Name	Value
NAME	FEE BASIS
PREFIX	FB
DEVELOPER (PERSON/SITE)	D. Kaplon/T. Tanous/C. Rhodes Albany ISC
*LOWEST FILE NUMBER	161
*HIGHEST FILE NUMBER	163.99
DEVELOPMENT ISC	ALBANY
CLASS	National
SHORT DESCRIPTION	Used to pay private vendors
AFFECTS RECORD MERGE	FILE AFFECTED: PATIENT NAME OF MERGE ROUTINE: FBPMRG
VERSION	3.5 DATE DISTRIBUTED: 2005-11-19 00:00:00 PATCH APPLICATION HISTORY: 5 SEQ #4 DATE APPLIED: 1996-08-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fee Basis patch FB3.55. This patch contains the output transform on three fields, PLACE OF SERVICE (162.03,30), HCFA TYPE OF SERVICE (162.03,31) and DISCHARGE TYPE (162.7,29). Also included in this patch are two routines; FBPAID and FBAACCB0. 13 SEQ #14 DATE APPLIED: 1999-03-16 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: State Home Program Enhancement 1. State Home Main Menu added. 2. Four options added for entry/edit of State Home authorizations. 3. Active Authorization Report option added. 4. The sort order of authorizations listed to the screen for all FEE programs has been changed to list the later From Dates first. 5. Veteran MRA modified to support State Home authorizations and multiple MRAs for veteran. 116 SEQ #104 DATE APPLIED: 2011-03-21 14:39:55 APPLIED BY: USER,SEVENTEEN 117 SEQ #105 DATE APPLIED: 2011-05-31 14:39:28 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch enhances VistA Fee Basis to enforce segregation of duties when payments are certified. This patch also adds the new FB SEG DUTY RPT option and modifies the batch purge functionality to require the date to be at least 18 months ago. 118 DATE APPLIED: 2011-06-16 14:24:30 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FB3.5118 does the following: -Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for October 2010. -Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for Calendar Year (CY) 2011. -Updates the modifiers to be more compliant with medicare rules. 119 DATE APPLIED: 2011-06-22 08:56:17 APPLIED BY: USER,SEVENTEEN DESCRIPTION: ARCH project for Fee Basis 121 SEQ #109 DATE APPLIED: 2011-08-22 11:21:00 APPLIED BY: USER,SEVENTEEN 122 SEQ #110 DATE APPLIED: 2012-01-04 09:10:57 APPLIED BY: USER,SEVENTEEN 133 SEQ #111 DATE APPLIED: 2012-01-04 09:11:08 APPLIED BY: USER,SEVENTEEN 130 SEQ #112 DATE APPLIED: 2012-03-07 13:06:42 APPLIED BY: USER,SEVENTEEN 138 DATE APPLIED: 2012-03-08 15:38:31 APPLIED BY: USER,SEVENTEEN 131 SEQ #114 DATE APPLIED: 2012-08-29 10:58:45 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch is part of the VistA Fee and IFCAP Automation Enhancements project (aka Duplicate Payments). This patch will enable Fee Basis to receive three new types of messages from Central Fee. However the data in these message will ignored by this patch. A subsequent patch, FB3.5132, will contain the functionality to process the data sent by Central Fee. 16 SEQ #15 DATE APPLIED: 1999-03-22 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Add new API for determining if patient has any FEE authorizations. 108 SEQ #115 DATE APPLIED: 2012-08-29 11:55:20 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch will enhance Fee Basis to capture additional data associated VA to review and report on purchased care. with non-VA care. Contracts can be specified for Medical Fee and Civil Hospital authorizations and payments. Civil hospital invoices will allow entry of larger dollar amounts, additional diagnosis codes, present on admission indicators for diagnosis codes, the admitting diagnosis code, and additional procedure codes. The existing transmissions to NVH Pricer and Central Fee will be modified to include additional data elements. The transmission of these additional data elements will make it possible to comply with inpatient pricing requirements and improve the ability of the 120 DATE APPLIED: 2012-08-29 12:52:52 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: -Updates the Resource Based Relative Value Scale (RBRVS) fee schedule with changes for Calendar Year (CY) 2012. -Updates some Relative Value Units (RVUs) for the RBRVS for CY 2011. 124 SEQ #117 DATE APPLIED: 2012-09-05 09:45:31 APPLIED BY: USER,SEVENTEEN DESCRIPTION: VISTA FINANCIALS ANNUAL ENHANCEMENT 7 - FEE INVOICE DATE CONTROLS UPDATED TO INCLUDE PATCH 108 BUILD USER$:[THAYERC]FEE3_5P108T0307A.KID Also add 2 new routines (FBAACO1 and FBCHEP) for INPATIENT invoice date validation. 135 SEQ #118 DATE APPLIED: 2013-01-22 17:17:34 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FIRST BUILD OF FEE BASIS v3.5 PATCH 135 being created for phase two of the VistA 5010 Fee Basis project. This build only contains data dictionary updates 132 SEQ #119 DATE APPLIED: 2013-02-05 12:41:39 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch is part of the VistA Fee and IFCAP Automation Enhancements o Rejection of payment line items by Central Fee will be transmitted to VistA Fee Basis via new transactions that update the VistA database. Users will no longer manually record such rejects in VistA. o Completion of a payment batch using the Finalize a Batch option in VistA Fee Basis will automatically generate a new transaction that is sent to Central Fee. This new transaction will instruct Central Fee of any payment line items that must be deleted (i.e. local rejects) and instruct Central Fee to release the remainder of the batch to downstream payment systems such as FMS. This new transaction will replace all use of 994 code sheets in IFCAP. project (aka Duplicate Payments). This patch also resolves three existing software faults that were discovered during analysis and design of the patch. This patch will enhance the interface between VistA Fee Basis and Central Fee to improve the consistency of payment line item data between the systems. This will prevent duplicate ICN payments by ensuring that a payment line cannot be reprocessed in VistA Fee Basis unless it has been removed from Central Fee. The primary interface enhancements consist of the following: 145 DATE APPLIED: 2013-06-14 09:31:35 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2013. - Stops the payout of Mental Health Services at 105% after March 1st, 2012 as per the Middle Class Tax Relief and Job Creation Act of 2012. 147 SEQ #121 DATE APPLIED: 2013-08-23 11:05:48 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch adds two new Purpose Of Visit (POV) codes to the Fee Basis Purpose of Visit (#161.82) file for Newborn care, and updates the name of one existing POV code. 144 SEQ #122 DATE APPLIED: 2013-09-04 09:45:25 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Modifies the logic when determining the symbols used for payments in the Payment History Display. - Resolves an undefined error in routine FBPHON from variable DFN. - Resolves an undefined error within the [TRAVEL PAYMENT] option due to batch files missing a status. 146 DATE APPLIED: 2013-12-12 14:10:29 APPLIED BY: USER,SEVENTEEN DESCRIPTION: *NOTICE* Registration system (DG), Fee Basis System (FB), and Integrated Billing File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------- ----------------- TYPE OF PATIENT (#391) NAME (#.01) New Data content (Single new record added "NEWBORN OF VETERAN") No Data Dictionary changes VA ADMITTING REGULATION (#43.4) NAME (#.01) New Data content (Single new record added "NON-VA FOR FEMALE VET+NEWBORN") (IB). No Data Dictionary changes INCONSISTENT DATA ELEMENTS (#38.6) New Data content Two new records added: 313 NEWBORN REQUIRES SPONSOR 314 NEWBORN NEEDS ELIGIBLE SPONSOR.) No Data Dictionary changes Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- Below is a list of all the applications involved in this project along with N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: their patch number: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (#) New/Modified/Deleted ------------- ---- ------------- -------------------- Additional Information: New Service Requests (NSRs): APPLICATION/VERSION PATCH ----------------------------- NSR 20100901 Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A --------------------------------------------------------------- Test Sites: ----------- LEXINGTON PUGET SOUND Documentation Retrieval Instructions: PATIENT REGISTRATION (DG) V 5.3 DG5.3867 ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.domain.ext/ This transmits 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.domain.ext <ftp://ftp.fo-albany.domain.ext> Hines ftp.fo-hines.domain.ext <ftp://ftp.fo-hines.domain.ext> FEE BASIS (FB) V 3.5 FB3.5146 Salt Lake City ftp.fo-slc.domain.ext <ftp://ftp.fo-slc.domain.ext> The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- Fee Basis User Manual fb3_5um.pdf Binary Users should be made aware that processing of Newborn claims must ONLY be INTEGRATED BILLING (IB) 2.0 IB2.0499 PIMS v5.3 ADT User Manual Registration dg_5_3_reg_um.pdf Binary The procedure guide, Care for Newborn of Women Veterans, located at http://nonvacare.hac.domain.ext/policy-programs/procedure-guides.asp, should be distributed to those personnel registering newborns and/or processing newborn claims. Patch Installation: Pre/Post Installation Overview ------------------------------ There are three post installation routines associated with this patch DG867PO, FB146PO, and IB499PO. These routines primarily serve as filters for the data transmitted to the appropriate files listed above, so that only the intended data is delivered. The only exception is the IB499PO routine which programmatically makes an addition to the help text of the FAMILY PREFIX field (#.03) in the SPONSOR RELATIONSHIP file (#355.81). These post installation routines may be deleted after successful installation of the NEWBORN DG FB IB The patches (DG5.3867, FB3.5146, and IB2.0499) are being released in the BUNDLE 1.0 Installation Instructions ------------------------- This patch may be installed with users on the system although it is recommended that it be installed during non-peak hours to minimize potential disruption to users. This patch should take less than 5 minutes to install. FB3.5147 is a required patch and must be installed before DG5.3867. Kernel Installation and Distribution System (KIDS) multi-build distribution DG5.3867 is one of three patches for this release (including FB3.5146 and IB2.0499). The patches will be installed as a bundle in the following order: 1) DG5.3867 2) FB3.5146 3) IB2.0499 Pre-Installation Instructions NEWBORN DG FB IB BUNDLE 1.0 ----------------------------- 1. OBTAIN PATCHES -------------- Obtain the host file NEWBORN_1_2_DG_FB_IB.KID which contains the following patches: DG5.3867 FB3.5146 IB2.0499 Sites can retrieve VistA software from the following FTP addresses. The preferred method is to FTP the files from: download.vista.domain.ext 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.domain.ext Hines ftp.fo-hines.domain.ext The purpose of the Caregivers: Newborn Claims Processing Enhancement Project Salt Lake City ftp.fo-slc.domain.ext The NEWBORN_1_2_DG_FB_IB.KID host file is located in the anonymous.software directory. Use ASCII Mode when downloading the file. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu option [XPD MAIN]: is to enhance VistA Fee Basis application in support of compliance with Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: Installation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Public Law 111-163, the Caregiver and Veterans Omnibus Health Services Act Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: 3. LOAD TRANSPORT GLOBAL FOR MULTI-BUILD ------------------------------------- From the Installation menu, select the Load a Distribution option. of 2010. This law makes changes to sections of Title 38, United States Code When prompted for "Enter a Host File:" Enter the full directory path where you saved the host file NEWBORN_1_2_DG_FB_IB.KID (e.g., SYS$SYSDEVICE:[ANONYMOUS]NEWBORN_1_2_DG_FB_IB.KID) When prompted for "OK to continue with Load? NO//", Enter "YES." The following will display: Loading Distribution... entered in VistA. No entry in FBCS should be performed. to furnish health care services to a newborn child of a Woman Veteran who NEWBORN DG FB IB BUNDLE 1.0 DG5.3867 FB3.5146 IB2.0499 Use INSTALL NAME: NEWBORN DG FB IB BUNDLE 1.0 to install this distribution. 4. RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD ------------------------------------------------- is receiving maternity care furnished by the Department of Veterans Affairs From the Installation menu, you may select to use the following options (when prompted for the INSTALL NAME, enter NEWBORN DG FB IB BUNDLE 1.0 a. 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 data dictionaries or templates. b. 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, data dictionaries, templates, etc.). (VA) for not more than seven days after the birth of the child. c. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. 5. INSTALL MULTI-BUILD ------------------- This is the step to start the installation of this KIDS patch. This will need to be run for the NEWBORN DG FB IB BUNDLE 1.0 a. Choose the Install Package(s) option to start the patch install. b. When prompted for the "Select INSTALL NAME:" enter NEWBORN DG FB IB BUNDLE 1.0 c. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//", answer NO d. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//", answer NO e. When prompted "Device: HOME//", enter HOME to display the Install message on the screen (or enter the device you want to print the Install message). You may queue the The scope of these enhancements is to capture information on healthcare install if you wish. Post-Installation Instructions ------------------------------ * IMPORTANT NOTE * Please note there are three post installation routines that may be deleted after successful installation of the NEWBORN DG FB IB BUNDLE 1.0. These are: services provided to newborn children of Women Veterans. Affected functions DG867PO FB146PO IB499PO include eligibility determination, enrollment and registration, documentation of referrals and authorization for care, claims processing, and payment. Only modification to the Fee Basis (FB) and the Registration (DG) packages are necessary to meet the requirements of this enhancement. The Integrated *********** Billing (IB) Patch is included to provide required data for the Fee Basis install to reference. The primary purpose of this enhancement is to allow the Electronic Filing of Newborn claims. Functional Description ------------------------------ The following features and functions have been added to the Fee Basis workflow This patch, along with FB3.5146 and IB2.0499, is being released as a process applying to both Civil Hospital and Medical Fee: 1. A new Patient Type of NEWBORN OF VETERAN has been added to the TYPE OF PATIENT file (#391). This new selection will be available on Registration Screen <7>. 2. A sponsor is required for all Newborns determined by having the DOB less than one (1) year from the present date. An inconsistency check has been added to check the presence of a sponsor. If an inconsistency is found the inconsistency check will prompt the user to return to Screen <15> in bundle, and all three will be automatically installed in the correct order. registration to enter a Sponsor. 3. All Sponsors for Newborns must be listed as eligible for care. An inconsistency check will check the status of the Sponsors Eligibility. The check will trigger if the Sponsor has no Eligibility status. All other statuses (i.e. Pending Verification, Verified, and Pending Re-verification) are acceptable. 4. Fee Authorization dates associated with Newborns have checks in place to not allow Authorization dates that fall outside the accepted range of Newborn Authorization. The range is DOB to DOB+7. The system will warn the user and not accept an Authorization date that falls outside the appropriate range for a Newborn. 5. When a Veteran Mother of a Sponsored Newborn is reviewed in the Registration screens, Screen <15> will display the Newborn(s), with the additional header of "Sponsored Newborn". 6. The FAMILY PREFIX "NB Newborn of Vet" has been added to the Help text in This patch has enhancements that extend the capabilities of the Veterans the FAMILY PREFIX field (#.03) in the SPONSOR RELATIONSHIP file (#355.81) 7. "NON-VA FOR FEMALE VET+NEWBORN 17.38" was added to the VA ADMITTING REGULATION file (#43.4). This new Admitting Regulation is available when editing the 7078. 8. The following default values were added when entering a Newborn with a date of birth of less than one (1) year from present date. Defaults will only be assigned when specified screens are accessed during the registration process: PATIENT DATA, SCREEN <2> Marital field is defaulted to NEVER MARRIED. Health Information Systems and Technology Architecture (VistA) Patient APPLICANT/SPOUSE EMPLOYMENT DATA, SCREEN <4> Status field is defaulted to NOT EMPLOYED. FAMILY DEMOGRAPHIC DATA, SCREEN <8> Married Last Year field is defaulted to NO. Patch Components ================ Files & Fields Associated: 148 SEQ #124 DATE APPLIED: 2014-01-29 10:23:10 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This Patch Addresses 1 issue: 1. The error "<UNDEFINED>ANC+8^FBPCR67" occurs when running the Potential Cost Recovery Report [FB PRC]. 17 SEQ #16 DATE APPLIED: 1999-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fix Enter CNH Payment to prevent an undefined variable error that can occur after FileMan v22 is installed. 127 SEQ #125 DATE APPLIED: 2014-04-16 16:36:30 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Blank MRAs are being transmitted to Central Fee - The low batch warning message is being triggered too late. - The calculation for batches remaining is incorrect. 143 SEQ #126 DATE APPLIED: 2014-09-17 09:53:29 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Modifies logic when applying the "Mill-Bill" claims 70% reduction when local fee schedule (75th percentile) rates are used. - Changes the fee program for ancillary payments entered using [FBCH MULTIPLE PAYMENTS] option from "outpatient" to "civil hospital" - Modifies the sort and print routines for Veteran Payment History report to display the '#' symbol for voided payments. - Modifies the Fee Basis payment system to allow users holding the "FBAASUPERVISOR" key to exceed the amount of billed charges. 139 SEQ #127 DATE APPLIED: 2014-10-01 15:35:02 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Description: codes to more than 68,000. Procedure Coding System (ICD-10-PCS) procedure codes increase from about 3,800 ICD-9 codes to nearly 87,000. Both systems also expand the number of characters allotted to seven alpha-numeric characters. This value does not include the decimal point, which follows the third character for the ICD-10-CM code set. There is no decimal point in the ICD-10-PCS code set. These code sets have the potential to reveal more about quality of care, so that data can be used in a more meaningful way to better understand complications, better design clinically robust algorithms, and better =========== track the outcomes of care. ICD-10-CM also incorporates greater specificity and clinical detail to provide information for clinical decision making and outcomes research. This patch is to implement ICD-10 Remediation for Fee Basis. The International Classification of Diseases, Tenth Revision (ICD-10) Class 1 Software Remediation project replaces the 30-year-old set of diagnosis and procedure codes (ICD-9-CM) that medical personnel use. Dates of service, or dates of discharge for inpatients, that occur on or after the implementation date will use the ICD-10 code set. Clinical Modification (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 150 DATE APPLIED: 2014-10-15 15:19:52 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2014. 151 SEQ #129 DATE APPLIED: 2014-10-31 15:57:01 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch is the first of two patches that enhance the Fee Basis package per the requirements of the VistA Fee Separation of Duties project. This patch makes the following changes to Fee Basis: o Retain historical data for unauthorized claims o Retain historical data for authorizations 123 SEQ #130 DATE APPLIED: 2015-01-06 11:44:49 APPLIED BY: USER,SEVENTEEN DESCRIPTION: VA/DoD VistA Fee-IPAC Interface Enhancement 157 DATE APPLIED: 2015-02-25 14:20:28 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Please see the National Patch Module for details of the enhancements included in this patch. 153 SEQ #132 DATE APPLIED: 2015-06-17 15:22:17 APPLIED BY: USER,SEVENTEEN DESCRIPTION: 1. Patient MRA rejections from FMS 4. Patient MRA transmissions are not being sent due to deleted patient authorizations. 2. For option 'Enter Unauthorized Claim' the response to query Mill Bill Claim indicator is not always stored when 'NO'. 3. Authorization that are entered for Contract Nursing Home obligations are hitting every station's obligations for integrated sites when posted. 155 SEQ #133 DATE APPLIED: 2015-08-18 13:02:44 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following: - Adds four new Purpose of Visit (POV) codes to the FEE BASIS PURPOSE OF VISIT (#161.82) file. 162 SEQ #134 DATE APPLIED: 2015-10-14 12:14:23 APPLIED BY: USER,SEVENTEEN DESCRIPTION: 1. Error when queuing Post Commitments option for Contract Nursing Home (CNH) obligations. 18 SEQ #17 DATE APPLIED: 1999-06-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fixes MRA purge options so veteran MRAs in PENDING status are not inappropriately deleted. 161 SEQ #135 DATE APPLIED: 2015-12-11 14:42:46 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Patient MRA delete from FEE BASIS PATIENT MRA file when linked patient authorization is deleted. 167 SEQ #136 DATE APPLIED: 2016-01-05 13:44:22 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following 2 issues: (#161) file. 1. The Enter Unauthorized Claim [FBUC ENTER] option is failing when attempting to store data in the ICD DIAGNOSIS (#.087) field in the AUTHORIZATION (#161.01) sub-file of the FEE BASIS PATIENT (#161) file. 2. The Modify Unauthorized Claim [FBUC MODIFY UNAUTHORIZED CLAIM] option is failing when attempting to store data in the ICD DIAGNOSIS (#.087) field in the AUTHORIZATION (#161.01) sub-file of the FEE BASIS PATIENT 159 DATE APPLIED: 2016-02-04 12:42:32 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2015. 172 SEQ #138 DATE APPLIED: 2016-05-17 12:59:20 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: Patch FB3.5172 is a Fee Basis patch for the VistA Fee Separation of Duties project. Patch FB3.5172 creates three new security keys which will be referenced in software exported by subsequent patch FB3.5154. 165 SEQ #139 DATE APPLIED: 2016-05-17 12:59:43 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: During installation of patch FB3.5165, the post-init routine performs to exclude payments transmitted prior to a user-specified date. The report line which prints the batch number, the voucher date and the voucherer is also modified to accommodate a 7-digit batch number. a one-time (Delete Reject Flag) task that deletes the inappropriate reject flag from old payment line items which have payment confirmation or payment cancellation data. Installation of patch FB3.5165 also performs a one-time (Remove Payment from Batch) task that removes old payments with payment confirmation/cancellation data from in-process batches. The Print Rejected Payment Items report [FBAA REJECT PRINT] is enhanced 166 SEQ #140 DATE APPLIED: 2016-07-19 16:54:04 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following 3 issues: release of IPCT4.046. 3. The ANESTHESIA MINUTES (#43) field in the FEE BASIS PAYMENT (#162) file needs to be expanded from 3 to 4 digits to properly process anesthesia for labor and delivery. 1. Items are missing from the Potential Cost Recovery (PCR) report when a patient has multiple authorizations on the same day. 2. The direct global read of the SHORT NAME (#2) field in the CPT (#81) file must be updated to the current Application Programming Interface (API) for the short name to continue to display on the Fee Basis Patch 135 Unique Claim Identifier Display report after the 170 DATE APPLIED: 2016-09-23 15:49:05 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2016. 154 SEQ #142 DATE APPLIED: 2016-10-14 13:53:22 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch will enhance the Fee Basis package per the requirements of the o Add reports to display users that entered or edited authorizations. o Correct an existing issue with the identification of the associated authorization for outpatient and ancillary payments. o Prevent an undefined error when a prescription is deleted. o Prevent an undefined error when rejected payments are re-initiated. VistA Fee Separation of Duties project. The patch will make the following changes to Fee Basis: o Add new security keys. o Revise locks on menu options to enhance separation of duty controls. o Attach menu options to additional menus. o Revise locks on functionality within menu options. o Add the Security Key Report for Fee Basis o Prevent entry of payment or pricing if user entered the authorization. 128 DATE APPLIED: 2016-10-28 15:04:01 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch updates the following: - The REMITTANCE REMARK (#161.93) file. - The ADJUSTMENT REASON (#161.91) file. 173 SEQ #144 DATE APPLIED: 2016-12-20 15:36:22 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: FEE BASIS ENHANCEMENT TO SUPPORT MASTER VETERAN INDEX DATE OF DEATH (DOD) Refer to patch FB3.5173 in the FORUM Patch Module for a complete description. 4 DATE APPLIED: 1999-10-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: o Use Medicare's RBRVS fee schedule for outpatient and ancillary payment. 163 SEQ #145 DATE APPLIED: 2017-04-19 12:20:56 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This National Patch consists of FEE BASIS enhancements related to the received from Non-Department of Veterans Affairs (VA) providers which are necessary for third party billing. The proposed enhancement seeks modifications the FB application's Potential Cost Recovery Report (PCRR) to ensure that all Non-VA Care billed line item charges are included, regardless of responses entered in the FB software by Fee Clerks." By removing the report filtering that pertains to the SC Condition and Potential Cost Recovery data values, line item charges previously excluded based on responses to POTENTIAL COST RECOVERY and SC CONDITION prompts in FB all Non-VA following NSRs: care billed line item charges will appear on the PCRR, enabling the Revenue Staff to optimize cost recovery. NSR #20081010 - Billing Precertification Enhancements Typically, Department of Veterans Affairs (VA) facilities are able to provide all of the necessary medical care and services required by its patients. However, there are times when the Veteran is not able to access VA health care facilities based on geographic constraints, due to medical emergencies, or because it is economically advantageous to provide treatment in the community. In these cases, the VA may authorize medical care at private-sector facilities for those Veterans who meet the eligibility requirements. This concept is referred to as FEE BASIS (FB) (or Non-VA) care. Regardless of where the care is provided, precertification is often a prerequisite for certain services before payment is issued by insurance companies. Precertification is the process of obtaining approval from the Veteran's private insurance health plan for routine hospital inpatient admissions or outpatient visits prior to the delivery of NSR ##20110304 - Service Connected Decision health care. Currently, Medical Care Collections Fund (MCCF) Staff is not notified of scheduled VA-provided outpatient services requiring precertification. Notification regarding authorized nonservice-connected FB care is received after treatment has been rendered. As a result, VA Medical Centers (VAMCs) often miss opportunities to be reimbursed by insurance companies for care due to the lack of obtaining timely precertification. The goal of this project is to assist the VAMCs in obtaining timely p recertification from third party payers before care is rendered by notifying the appropriate staff as soon as VA-provided outpatient services requiring precertification are scheduled and authorizations are created in the Veterans Health Information Systems and Technology Architecture (VistA) Fee Package for inpatient or outpatient care. This would also provide an opportunity for insurance identification/ verification processes (either internally or externally/outsourced) to be completed prior to treatment. The Fee-Revenue Service Connected (SC) Condition Decision project will enhance the interface between the Integrated Billing (IB) and Fee Basis (FB) Veterans Health Information Systems and Technology Architecture (VistA) applications by automating the transfer of data elements 177 SEQ #146 DATE APPLIED: 2017-08-30 17:09:02 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch adds six new Purpose of Visit (POV) codes to the FEE BASIS PURPOSE OF VISIT (#161.82) file. 176 DATE APPLIED: 2017-09-28 16:44:06 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2017. 174 SEQ #148 DATE APPLIED: 2017-09-29 16:42:04 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: A syntax error occurs when using a custom menu option which contains either the Re-open Unauthorized Claim [FBUC REOPEN] or the Modify Unauthorized Claim [FBUC MODIFY UNAUTHORIZED CLAIM], and Fee Patient Inquiry [FBAA PATIENT INQUIRY] options. 158 SEQ #149 DATE APPLIED: 2018-01-30 14:48:59 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: HAC EDI Purchase Care ERA Inc. 2 Development 178 SEQ #150 DATE APPLIED: 2018-03-02 14:30:31 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch updates the FEE BASIS CPT RVU (#162.97) file for codes 77065-77067. 175 SEQ #151 DATE APPLIED: 2018-04-24 16:18:21 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This effort is focused on providing Other Health Insurance (OHI) to users screens. This patch implements the MUMPS database portion of the project. of VistA Fee. This will be facilitated through a collaboration with DSS, Inc. to transmit data from the central server located at the Health Administration Center (HAC) through Fee Basis Claims System (FBCS) and into the local facility VistA Fee. The new database fields introduced by the patch are going to be used by FBCS application that will be modified by DSS. New FBCS functionality will make OHI data available for VA users on its Graphical User Interface (GUI) 179 DATE APPLIED: 2018-08-03 16:22:38 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2018. 180 SEQ #153 DATE APPLIED: 2018-09-25 15:33:54 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. An undefined error occurs when a user fills out a prescription reimbursement for a patient. 181 DATE APPLIED: 2019-05-01 16:39:09 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2019. 20 DATE APPLIED: 2000-06-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Add RBRVS physician fee schedule for calendar year 2000 to the software. 164 SEQ #155 DATE APPLIED: 2019-06-04 18:09:54 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: HAC EDI CLAIMS ATTACHMENTS 182 SEQ #156 DATE APPLIED: 2020-04-10 15:54:16 APPLIED BY: USER,SEVENTY DESCRIPTION: Please refer to Patch description for installation instructions. 183 DATE APPLIED: 2020-07-21 12:25:28 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2020. 184b DATE APPLIED: 2021-07-08 00:00:00 DESCRIPTION: Backup of FB3.5184 on Jul 08, 2021 Warning: Installing this backup patch message will install older versions of routines and Build Components (options, protocols, templates, etc.). Please verify with the Development Team that it is safe to install. 184 DATE APPLIED: 2021-07-08 12:16:33 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2021. 185 SEQ #159 DATE APPLIED: 2021-11-17 14:25:06 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Patch FB3.5185 will update 619 entries in the FEE BASIS CPT RVU (#162.97) which are either missing data or have a null value where a zero should be. 186 DATE APPLIED: 2022-04-26 17:43:00 APPLIED BY: USER,EIGHTYSIX DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2022. 187 DATE APPLIED: 2023-07-20 10:07:16 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: This patch addresses the following issue: 1. Updates the Resource Based Relative Value Scale (RBRVS) Fee Schedule with changes for Calendar Year (CY) 2023. 188 SEQ #162 DATE APPLIED: 2023-09-01 14:10:49 APPLIED BY: USER,EIGHTYNINE DESCRIPTION: Update the CPT codes with RVU values of zero for CY2023 21 SEQ #20 DATE APPLIED: 2000-06-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: o Improve validation checks for the Multiple Payment Entry option. o Fix several options to show the description of a CPT Modifier even when the modifier value can have more than one meaning. 23 SEQ #21 DATE APPLIED: 2001-01-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch will address two separate issues. on letters that could go outside of the VHA. 1. It will add the Mail Code (#5.5) field to the FEE BASIS SITE PARAMETERS (#161.4) file. This will allow the sites to edit and update this field to insure that the correct Mail Code appears in the upper right hand corner of their Unauthorized Claim letters. 2. Several of the Fee Basis letters will be updated to use the Name Standardization API to insure that the veteran's name appears correctly 24 SEQ #22 DATE APPLIED: 2001-01-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch adds the following codes to the software: o New Purpose of Visit Code: CHIROPRACTIC CARE (75) o New Participation Code: DOCTOR OF CHIROPRACTIC (15) o New Specialty Code: CHIROPRACTIC (53) 22 SEQ #23 DATE APPLIED: 2001-02-27 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Enhancement patch to add 12 purpose of visit codes for use with the Medical Fee (Outpatient) program. 7 SEQ #6 DATE APPLIED: 1997-01-22 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fee Basis patch seven. 25 SEQ #24 DATE APPLIED: 2001-02-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: CORRECT %DT, %DT(0) ERRORS AND PRINTING PROBLEMS 29 DATE APPLIED: 2001-04-30 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Add RBRVS physician fee schedule for calendar year 2001 to the software. 19 SEQ #26 DATE APPLIED: 2001-06-25 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Modifications to Fee Basis to handle merge of entries in PATIENT (#2). 1. Update cross-references that depend on a patient ien, so they will be updated when the patient is changed. 2. Add a special patient merge routine for FEE BASIS to handle files that are dinumed with the PATIENT file, free-text pointers, and internal entry numbers (iens) sent to the AAC. 3. Update the FBAA PAID SERVER to check for merged patients. 4. Perform a one-time task to identify previously merged patients and update FEE Basis data accordingly. 26 SEQ #27 DATE APPLIED: 2001-07-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: REMOVE OBSOLETE FEE BASIS MENU OPTIONS, ROUTINES, AND INPUT TEMPLATE 32 SEQ #28 DATE APPLIED: 2001-08-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Phase 1 enhancements to support processing of Mill Bill Emergency Care (38 U.S.C. 1725) claims. 34 SEQ #29 DATE APPLIED: 2001-09-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ADD LONG TERM CARE PURPOSE OF VISIT CODES 36 SEQ #30 DATE APPLIED: 2001-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: FPDS SOCIO-ECONOMIC CODES CHANGES This patch addresses modifications related to FPDS codes changes introduced by IFCAP patch (PRC5.116). 35 SEQ #31 DATE APPLIED: 2001-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: PROBLEM WITH LOOK-UP IN SERVICE PROVIDED MULTIPLE This patch addresses the NOIS call PRE-1199-60596. Please look at patch description on Forum for details. 28 SEQ #32 DATE APPLIED: 2001-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: PUBLIC HOSPITAL ACTIVITY REPORT INCORRECT 33 SEQ #33 DATE APPLIED: 2001-11-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: UPDATE TO RBRVS 2001 PHYSICIAN FEE SCHEDULE 8 SEQ #7 DATE APPLIED: 1997-05-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: UNAUTHORIZED CLAIM UPDATE STATUS/YR 2000 37 SEQ #34 DATE APPLIED: 2001-12-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: LTC RESPITE POV CODE UPDATE 30 SEQ #35 DATE APPLIED: 2001-12-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Mill Bill Military Sexual Trauma (MST) Enhancement o Add purpose of visit "Military Sexual Trauma Services" (55). o Add MST Report option. 27 SEQ #36 DATE APPLIED: 2002-01-16 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: UPDATES FOR UNAUTHORIZED CLAIMS This patch addresses the following NOIS messages: BAY-0600-31908 MUS-0100-70289 Please look at patch description on Forum for details. 38 SEQ #37 DATE APPLIED: 2002-02-04 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Emergency Care phase 2 enhancements. 39 SEQ #38 DATE APPLIED: 2002-04-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: FPDS Reporting Phase II 44 DATE APPLIED: 2002-04-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Add RBRVS physician fee schedule for calendar year 2002 to the software. 41 SEQ #40 DATE APPLIED: 2002-05-06 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ERROR DURING MERGE 45 SEQ #41 DATE APPLIED: 2002-06-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: UPDATE POV CODE 43 43 SEQ #42 DATE APPLIED: 2002-10-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 7078 AUTHORIZATION OVERWRITTEN 46 SEQ #43 DATE APPLIED: 2002-12-09 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: DISPOSITION LETTER ADMISSION DATE ERROR 9 SEQ #8 DATE APPLIED: 1997-10-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Enhancement to maintain socio-economic characteristics of vendors for Federal Procurement Data System (FPDS) reporting. o BUSINESS TYPE (FPDS) and SOCIOECONOMIC GROUP (FPDS) fields added to FEE BASIS VENDOR file. o Existing vendor edit options modified to include the new fields. o New vendor edit option to just update the new fields for existing vendors. o New List Vendors Without FPDS Data option to report vendors with a blank BUSINESS TYPE (FPDS). 48 SEQ #44 DATE APPLIED: 2003-01-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Potential Cost Recovery Report modification for LTC Copay Phase 3 49 SEQ #45 DATE APPLIED: 2003-03-01 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: LTC Fee Basis Workload Capture 50 SEQ #46 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Data in the local Vendor file will be lost if the FBAA FMS UPDATE process is activated when no changes to the local Vendor file have occurred. 51 SEQ #47 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: SHOW 4 DIGIT YEAR IN AUTHORIZATION EDIT 52 SEQ #48 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: HIPAA Confidential Communications Phase 1 56 SEQ #49 DATE APPLIED: 2003-05-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: GENERIC PRICER: LETTER USED IN PRIMARY DIAGNOSTIC CODE 58 SEQ #50 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Correct MUMPS M7 error. 54 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: GMT2 MODIFICATIONS FOR FEE BASIS 57 SEQ #52 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: HIPAA CC PHASE 2 53 DATE APPLIED: 2003-08-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: RBRVS- FEE BASIS SCHEDULE UPDATE 10 SEQ #9 DATE APPLIED: 1997-11-18 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Enhancement to include socio-economic data in Vendor MRA messages. o Modified C1 and C4 Batch Types to include data elements. o Added new action 'F' (FPDS-Only) for Vendor MRA messages. o Post-Init queues MRA messages for vendors with data. 47 SEQ #54 DATE APPLIED: 2003-09-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: CNH STRING ERROR 62 SEQ #55 DATE APPLIED: 2003-09-12 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Please reference the patch description for this patch in the National Patch Module. 55 DATE APPLIED: 2003-09-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: CODE SET VERSIONING Please see the National Patch Module for details of the enhancements included in this patch. 63 SEQ #57 DATE APPLIED: 2003-10-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: UPDATE TO RBRVS 2003 PHYSICIAN FEE SCHEDULE 61 DATE APPLIED: 2003-10-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch contains enhancements for Fee Basis related to VA compliance with the HIPAA transaction and code set final rule. This patch will support the new Fee Payment Processing System (FPPS) located at the Health Administration Center (HAC) in Denver. 60 SEQ #59 DATE APPLIED: 2003-11-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: A FEE BASIS ROUTINE WAS MODIFIED TO CORRECTLY TEST FOR PREVIOUS PAYMENTS BEFORE ALLOWING THE CANCELLING OF AUTHORIZATIONS. 59 SEQ #60 DATE APPLIED: 2003-11-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: RESOLVE FEE BASIS ID CARD IN PATIENT MERGE AND CORRECT DD DECRIPTION 67 SEQ #61 DATE APPLIED: 2003-11-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: PROBLEM WITH MULTIPLE PAYMENT ENTRY 68 SEQ #62 DATE APPLIED: 2003-12-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses the following NOIS. ISW-1103-20349 Adjustment data not sent to FPPS when amount is negative. MIN-1103-40659 Undefined variable FBFPPSC when prescription added to previously entered pharmacy invoice. 64 SEQ #63 DATE APPLIED: 2004-01-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: CORRECT THE THE STATISTICAL ROUTINE FBUCSTAT TO NOT COUNT REJECTED PAYMENTS. 11 SEQ #10 DATE APPLIED: 1998-03-18 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Examines and corrects FEE BASIS ID CARD AUDIT (#161.83) file data. 65 SEQ #64 DATE APPLIED: 2004-01-31 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: If a "?" is entered at the Enter Nursing Home Rate: prompt while using the Update Vendor Contract/Rates - CNH [FBCNH UPDATE VENDOR CONTRACT] option, an undefined error for variable DIR(0) may occur or DIR gets lost and displays number select display of rates. 69 SEQ #65 DATE APPLIED: 2004-03-30 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Enhancement patch to 1. Enhance selected existing reports to include new data captured since patch FB3.561. 2. Add new report to list unauthorized EDI claims that were disapproved. 3. Update VA fee schedule compilation to consider units for claims with a date of service in FY 2004. 4. Modify Selection Capability for Suspension Letters Module. 75 SEQ #66 DATE APPLIED: 2004-03-30 00:00:00 APPLIED BY: USER,ONE 76 SEQ #67 DATE APPLIED: 2004-05-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: MODIFY POTENTIAL COST RECOVERY REPORT 72 SEQ #68 DATE APPLIED: 2004-07-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch will prevent the canceling of a Fee Basis Authorization with no vendor specified that has payments associated to it. 73 SEQ #69 DATE APPLIED: 2004-07-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This Patch addresses two issues: The first, Allow the sites to suspend payment for a prescription that is not covered. The second, To correct the "AF" X-ref by using FileMan call to populate the field AUTHORIZATION. 70 SEQ #70 DATE APPLIED: 2004-08-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: HIPAA CC PHASE III 71 DATE APPLIED: 2004-08-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch adds the RBRVS fee schedule for calendar year 2004 to the FEE BASIS software. 78 SEQ #72 DATE APPLIED: 2004-09-03 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Fee Basis Encapsulation API enhancement. Add API $$RXSUM^FBRXUTL() Add API $$AUTHL^FBUTL() Modify API EN^FBHLZFE() 79 SEQ #73 DATE APPLIED: 2004-10-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses the problem encountered when the DATE OF SERVICE is entered for an outpatient or ancillary payment(FEE BASIS PAYMENT #162 file), the software will inappropriately skip the validation checks when there is already data on file for the same PATIENT, VENDOR, and INITIAL TREATMENT DATE (date of service). 12 SEQ #11 DATE APPLIED: 1998-03-30 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: YEAR 2000 Renovations. 77 SEQ #74 DATE APPLIED: 2004-10-15 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: CODE TEXT DESCRIPTORS 81 SEQ #77 DATE APPLIED: 2004-12-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses two issues; one involving the assigning of FEE BASIS BATCH numbers and the second involving the assignment of FB INVOICE numbers. 84 SEQ #75 DATE APPLIED: 2004-12-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This modification is to have the software skip the RBRVS fee schedule when modifier SG (ASC FACILITY SERVICE) has been entered. The software would still check the VA Fee Schedule (75th percentile). If the CPT and modifiers were not found on the VA Fee Schedule then it would return a message - "Unable to determine a FEE schedule amount.". In that case, the fee clerk could enter a usual & customary amount. 82 SEQ #76 DATE APPLIED: 2004-12-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch makes the following changes: o Use new PTF APIs to create or delete a PTF record. o Correct a fault that prevents deletion of a PTF record for community nursing home. 85 SEQ #78 DATE APPLIED: 2005-02-04 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Correct the initialization of the variable that hold the out put text for the Detail Description. 80 SEQ #79 DATE APPLIED: 2005-04-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch addresses the problem encountered when the pharmacist is reviewing Fee Basis Prescriptions. 91 SEQ #80 DATE APPLIED: 2005-08-13 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch replaces a direct global read of the PSDRUG global by a VA Fileman call in support of the Pharmacy Encapsulation project. It also fixes a bug that prevented display of the generic drug equivalent during completion of a fee pharmacy invoice. It also fixes problems with the edit after review functionality of the Review Fee Prescription option. 89 SEQ #81 DATE APPLIED: 2005-09-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: The patch enhances all four payment batch formats (B3, B5, B9, and BT) that are transmitted from VistA Fee Basis to Central FEE (AAC) to include additional data elements. 92 DATE APPLIED: 2005-10-20 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch adds the RBRVS fee schedule for calendar year 2005 to the FEE BASIS software. 95 SEQ #83 DATE APPLIED: 2005-12-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patient lookup warnings scroll too fast to be noticed [FBAA ENTER AUTHORIZATION]. 14 DATE APPLIED: 1998-10-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: FEE BASIS Extract for the Health Eligibility Center (HEC-Atlanta). 1) New routine to build HL7 ZFE segments for FEE authorization data. 2) New mumps cross-references to call IVMPLOG when File 161 edited. 3) Post-Install to log existing FEE BASIS PATIENTS in daily transmission. 96 DATE APPLIED: 2006-02-13 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Adding ALABAMA zip codes. 90 SEQ #85 DATE APPLIED: 2006-04-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch fixes the Millennium Act Emergency Care Summary Report [FBUC MILL ACT SUMMARY]. 93 DATE APPLIED: 2006-05-04 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: RVU API AND RELATED MODIFICATIONS 94 SEQ #87 DATE APPLIED: 2006-05-25 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Incorrect date used to validate the DRG and/or ICD effective date. 99 DATE APPLIED: 2006-07-11 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: ANNUAL UPDATE FOR RBRVS FEE SCHEDULE 97 SEQ #89 DATE APPLIED: 2006-08-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This patch is issued to compensate for the longer MRA message to be received from Austin Central Fee. Central fee will begin sending MRA messages containing spaced for the NPI number before the NPI enhancement patch (FB3.598) is released. 100 SEQ #90 DATE APPLIED: 2006-08-24 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 2006 RBRVS Conversion Factor update 98 SEQ #91 DATE APPLIED: 2007-06-29 18:50:41 APPLIED BY: USER,ONE DESCRIPTION: NPI Modifications for the Fee Basis package 101 SEQ #92 DATE APPLIED: 2007-09-04 22:24:55 APPLIED BY: USER,ONE DESCRIPTION: The VistA Fee Basis application provides forms, letters and reports that are sent between VHA, vendors and veterans. This patch modifies VistA Fee Basis by replacing the full SSN on those forms, letters and reports with X's for the first 5 digits and only printing the last 4 digits in the following format: XXX-XX-#### or XXXXX#### *Note that X represents an actual X and # represents the actual SSN digit. Pseudo SSN will be changed as above with passed "P" at end. 102 DATE APPLIED: 2007-09-05 00:22:37 APPLIED BY: USER,ONE DESCRIPTION: 2007 RBRVS ANNUAL UPDATE 15 SEQ #13 DATE APPLIED: 1998-12-14 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Validate CNH 0168 Code Sheets to ensure that the required Data of Last Assessment field has been populated for applicable vendors. 104 SEQ #94 DATE APPLIED: 2008-05-26 19:10:16 APPLIED BY: USER,ONE DESCRIPTION: Correct Fee Basis RVU values for two CPT codes. 105 DATE APPLIED: 2008-05-26 19:59:19 APPLIED BY: USER,ONE DESCRIPTION: 2008 RBRVS UPDATE 103 SEQ #96 DATE APPLIED: 2009-04-21 13:48:56 APPLIED BY: USER,SEVENTEEN DESCRIPTION: Add the Referring Provider NPI Information to 10-7078 and 10-7079 Fee Authorization Forms. 109 DATE APPLIED: 2009-04-23 13:12:41 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FB3.5109 has the following changes: -Adds the Resource Based Relative Value Schedule (RBRVS) fee schedule for the calendar year 2009. -Adds Purpose of Visit 56, 67, 68, and 69. -Inactivates Purpose of Visit 20 effective January 01, 2009. 110 SEQ #98 DATE APPLIED: 2009-06-23 10:36:48 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FB3.5110 does the following: - modifies the payments for Psychiatry CPT codes. - modifies Relative Value Units for CPT 67113. - adds additional information to the POV codes 56, 67, 68, and 69. 107 SEQ #99 DATE APPLIED: 2009-06-30 11:19:24 APPLIED BY: USER,SEVENTEEN DESCRIPTION: First patch of Fee Data & HERO enhancement: o Increase maximum size of disbursed amount in FEE BASIS INVOICE file. o Update S.FBAA PAID SERVER to process either old or new format of the payment confirmation message. 111 DATE APPLIED: 2010-04-21 17:40:00 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FB3.5111 does the following: - Corrects a problem with a warning message displaying inappropriately when using the Enter Authorization [FBAA ENTER AUTHORIZATION] option. - Corrects an erroneous message that a vendor is pending Austin Automation Center (AAC) approval when they aren't. - Corrects a problem where the FEE ID REPORT is missing patients. - Removes the SSN/Claim # from the NON-VA AUTHORIZATION FORM - Corrects a problem with the AMIS 349 report. - Corrects several locking problems. - Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes made in January, April and July 2009. - Updates the Department of Labor OWCP Modifier data to the 2009 values. - Corrects a problem when attempting to add multiple rates to a contract. - Corrects a problem when entering Current Procedural Terminology (CPT) code 0159T for payment. - Corrects the calculation for CPT code 0073T. 112 DATE APPLIED: 2010-06-24 11:54:32 APPLIED BY: USER,SEVENTEEN DESCRIPTION: FB3.5*112 does the following: -Updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for October 2009. -updates the Resource Based Relative Value Schedule (RBRVS) fee schedule with changes for Calendar Year (CY) 2010. 114 SEQ #102 DATE APPLIED: 2011-02-24 14:24:24 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch does the following: - corrects a problem with two Fee Basis routines that aren't updating data properly. - corrects the wrong data displaying when using the Enter Unauthorized Claim [FBUC UNAUTHORIZED] option. - corrects a warning that is not displayed when running low on available batches. 115 DATE APPLIED: 2011-02-25 12:39:19 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This patch updates the following: - Place of Service Codes - Adjustment Reasons DATE INSTALLED AT THIS SITE: 1996-08-22 00:00:00
DESCRIPTION	System used by Medical Administration service to process and pay invoices from private vendors for authorized procedures provided to veterans. Initial version will include the the processing of Hometown Pharmacy, Patient Travel, and Outpatient Medical claims. Version 2 includes Contract Hospital and Community Nursing Home. Unauthorized claims has been added in version 3. Also in this version is an update to the vendor file for the conversion of CALM to FMS in Austin. The Community Nursing Home has been modified to handle multiple rates.
FILE	UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: MERGE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: YES MERGE OR OVERWRITE SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: YES ASSIGN A VERSION NUMBER: YES MAY USER OVERRIDE DD UPDATE: NO DATA COMES WITH FILE: NO
INPUT TEMPLATE	FBAA ADDRESS EDIT FILE: PATIENT
ENVIRONMENT CHECK ROUTINE	FBPRE35
ENVIRONMENT CHECK DONE DATE	1996-08-22 18:49:29
POST-INITIALIZATION ROUTINE	FBPST35
POST-INIT COMPLETION DATE	1996-08-22 18:50:53
EXCLUDED NAME SPACE	FBAAZ FBZ

FEE BASIS (114) PACKAGE (9.4)