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Global: ^IBE(363.3

Package: Integrated Billing

Global: ^IBE(363.3


Information

FileMan FileNo FileMan Filename Package
363.3 BILLING RATE Integrated Billing

Description

Directly Accessed By Routines, Total: 80

Package Total Routines
Integrated Billing 80 IB20P383    IB20P418    IB20P561    IB20P572    IBCRBC2    IBCRCC    IBCRED    IBCREE
IBCREE1    IBCRER    IBCRETP    IBCREU1    IBCRHBRA    IBCRHRS    IBCRHU2    IBCRLC
IBCRLI    IBCRLL    IBCRLM    IBCRLR    IBCROE    IBCROI    IBCROI1    IBCROIP
IBCRU1    IBCRU3    IBCRU4    IBCRU5    IBCRU6    IBCRU7    IBYP412    IBYP427
IBYP439    IBYP445    IBYP462    IBYP468    IBYP484    IBYP508    IBYP556    IBYP559
IBYP600    IBYP612    IBYP628    IBYP634    IBYP667    IBYP683    IBYP719    ^IBE(399.6
IBYP491    IBYP513    IBYP520    IBYP536    IBYP542    IBYP573    IBYP584    IBYP658
IBYP693    IBYP724    IBYP744    IBYP755    IBYP783    IBYPPC1    IBYPPL    IBYPPR
IBYPSA    IBYPSA1    IBYPSA2    IBYPSB    IBYPSD    IBYPSF    IBYPSH    ^IBE(363.3
IBYPSE    IBYPSG    IBYPSI    IBYPSJ    IBYPSL    IBYPSM    IBYPSN    IBYPSO

Accessed By FileMan Db Calls, Total: 6

Package Total Routines
Integrated Billing 6 IBCREE    IBCROR    IBCRU1    IBYPPC1    IBYPSA    IBYPSA1    

Pointed To By FileMan Files, Total: 2

Package Total FileMan Files
Integrated Billing 2 CHARGE SET(#363.1)[.02]    BILLING SPECIAL GROUPS(#363.32)[#363.3211(.01)]    

Fields, Total: 6

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 12, 1996
  • HELP-PROMPT:  Answer must be 3-30 characters in length. Enter a descriptive name to identify the rate.
  • DESCRIPTION:  
    Name of this rate. A rate defines a set of charges billable to a specific set of payers.
  • DELETE TEST:  .03,0)= I $P($G(^IBE(363.3,DA,0)),U,3)=1 W !,"Can not Delete Nationally Distibuted Billing Rates!",!
    363.1,0)= I $O(^IBE(363.1,"C",DA,0)) W !,"Can not Delete a Billing Rate that has Charge Sets defined!",!
  • CROSS-REFERENCE:  363.3^B
    1)= S ^IBE(363.3,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(363.3,"B",$E(X,1,30),DA)
.02 ABBREVIATION 0;2 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<2) X
  • LAST EDITED:  JUL 12, 1996
  • HELP-PROMPT:  Answer must be 2-8 characters in length.
  • DESCRIPTION:  
    Enter a short identifier for this rate. This may be used on reports and displays.
.03 DISTRIBUTION 0;3 SET
************************REQUIRED FIELD************************
  • '1' FOR NATIONAL;
  • '2' FOR LOCAL;

  • LAST EDITED:  JUL 12, 1996
  • HELP-PROMPT:  Enter Local.
  • DESCRIPTION:  
    This indicates how the rate and all corresponding data is distributed to the sites. All National entries will be exported nationally and should not be modified locally.
.04 BILLABLE ITEM 0;4 SET
************************REQUIRED FIELD************************
  • '1' FOR BEDSECTION;
  • '2' FOR CPT;
  • '3' FOR NDC #;
  • '4' FOR DRG;
  • '9' FOR MISCELLANEOUS;

  • LAST EDITED:  OCT 02, 1998
  • HELP-PROMPT:  Enter the type of item the charge for this rate is associated with.
  • DESCRIPTION:  
    This is the type of item that will be found in the Charge Item list for all charges of this rate.
.05 CHARGE METHOD 0;5 SET
************************REQUIRED FIELD************************
  • '1' FOR COUNT;
  • '2' FOR VA COST;
  • '3' FOR QUANTITY;
  • '4' FOR MILES;
  • '5' FOR MINUTES;
  • '6' FOR HOURS;

  • LAST EDITED:  NOV 10, 2003
  • HELP-PROMPT:  Enter the method of charge calculation for this rate.
  • DESCRIPTION:  Indicates how the charge will be calculated for the Billable Items found on the bills. COUNT: charge per Item found on the bill VA COST: calculated value of the VA cost for an item QUANTITY: price per dispense unit
    (NDC # charges only) MILES: charge per mile MINUTES: charge with base plus incremental charge per 15 minutes HOURS: charge with base plus incremental charge per hour
.06 BASE CHARGE 0;6 SET
  • '1' FOR YES;

  • LAST EDITED:  DEC 10, 2003
  • HELP-PROMPT:  Enter YES if a Base Charge is allowed for this Billing Rate.
  • DESCRIPTION:  
    Certain types of charges require both an incremental charge per unit and base charge applied once per item. Enter yes if this Billing Rate allows a base charge plus the unit charge for an item.

Found Entries, Total: 19

NAME: TORTIOUSLY LIABLE    NAME: INTERAGENCY    NAME: VA COST    NAME: AVERAGE WHOLESALE PRICE    NAME: AMBULATORY SURGERY    NAME: CMAC    NAME: RC INPATIENT FACILITY    NAME: RC SKILLED NURSING/SUB-ACUTE    
NAME: RC FACILITY PR    NAME: RC PHYSICIAN PR    NAME: TP INPATIENT    NAME: TP OUTPATIENT    NAME: TORTIOUSLY LIABLE MISC    NAME: RC FACILITY PER DIEM    NAME: RC FACILITY HR    NAME: RC FACILITY ML    
NAME: RC MISCELLANEOUS    NAME: RC PHYSICIAN MN    NAME: RC PHYSICIAN ML    

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(363.1 - [#363.1] .01DEL363.1+1
^IBE(363.3 - [#363.3] .01DEL.03+1, .01(XREF 1S), .01(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> DA .01DEL.03+1, .01DEL363.1+1, .01(XREF 1S), .01(XREF 1K)
U .01DEL.03+1
X .01+1!, .01(XREF 1S), .01(XREF 1K), .02+1!
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