| REQUIRED BUILD |
-
- IB*2.0*489
- ACTION: Don't install, remove global
-
- IB*2.0*451
- ACTION: Don't install, remove global
-
- IB*2.0*476
- ACTION: Don't install, remove global
-
- IB*2.0*133
- ACTION: Don't install, remove global
-
- IB*2.0*458
- ACTION: Don't install, remove global
-
- IB*2.0*473
- ACTION: Don't install, remove global
|
| DESCRIPTION OF ENHANCEMENTS |
The HIPAA 5010 D.0 Level II Phase 2 project includes the following
PRINT'. Selections 0 'NO FORCED PRINT' and 1 'FORCE LOCAL PRINT' still
remain and function as they always have: if this field
[Force to Print?] is set to 0, the claim will be transmitted
electronically to the payer; otherwise, if this field is set to 1, the
claim will be printed locally.
2. Prevent Creation of Claims with PAYER ID of HPRNT/SPRNT
-------------------------------------------------------
Modified VistA IB so that claims with Payer ID HPRNT/SPRNT display
a fatal error message and force the removal of the HPRNT/SPRNT
modifications to the Electronic Billing V. 2.0 application:
Payer ID from the Insurance Company file (#36).
3. Prevent Creation of Claims with Zero Procedures
-----------------------------------------------
Modified VistA IB to prevent the creation of claims with no procedures.
IB validation logic has been incorporated to ensure a claim that is
being created or edited cannot be submitted unless it contains at least
one procedure. If there are no procedures on the created or edited
claim, a fatal error message will display to the user notifying them of
this condition and will not allow the claim to be submitted. Claims
will continue to allow $0 line item(s) but these will also be required
to have at least one procedure. The only exception to this is that
UB-04 Inpatient claims with no procedures may still be created.
4. Modify the Provider Contact Field Names for Property & Casualty Claims
----------------------------------------------------------------------
Modified the Contact Name, Phone and Extension field names in the
IB NON/OTHER VA BILLING PROVIDER(#355.93) file so that users will see
the following prompts/labels while in the PROVIDER ID MAINTENANCE
[IBCE PROVIDER MAINT] option: P&C Contact Name, P&C Contact Phone
1. Remove Ability to Print Claim at Clearinghouse
Number and P&C Contact Phone Extension. The P&C Contact Phone Number
field was also updated to require a minimum of 10 digits.
5. Modify the Non-VA Facility Street Address & Zip Code Fields
-----------------------------------------------------------
Modified VistA so that the STREET ADDRESS field (#355.93,#.05) will no
longer accept PO Box and other variations of post office box as a
valid street address. This validation does not apply to the STREET
ADDRESS LINE 2 field (#355.93,#.1). The ZIP CODE field (#355.93,#.08)
has been modified so that only 9 digit ZIP codes are valid. Entering
----------------------------------------------
"0000" as the last four digits of a ZIP code is not acceptable.
6. Modify Third Party Joint Inquiry [IBJ THIRD PARTY JOINT INQUIRY]
----------------------------------------------------------------
Modified VistA to improve the readability of ERA data in the Third
Party Joint Inquiry [IBJ THIRD PARTY JOINT INQUIRY] option that
display when the BC "Billing Charges" action is selected. The
display was modified to remove the RAW DATA display for those EOBs
that contained "Message Storage Errors" and make the reported
Modified VistA IB to remove the user's ability to force the claim to
error(s) more readable. The formerly known "MESSAGE STORAGE ERRORS"
are now known as "DATA MISMATCH ERRORS".
7. Include ERAs with errors on the Medicare Remittance Advice Worklist
-------------------------------------------------------------------
Modified VistA so that claims containing an error condition from
processing the 835 will now display on the Medicare Remittance
Advice Worklist (MRW), which is accessed via the option MRA
Management WorkList [IBCE MRA MANAGEMENT]. These specific claims
will be identified on the MRW with an "!" exclamation point
print at the clearinghouse. The capability to force a claim to print
displayed immediately in front of the claim number.
The routine IBCEP8 was added to this patch to reintroduce the changes
that were previouly introduced by patch IB*2.0*447 which were subsequently
inadvertently omitted by the patch IB*2.0*476.
at the clearinghouse was REMOVED. Screen 10, Section 6 was modified
by removing the ability to view and select 2 'FORCE CLEARINGHOUSE
|
