============================================================================= Run Date: SEP 14, 2006 Designation: PSO*7*247 Package : PSO - OUTPATIENT PHARMACY Priority: Mandatory Version : 7 SEQ #216 Status: Released Compliance Date: OCT 15, 2006 ============================================================================= Associated patches: (v)PSO*7*148 <<= must be installed BEFORE `PSO*7*247' Subject: HIPAA/NCPDP - RX ACTIVITY LOG CHANGES AND OTHER UPDATES Category: - Routine - Informational - Enhancement (Mandatory) 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. This patch modifies the Outpatient Pharmacy (OP) V. 7.0 application in the following areas: 1. When the DAW CODE was edited on a released Consolidated Mail Outpatient Pharmacy (CMOP) prescription it was not triggering an automatic claim reversal/re-submit to the third party payer. This patch corrects the problem. Editing the DAW CODE on a released CMOP prescription will work similar to editing a WINDOW prescription, it will reverse/re-submit a claim. 2. The ECME Reject section of the prescription activity log was changed in the following ways: 2.1) The column header "Date/Time" was changed to "Date/Time Rcvd" because a new column is being created (see 2.3). 2.2) "DRUG UTILIZATION REVIEW" in the "Reject" column will now display as "DUR" for space saving purposes. 2.3) A new column is being created called "Date/Time Resolved" on the right hand side to display the Date/Time the reject was resolved. 3. The option Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] is being changed to allow the user to print a label for window prescriptions after a reject is resolved. The label print prompt will only be available if the prescription is active and no label was printed for the fill for which the reject was resolved. The following prompts will be presented to the user: Print Label? YES // YES Select LABEL DEVICE: 4. When the user resolved a third party reject using the 'Override Reject' action from the Third Party Payer Rejects - Worklist [PSO REJECTS WORKLIST] option, the entry in the Prescription activity log corresponding to this event was not displaying the NCPDP override codes entered by the user. Before this fix the comment displayed as 'Submitted to ECME:REJECT WORKLIST-E PAYABLE'. After this patch is installed the comment will be logged as 'Submitted to ECME:REJECT WORKLIST-DUR OVERRIDE CODES(NN/AS/1B)-E PAYABLE', as an example. Associated New Service Request (NSR): ===================================== N/A Associated Remedy Ticket(s): ============================ N/A Associated E3Rs: ================ N/A Test Sites: =========== ANN ARBOR, MI CENTRAL ARKANSAS DETROIT, MI HEARTLAND WEST, KS IRON MOUNTAIN, MI LOUISVILLE, KY NEW YORK HARBOR HCS SAGINAW, MI 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 Note: When downloading these files from the ftp server, set the file format to binary mode. 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: ========================== 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 Summary: =============== The second line now reads as follows: ;;7.0;OUTPATIENT PHARMACY;**[patch list]**;DEC 1997 CHECK^XTSUMBLD results: Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------------- PSOBPSUT 8370815 8457300 148,247 PSOCSRL 19422302 19465050 27,71,118,148,247 PSODISP 29266676 28760015 15,71,131,156,185,148,247 PSODISPS 17508838 17430841 15,13,9,27,67,71,156,118, 148,247 PSOLSET 18095101 18768321 10,22,32,40,120,247 PSOORAL1 32222000 32296412 71,156,148,247 PSOORED2 25060187 25064703 2,51,46,78,102,114,117,133, 159,148,247 PSOORED6 24800176 22755947 78,104,117,133,143,219,148,247 PSOORED7 6278198 8338179 148,247 PSOREJP1 11659401 12677183 148,247 PSOREJP2 11632159 12844088 148,247 PSOREJU1 12590765 12590765 148,247 PSOREJUT 8010182 8010182 148,247 Number of routines modified: 13 Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: PSOBPSUT Before: B48196473 After: B49521138 **148,247** Routine Name: PSOCSRL Before: B35996406 After: B36467799 **27,71,118,148,247** Routine Name: PSODISP Before: B54775378 After: B54704509 **15,71,131,156,185,148,247** Routine Name: PSODISPS Before: B29958665 After: B30402405 **15,13,9,27,67,71,156,118,148,247** Routine Name: PSOLSET Before: B29370322 After: B29903046 **10,22,32,40,120,247** Routine Name: PSOORAL1 Before: B59592714 After: B60154792 **71,156,148,247** Routine Name: PSOORED2 Before: B62628461 After: B63154079 **2,51,46,78,102,114,117,133, 159,148,247** Routine Name: PSOORED6 Before: B70246977 After: B59169980 **78,104,117,133,143,219,148,247** Routine Name: PSOORED7 Before: B10132898 After: B15934455 **148,247** Routine Name: PSOREJP1 Before: B53365466 After: B63661734 **148,247** Routine Name: PSOREJP2 Before: B42289795 After: B51774949 **148,247** Routine Name: PSOREJU1 Before: B55721099 After: B55340266 **148,247** Routine Name: PSOREJUT Before: B27615812 After: B27390673 **148,247** ============================================================================= User Information: Entered By : ROCHA,MARCELO Date Entered : MAY 15, 2006 Completed By: EVERETT,BRIAN Date Completed: SEP 07, 2006 Released By : VECE,VIRGINIA Date Released : SEP 14, 2006 ============================================================================= Packman Mail Message: ===================== No routines included