============================================================================= Run Date: SEP 16, 2003 Designation: OR*3*202 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #176 Status: Released Compliance Date: OCT 17, 2003 ============================================================================= Subject: Code Set Versioning (CSV) and CPRS GUI v22 Category: - Informational Description: ============ The Code Set Versioning (CSV) project was established to modify the Veterans Health Information System and Technology Architecture (VISTA) to comply with the Health Insurance Portability and Accessibility Act (HIPAA). This Act stipulates that diagnostic and procedure codes used for billing purposes must be the codes that were applicable at the time the service was provided. Twenty-two applications have been modified to comply with the HIPAA requirements. These changes support collection of encounter and billing data that is date sensitive. Only items associated with codes that are active on the specified date are selectable. CPRS GUI v22 includes the CSV changes. These changes will be apparent to the user when the following server-side patches are installed. - Automated Information Collection Service (AICS) IBD*3*51 - Clinical Lexicon LEX*2*25 - Clinical Reminders PXRM*1.5*18 - Consults/Request Tracking GRMC*3*33 - Order Entry/Results Reporting OR*3*181 - CPT Codes (Includes HCPCS) ICPT*6*14 - ICD Codes ICD*18*6 - Problem List GMPL*2*28 - Text Integration Utility (TIU) TIU*1*161 CSV Software Implementation Schedule ==================================== To comply with HIPAA legislation, all CSV patches must be installed by September 30, 2003. CSV Functionality Changes ========================= For a detailed description of the CSV functionality included in CPRS GUI please refer to the following updated documents: - CPRS.HLP CPRS Help File - CPRSGUITM.DOC CPRS GUI Technical Manual(Word Version) - CPRSGUITM.PDF CPRS GUI Technical Manual - CPRSGUIUM.DOC CPRS GUI User Manual (Word Version) - CPRSGUIUM.PDF CPRS GUI User Manual - CPRSLMUM.DOC CPRS ListManager User Manual (Word Version) - CPRSLMUM.PDF CPRS ListManager User Manual - OR_30_202_RN.DOC OR*3*202 Release Notes (Word Version) - OR_30_202_RN.PDF OR*3*202 Release Notes The files listed above may be obtained via FTP. The preferred method is to FTP the files from: download.vista.med.va.gov This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.med.va.gov [anonymous.software] Hines ftp.fo-hines.med.va.gov [ananymous.software] Salt Lake City ftp.fo-slc.med.va.gov [anonymous.software] Listed below is a summary of CSV changes that are included in CPRS GUI v22. HIPAA CODE SET VERSIONING--CPRS GUI v22 ======================================= - Code Set Versioning (CSV) project will modify VistA to comply with the Health Insurance Portability and Accessibility Act (HIPAA). HIPAA stipulates that diagnostic and procedure codes used for billing purposes must be the codes that were applicable at the time the service was provided. The evaluation of ICD and CPT codes for validity as of a specified date, is fully implemented in CPRS GUI v22. These changes will be apparent in the following scenarios: -- Cover sheet: - The list of active problems will display a "#" symbol next to the problem if that problem is associated with an ICD code that is inactive as of the current date. Clicking on this problem will display a dialog warning the user about the inactive code, and encouraging correction via the Problems tab. -- Problems tab: - The same "#" symbol will be displayed in the "Status" column next to problems associated with a currently inactive code. On first displaying the list, a message will be displayed to the user if any such problems have been found. - Entry of a new problem will only allow selection of ICD codes that are active as of the current date. This applies both to the lexicon lookup and to the predefined list of selectable problems and categories. - Any action taken on an active problem having an inactive ICD code will first require correction/update of that code via the "Change" action. -- Consults/Procedures: - The lexicon lookup for provisional diagnosis will only allow selection of items with an active ICD code as of the ordering date. - Copying or changing of existing orders containing a currently inactive ICD code for provisional diagnosis will prevent acceptance of the order until a new code is selected. The same applies to predefined quick orders containing an inactive ICD code as of the ordering date. - Edit/Resubmit of a consult or procedure request will evaluate the ICD code associated with the original request, and will require it to be changed if currently inactive before the request can be resubmitted. -- Encounter Form - Only ICD and CPT codes (and modifiers) active as of the encounter date will be selectable from the encounter form. This applies to the Visit Type, Diagnoses, and Procedures tabs. - On the Diagnoses tab, items from the problem list associated with an ICD code that is inactive as of the encounter date will be flagged with a "#" symbol next to the code. These problems will not be selectable as diagnoses until corrected via the Problems tab. --Clinical Reminders -Reminder taxonomy definitions track the adjacent lower and higher code values for each range of codes, and tracks changes to these values when a new code set is installed. -Reminder taxonomy editing of a range of codes uses new CSV API utilities to select active or inactive codes. -Reminder taxonomy inquiry displays now include activation periods, adjacent lower and higher code values and selectable status for the GUI. -Dialog parameter setup for using taxonomies allows selectable diagnosis and selectable procedures to be selected that are active and inactive. The CPRS GUI will only allow selection of codes that are active on the encounter date. -Reminder dialog editing of finding item and additional finding items allows access to codes that are active and inactive. The CPRS GUI will only use codes that are active on the encounter date. Routine Information: ==================== ============================================================================= User Information: Entered By : DEFA,TANA Date Entered : SEP 08, 2003 Completed By: MERRILL,DAVID P Date Completed: SEP 12, 2003 Released By : RIDINGS,SCOTT Date Released : SEP 16, 2003 ============================================================================= Packman Mail Message: ===================== No routines included