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Global: ^IBE(363

Package: Integrated Billing

Global: ^IBE(363


Information

FileMan FileNo FileMan Filename Package
363 RATE SCHEDULE Integrated Billing

Description

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.

Found Entries, Total: 442

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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