IBCU7A ;ALB/ARH - BILL PROCEDURE MANIPULATIONS ; 10-OCT-03
Source file <IBCU7A.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| PROC(IBIFN,EDIT) | ; manipulate bill procedures base on charges and the clinical data
; EDIT is a flag for which manipulations should be completed, if true then only the charge significant manipulations are preformed |
|
| DELTC(IBIFN) | ; delete TC modifier from all procedures on RC v2.0+ Institutional bills
|
|
| DELCLN(IBIFN) | ; remove clinical procedures from RC v2.0+ bills
; - remove from institutional bill any procedures with a 26 in the clinical data ; - remove from professional bill any procedures with a TC in the clinical data ; to delete a procedure the outpatient encounter pointer must match the clinical encounter ; (checks for non-modified procedure on bill in case modifier was manually removed) |
|
| ADDCLN(IBIFN) | ; add 26 modified clinical procedures to RC v2.0+ bills
; - add to professional bill any procedures with a 26 in the clinical data ; to add the clinical procedure the bill must not already have that procedure for the date ; (checks for non-modified procedure on bill in case modifier was manually removed) |
|
| MOD26(IBIFN) | ; add/delete modifier 26 to procedure if that is the only professional charge available
; added on professional bill, deleted from institutional bill |
|
| MODTC(IBIFN) | ; add TC modifier to procedures on the institutional bill
; *564 remove TC modifier from procedures on the professional bill |
|
| MCRB(IBIFN) | ; *619 - no TC modifier for Medicare
; input-IBIFN, output-1 if payer sequence is primary and 1st or 2nd payer is Medicare, otherwise 0 |
|
| ASK(IBIFN) | ; ask if the bill procedure modifications should be executed
|
| Name | Line Occurrences |
|---|---|
| Function Call: WRITE |
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| Function Call: WRITE |
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| Function Call: WRITE |
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| Function Call: WRITE |
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| Function Call: WRITE |
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| Function Call: WRITE |
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| Function Call: WRITE |
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