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Global: ^IBE(356.3

Package: Integrated Billing

Global: ^IBE(356.3


Information

FileMan FileNo FileMan Filename Package
356.3 CLAIMS TRACKING SI/IS CATEGORIES Integrated Billing

Description

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 HOSPITAL REVIEW(#356.1)[.04, .05, .08, .09, .12, .13]    

Fields, Total: 4

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUN 10, 1993
  • HELP-PROMPT:  Answer must be 3-40 characters in length.
  • DESCRIPTION:  This is the name of the Severity of Illness (SI) or Intensity of Service (IS) general category.
    Enter the name as it appears in the Interqual manual.
  • CROSS-REFERENCE:  356.3^B
    1)= S ^IBE(356.3,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(356.3,"B",$E(X,1,30),DA)
.02 *GENERAL OR SPECIAL UNIT 0;2 SET
  • '1' FOR SPECIAL UNIT CODE;
  • '2' FOR GENERAL UNIT;

  • LAST EDITED:  MAR 15, 1996
  • DESCRIPTION:  Enter whether this criteria is for general medical surgical ward or for a specialized unit as defined in the Interqual manual. Specialized units include not only ICU's and CCU's but some other non-critical care units that
    one might not normally expect to see included in the list.
.03 CODE 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>2!($L(X)<2)!'(X?2N) X
  • LAST EDITED:  SEP 15, 1993
  • HELP-PROMPT:  Answer must be 2 characters in length.
  • DESCRIPTION:  Enter the 2 digit number to assist in looking up SI/IS criteria.
    Do not edit this code as it will be used in the national roll-up of QM Utilization Review data to identify the category.
  • CROSS-REFERENCE:  356.3^C
    1)= S ^IBE(356.3,"C",$E(X,1,30),DA)=""
    2)= K ^IBE(356.3,"C",$E(X,1,30),DA)
.04 LEVEL OF CARE 0;4 SET
  • '1' FOR CRITICAL CARE;
  • '2' FOR ACUTE CARE - BODY SYSTEM;
  • '3' FOR ACUTE CARE - OTHER;

  • LAST EDITED:  MAR 14, 1996
  • DESCRIPTION:  
    This field stores the three levels of care for the SI/IS categories. This field is displayed as an identifier when the SI/IS category is selected.

Found Entries, Total: 23

NAME: zGENERIC (1995 OBSOLETE)    NAME: CARDIOVASCULAR    NAME: CENTRAL NERVOUS SYSTEM/HEAD    NAME: ENDOCRINE/METABOLIC    NAME: EYE, EAR, NOSE, AND THROAT    NAME: FEMALE REPRODUCTIVE    NAME: GASTROINTESTINAL TRACT AND ABDOMEN    NAME: MUSCULOSKELETAL/SPINE    
NAME: PERIPHERAL VASCULAR    NAME: PSYCHIATRIC    NAME: RESPIRATORY/CHEST    NAME: SKIN/CONNECTIVE TISSUE    NAME: MEDICAL DETOXIFICATION    NAME: GENITOURINARY    NAME: CRITICAL CARE (CARDIAC)    NAME: CRITICAL CARE (NON CARDIAC)    
NAME: OBSERVATION    NAME: zREHABILITATION (1995 OBSOLETE)    NAME: zSUBSTANCE ABUSE (1995 OBSOLETE)    NAME: TELEMETRY    NAME: BLOOD/LYMPH/IMMUNE    NAME: FEMALE REPRODUCTIVE (PREGNANCY-PRETERM)    NAME: FEMALE REPRODUCTIVE (PREGNANCY-TERM)    

ICR, Total: 1

ICR LINK Subscribing Package(s) Fields Referenced Description
ICR #1357
  • Utilization Management Rollup
    		•  CODE (.03).
    Access: Direct Global Read & w/Fileman
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