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Global: ^IBE(352.3

Package: Integrated Billing

Global: ^IBE(352.3


Information

FileMan FileNo FileMan Filename Package
352.3 NON-BILLABLE CLINIC STOP CODES Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
Integrated Billing 2 IB20PT51    IBYJPT    

Pointer To FileMan Files, Total: 1

Package Total FileMan Files
Scheduling 1 CLINIC STOP(#40.7)[.01]    

Fields, Total: 6

Field # Name Loc Type Details
.01 CLINIC STOP CODE 0;1 POINTER TO CLINIC STOP FILE (#40.7)
************************REQUIRED FIELD************************
CLINIC STOP(#40.7)

  • LAST EDITED:  JAN 30, 1996
  • HELP-PROMPT:  Please enter a clinic stop code.
  • DESCRIPTION:  
    This field is a pointer to the CLINIC STOP (#40.7) file and identifies the clinic stop code which is being established as either billable or non-billable.
  • CROSS-REFERENCE:  352.3^B
    1)= S ^IBE(352.3,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(352.3,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  352.3^AIVDT^MUMPS
    1)= I $P($G(^IBE(352.3,DA,0)),"^",4)=1,$P(^(0),"^",2) S ^IBE(352.3,"AIVDT",X,-$P(^(0),"^",2),DA)=""
    2)= I $P($G(^IBE(352.3,DA,0)),"^",4)=1,$P(^(0),"^",2) K ^IBE(352.3,"AIVDT",X,-$P(^(0),"^",2),DA)
    This cross-reference on the CLINIC STOP CODE (#.01) field and the EFFECTIVE DATE (#.02) field is used to locate the appropriate record for a clinic stop code on a specific effective date. Entries created only for Means
    Test billing.
  • CROSS-REFERENCE:  352.3^AIVDTT^MUMPS
    1)= I $P($G(^IBE(352.3,DA,0)),"^",4)>1,$P(^(0),"^",2) S ^IBE(352.3,"AIVDTT"_$P(^(0),"^",4),X,-$P(^(0),"^",2),DA)=""
    2)= I $P($G(^IBE(352.3,DA,0)),"^",4)>1,$P(^(0),"^",2) K ^IBE(352.3,"AIVDTT"_$P(^(0),"^",4),X,-$P(^(0),"^",2),DA)
    Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a clinics Third Party status on any given date.
.02 EFFECTIVE DATE 0;2 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JAN 30, 1996
  • HELP-PROMPT:  Please enter an effective date.
  • DESCRIPTION:  
    This is the date on which billing for this clinic stop code should be activated or ignored.
  • CROSS-REFERENCE:  352.3^AIVDT1^MUMPS
    1)= I $P($G(^IBE(352.3,DA,0)),"^",4)=1,+^(0) S ^IBE(352.3,"AIVDT",+^(0),-X,DA)=""
    2)= I $P($G(^IBE(352.3,DA,0)),"^",4)=1,+^(0) K ^IBE(352.3,"AIVDT",+^(0),-X,DA)
    This cross-reference on the CLINIC STOP CODE (#.01) field and the EFFECTIVE DATE (#.02) field is used to locate the appropriate record for a clinic stop code on a specific effective date. Entries created only for Means
    Test billing.
  • CROSS-REFERENCE:  352.3^AIVDTT1^MUMPS
    1)= I $P($G(^IBE(352.3,DA,0)),"^",4)>1,+^(0) S ^IBE(352.3,"AIVDTT"_$P(^(0),"^",4),+^(0),-X,DA)=""
    2)= I $P($G(^IBE(352.3,DA,0)),"^",4)>1,+^(0) K ^IBE(352.3,"AIVDTT"_$P(^(0),"^",4),+^(0),-X,DA)
    Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a stops Third Party status on any given date.
.03 IGNORE MEANS TEST BILLING? 0;3 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 05, 1993
  • HELP-PROMPT:  Please enter 'YES' or 'NO.'
  • DESCRIPTION:  This field is used to determine whether Means Test billing should be activated or ignored, as of the EFFECTIVE DATE (field #.02).
    Please note that you only need an entry in this file for a clinic stop code for which you would like Means Test billing to be IGNORED.
.04 TYPE 0;4 SET
************************REQUIRED FIELD************************
  • '1' FOR MEANS TEST;
  • '2' FOR THIRD PARTY;

  • LAST EDITED:  FEB 28, 1996
  • HELP-PROMPT:  Enter the type of billing this entry applies to.
  • DESCRIPTION:  
    This specifies the type of billing this bill/not bill Stop Code flag applies to.
  • CROSS-REFERENCE:  352.3^AIVDT2^MUMPS
    1)= I X=1,+$G(^IBE(352.3,DA,0)),$P(^(0),"^",2) S ^IBE(352.3,"AIVDT",+^(0),-$P(^(0),"^",2),DA)=""
    2)= I X=1,+$G(^IBE(352.3,DA,0)),$P(^(0),"^",2) K ^IBE(352.3,"AIVDT",+^(0),-$P(^(0),"^",2),DA)
    Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a stops Means Test status on any given date.
  • CROSS-REFERENCE:  352.3^AIVDTT2^MUMPS
    1)= I X>1,+$G(^IBE(352.3,DA,0)),$P(^(0),"^",2) S ^IBE(352.3,"AIVDTT"_X,+^(0),-$P(^(0),"^",2),DA)=""
    2)= I X>1,+$G(^IBE(352.3,DA,0)),$P(^(0),"^",2) K ^IBE(352.3,"AIVDTT"_X,+^(0),-$P(^(0),"^",2),DA)
    Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a stops Third Party status on any given date.
.05 THIRD PARTY NON-BILLABLE 0;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JAN 30, 1996
  • HELP-PROMPT:  Enter 'Yes' if this stop code is not billable to a third party.
  • DESCRIPTION:  
    This field is used to determine if the stop code should be billed to a Third Party payer.
  • CROSS-REFERENCE:  ^^TRIGGER^352.3^.06
    1)= X ^DD(352.3,.05,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBE(352.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" X ^DD(352.3,.05,1,1,1.4)
    1.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(2)=$C(59)_$S($D(^DD(352.3,.06,0)):$P(^(0),U,3),1:""),Y(1)=$S($D(^IBE(352.3,D0,0)):^(0),1:"") S X=$P($P(Y(2),$C(59)_$P(Y(1),U,6)_":",2),$C(59),1)="NO"
    1.4)= S DIH=$S($D(^IBE(352.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,6)=DIV,DIH=352.3,DIG=.06 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
    2)= X ^DD(352.3,.05,1,1,2.3) I X S X=DIV S Y(1)=$S($D(^IBE(352.3,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" X ^DD(352.3,.05,1,1,2.4)
    2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(2)=$C(59)_$S($D(^DD(352.3,.06,0)):$P(^(0),U,3),1:""),Y(1)=$S($D(^IBE(352.3,D0,0)):^(0),1:"") S X=$P($P(Y(2),$C(59)_$P(Y(1),U,6)_":",2),$C(59),1)="NO"
    2.4)= S DIH=$S($D(^IBE(352.3,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,6)=DIV,DIH=352.3,DIG=.06 D ^DICR:$O(^DD(DIH,DIG,1,0))>0
    CREATE CONDITION)= THIRD PARTY AUTO BILL="NO"
    CREATE VALUE)= @
    DELETE CONDITION)= THIRD PARTY AUTO BILL="NO"
    DELETE VALUE)= @
    FIELD)= THIRD PARTY AUTO BILL
    Deletes the flag that stops auto billing for this stop code whenever the non-billable status of the stop code changes.
.06 THIRD PARTY AUTO BILL 0;6 SET
  • '1' FOR NO;
  • '0' FOR YES;

  • LAST EDITED:  JAN 30, 1996
  • HELP-PROMPT:  Should visits with this stop code be automatically billed?
  • DESCRIPTION:  
    Enter 'No' if the Third Party auto biller should NOT create bills for visits with this stop code. This should only be set for stops that are billable.
  • NOTES:  TRIGGERED by the THIRD PARTY NON-BILLABLE field of the NON-BILLABLE CLINIC STOP CODES File

Found Entries, Total: 31

CLINIC STOP CODE: 40.7^294^TELEPHONE TRIAGE    CLINIC STOP CODE: 40.7^296^TELEPHONE/MEDICINE    CLINIC STOP CODE: 40.7^297^TELEPHONE/SURGERY    CLINIC STOP CODE: 40.7^298^TELEPHONE/SPECIAL PSYCHIATRY    CLINIC STOP CODE: 40.7^299^TELEPHONE MH    CLINIC STOP CODE: 40.7^300^TELEPHONE/PTSD    CLINIC STOP CODE: 40.7^301^TELEPHONE/ALCOHOL DEPENDENCE    CLINIC STOP CODE: 40.7^302^TELEPHONE/DRUG DEPENDENCE    
CLINIC STOP CODE: 40.7^303^TELEPHONE SUD    CLINIC STOP CODE: 40.7^304^TELEPHONE/ANCILLARY    CLINIC STOP CODE: 40.7^305^TELEPHONE/REHAB AND SUPPORT    CLINIC STOP CODE: 40.7^306^TELEPHONE/DIAGNOSTIC    CLINIC STOP CODE: 40.7^307^TELEPHONE/PROSTHETICS/ORTHOTIC    CLINIC STOP CODE: 40.7^308^TELEPHONE/DENTAL    CLINIC STOP CODE: 40.7^309^TELEPHONE/DIALYSIS    CLINIC STOP CODE: 40.7^294^TELEPHONE TRIAGE    
CLINIC STOP CODE: 40.7^296^TELEPHONE/MEDICINE    CLINIC STOP CODE: 40.7^297^TELEPHONE/SURGERY    CLINIC STOP CODE: 40.7^298^TELEPHONE/SPECIAL PSYCHIATRY    CLINIC STOP CODE: 40.7^299^TELEPHONE MH    CLINIC STOP CODE: 40.7^300^TELEPHONE/PTSD    CLINIC STOP CODE: 40.7^301^TELEPHONE/ALCOHOL DEPENDENCE    CLINIC STOP CODE: 40.7^302^TELEPHONE/DRUG DEPENDENCE    CLINIC STOP CODE: 40.7^303^TELEPHONE SUD    
CLINIC STOP CODE: 40.7^304^TELEPHONE/ANCILLARY    CLINIC STOP CODE: 40.7^305^TELEPHONE/REHAB AND SUPPORT    CLINIC STOP CODE: 40.7^306^TELEPHONE/DIAGNOSTIC    CLINIC STOP CODE: 40.7^307^TELEPHONE/PROSTHETICS/ORTHOTIC    CLINIC STOP CODE: 40.7^308^TELEPHONE/DENTAL    CLINIC STOP CODE: 40.7^309^TELEPHONE/DIALYSIS    CLINIC STOP CODE: 40.7^437^TRANSITIONAL PHARMACY BENEFIT    
Info |  Desc |  Accessed By FileMan Db Calls |  Pointer To FileMan Files |  Fields |  Found Entries  | All