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Global: ^DGCR(399.1

Package: Integrated Billing

Global: ^DGCR(399.1


Information

FileMan FileNo FileMan Filename Package
399.1 MCCR UTILITY Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 35

Package Total Routines
Integrated Billing 35 IB20P109    IB20P132    IB20P338    IB20P393    IB20P418    IB20P443    IB20P469    IB20P490
IB20P515    IB20P526    IB20P532    IB20P543    IB20P553    IB20P570    IB20P587    IB20P598
IB20P613    IB20P637    IB20P673    IB20P735    IB20P787    IB20PT31    IB20PT7    IBCREQ
IBCRU1    IBCVC    IBEFSMUT    IBY221P    IBY432PO    IBY473PO    IBY718PO    IBYPPC1
IBYPPD    IBYPPT    IBYPSA1    

Pointed To By FileMan Files, Total: 7

Package Total FileMan Files
Integrated Billing 6 BILL/CLAIMS(#399)[.25, 161, 162, #399.04(.01), #399.041(.01), #399.042(.05), #399.047(.01), #399.048(.01)]    MCCR UTILITY(#399.1)[.25]    BILLING RATES(#399.5)[.02]    CHARGE ITEM(#363.2)[.01]    RATE SCHEDULE(#363)[.04]    CHARGE SET(#363.1)[.03, .06]    
Registration 1 SPECIALTY(#42.4)[5]    

Pointer To FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 MCCR UTILITY(#399.1)[.25]    IB ACTION TYPE(#350.1)[.14, .15]    

Fields, Total: 22

Field # Name Loc Type Details
.001 NUMBER NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 06, 1988
  • HELP-PROMPT:  Enter the internal file number of this entry.
  • DESCRIPTION:  
    This is the internal file number of this entry.
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  APR 30, 1992
  • HELP-PROMPT:  Answer must be 3-60 characters in length.
  • DESCRIPTION:  
    This is the full name/description of this entry.
  • CROSS-REFERENCE:  399.1^B
    1)= S ^DGCR(399.1,"B",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"B",$E(X,1,30),DA)
.02 CODE 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  AUG 31, 1988
  • HELP-PROMPT:  Enter code or number which corresponds to this entry.
  • DESCRIPTION:  
    This identifies the code or number associated with this entry.
  • CROSS-REFERENCE:  399.1^C
    1)= S ^DGCR(399.1,"C",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"C",$E(X,1,30),DA)
  • CROSS-REFERENCE:  399.1^C1^MUMPS
    1)= I +X S ^DGCR(399.1,"C1",+X,DA)=""
    2)= K ^DGCR(399.1,"C1",+X,DA)
    Cross reference of the codes that identify the entries.
.03 ABBREVIATION 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>20!($L(X)<2) X
  • HELP-PROMPT:  Enter the 2-20 character abbreviation (if any) of the name of this entry.
  • DESCRIPTION:  
    This is the abbreviation (if any) of the name of this entry.
  • CROSS-REFERENCE:  399.1^D
    1)= S ^DGCR(399.1,"D",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"D",$E(X,1,30),DA)
.11 OCCURRENCE CODE 0;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is an Occurrence Code.
  • DESCRIPTION:  
    This indicates whether or not this entry is an Occurrence Code.
.12 BEDSECTION 0;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is a Bedsection.
  • DESCRIPTION:  
    This indicates whether or not this entry is a Bedsection.
.13 DISCHARGE STATUS 0;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is a Discharge Status.
  • DESCRIPTION:  
    This indicates whether or not this entry is a Discharge Status.
.14 IB ACTION TYPE (COPAYMENT) 0;7 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  APR 07, 1992
  • DESCRIPTION:  This field will only be used for those bedsections which are included in the billing of Means Test/Category C charges.
    The field is a pointer to the IB ACTION TYPE file. Once the bedsection is derived from the patient's treating specialty, the IB ACTION TYPE for the Category C Inpatient/NHC co-payment charge can be determined.
  • CROSS-REFERENCE:  399.1^AC
    1)= S ^DGCR(399.1,"AC",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"AC",$E(X,1,30),DA)
    This cross-reference is used to determine the billable bedsection for an Integrated Billing ACTION TYPE (file #350.2) for Means Test Inpatient or Nursing Home Care co-payment charges. The actual charge for the action type
    is then found in the BILLING RATES file (#399.5), based on the bedsection and date of care.
.15 IB ACTION TYPE (PER DIEM) 0;8 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  APR 08, 1992
  • DESCRIPTION:  This field will only be used for those bedsections which are included in the billing of Means Test/Category C charges.
    The field is a pointer to the IB ACTION TYPE file. Once the bedsection is derived from the patient's treating specialty, the IB ACTION TYPE for the Category C Inpatient/NHC per diem charge can be determined.
.16 OCC RELATED TO 0;9 SET
  • '1' FOR EMPLOYMENT;
  • '2' FOR AUTO ACCIDENT;
  • '3' FOR OTHER ACCIDENT;

  • LAST EDITED:  JAN 31, 2007
  • HELP-PROMPT:  Enter the code that most accurately relates to the Occurence Code.
  • DESCRIPTION:  
    Relates the Occurrence Codes to the 'Condition Related To' question on the CMS-1500, box 10.
  • SCREEN:  S DIC("S")="I $P(^DGCR(399.1,+DA,0),U,4)=1"
  • EXPLANATION:  Valid MCCR Occurrence Codes only!
.17 OCCURRENCE SPAN 0;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JAN 03, 1994
  • HELP-PROMPT:  Enter Yes if this Occurrence code has two related dates associated with it.
  • DESCRIPTION:  
    A code and related dates that identify an event that relates to the payment of the claim.
  • TECHNICAL DESCR:  
    For Occurrence Spans both this flag and Occurrence Code must be set. Setting this flag indicates two dates are required.
  • SCREEN:  S DIC("S")="I +$P(^DGCR(399.1,+DA,0),U,4)"
  • EXPLANATION:  Only Valid Occurrence Codes!
.18 VALUE CODE 0;11 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  DEC 21, 1993
  • HELP-PROMPT:  Enter Yes if this is a Value Code.
.19 VALUE CODE AMOUNT 0;12 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JAN 03, 1994
  • HELP-PROMPT:  Enter Yes if the value associated with this code is a dollar amount.
  • DESCRIPTION:  
    Enter Yes if the value amount associated with this value code should be right justified to the right of the delimiter, ie with cents printed.
  • TECHNICAL DESCR:  If this is true then the value amount for the value code is a dollar amount and should be right justified to the right of the delimiter. The value amounts for all other value codes will be right justified to the left of
    the delimiter.
  • SCREEN:  S DIC("S")="I +$P(^DGCR(399.1,+DA,0),U,11)"
  • EXPLANATION:  Only applies to value codes.
.2 BILLABLE SERVICE 0;13 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Enter Yes if this is a billable service.
  • DESCRIPTION:  
    These are the types of services a patient may receive that may be billable to a payer.
.21 BILLABLE EVENT 0;14 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Enter Yes if this is a type of event that may be billed.
  • DESCRIPTION:  
    These are the types of events used to itemize on the bill the care provided to the patient and are billable for at least one payer rate.
.22 CONDITION CODE 0;15 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  SEP 10, 1997
  • HELP-PROMPT:  Enter Yes if this is a Condition Code.
  • DESCRIPTION:  
    This indicates whether or not this entry is a Condition Code.
.23 BILL CLASSIFICATION 0;23 SET
  • '0' FOR NO;
  • '1' FOR YES;

  • LAST EDITED:  SEP 08, 1998
  • HELP-PROMPT:  Enter the code which indicates whether or not this is a bill classification code
  • DESCRIPTION:  
    This indicates whether or not this entry is a bill classification code.
.24 VALID LOCATION OF CARE VALUES 0;24 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
  • LAST EDITED:  SEP 08, 1998
  • HELP-PROMPT:  Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    This is the list of valid location of care values that are consistent with the bill classification code. More than 1 value can be entered, separated by commas.
.25 OTHER CARE 0;25 POINTER TO MCCR UTILITY FILE (#399.1) MCCR UTILITY(#399.1)

  • INPUT TRANSFORM:  S DIC("S")="I +$P(^(0),U,13),$P(^DGCR(399.1,+DA,0),U,5)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JAN 22, 2004
  • HELP-PROMPT:  Enter the Billable Service this Bedsection is related to.
  • DESCRIPTION:  
    If this Bedsection is associated with an 'Other Type of Care', then this Billable Service will identify the Rate Schedules that apply.
  • SCREEN:  S DIC("S")="I +$P(^(0),U,13),$P(^DGCR(399.1,+DA,0),U,5)"
  • EXPLANATION:  Only Valid Billable Services!
.26 VALUE CODE OBSOLETE DATE 0;26 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:X<1 X
  • LAST EDITED:  APR 12, 2007
  • HELP-PROMPT:  (No range limit on date)
1 VALUE CODE HELP TEXT 1;0 WORD-PROCESSING #399.11

  • LAST EDITED:  APR 06, 2007
  • DESCRIPTION:  
    This field is for the help text specific to this value code. It will be used when adding value codes to the bill.
2 VALUE CODE AMOUNT SCREEN 2;E1,245 MUMPS

  • INPUT TRANSFORM:  D VCSCREEN^IBCVC(.X) Q:'$D(X) K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  MAR 16, 2022
  • HELP-PROMPT:  Enter some MUMPS code or the space bar and press Enter to enter the interface.
  • DESCRIPTION:  This field is only editable by a developer.
    Standard MUMPS code can be entered to screen the values entered for the VALUE CODE AMOUNT field in file #399
    The screen API VCSCREEN^IBCVC provides a simple interface for the developer to add standard screens that automatically insert code to take advantage of the IB ERROR functionality.
    Or the developer can enter simple MUMPS code to screen the entries.
    Enter some MUMPS code or the space bar and press Enter to enter the interface.
    WRITE AUTHORITY: @
  • NOTES:  XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

Found Entries, Total: 683

NAME: ALCOHOL AND DRUG TREATMENT    NAME: BLIND REHABILITATION    NAME: GENERAL MEDICAL CARE    NAME: INTERMEDIATE CARE    NAME: NEUROLOGY    NAME: NURSING HOME CARE    NAME: OUTPATIENT VISIT    NAME: PRESCRIPTION    
NAME: PSYCHIATRIC CARE    NAME: REHABILITATION MEDICINE    NAME: SPINAL CORD INJURY CARE    NAME: SURGICAL CARE    NAME: DISCHARGED TO ANOTHER SHORT-TERM GENERAL HOSPITAL    NAME: DISCHARGED TO ANOTHER TYPE OF FACILITY    NAME: DISCHARGED TO HOME OR SELF CARE    NAME: DISCHARGED TO HOME UNDER CARE OF HOME HEALTH CARE SERVICE    
NAME: DISCHARGED TO INTERMEDIATE CARE FACILITY    NAME: DISCHARGED TO SKILLED NURSING FACILITY    NAME: EXPIRED    NAME: LEFT AGAINST MEDICAL ADVICE    NAME: STILL PATIENT    NAME: LAST MENSTRUAL PERIOD    NAME: ONSET OF SYMPTOMS/ILLNESS    NAME: ACCIDENT/MEDICAL COVERAGE    
NAME: NO FAULT INSURANCE INVOLVED INCLUDING AUTO ACCIDENT/OTHER    NAME: ACCIDENT/TORT LIABILITY    NAME: ACCIDENT/EMPLOYMENT RELATED    NAME: ACCIDENT/NO MEDICAL OR LIABILITY COVERAGE    NAME: CRIME VICTIM    NAME: NON-VA CARE    NAME: OUTPATIENT DENTAL    NAME: DISCHARGED TO HOME UNDER CARE OF A HOME IV PROVIDER    
NAME: PRIOR STAY DATES    NAME: QUALIFYING STAY DATES FOR SNF USE ONLY    NAME: FIRST/LAST DAY    NAME: BENEFITS ELIGIBILITY PERIOD    NAME: LEAVE OF ABSENCE DATES    NAME: SNF LEVEL OF CARE    NAME: PATIENT LIABILITY    NAME: PROVIDER LIABILITY PERIOD    
NAME: SNF PRIOR STAY DATES    NAME: PAYER CODE    NAME: QIO/UR APPROVED STAY DATES    NAME: PROFESSIONAL COMPONENT CHARGES, COMBINED BILLED    NAME: NO FAULT, INCLUDING AUTO/OTHER    NAME: WORKER'S COMPENSATION    NAME: ACCIDENT HOUR    NAME: MOST COMMON SEMI-PRIVATE ROOM RATE    
NAME: HOSPITAL HAS NO SEMI-PRIVATE ROOMS    NAME: MEDICARE LIFETIME RESERVE AMT IN FIRST CALENDAR YEAR    NAME: MEDICARE CO-INSURANCE AMT IN FIRST CALENDAR YEAR    NAME: MEDICARE LIFETIME RESERVE AMT IN SECOND CALENDAR YEAR    NAME: MEDICARE CO-INSURANCE AMT IN SECOND CALENDAR YEAR    NAME: ESTIMATED RESPONSIBILITY PAYER A    NAME: ESTIMATED RESPONSIBILITY PAYER B    NAME: ESTIMATED RESPONSIBILITY PAYER C    
NAME: DEDUCTIBLE PAYER A    NAME: DEDUCTIBLE PAYER B    NAME: DEDUCTIBLE PAYER C    NAME: COINSURANCE PAYER A    NAME: COINSURANCE PAYER B    NAME: COINSURANCE PAYER C    NAME: PROF COMPONENT INCLUDED IN CHGS, BILLED SEPARATE TO CARRIER    NAME: MEDICARE BLOOD DEDUCTIBLE    
NAME: WORKING AGED BENEF/SPOUSE WITH EMPLOYER GRP HEALTH PLAN    NAME: ESRD BENEF IN A MEDICARE COORD PD W/EMPLOYER GRP HEALTH    NAME: PHS OR OTHER FEDERAL AGENCY    NAME: CATASTROPHIC    NAME: SURPLUS    NAME: RECURRING MONTHLY INCOME    NAME: MEDICAID RATE CODE    NAME: PREADMISSION TESTING    
NAME: PATIENT LIABILITY AMOUNT    NAME: UNITS OF BLOOD FURNISHED    NAME: BLOOD DEDUCTIBLE UNITS    NAME: NEW COVERAGE NOT IMPLEMENTED BY HMO (INPT ONLY)    NAME: BLACK LUNG    NAME: VA    NAME: DISABLED BENEFICIARY UNDER AGE OF 65 WITH LGHP    NAME: AMT AGRED FRM PRIME<CHGS&>PYMT > THN PYMT REC, MSP CLMS    
NAME: NUMBER OF GRACE DAYS    NAME: ANY LIABILITY INSURANCE    NAME: HEMOGLOBIN READING    NAME: HEMATOCRIT READING    NAME: PHYSICAL THERAPY VISIT    NAME: OCCUPATIONAL THERAPY VISITS    NAME: SPEECH-LANGUAGE THERAPY VISITS    NAME: CARDIAC REHAB VISITS    
NAME: SKILLED NURSE - HOME VISIT HOURS (HHA ONLY)    NAME: HOME HEALTH AIDE - HOME VISIT HOURS (HHA ONLY)    NAME: ARTERIAL BLOOD GAS (PO2/PA2)    NAME: OXYGEN SATURATION (02 SAT/OXIMETRY)    NAME: HHA BRANCH MSA    NAME: EPO - DRUG    NAME: ESTIMATED RESPONSIBILITY PATIENT    NAME: INPATIENT    
NAME: OUTPATIENT VISIT    NAME: PRESCRIPTION    NAME: PROSTHETICS    NAME: INPATIENT BEDSECTION STAY    NAME: OUTPATIENT VISIT DATE    NAME: PRESCRIPTION FILL    NAME: PROCEDURE    NAME: PROSTHETICS ITEM    
NAME: START OF INFERTILITY TREATMENT CYCLE    NAME: DATE OF ONSET FOR A CHRONICALLY DEPENDENT INDIVIDUAL    NAME: DATE OUTPATIENT O.T. PLAN ESTABLISHED OR LAST REVIEWED    NAME: DATE OF RETIREMENT PATIENT/BENEFICIARY    NAME: DATE OF RETIREMENT SPOUSE    NAME: GUARANTEE OF PAYMENT BEGAN    NAME: UR NOTICE RECEIVED    NAME: DATE ACTIVE CARE ENDED    
NAME: DATE INSURANCE DENIED    NAME: DATE BENEFITS TERMINATED BY PRIMARY PAYER    NAME: DATE SNF BED BECAME AVAILABLE    NAME: DATE OF HOSPICE CERTIFICATION OR RECERTIFICATION    NAME: DATE COMPREHENSIVE OUTPATIENT REHAB PLAN ESTAB/LAST REVIEWED    NAME: DATE OUTPATIENT P.T. PLAN ESTABLISHED OR LAST REVIEWED    NAME: DATE OF OP SPEECH-LANGUAGE PATH PLAN EST/LAST REVWD    NAME: DATE BENEFICIARY NOTIFIED OF INTENT TO BILL (ACCOMMODATIONS)    
NAME: DATE BENEFICIARY NOTIFIED OF INTENT TO BILL (PRCS/TREATMNTS)    NAME: FIRST DAY THE COORD PD FOR ESRD BENEFICIARIES CVRD BY EGHP    NAME: DATE OF ELECTION OF EXTENDED CARE SERVICES    NAME: DATE TREATMENT STARTED FOR PHYSICAL THERAPY    NAME: DATE OF IP HOSP DISCHG FOR COVERED TRANSPLANT PATIENT    NAME: DATE OF IP HOSP DISCHG FOR NON-COVERED TRANSPLANT PATIENT    NAME: DATE TREATMENT STARTED FOR HOME IV THERAPY    NAME: DATE DISCHARGED ON A CONTINUOUS COURSE OF IV THERAPY    
NAME: SCHEDULED DATE OF ADMISSION    NAME: DATE OF FIRST TEST FOR PRE-ADMISSION TESTING    NAME: DATE OF DISCHARGE    NAME: SCHEDULED DATE OF CANCELLED SURGERY    NAME: DATE TREATMENT STARTED FOR OCCUPATIONAL THERAPY    NAME: DATE TREATMENT STARTED FOR SPEECH-LANGUAGE THERAPY    NAME: DATE TREATMENT STARTED FOR CARDIAC REHAB.    NAME: BIRTHDATE - INSURED A    
NAME: EFFECTIVE DATE - INSURED A POLICY    NAME: BENEFITS EXHAUSTED    NAME: BIRTHDATE - INSURED B    NAME: EFFECTIVE DATE - INSURED B POLICY    NAME: BENEFITS EXHAUSTED    NAME: BIRTHDATE - INSURED C    NAME: EFFECTIVE DATE - INSURED C POLICY    NAME: BENEFITS EXHAUSTED    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: MILITARY SERVICE RELATED    NAME: CONDITION IS EMPLOYMENT RELATED    NAME: PATIENT COVERED BY INSURANCE NOT REFLECTED HERE    NAME: INFORMATION ONLY BILL    NAME: LIEN HAS BEEN FILED    NAME: ESRD PATIENT IN FIRST 30 MONTHS OF ENTITLE CVRD BY EGHP    NAME: TREATMENT OF NON-TERMINAL CONDITION FOR HOSPICE PATIENT    
NAME: BENEFICIARY WOULD NOT PROVIDE INFO ON OTHER INS COVERAGE    NAME: NEITHER PATIENT NOR SPOUSE IS EMPLOYED    NAME: PATIENT AND/OR SPOUSE IS EMPLOYED BUT NO EGHP EXISTS    NAME: DISABLED BENEFICIARY BUT NO LGHP    NAME: PATIENT IS HOMELESS    NAME: MAIDEN NAME RETAINED    NAME: CHILD RETAINS MOTHER'S NAME    NAME: BENEFICIARY REQUESTED BILLING    
NAME: BILLING FOR DENIAL NOTICE    NAME: PATIENT ON MULTIPLE DRUG REGIMEN    NAME: HOMECAREGIVER AVAILABLE    NAME: HOME IV PATIENT ALSO RECEIVING-HHA SERVICES    NAME: VA ELIGIBLE PATIENT CHOOSES A MEDICARE CERTIFIED FACILITY    NAME: PATIENT REFERRED TO A SOLE COMMUNITY HOSP FOR DIAGNOSTIC LAB    NAME: PATIENT AND/OR SPOUSE'S EGHP IS SECONDARY TO MEDICARE    NAME: DISABLED BENEFICIARY/FAMILY MEMBER LGHP SECONDARY TO MEDICAR    
NAME: PATIENT IS STUDENT (FULL TIME - DAY)    NAME: PATIENT IS STUDENT (COOPERATIVE/WORK STUDY PROGRAM)    NAME: PATIENT IS STUDENT (FULL TIME - NIGHT)    NAME: PATIENT IS STUDENT (PART TIME)    NAME: GENERAL CARE PATIENT IN A SPECIAL UNIT    NAME: WARD ACCOMMODATION AT PATIENT REQUEST    NAME: SEMI-PRIVATE ROOM NOT AVAILABLE    NAME: PRIVATE ROOM MEDICALLY NECESSARY    
NAME: SAME DAY TRANSFER    NAME: PARTIAL HOSPITALIZATION    NAME: NON-AVAILABILITY STATEMENT ON FILE    NAME: PSYCH RESIDENTIAL TREATMENT CENTERS CHILDREN AND ADOLESCENTS    NAME: SNF BED NOT AVAILABLE    NAME: MEDICAL APPROPRIATENESS    NAME: SNF READMISSION    NAME: DAY OUTLIER    
NAME: COST OUTLIER    NAME: PROVIDER DOES NOT WISH COST OUTLIER PAYMENT    NAME: BENEFICIARY ELECTS NOT TO USE LIFE TIME RESERVE (LTR) DAYS    NAME: BENEFICIARY ELECTS TO USE LIFE TIME RESERVE (LTR) DAYS    NAME: SELF ADMINISTERED ANEMIA MANAGEMENT DRUG    NAME: FULL CARE IN UNIT    NAME: SELF CARE IN UNIT    NAME: SELF CARE TRAINING    
NAME: HOME    NAME: HOME - 100% REIMBURSEMENT    NAME: BACK-UP IN FACILITY DIALYSIS    NAME: PROVIDER REQUIRED/ACCEPTS PAYMENT BY PRIMARY AS FULL PAYMENT    NAME: NEW COVERAGE NOT IMPLEMENTED BY MANAGED CARE PLAN    NAME: CORF SERVICES PROVIDED OFFSITE    NAME: TRICARE EXTERNAL PARTNERSHIP PROGRAM    NAME: EPSDT/CHAP    
NAME: PHYSICALLY HANDICAPPED CHILDREN'S PROGRAM    NAME: SPECIAL FEDERAL FUNDING    NAME: FAMILY PLANNING    NAME: DISABILITY    NAME: VACCINES/MEDICARE 100% PAYMENT    NAME: SECONDARY OPINION SURGERY    NAME: APPROVED AS BILLED    NAME: AUTOMATIC APPROVAL AS BILLED BASED ON FOCUSED REVIEW    
NAME: PARTIAL APPROVAL    NAME: ADMISSION/SERVICES DENIED    NAME: POSTPAYMENT REVIEW APPLICABLE    NAME: ADMISSION PREAUTHORIZATION    NAME: EXTENDED AUTHORIZATION    NAME: CHANGES TO SERVICE DATES    NAME: CHANGES TO CHARGES    NAME: CHANGES IN REVENUE CODES/HCPCS/HIPPS RATE CODES    
NAME: SECOND OR SUBSEQUENT INTERIM PPS BILL    NAME: CHANGE IN CLINICAL CODES (ICD) FOR DX AND/OR PROCEDURE CODES    NAME: CANCEL TO CORRECT INSURED OR PROVIDER ID    NAME: CANCEL ONLY TO REPAY A DUPLICATE OR OIG OVERPAYMENT    NAME: CHANGE TO MAKE MEDICARE THE SECONDARY PAYER    NAME: CHANGE TO MAKE MEDICARE THE PRIMARY PAYER    NAME: ANY OTHER CHANGE    NAME: CHANGE IN PATIENT STATUS    
NAME: SWINGBED    NAME: RURAL HEALTH CLINIC    NAME: HOSP BASED/INDEP RENL DIALYSIS    NAME: FREE STANDING CLINIC    NAME: OTHER    NAME: NON-HOSP BASED HOSPICE    NAME: HOSP BASED HOSPICE    NAME: AMB SURGERY CENTER    
NAME: INPATIENT (MEDICARE-A)    NAME: HUMANIT. EMERG (INPT/MCARE-B)    NAME: OUTPATIENT    NAME: HUMANIT. EMERG (OPT/ESRD)    NAME: SKILLED NURSING/SUB-ACUTE CARE    NAME: OBSERVATION CARE    NAME: INPATIENT DRG    NAME: UNASSOCIATED    
NAME: PATIENT IS NON-U.S. RESIDENT    NAME: CONTINUING CARE NOT RELATED TO INPATIENT ADMISSION    NAME: CONTINUING CARE NOT WITHIN PRESCRIBED POSTDISCHARGE WINDOW    NAME: IME/DGME/N&AH PAYMENT ONLY    NAME: PROVIDER LIABILITY - NO UTILIZATION    NAME: UNITS OF BLOOD REPLACED    NAME: LOCATION WHERE SERVICE IS FURNISHED (HHA AND HOSPICE)    NAME: PERITONEAL DIALYSIS    
NAME: COVERED SELF-ADMINISTRABLE DRUGS - EMERGENCY    NAME: COVERED SELF-ADMINISTRABLE DRUGS - NOT AS GIVEN TO PATIENT    NAME: COVERED SELF-ADMINISTRABLE DRUGS - DIAGNOSTIC STUDY/OTHER    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    
NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: RESERVED FOR ASSIGNMENT BY THE NUBC    NAME: ADMITTED AS AN INPATIENT TO THIS HOSPITAL    NAME: EXPIRED AT HOME    NAME: EXPIRED IN A MEDICAL FACILITY    NAME: EXPIRED - PLACE UNKNOWN    
NAME: HOSPICE - HOME    NAME: HOSPICE - MEDICAL FACILITY    NAME: DISCHARGED WITHIN FACILITY TO MEDICARE APPROVED SWING BED    NAME: DISCHARGED TO ANOTHER FACILITY FOR OPT SV PER DISCHARGE PLAN    NAME: DISCHARGED TO THIS FACILITY FOR OPT SV PER DISCHARGE PLAN    NAME: TERMINATED MEDICARE ADVANTAGE ENROLLEE    NAME: DISTINCT MEDICAL VISIT    NAME: DATE OF LAST THERAPY    
NAME: DATE OF CANCELLATION OF HOSPICE ELECTION PERIOD    NAME: DATE COST OUTLIER STATUS BEGINS    NAME: PAYER CODES    NAME: PAYER CODES    NAME: PATIENT RESPITE DATES    NAME: ASSESSMENT DATE    NAME: DATE OF LAST KT/V READING    NAME: MEDICAL CERTIFICATION/RECERTIFICATION DATE    
NAME: RZD FOR STATE ASSIGNMENT    NAME: PHYSICIAN FOLLOW-UP DATE    NAME: DATE OF DEATH    NAME: ORIGINAL HOSPICE ELECTION OR REVOCATION DATE    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: PRIOR SAME-SNF STAY DATES FOR PAYMENT BAN PURPOSES    NAME: ANTEPARTUM DAYS AT REDUCED LEVEL OF CARE    NAME: HOSP AT HOME CARE DATES    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR STATE ASSIGNMENT    
NAME: RZD FOR STATE ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: SPLIT BILL DATE    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: ICF LEVEL OF CARE    NAME: RESIDENTIAL LEVEL OF CARE    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: RZD FOR NATIONAL ASSIGNMENT    
NAME: RZD FOR NATIONAL ASSIGNMENT    NAME: SKILLED NURSING    NAME: ICU    NAME: PARTIAL HOSPITALIZATION    NAME: SKILLED NURSING CARE    NAME: SUB-ACUTE CARE    NAME: PRRTP    NAME: SPECIAL ZIP CODE REPORTING    
NAME: COVERED DAYS    NAME: NON-COVERED DAYS    NAME: CO-INSURANCE DAYS    NAME: PATIENT WEIGHT    NAME: PATIENT HEIGHT    NAME: PATIENT PAID AMOUNT    NAME: CREDIT RECEVD FROM MANUFACTURER FOR REPLACED MEDICAL DEVICE    NAME: PRODUCT REPLACEMENT WITHIN PRODUCT LIFECYCLE    
NAME: PRODUCT REPLACEMENT FOR KNOWN RECALL OF A PRODUCT    NAME: DISCHARGE BY A HOSPICE PROVIDER FOR CAUSE    NAME: LAST KT/V READING    NAME: QUALIFY CLINICAL TRIALS    NAME: INPATIENT ADMISSION CHANGED TO OUTPATIENT    NAME: Gender Incongruence    NAME: TRANSFER FROM ANOTHER HOME HEALTH AGENCY    NAME: NON-PRIMARY ESRD FACILITY    
NAME: HOME DIALYSIS-NURSING FACILITY    NAME: ABORTION PERFORMED DUE TO RAPE    NAME: ABORTION PERFORMED DUE TO INCEST    NAME: ABORT PERF DUE TO SERIOUS FETAL GENE DEFCT, DEFORM OR ABNORM    NAME: ABORT PERF DUE TO LIFE ENDANGERING PHYSICAL CONDITION    NAME: ABORT PERF DUE TO PHYS HLTH OF MOTHER THAT NOT LIFE ENDANGER    NAME: ABORT PERF DUE TO EMOTIONAL/PSYCHOLOGICAL HLTH OF THE MOTHER    NAME: ABORTION PERFORMED DUE TO SOCIAL OR ECONOMIC REASONS    
NAME: ELECTIVE ABORTION    NAME: STERILIZATION    NAME: PAYER RESPONSIBLE FOR COPAYMENT    NAME: AIR AMBULANCE REQUIRED    NAME: SPECIALIZED TRMT/BED UNAVAILABLE-ALTERNATE FAC TRANSPORT    NAME: NON-EMERGENCY MEDICALLY NECESSARY STRETCHER TRANSPORT REQ    NAME: PREADMISSION SCREENING NOT REQUIRED    NAME: ADMISSION UNRELATED TO DISCHARGE ON SAME DAY    
NAME: DIRECT INPATIENT ADMISSION FROM EMERGENCY ROOM    NAME: DISASTER RELATED    NAME: DELAYED FILING, STATEMENT OF INTENT SUBMITTED    NAME: REOCCURRENCE OF GI BLEED (MA) CATEGORY    NAME: REOCCURRENCE OF PNEUMONIA (MB) CATEGORY    NAME: REOCCURRENCE OF PERICARDITIS (MC) CATEGORY    NAME: DUPLICATE OF ORIGINAL BILL    NAME: LEVEL I APPEAL    
NAME: LEVEL II APPEAL    NAME: LEVEL III APPEAL    NAME: POLYTRAUMA INPATIENT    NAME: PM&RS OUTPATIENT VISIT    NAME: POLYTRAUMA OUTPATIENT VISIT    NAME: MULTIPLE PATIENT AMBULANCE TRANSPORT    NAME: NEWBORN BIRTH WEIGHT IN GRAMS    NAME: ELIGIBILITY THRESHOLD FOR CHARITY CARE    
NAME: MEDICAID SPEND DOWN AMOUNT    NAME: STATE CHARITY CARE PERCENT    NAME: LIFETIME RESERVE DAYS    NAME: CO-PAYMENT PAYER A    NAME: CO-PAYMENT PAYER B    NAME: CO-PAYMENT PAYER C    NAME: CLINICAL TRIAL NUMBER ASSIGNED BY THE NLM/NIH    NAME: FACILITY WHERE INPATIENT HOSPICE SERVICE IS DELIVERED    
NAME: DISASTER RELATED OCCURRENCE CODE    NAME: ATTESTATION OF UNRELATED OUTPATIENT NONDIAGNOSTIC SERVICES    NAME: MEDICARE COORDINATED CARE DEMONSTRATION CLAIM    NAME: BENEFICIARY INELIGIBLE FOR DEMONSTRATION PROGRAM    NAME: CRITICAL ACCESS HOSPITAL AMBULANCE ATTESTATION    NAME: PREGNANCY INDICATOR    NAME: GULF OIL SPILL OF 2010    NAME: DO NOT RESUCITATE (DNR) FOR PUBLIC HEALTH REPORTING ONLY    
NAME: UNITED MINE WORKERS OF AMERICA (UMWA) DEMO INDICATOR    NAME: OUT OF HOSPICE SERVICE AREA    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUN-PRESCRIPTION DRUGS    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-HEARING & EAR SERVICES    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-VISION & EYE SERVICES    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-DENTAL SERVICES    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-CHIROPRACTIC SERVICES    NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-PODIATRIC SERVICES    
NAME: OFFSET TO THE PATIENT-PAYMENT AMOUNT-OTHER MEDICAL SERVICES    NAME: C-SECT/INDUCTIONS PERF AT LESS THAN 39 WKS GEST FOR MED NEC    NAME: C-SECT/INDUCTIONS PERF AT LESS THAN 39 WEEKS GEST ELECTIVELY    NAME: C-SECT/INDUCTIONS PERFORMED AT 39 WKS GESTATION OR GREATER    NAME: LABORATORY SERVICES PROVIDED TO NON-PATIENTS    NAME: REG FOR REOPN RSN CODE-MATH OR COMPUTE MISTAKES    NAME: REG FOR REOPN RSN CODE-INACCURATE DATA ENTRY    NAME: REG FOR REOPN RSN CODE-MISAPPLICATION OF A FREE SCHEDULE    
NAME: REG FOR REOPN RSN CODE-COMPUTER ERRORS    NAME: REG FOR REOPN RSN CODE-INCORRECT IDENTIFY DUPLICATE CLAIM    NAME: REG FPR REOPN RSN CODE-OTH CLER ERR OMIT NOT SPEC IN R1-R5    NAME: REG FOR REOPN CODE-CORRECT OTHER THAN CLERICAL ERRORS    NAME: REG FOR REOPN CODE-NEW AND MATERIAL EVIDENCE    NAME: REG FOR REOPN CODE-FAULTY EVIDENCE    NAME: NO SKILL HH VISITS IN BILL PERIOD. POLICY EXCEPT DOC AT HHA.    NAME: SHORTER DURATION HEMODIALYSIS    
NAME: INIT PLCMNT MED DEV PART CLINICAL TRIAL OR A FREE SAMPLE    NAME: DIALYSIS FOR ACUTE KIDNEY INJURY (AKI)    NAME: DELAYED RECERTIFICATION OF HOSPICE TERMINAL ILLNESS    NAME: ADDNL HEMODIALYSIS TREATMENTS WITH MEDICAL JUSTIFICATION    NAME: ESRD SELF CARE RE-TRAINING    NAME: RESERVED FOR DISASTER RELATED OCCURRENCE SPAN CODE    NAME: NH HOSPICE    NAME: HOSPICE FOR ACUTE CARE    
NAME: SNF 3 DAY STAY BYPASS FOR NG/PIONEER ACD WAIVER    NAME: GRANDFATHERED TRIBAL FQHC (MEDICARE ONLY CODE)    NAME: HHA VISITS - PART A    NAME: HHA VISITS - PART B    NAME: HHA REIMBURSEMENT - PART A    NAME: HHA REIMBURSEMENT - PART B    NAME: GENE THERAPY INVOICE COST    NAME: CELL THERAPY INVOICE COST    
NAME: HOSP SVCS PRVD IN A MBL FAC OR W PORT UNTS    NAME: PACE Eligible Patient Disenrolls During an IP Admission    NAME: Intensive Outpatient Program (IOP)    

ICR, Total: 1

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #3821
  • Accounts Receivable
    		•  BEDSECTION (.12).
    Access: Direct Global Read & w/Fileman

    OCCURENCE CODE (.11).
    Access: Direct Global Read & w/Fileman

    OCCURENCE SPAN (.17).
    Access: Direct Global Read & w/Fileman

    CODE (.02).
    Access: Direct Global Read & w/Fileman
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