Global: ^IBE(363

FileMan FileNo	FileMan Filename	Package
363	RATE SCHEDULE	Integrated Billing

Accessed By FileMan Db Calls, Total: 14

Package	Total	Routines
Integrated Billing	14	IB20P383 IB20P424 IB20P554 IB20P618 IB20P632 IB20P645 IB3PSOU IBCREE IBCROR IBY568PO IBYPPC1 IBYPPR IBYPSA IBYPSA1

Pointer To FileMan Files, Total: 3

Package	Total	FileMan Files
Integrated Billing	3	MCCR UTILITY(#399.1)[.04] RATE TYPE(#399.3)[.02] CHARGE SET(#363.1)[#363.0011(.01)]

Fields, Total: 10

Field #	Name	Loc	Type	Details
.01	NAME	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>20!($L(X)<3)!'(X'?1P.E) X` LAST EDITED: `JUL 01, 1996` HELP-PROMPT: `Answer must be 3-20 characters in length. Enter a descriptive name for the payer and service.` DESCRIPTION: `A Rate Schedule which defines a set of charges billable to a payer for a specific type of service. This is a free text short description that should identify who and what is being billed.` CROSS-REFERENCE: `363^B` `1)= S ^IBE(363,"B",$E(X,1,30),DA)=""` `2)= K ^IBE(363,"B",$E(X,1,30),DA)`
.02	RATE TYPE	0;2	POINTER TO RATE TYPE FILE (#399.3)	**********************REQUIRED FIELD********************** RATE TYPE(#399.3) INPUT TRANSFORM: `S DIC("S")="I '$P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `AUG 01, 1996` HELP-PROMPT: `Enter the Rate Type this schedule applies to.` DESCRIPTION: `The Rate Type of the bills the charges of this schedule should be applied to.` SCREEN: `S DIC("S")="I '$P(^(0),U,3)"` EXPLANATION: `Only Active Rate Types!` CROSS-REFERENCE: `363^ARB^MUMPS` `1)= I +X,+$P($G(^IBE(363,DA,0)),U,3) S ^IBE(363,"ARB",+X,+$P(^(0),U,3),DA)=""` `2)= I +X,+$P($G(^IBE(363,DA,0)),U,3) K ^IBE(363,"ARB",+X,+$P(^(0),U,3),DA)` `Cross reference by Rate Type and Bill Type.`
.03	BILL TYPE	0;3	SET	**********************REQUIRED FIELD********************** '1' FOR INPATIENT; '3' FOR OUTPATIENT; LAST EDITED: `AUG 01, 1996` HELP-PROMPT: `The type of bill this schedule can be used for.` DESCRIPTION: `The type of care being billed or type of bill the charges of this schedule are for.` CROSS-REFERENCE: `363^ARB1^MUMPS` `1)= I +X,+$P($G(^IBE(363,DA,0)),U,2) S ^IBE(363,"ARB",+$P(^(0),U,2),+X,DA)=""` `2)= I +X,+$P($G(^IBE(363,DA,0)),U,2) K ^IBE(363,"ARB",+$P(^(0),U,2),+X,DA)` `Cross reference by Rate Type and Bill Type.`
.04	BILLABLE SERVICE	0;4	POINTER TO MCCR UTILITY FILE (#399.1)	MCCR UTILITY(#399.1) INPUT TRANSFORM: `S DIC("S")="I +$P(^(0),U,13)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `JUL 03, 1996` HELP-PROMPT: `Enter the type of service this schedule covers.` DESCRIPTION: `The type of service covered by the charges of this Rate Schedule.` SCREEN: `S DIC("S")="I +$P(^(0),U,13)"` EXPLANATION: `Pre-defined Billable Services Only!`
.05	EFFECTIVE DATE	0;5	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 01, 1996` HELP-PROMPT: `The first date this schedule can be used.` DESCRIPTION: `The first date the charges associated with this Rate Schedule may be billed to a payer.`
.06	INACTIVE DATE	0;6	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 01, 1996` HELP-PROMPT: `Enter the last date this schedule is effective.` DESCRIPTION: `This is the last date this Rate Schedule may be used to bill a payer.`
1.01	DISPENSING FEE	1;1	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<.01)!(X?.E1"."3.N) X` LAST EDITED: `JUN 17, 2003` HELP-PROMPT: `Enter the dispensing fee part of the rate schedule adjustment.` DESCRIPTION: `This dollar amount is the dispensing fee component of the rate schedule adjustment that was entered.`
1.02	ADMINISTRATIVE FEE	1;2	NUMBER	INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<.01)!(X?.E1"."3.N) X` LAST EDITED: `JUN 17, 2003` HELP-PROMPT: `Enter the administrative fee part of the rate schedule adjustment.` DESCRIPTION: `This dollar amount is the administrative fee component of the rate schedule adjustment that was entered.`
10	ADJUSTMENT	10;E1,245	MUMPS	INPUT TRANSFORM: `K:$L(X)>245 X D:$D(X) ^DIM` LAST EDITED: `AUG 22, 1996` HELP-PROMPT: `This is Standard MUMPS code. Enter M code that will modify the charge in X.` DESCRIPTION: `This allows the base charges of a rate to be adjusted for specific types of payers.` `Modifies the Unit Charge of all items assigned to this Rate Schedule. For Example, this would be used to bill a certain type of payer only 80% of the CMAC. Or to add a $2.50 fee to each prescription.` `This is a line of M code and should only be modified by an M programmer.` `Once the Unit Charge is determined for a billable item, this code is executed to modify that charge. This modified charge is what will be added to the bill.` `When this code is executed: - the original value of the Unit Charge will be in variable X - the modified charge to be billed should be returned in variable X Use the local namespace for any other variables needed and kill` `them.` `To charge 80% of the Unit Charge: S X=X*.8` `To add a $2.50 fee to the Unit Charge: S X=X+2.5` `WRITE AUTHORITY: @`
11	CHARGE SET	11;0	POINTER Multiple #363.0011	363.0011 DESCRIPTION: `All Charge Sets for this Rate Schedule. These define all the charges that may be billable to the payors for a specific type of bill.`

NAME: RI-INPT	NAME: RI-OPT	NAME: CV-INPT	NAME: CV-OPT	NAME: NF-INPT	NAME: NF-OPT	NAME: TF-INPT	NAME: TF-OPT
NAME: WC-INPT	NAME: WC-OPT	NAME: HMN-INPT	NAME: HMN-OPT	NAME: DNTL-OPT DENTAL	NAME: IA-INPT	NAME: IA-OPT	NAME: RI-INPT
NAME: RI-OPT	NAME: RI-RX	NAME: NF-INPT	NAME: NF-OPT	NAME: NF-RX	NAME: WC-INPT	NAME: WC-OPT	NAME: WC-RX
NAME: RI-INPT	NAME: RI-SNF	NAME: RI-OPT	NAME: RI-RX	NAME: NF-INPT	NAME: NF-SNF	NAME: NF-OPT	NAME: NF-RX
NAME: WC-INPT	NAME: WC-SNF	NAME: WC-OPT	NAME: WC-RX	NAME: TF-INPT	NAME: TF-SNF	NAME: TF-OPT	NAME: TF-RX
NAME: INELIG-OPT	NAME: INELIG-INPT	NAME: TR-RX	NAME: TRRI-RX	NAME: CVA-INPT	NAME: CVA-SNF	NAME: CVA-OPT	NAME: CVA-RX
NAME: CVA RI-INPT	NAME: CVA RI-SNF	NAME: CVA RI-OPT	NAME: CVA RI-RX	NAME: RI-RX	NAME: NF-RX	NAME: WC-RX	NAME: TF-RX
NAME: RI-RX	NAME: NF-RX	NAME: WC-RX	NAME: TF-RX	NAME: TR-RX	NAME: TRRI-RX	NAME: RI-RX	NAME: NF-RX
NAME: WC-RX	NAME: TF-RX	NAME: INELIG-RX	NAME: INELIG-OPT	NAME: HMN-RX	NAME: HMN-OPT	NAME: RI-RX	NAME: NF-RX
NAME: WC-RX	NAME: TF-RX	NAME: INELIG-RX	NAME: HMN-RX	NAME: TR-RX	NAME: TRRI-RX	NAME: TR-RX	NAME: TRRI-RX
NAME: IA-RX	NAME: IA-OPT	NAME: RI-RX	NAME: NF-RX	NAME: WC-RX	NAME: TF-RX	NAME: INELIG-RX	NAME: HMN-RX
NAME: IA-RX	NAME: TRRI-RX	NAME: TR-RX	NAME: HMN-RX	NAME: INELIG-RX	NAME: IA-RX	NAME: NF-RX	NAME: RI-RX
NAME: TF-RX	NAME: WC-RX	NAME: HMN-RX	NAME: INELIG-RX	NAME: IA-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX
NAME: WC-RX	NAME: TRRI-RX	NAME: TR-RX	NAME: FR-INPT	NAME: FR-SNF	NAME: FR-OPT	NAME: FR-RX	NAME: HMN-RX
NAME: INELIG-RX	NAME: IA-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TRRI-RX	NAME: TR-RX
NAME: HR-INPT	NAME: HR-OPT	NAME: HR-OPT	NAME: HR-RX	NAME: HR-RX	NAME: HR-RX	NAME: HR-RX	NAME: HR-RX
NAME: HR-RX	NAME: HR-OPT DENTAL	NAME: IR-INPT	NAME: IR-OPT	NAME: IR-OPT	NAME: IR-RX	NAME: IR-RX	NAME: IR-RX
NAME: IR-RX	NAME: IR-RX	NAME: IR-RX	NAME: DTR-RX	NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX	NAME: INELIG-RX
NAME: IA-RX	NAME: IR-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TR-RX	NAME: TRRI-RX
NAME: CCC-NF-INPT	NAME: CCC-NF-SNF	NAME: CCC-NF-OPT	NAME: CCC-NF-RX	NAME: CCC-NF-RX	NAME: CCC-NF-RX	NAME: CCC-NF-RX	NAME: CCC-NF-RX
NAME: CC-NF-INPT	NAME: CC-NF-SNF	NAME: CC-NF-OPT	NAME: CC-NF-RX	NAME: CC-NF-RX	NAME: CC-NF-RX	NAME: CC-NF-RX	NAME: CC-NF-RX
NAME: CCN-NF-INPT	NAME: CCN-NF-SNF	NAME: CCN-NF-OPT	NAME: CCN-NF-RX	NAME: CCN-NF-RX	NAME: CCN-NF-RX	NAME: CCN-NF-RX	NAME: CCN-NF-RX
NAME: CCC-RI-INPT	NAME: CCC-RI-SNF	NAME: CCC-RI-OPT	NAME: CCC-RI-RX	NAME: CCC-RI-RX	NAME: CCC-RI-RX	NAME: CCC-RI-RX	NAME: CCC-RI-RX
NAME: CC-RI-INPT	NAME: CC-RI-SNF	NAME: CC-RI-OPT	NAME: CC-RI-RX	NAME: CC-RI-RX	NAME: CC-RI-RX	NAME: CC-RI-RX	NAME: CC-RI-RX
NAME: CCN-RI-INPT	NAME: CCN-RI-SNF	NAME: CCN-RI-OPT	NAME: CCN-RI-RX	NAME: CCN-RI-RX	NAME: CCN-RI-RX	NAME: CCN-RI-RX	NAME: CCN-RI-RX
NAME: CC-DOD-INPT	NAME: CC-DOD-SNF	NAME: CC-DOD-OPT	NAME: CC-DOD-RX	NAME: CC-DOD-RX	NAME: CC-DOD-RX	NAME: CC-DOD-RX	NAME: CC-DOD-RX
NAME: CCC-TF-INPT	NAME: CCC-TF-SNF	NAME: CCC-TF-OPT	NAME: CCC-TF-RX	NAME: CCC-TF-RX	NAME: CCC-TF-RX	NAME: CCC-TF-RX	NAME: CCC-TF-RX
NAME: CC-TF-INPT	NAME: CC-TF-SNF	NAME: CC-TF-OPT	NAME: CC-TF-RX	NAME: CC-TF-RX	NAME: CC-TF-RX	NAME: CC-TF-RX	NAME: CC-TF-RX
NAME: CCN-TF-INPT	NAME: CCN-TF-SNF	NAME: CCN-TF-OPT	NAME: CCN-TF-RX	NAME: CCN-TF-RX	NAME: CCN-TF-RX	NAME: CCN-TF-RX	NAME: CCN-TF-RX
NAME: CCC-WC-INPT	NAME: CCC-WC-SNF	NAME: CCC-WC-OPT	NAME: CCC-WC-RX	NAME: CCC-WC-RX	NAME: CCC-WC-RX	NAME: CCC-WC-RX	NAME: CCC-WC-RX
NAME: CC-WC-INPT	NAME: CC-WC-SNF	NAME: CC-WC-OPT	NAME: CC-WC-RX	NAME: CC-WC-RX	NAME: CC-WC-RX	NAME: CC-WC-RX	NAME: CC-WC-RX
NAME: CCN-WC-INPT	NAME: CCN-WC-SNF	NAME: CCN-WC-OPT	NAME: CCN-WC-RX	NAME: CCN-WC-RX	NAME: CCN-WC-RX	NAME: CCN-WC-RX	NAME: CCN-WC-RX
NAME: DOD-DIS EXAM-OPT	NAME: DOD-SCI-INPT	NAME: DOD-SCI-OPT	NAME: DOD-SCI-SNF	NAME: DOD-TBI-INPT	NAME: DOD-TBI-OPT	NAME: DOD-TBI-SNF	NAME: DOD-BR-INPT
NAME: DOD-BR-OPT	NAME: DOD-BR-SNF	NAME: TR-DENTAL	NAME: TR-PHARM	NAME: TR-PHARM	NAME: TR-PHARM	NAME: TR-PHARM	NAME: TR-PHARM
NAME: CCC-NF-RX	NAME: CC-NF-RX	NAME: CCN-NF-RX	NAME: CCC-RI-RX	NAME: CC-RI-RX	NAME: CCN-RI-RX	NAME: CC-DOD-RX	NAME: CCC-TF-RX
NAME: CC-TF-RX	NAME: CCN-TF-RX	NAME: CCC-WC-RX	NAME: CC-WC-RX	NAME: CCN-WC-RX	NAME: TR-PHARM	NAME: CC-RX	NAME: CC-NF-RX
NAME: CC-RI-RX	NAME: CC-TF-RX	NAME: CC-WC-RX	NAME: CCN-RX	NAME: CCN-RI-RX	NAME: CCN-TF-RX	NAME: CCN-WC-RX	NAME: CCC-RX
NAME: CCC-RI-RX	NAME: CCC-TF-RX	NAME: CCC-WC-RX	NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX	NAME: INELIG-RX	NAME: IA-RX
NAME: IR-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TR-RX	NAME: TR-PHARM	NAME: TRRI-RX
NAME: TR-RX	NAME: TR-PHARM	NAME: TRRI-RX	NAME: CC-RX	NAME: CC-NF-RX	NAME: CC-RI-RX	NAME: CC-TF-RX	NAME: CC-WC-RX
NAME: CCN-RX	NAME: CCN-RI-RX	NAME: CCN-TF-RX	NAME: CCN-WC-RX	NAME: CCC-RX	NAME: CCC-RI-RX	NAME: CCC-TF-RX	NAME: CCC-WC-RX
NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX	NAME: INELIG-RX	NAME: IA-RX	NAME: IR-RX	NAME: NF-RX	NAME: RI-RX
NAME: TF-RX	NAME: WC-RX	NAME: TR-RX	NAME: TR-PHARM	NAME: TRRI-RX	NAME: CC-RX	NAME: CC-NF-RX	NAME: CC-RI-RX
NAME: CC-TF-RX	NAME: CC-WC-RX	NAME: CCN-RX	NAME: CCN-RI-RX	NAME: CCN-TF-RX	NAME: CCN-WC-RX	NAME: CCC-RX	NAME: CCC-RI-RX
NAME: CCC-TF-RX	NAME: CCC-WC-RX	NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX	NAME: INELIG-RX	NAME: IA-RX	NAME: IR-RX
NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TR-RX	NAME: TR-PHARM	NAME: TRRI-RX	NAME: CC-RX
NAME: CC-NF-RX	NAME: CC-RI-RX	NAME: CC-TF-RX	NAME: CC-WC-RX	NAME: CCN-RX	NAME: CCN-RI-RX	NAME: CCN-TF-RX	NAME: CCN-WC-RX
NAME: CCC-RX	NAME: CCC-RI-RX	NAME: CCC-TF-RX	NAME: CCC-WC-RX	NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX	NAME: INELIG-RX
NAME: IA-RX	NAME: IR-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TR-RX	NAME: TR-PHARM
NAME: TRRI-RX	NAME: CC-RX	NAME: CC-NF-RX	NAME: CC-RI-RX	NAME: CC-TF-RX	NAME: CC-WC-RX	NAME: CCN-RX	NAME: CCN-RI-RX
NAME: CCN-TF-RX	NAME: CCN-WC-RX	NAME: CCC-RX	NAME: CCC-RI-RX	NAME: CCC-TF-RX	NAME: CCC-WC-RX	NAME: DTR-RX	NAME: HMN-RX
NAME: HR-RX	NAME: INELIG-RX	NAME: IA-RX	NAME: IR-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX
NAME: CC-RX	NAME: CC-NF-RX	NAME: CC-RI-RX	NAME: CC-TF-RX	NAME: CC-WC-RX	NAME: CCN-RX	NAME: CCN-RI-RX	NAME: CCN-TF-RX
NAME: CCN-WC-RX	NAME: CCC-RX	NAME: CCC-RI-RX	NAME: CCC-TF-RX	NAME: CCC-WC-RX	NAME: DTR-RX	NAME: HMN-RX	NAME: HR-RX
NAME: INELIG-RX	NAME: IA-RX	NAME: IR-RX	NAME: NF-RX	NAME: RI-RX	NAME: TF-RX	NAME: WC-RX	NAME: TR-RX
NAME: TR-PHARM	NAME: TRRI-RX

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Package: Integrated Billing

Global: ^IBE(363

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Accessed By FileMan Db Calls, Total: 14

Pointer To FileMan Files, Total: 3

Fields, Total: 10

Found Entries, Total: 442