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Global: ^IBE(352.4

Package: Integrated Billing

Global: ^IBE(352.4

Information

FileMan FileNo	FileMan Filename	Package
352.4	NON-BILLABLE CLINICS	Integrated Billing

Description

This file shall be used to flag clinics in the HOSPITAL LOCATION (#44) file as either billable or non-billable for Means Test Billing and Third Party Billing. It may also be used to flag billable clinics so the Third Party auto biller will not create bills for them. The flagging of clinics is date-sensitive, so the ability to not bill may be turned on or off. Please note that the default billing action IS TO BILL all clinics; thus, it is only necessary to add entries in this file for clinics where billing is NOT desired. The routine IBEFUNC contains the function call to determine if a clinic should be not billed on a specific date. Per VHA Directive 10-93-142, this file definition should not be modified.

Directly Accessed By Routines, Total: 6

Package	Total	Routines
Integrated Billing	5	^IBE(352.4 ^IBE(399.6 IBEFUNC IBEPTC3 IBYJPT

Accessed By FileMan Db Calls, Total: 2

Package	Total	Routines
Integrated Billing	2	IBEPTC3 IBYJPT

Pointer To FileMan Files, Total: 1

Package	Total	FileMan Files
Scheduling	1	HOSPITAL LOCATION(#44)[.01]

Fields, Total: 6

Field #	Name	Loc	Type	Details
.01	CLINIC	0;1	POINTER TO HOSPITAL LOCATION FILE (#44)	**********************REQUIRED FIELD********************** HOSPITAL LOCATION(#44) INPUT TRANSFORM: `S DIC("S")="I $P(^(0),U,3)=""C""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `JAN 30, 1996` HELP-PROMPT: `Please enter a clinic.` DESCRIPTION: `This field is a pointer to the HOSPITAL LOCATION (#44) file and identifies the clinic which is being flagged as billable or non-billable.` SCREEN: `S DIC("S")="I $P(^(0),U,3)=""C"""` EXPLANATION: `This screen is used to assure that only clinics in file #44 are selected.` CROSS-REFERENCE: `352.4^B` `1)= S ^IBE(352.4,"B",$E(X,1,30),DA)=""` `2)= K ^IBE(352.4,"B",$E(X,1,30),DA)` CROSS-REFERENCE: `352.4^AIVDT^MUMPS` `1)= I $P($G(^IBE(352.4,DA,0)),"^",4)=1,$P(^(0),"^",2) S ^IBE(352.4,"AIVDT",X,-$P(^(0),"^",2),DA)=""` `2)= I $P($G(^IBE(352.4,DA,0)),"^",4)=1,$P(^(0),"^",2) K ^IBE(352.4,"AIVDT",X,-$P(^(0),"^",2),DA)` `This cross-reference on the CLINIC (#.01) field and the EFFECTIVE DATE (#.02) field is used to locate the appropriate record for a clinic on a specific effective date. For Means Test entries only.` CROSS-REFERENCE: `352.4^AIVDTT^MUMPS` `1)= I $P($G(^IBE(352.4,DA,0)),"^",4)>1,$P(^(0),"^",2) S ^IBE(352.4,"AIVDTT"_$P(^(0),"^",4),X,-$P(^(0),"^",2),DA)=""` `2)= I $P($G(^IBE(352.4,DA,0)),"^",4)>1,$P(^(0),"^",2) K ^IBE(352.4,"AIVDTT"_$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 the effective date.` DESCRIPTION: `This is the date on which billing for this clinic should be ignored or activated.` CROSS-REFERENCE: `352.4^AIVDT1^MUMPS` `1)= I $P($G(^IBE(352.4,DA,0)),"^",4)=1,+^(0) S ^IBE(352.4,"AIVDT",+^(0),-X,DA)=""` `2)= I $P($G(^IBE(352.4,DA,0)),"^",4)=1,+^(0) K ^IBE(352.4,"AIVDT",+^(0),-X,DA)` `This cross-reference on the CLINIC (#.01) field and the EFFECTIVE DATE (#.02) field is used to locate the appropriate record for a clinic on a specific effective date. For Means Test entries only.` CROSS-REFERENCE: `352.4^AIVDTT1^MUMPS` `1)= I $P($G(^IBE(352.4,DA,0)),"^",4)>1,+^(0) S ^IBE(352.4,"AIVDTT"_$P(^(0),"^",4),+^(0),-X,DA)=""` `2)= I $P($G(^IBE(352.4,DA,0)),"^",4)>1,+^(0) K ^IBE(352.4,"AIVDTT"_$P(^(0),"^",4),+^(0),-X,DA)` `Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a clinics Third Party status on any given date.`
.03	IGNORE MEANS TEST BILLING?	0;3	SET	**********************REQUIRED FIELD********************** '1' FOR YES; '0' FOR NO; LAST EDITED: `JUL 20, 1993` HELP-PROMPT: `Please enter 'YES' or 'NO.'` DESCRIPTION: `This field is used to determine whether Means Test billing should be ignored or activated, as of the EFFECTIVE DATE (field #.02).` `Please note that you only need an entry in this file for a clinic for which you would like Means Test billing to be IGNORED.`
.04	TYPE	0;4	SET	**********************REQUIRED FIELD********************** '1' FOR MEANS TEST; '2' FOR THIRD PARTY; LAST EDITED: `JAN 30, 1996` HELP-PROMPT: `Enter the type of billing this entry applies to.` DESCRIPTION: `This specifies the type of billing this bill/not bill Clinic flag applies to.` CROSS-REFERENCE: `352.4^AIVDT2^MUMPS` `1)= I X=1,+$G(^IBE(352.4,DA,0)),$P(^(0),"^",2) S ^IBE(352.4,"AIVDT",+^(0),-$P(^(0),"^",2),DA)=""` `2)= I X=1,+$G(^IBE(352.4,DA,0)),$P(^(0),"^",2) K ^IBE(352.4,"AIVDT",+^(0),-$P(^(0),"^",2),DA)` `Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a clinics Means Test status on any given date.` CROSS-REFERENCE: `352.4^AIVDTT2^MUMPS` `1)= I X>1,+$G(^IBE(352.4,DA,0)),$P(^(0),"^",2) S ^IBE(352.4,"AIVDTT"_X,+^(0),-$P(^(0),"^",2),DA)=""` `2)= I X>1,+$G(^IBE(352.4,DA,0)),$P(^(0),"^",2) K ^IBE(352.4,"AIVDTT"_X,+^(0),-$P(^(0),"^",2),DA)` `Cross-reference on CLINIC STOP CODE (.01) and EFFECTIVE DATE (.02) for quick reference to a clinics Third Party status on any given date.`
.05	THIRD PARTY NON-BILLABLE	0;5	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JAN 30, 1996` HELP-PROMPT: `Enter 'Yes' if this clinic is not billable to a third party.` DESCRIPTION: `This field is used to determine if the clinic should be billed to a Third Party payer.` CROSS-REFERENCE: `^^TRIGGER^352.4^.06` `1)= X ^DD(352.4,.05,1,1,1.3) I X S X=DIV S Y(1)=$S($D(^IBE(352.4,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" X ^DD(352.4,.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($D(^DD(352.4,.06,0)):$P(^(0),U,3),1:""),Y(1)=$S($D(^IBE(352.4,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(352.4,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,6)=DIV,DIH=352.4,DIG=.06 D ^DICR:$O(^DD(DIH,DIG,1,0))>0` `2)= X ^DD(352.4,.05,1,1,2.3) I X S X=DIV S Y(1)=$S($D(^IBE(352.4,D0,0)):^(0),1:"") S X=$P(Y(1),U,6),X=X S DIU=X K Y S X="" X ^DD(352.4,.05,1,1,2.4)` `2.3)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X S Y(2)=$C(59)_$S($D(^DD(352.4,.06,0)):$P(^(0),U,3),1:""),Y(1)=$S($D(^IBE(352.4,D0,0)):^(0),1:"") S X=$P($P(Y(2),$C(59)_$P(Y(1),U,6)_":",2),$C(59),1)="NO"` `2.4)= S DIH=$S($D(^IBE(352.4,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,6)=DIV,DIH=352.4,DIG=.06 D ^DICR:$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 clinic whenever the non-billable status of the clinic 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 clinic be automatically billed?` DESCRIPTION: `Enter 'No' if the Third Party auto biller should NOT create bills for visits with this clinic. This should only be set for clinics that are billable.` NOTES: `TRIGGERED by the THIRD PARTY NON-BILLABLE field of the NON-BILLABLE CLINICS File`

External References

Name	Field # of Occurrence
^%DT	.02+1
^DIC	.01+1
^DICR	.05(XREF 1n1.4), .05(XREF 1n2.4)

Global Variables Directly Accessed

Name	Line Occurrences (* Changed, ! Killed)
^DD(	.05(XREF 1n1.4), .05(XREF 1n2.4)
^DD(352.4	.05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1K), .05(XREF 1n2.3)
^IBE(352.4 - [#352.4]	.01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K) , .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1K), .05(XREF 1n2.3), .05(XREF 1n2.4)

Naked Globals

Name	Field # of Occurrence
^(0	.01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .04(XREF 1S), .04(XREF 1K) , .04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1K), .05(XREF 1n2.3), .05(XREF 1n2.4)

Local Variables

Legend:

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> %DT	.02+1*
>> D0	.05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1K), .05(XREF 1n2.3)
>> DA	.01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K) , .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K), .05(XREF 1n1.3), .05(XREF 1n2.3)
DIC	.01+1!*
DIC("S"	.01+1, .01SCR+1
>> DIE	.01+1
>> DIG	.05(XREF 1n1.4), .05(XREF 1n2.4)
>> DIH	.05(XREF 1n1.4), .05(XREF 1n2.4)
>> DIU	.05(XREF 1S), .05(XREF 1K)
DIV	.05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1K), .05(XREF 1n2.3), .05(XREF 1n2.4)
DIV(0	.05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1n2.3), .05(XREF 1n2.4)
U	.05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1K), .05(XREF 1n2.3), .05(XREF 1n2.4)
X	.01+1!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .01(XREF 3S), .01(XREF 3K), .02+1!, .02(XREF 1S), .02(XREF 1K) , .02(XREF 2S), .02(XREF 2K), .04(XREF 1S), .04(XREF 1K), .04(XREF 2S), .04(XREF 2K), .05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1n1.4), .05(XREF 1K) , .05(XREF 1n2.3), .05(XREF 1n2.4)
Y	.01+1, .02+1, .05(XREF 1S), .05(XREF 1K)
Y(0	.05(XREF 1n1.3), .05(XREF 1n2.3)
Y(1	.05(XREF 1S), .05(XREF 1n1.3), .05(XREF 1K), .05(XREF 1n2.3)
Y(2	.05(XREF 1n1.3), .05(XREF 1n2.3)

Info | Desc | Directly Accessed By Routines | Accessed By FileMan Db Calls | Pointer To FileMan Files | Fields | External References | Global Variables Directly Accessed | Naked Globals | Local Variables | All