Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Desc |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Fields |  Found Entries  | All
Print Page as PDF
Global: ^IBE(363.3

Package: Integrated Billing

Global: ^IBE(363.3


Information

FileMan FileNo FileMan Filename Package
363.3 BILLING RATE Integrated Billing

Description

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    
Info |  Desc |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Fields |  Found Entries  | All