** Routine Name: ICDTLB6C Before: B58004450 After: B58422258 **24,30** Routine list of preceding patches: 27 ============================================================================= User Information: Entered By : THEROUX,JOHN Date Entered : JUL 11, 2007 Completed By: TSAIMEUCHONG,BRENDA Date Completed: OCT 30, 2007 Released By : CANNEDY,JOELLEN Date Released : OCT 30, 2007 ============================================================================= Packman Mail Message: ===================== $END TXT