IBTUBOU ;ALB/RB - UNBILLED AMOUNTS (UTILITIES) ;03 Aug 2004 7:21 AM
Source file <IBTUBOU.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| DT1 | ; - Select date range (returns variables IBBDT and IBEDT).
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| DT1Q | ||
| DT2(STR) | ; - Select re-compile date (returns variable IBTIMON).
; Input: STR - String that describe the type of data that will be ; re-compiled: "Unbilled Amounts", "Average Bill Amounts", etc... |
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| DT2Q | ||
| YR2(D) | ; - Return a date two years from date D.
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| YR2Q | ||
| COV(P,E,T) | ; - Check if patient has insurance coverage.
; Input: P=patient IEN, E=event date, ; T=1-inpatient/2-outpatient/3-pharmacy ; Output: Y=1-patient has coverage/0-no coverage or unknown |
|
| COVQ | ||
| PTCHK(DFN,IBNODE) | ; - See if patient has a non-veteran eligibility.
; Input: DFN=patient IEN ; IBNODE=zero node to CT entry ; Output: IBFLAG=0-nonbillable, 1-billable |
|
| PTCKQ | ||
| NCCL(ENC) | ; - Check if Encounter is NON-COUNT CLINIC
; Input: ENC = Pointer to the ENCOUNTER file (#409.69) ; Output: NCCL= 1 - NON-COUNT CLINIC / 0 - NO NON-COUNT CLINIC |
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| HOSP(ADM) | ; Is the patient still hospitalized (not discharged)?
; Input: ADM = Pointer to the PATIENT MOVEMENT file (#405) |
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| CKBIL(X,Y) | ; - Return valid claim data.
; Input: X=IEN from file #399, Y=0-outpatient, 1-inpatient ; Output: Z=rate^status^auth date^1-inst claim/2-prof claim^ ; event date (if Y=1), or null^req MRA date |
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| CKBL1 | ||
| CKBLQ | ||
| CKENC(IBOE,IBOE0,IBQUIT) | ; - Check outpatient encounters.
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| SCAN(DFN,IBDT,IBQUERY) | ; - Look at all visits for a day.
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| SC(PTF) | ; - If patient is SC, are movements for SC care.
; Input: PTF=PTF record ; Output: IBM=1-all movements PTF, 0-one or more not flagged as SC |
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| SCQ | ||
| LD(L,M) | ; - Load average/unbilled totals into file #356.19
; Input: L=1-average (mon), 2-average (12m), 3-unbilled ; M=file #356.19 IEN |
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| LDQ | ||
| XTRACT | ; - Calculate remaining extract totals and load into file #351.71
; - Set IB with the average and total amounts and call E^IBJDE |
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| INPAVG(IBYRMO) | ; - Calculate the Average Inpatient INST. & PROF. Billed Amounts
; Input: IBYRMO - YEAR/MONTH (YYYMM00) being calculated/updated ; Output: Avg.Inpt.Inst.Bill Amount ^ Avg.Inpt.Prof. Bill Amount |
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| NOTRX(BILL) | ; - Determine if bill contains outpatient visit (use this check
; to make sure not just rx bill returns one if contains a revenue ; code for outpatient visit or a zero if no outpatient visit code ; on bill). |
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| NOTRXQ | ||
| MCCFCKX(FILE,IEN,FLD,ND) | ;JRA;IB*2.0*608 Check if Eligibility of Encounter, Appointment Type, and Rate Type meet MCCF/non-MCCF criteria
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| Name | Line Occurrences |
|---|---|
| Function Call: WRITE |
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| FileNo | Call Tags |
|---|---|
| ^IBE(356.19 - [#356.19] | Classic Fileman Calls |