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Global: ^IBE(363.1

Package: Integrated Billing

Global: ^IBE(363.1


Information

FileMan FileNo FileMan Filename Package
363.1 CHARGE SET Integrated Billing

Description

Accessed By FileMan Db Calls, Total: 12

Package Total Routines
Integrated Billing 12 IB20P383    IB20P418    IBCRED    IBCREE    IBCREE2    IBCRETP    IBCRHU2    IBCROR
IBCRU1    IBYP520    IBYPPC1    IBYPPR    

Pointed To By FileMan Files, Total: 4

Package Total FileMan Files
Integrated Billing 4 CHARGE ITEM(#363.2)[.02]    IB SITE PARAMETERS(#350.9)[9.12]    RATE SCHEDULE(#363)[#363.0011(.01)]    BILLING SPECIAL GROUPS(#363.32)[#363.3211(.02)]    

Pointer To FileMan Files, Total: 4

Package Total FileMan Files
Integrated Billing 4 MCCR UTILITY(#399.1)[.03, .06]    REVENUE CODE(#399.2)[.05]    BILLING RATE(#363.3)[.02]    BILLING REGION(#363.31)[.07]    

Fields, Total: 7

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

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    Descriptive name to help identify the billable items and the rated defined by the Charge Set.
  • DELETE TEST:  363,0)= I $O(^IBE(363,"C",DA,0)) W !,"Can not Delete a Charge Set that is assigned to a Rate Schedule!",!
    363.2,0)= I $O(^IBA(363.2,"AIVDTS"_DA,0)) W !,"Can not Delete a Charge Set that has Charge Items defined!",!
  • CROSS-REFERENCE:  363.1^B
    1)= S ^IBE(363.1,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(363.1,"B",$E(X,1,30),DA)
.02 BILLING RATE 0;2 POINTER TO BILLING RATE FILE (#363.3)
************************REQUIRED FIELD************************
BILLING RATE(#363.3)

  • LAST EDITED:  JUL 16, 1996
  • HELP-PROMPT:  Enter the type of rate this Charge Set is a subset of.
  • DESCRIPTION:  
    This is the type of rate which defines the charges associated with this Charge Set.
  • CROSS-REFERENCE:  363.1^C
    1)= S ^IBE(363.1,"C",$E(X,1,30),DA)=""
    2)= K ^IBE(363.1,"C",$E(X,1,30),DA)
    Cross-reference on Billing Rate.
.03 BILLABLE EVENT 0;3 POINTER TO MCCR UTILITY FILE (#399.1)
************************REQUIRED FIELD************************
MCCR UTILITY(#399.1)

  • INPUT TRANSFORM:  S DIC("S")="I +$P(^(0),U,14)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Enter the type of event billed by this rate.
  • DESCRIPTION:  
    This is the type of care being billed or itemized on a bill that the payer is charged for. This should correspond to an actual item that may be found on a bill.
  • SCREEN:  S DIC("S")="I +$P(^(0),U,14)=1"
  • EXPLANATION:  Billable Events Only!
.04 CHARGE TYPE 0;4 SET
  • '1' FOR INSTITUTIONAL;
  • '2' FOR PROFESSIONAL;

  • LAST EDITED:  SEP 23, 1996
  • HELP-PROMPT:  If the charges in this set are exclusively professional or institutional, enter 1 or 2.
  • DESCRIPTION:  Defines the charges in this Charge Set as exclusively either professional charges or institutional charges.
    This is used to identify the charges to add to bills that are defined as exclusively professional or institutional bills.
.05 DEFAULT REVENUE CODE 0;5 POINTER TO REVENUE CODE FILE (#399.2) REVENUE CODE(#399.2)

  • INPUT TRANSFORM:  S DIC("S")="I +$P(^(0),U,3)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  AUG 22, 1996
  • HELP-PROMPT:  Enter the Revenue Code that should be used as the default when adding charges to a bill.
  • DESCRIPTION:  This revenue code will be the default for all items in this Charge Set. If a Charge Item does not have a Revenue Code defined for it, this code will be used. Therefore, if most charges for this set should have the same
    revenue code, enter that code here.
    If there is no Default Revenue Code for a Charge Set, then each Charge Item of that set will be required to have a Revenue Code.
  • SCREEN:  S DIC("S")="I +$P(^(0),U,3)=1"
  • EXPLANATION:  Active Revenue Codes Only!
.06 DEFAULT BEDSECTION 0;6 POINTER TO MCCR UTILITY FILE (#399.1) MCCR UTILITY(#399.1)

  • INPUT TRANSFORM:  S DIC("S")="I +$P(^(0),U,5)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  AUG 22, 1996
  • HELP-PROMPT:  Enter the bedsection that should be added to a bill with the charges for the items in this set.
  • DESCRIPTION:  Bedsection is required to add charges to a bill. This is a bedsection that represents the service responsible for the charges in this Set.
    If the charge for this Billing Rate is not associated with a bedsection, then add the bedsection that should be added to a bill with the charges for this Set.
  • SCREEN:  S DIC("S")="I +$P(^(0),U,5)=1"
  • EXPLANATION:  Billable Bedsections Only!
.07 REGION 0;7 POINTER TO BILLING REGION FILE (#363.31) BILLING REGION(#363.31)

  • LAST EDITED:  AUG 22, 1996
  • HELP-PROMPT:  Enter the region which defines the divisions this set of charges apply to.
  • DESCRIPTION:  
    This is the region the charges this set apply to. This is only needed if the charges for this set are modified based on locality/region.

Found Entries, Total: 59

NAME: TL-INPT (INCLUSIVE)    NAME: TL-INPT (NPF)    NAME: TL-INPT (PF)    NAME: TL-OPT VST    NAME: TL-RX FILL    NAME: TL-OPT DENTAL    NAME: TL-MT OPT COPAY    NAME: IA-INPT    
NAME: IA-OPT VST    NAME: IA-RX FILL    NAME: IA-OPT DENTAL    NAME: RX COST    NAME: PI COST    NAME: RC-INPT R&B 402    NAME: RC-INPT ANC 402    NAME: RC-INPT R&B ICU 402    
NAME: RC-INPT ANC ICU 402    NAME: RC-SNF INC 402    NAME: RC-INPT FAC PR 402    NAME: RC-INPT FAC HR 402    NAME: RC-INPT FAC ML 402    NAME: RC-SNF FAC PR 402    NAME: RC-SNF FAC HR 402    NAME: RC-SNF FAC ML 402    
NAME: RC-PHYSICIAN INPT PR 402    NAME: RC-PHYSICIAN INPT MN 402    NAME: RC-PHYSICIAN SNF PR 402    NAME: RC-PHYSICIAN SNF MN 402    NAME: RC-OPT FAC PR 402    NAME: RC-OPT FAC HR 402    NAME: RC-OPT FAC ML 402    NAME: RC-OPT MISC 402    
NAME: RC-PHYSICIAN OPT PR 402    NAME: RC-PHYSICIAN OPT MN 402    NAME: TL-OPT VST PM&RS    NAME: TL-OPT VST POLYTRAUMA    NAME: IA-OPT VST PM&RS    NAME: IA-OPT VST POLYTRAUMA    NAME: RC-INPT R&B 508    NAME: RC-INPT ANC 508    
NAME: RC-INPT R&B ICU 508    NAME: RC-INPT ANC ICU 508    NAME: RC-SNF INC 508    NAME: RC-INPT FAC PR 508    NAME: RC-INPT FAC HR 508    NAME: RC-INPT FAC ML 508    NAME: RC-SNF FAC PR 508    NAME: RC-SNF FAC HR 508    
NAME: RC-SNF FAC ML 508    NAME: RC-PHYSICIAN INPT PR 508    NAME: RC-PHYSICIAN INPT MN 508    NAME: RC-PHYSICIAN SNF PR 508    NAME: RC-PHYSICIAN SNF MN 508    NAME: RC-OPT FAC PR 508    NAME: RC-OPT FAC HR 508    NAME: RC-OPT FAC ML 508    
NAME: RC-OPT MISC 508    NAME: RC-PHYSICIAN OPT PR 508    NAME: RC-PHYSICIAN OPT MN 508    
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