IBYPSA1 ;ALB/ARH - IB*2.0*245 POST INIT: REASONABLE CHARGES V2.0 CONT; 10-OCT-2003
;;2.0;INTEGRATED BILLING;**245**;21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
;
Q
;
ADDRB ; Add Billable Service (399.1, .2=1)
N IBA,IBCNT,IBI,IBLN,IBFN,IBX,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y S IBCNT=0
;
F IBI=1:1 S IBLN=$P($T(RBF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D
. ;
. I +$$MCCRUTL($P(IBLN,U,1),13) Q
. ;
. K DD,DO S DLAYGO=399.1,DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBLN,U,1) D FILE^DICN K DIC I Y<1 K X,Y Q
. S IBFN=+Y,IBCNT=IBCNT+1
. ;
. S DR=".03////"_$P(IBLN,U,2)_";.2////"_1
. S DIE="^DGCR(399.1,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y
. ;
. S IBA(IBCNT+1)=" "_$P(IBLN,U,1)
;
RBQ S IBA(1)=" >> "_IBCNT_" Billable Services added (399.1)..."
D MES^XPDUTL(.IBA)
Q
;
ADDBS ; Add Bedsection (399.1, .12=1)
N IBA,IBCNT,IBI,IBLN,IBRB,IBFN,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y S IBCNT=0
;
F IBI=1:1 S IBLN=$P($T(BSF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D
. ;
. I +$$MCCRUTL($P(IBLN,U,1),5) Q
. ;
. S IBRB=$P(IBLN,U,3) I IBRB'="" S IBRB=$$MCCRUTL(IBRB,13) D Q:'IBRB
.. I 'IBRB D MSG(" *** Billable Service "_$P(IBLN,U,3)_" not defined, BS "_$P(IBLN,U,1)_" not created")
. ;
. K DD,DO S DLAYGO=399.1,DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBLN,U,1) D FILE^DICN K DIC I Y<1 K X,Y Q
. S IBFN=+Y,IBCNT=IBCNT+1
. ;
. S DR=".03////"_$P(IBLN,U,2)_";.12////"_1 I +IBRB S DR=DR_";.25////"_IBRB
. S DIE="^DGCR(399.1,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y
. ;
. S IBA(IBCNT+1)=" "_$P(IBLN,U,1)
;
BSQ S IBA(1)=" >> "_IBCNT_" Bedsection added (399.1)..."
D MES^XPDUTL(.IBA)
Q
;
ADDBI ; Add Billing Items (363.21)
N IBA,IBCNT,IBI,IBLN,IBFN,IBX,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y S IBCNT=0
;
F IBI=1:1 S IBLN=$P($T(BIF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D
. ;
. S IBX=$O(^IBA(363.21,"B",$P(IBLN,U,1),0)) I +IBX,$P($G(^IBA(363.21,IBX,0)),U,2)=$P(IBLN,U,2) Q
. ;
. S DIC("DR")=".02////"_$P(IBLN,U,2)
. K DD,DO S DLAYGO=363.21,DIC="^IBA(363.21,",DIC(0)="L",X=$P(IBLN,U,1) D FILE^DICN K DIC,DLAYGO I Y<1 K X,Y Q
. S IBFN=+Y,IBCNT=IBCNT+1
. ;
. S IBA(IBCNT+1)=" "_$P(IBLN,U,1)
;
BIQ S IBA(1)=" >> "_IBCNT_" Billing Items added (363.21)..."
D MES^XPDUTL(.IBA)
Q
ADDBR ; Add Billing Rates (363.3)
N IBA,IBCNT,IBI,IBJ,IBBR,IBLN,IBFN,DD,DO,DINUM,DLAYGO,DIC,DIE,DA,DR,X,Y S IBCNT=0
;
F IBI=1:1 S IBLN=$P($T(BRF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D
. ;
. I $O(^IBE(363.3,"B",$P(IBLN,U,1),0)) Q
. ;
. F IBJ=1:1 S IBBR=$G(^IBE(363.3,IBJ,0)) I IBBR="" S DINUM=IBJ Q
. ;
. K DD,DO S DLAYGO=363.3,DIC="^IBE(363.3,",DIC(0)="L",X=$P(IBLN,U,1) D FILE^DICN K DIC I Y<1 K X,Y Q
. S IBFN=+Y,IBCNT=IBCNT+1
. ;
. S DR=".02////"_$P(IBLN,U,2)_";.03////"_$P(IBLN,U,3)_";.04////"_$P(IBLN,U,4)_";.05////"_$P(IBLN,U,5)_";.06////"_$P(IBLN,U,6)
. S DIE="^IBE(363.3,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y
. ;
. S IBA(IBCNT+1)=" "_$P(IBLN,U,1)
;
BRQ S IBA(1)=" >> "_IBCNT_" Billing Rates added (363.3)..."
D MES^XPDUTL(.IBA)
Q
;
ADDRS ; add Rate Schedules (363) for Reasonable Charges, if this is the first time the patch is installed
; (charge sets will be added when rates are uploaded)
N IBA,IBCNT,IBI,IBLN,IBFN,IBRT,IBBS,IBJ,IBLNCS,IBCS,IBCSFN,IBSTDT,IBRS,DINUM,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y S IBSTDT="",IBCNT=0
;
I $O(^IBE(363.3,"B","RC PHYSICIAN MN",0)) G RSQ
;
S IBSTDT=$$VERSDT^IBCRHBRV(2) ;I '$$PROD^IBCORC S IBSTDT=2981001
;
F IBI=1:1 S IBLN=$P($T(RSF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D
. ;
. S IBBS=$P(IBLN,U,4) I IBBS'="" S IBBS=$$MCCRUTL(IBBS,13) D Q:'IBBS
.. I 'IBBS D MSG(" *** Billable Service "_$P(IBLN,U,4)_" not defined, RS "_$P(IBLN,U,1)_" not created")
. ;
. S IBRT=$P(IBLN,U,2),IBRT=$O(^DGCR(399.3,"B",IBRT,0)) D Q:'IBRT
.. I 'IBRT D MSG(" *** Rate Type "_$P(IBLN,U,2)_" not defined, RS "_$P(IBLN,U,1)_" not created")
.. I +$P($G(^DGCR(399.3,+IBRT,0)),U,3) S IBRT=0 D MSG(" *** Rate Type "_$P(IBLN,U,2)_" not Active, RS "_$P(IBLN,U,1)_" not created")
. ;
. F IBJ=1:1 S IBRS=$G(^IBE(363,IBJ,0)) I IBRS="" S DINUM=IBJ Q
. ;
. K DD,DO S DLAYGO=363,DIC="^IBE(363,",DIC(0)="L",X=$P(IBLN,U,1) D FILE^DICN K DIC,DINUM,DLAYGO I Y<1 K X,Y Q
. S IBFN=+Y,IBCNT=IBCNT+1
. ;
. S DR=".02////"_IBRT_";.03////"_$P(IBLN,U,3) S:+IBBS DR=DR_";.04////"_IBBS S DR=DR_";.05////"_IBSTDT
. S DIE="^IBE(363,",DA=+Y D ^DIE K DIE,DA,DR,X,Y
. ;
. ; charge sets (multiple)
. S IBLNCS=$P(IBLN,":",2,999) I IBLNCS'="" F IBJ=1:1 S IBCS=$P(IBLNCS,":",IBJ) Q:IBCS="" D
.. S IBCSFN=$O(^IBE(363.1,"B",IBCS,0)) Q:'IBCSFN
.. ;
.. S DLAYGO=363,DA(1)=+IBFN,DIC="^IBE(363,"_DA(1)_",11,",DIC(0)="L",X=IBCS,DIC("DR")=".02////"_1,DIC("P")="363.0011P" D ^DIC K DIC,DIE
;
RSQ S IBA(1)=" >> "_IBCNT_" Rate Schedules added, active on "_$E(IBSTDT,4,5)_"/"_$E(IBSTDT,6,7)_"/"_$E(IBSTDT,2,3)_" (363)..."
D MES^XPDUTL(.IBA)
Q
;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
N IBX,IBY S IBY=""
I $G(X)'="" S IBX=0 F S IBX=$O(^DGCR(399.1,"B",X,IBX)) Q:'IBX I $P($G(^DGCR(399.1,IBX,0)),U,+$G(P)) S IBY=IBX
Q IBY
;
MSG(X) ;
N IBX S IBX=$O(IBA(999999),-1) S:'IBX IBX=1 S IBX=IBX+1
S IBA(IBX)=$G(X)
Q
;
;
RBF ; billable services (399.1,.2)
;; name ^ abbreviation
;;
;;SKILLED NURSING^SNF
;;
;
BSF ; Bedsections (399.1,.12)
;; name ^ abbreviation ^ other care
;;
;;ICU^ICU
;;PARTIAL HOSPITALIZATION^PARTIAL HOSP
;;SKILLED NURSING CARE^SNF^SKILLED NURSING
;;SUB-ACUTE CARE^SUBACUTE^SKILLED NURSING
;;
;
BIF ; Billing Items (363.21)
;; name ^ type
;;
;;PARTIAL HOSPITALIZATION^9
;;
BRF ; Billing Rates File (363.3)
;; name ^ abbreviation ^ distribution ^ billable item ^ charge method ^ base allowed
;;
;;RC FACILITY PER DIEM^RC F/PD^1^1^1
;;
;;RC FACILITY HR^RC F/HR^1^2^6^1
;;RC FACILITY ML^RC F/ML^1^2^4
;;
;;RC MISCELLANEOUS^RC MISC^1^9^1
;;
;;RC PHYSICIAN MN^RC P/MN^1^2^5^1
;;RC PHYSICIAN ML^RC P/ML^1^2^4
;;
RSF ; Rate Schedules (363)
;; rs name ^ rate type ^ bill type ^ billable service ^ effective date ^^ charge sets
;;
;;RI-INPT^REIMBURSABLE INS.^1^^
;;RI-SNF^REIMBURSABLE INS.^1^SKILLED NURSING^
;;RI-OPT^REIMBURSABLE INS.^3^^
;;RI-RX^REIMBURSABLE INS.^3^^^^:TL-RX FILL
;;
;;NF-INPT^NO FAULT INS.^1^^
;;NF-SNF^NO FAULT INS.^1^SKILLED NURSING^
;;NF-OPT^NO FAULT INS.^3^^
;;NF-RX^NO FAULT INS.^3^^^^:TL-RX FILL
;;
;;WC-INPT^WORKERS' COMP.^1^^
;;WC-SNF^WORKERS' COMP.^1^SKILLED NURSING^
;;WC-OPT^WORKERS' COMP.^3^^
;;WC-RX^WORKERS' COMP.^3^^^^:TL-RX FILL
;;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBYPSA1 6730 printed Sep 23, 2025@20:13:01 Page 2
IBYPSA1 ;ALB/ARH - IB*2.0*245 POST INIT: REASONABLE CHARGES V2.0 CONT; 10-OCT-2003
+1 ;;2.0;INTEGRATED BILLING;**245**;21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
+4 ;
+5 QUIT
+6 ;
ADDRB ; Add Billable Service (399.1, .2=1)
+1 NEW IBA,IBCNT,IBI,IBLN,IBFN,IBX,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
SET IBCNT=0
+2 ;
+3 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(RBF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+4 ;
+5 IF +$$MCCRUTL($PIECE(IBLN,U,1),13)
QUIT
+6 ;
+7 KILL DD,DO
SET DLAYGO=399.1
SET DIC="^DGCR(399.1,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
DO FILE^DICN
KILL DIC
IF Y<1
KILL X,Y
QUIT
+8 SET IBFN=+Y
SET IBCNT=IBCNT+1
+9 ;
+10 SET DR=".03////"_$PIECE(IBLN,U,2)_";.2////"_1
+11 SET DIE="^DGCR(399.1,"
SET DA=+IBFN
DO ^DIE
KILL DIE,DA,DR,X,Y
+12 ;
+13 SET IBA(IBCNT+1)=" "_$PIECE(IBLN,U,1)
End DoDot:1
+14 ;
RBQ SET IBA(1)=" >> "_IBCNT_" Billable Services added (399.1)..."
+1 DO MES^XPDUTL(.IBA)
+2 QUIT
+3 ;
ADDBS ; Add Bedsection (399.1, .12=1)
+1 NEW IBA,IBCNT,IBI,IBLN,IBRB,IBFN,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
SET IBCNT=0
+2 ;
+3 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(BSF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+4 ;
+5 IF +$$MCCRUTL($PIECE(IBLN,U,1),5)
QUIT
+6 ;
+7 SET IBRB=$PIECE(IBLN,U,3)
IF IBRB'=""
SET IBRB=$$MCCRUTL(IBRB,13)
Begin DoDot:2
+8 IF 'IBRB
DO MSG(" *** Billable Service "_$PIECE(IBLN,U,3)_" not defined, BS "_$PIECE(IBLN,U,1)_" not created")
End DoDot:2
if 'IBRB
QUIT
+9 ;
+10 KILL DD,DO
SET DLAYGO=399.1
SET DIC="^DGCR(399.1,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
DO FILE^DICN
KILL DIC
IF Y<1
KILL X,Y
QUIT
+11 SET IBFN=+Y
SET IBCNT=IBCNT+1
+12 ;
+13 SET DR=".03////"_$PIECE(IBLN,U,2)_";.12////"_1
IF +IBRB
SET DR=DR_";.25////"_IBRB
+14 SET DIE="^DGCR(399.1,"
SET DA=+IBFN
DO ^DIE
KILL DIE,DA,DR,X,Y
+15 ;
+16 SET IBA(IBCNT+1)=" "_$PIECE(IBLN,U,1)
End DoDot:1
+17 ;
BSQ SET IBA(1)=" >> "_IBCNT_" Bedsection added (399.1)..."
+1 DO MES^XPDUTL(.IBA)
+2 QUIT
+3 ;
ADDBI ; Add Billing Items (363.21)
+1 NEW IBA,IBCNT,IBI,IBLN,IBFN,IBX,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
SET IBCNT=0
+2 ;
+3 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(BIF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+4 ;
+5 SET IBX=$ORDER(^IBA(363.21,"B",$PIECE(IBLN,U,1),0))
IF +IBX
IF $PIECE($GET(^IBA(363.21,IBX,0)),U,2)=$PIECE(IBLN,U,2)
QUIT
+6 ;
+7 SET DIC("DR")=".02////"_$PIECE(IBLN,U,2)
+8 KILL DD,DO
SET DLAYGO=363.21
SET DIC="^IBA(363.21,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
DO FILE^DICN
KILL DIC,DLAYGO
IF Y<1
KILL X,Y
QUIT
+9 SET IBFN=+Y
SET IBCNT=IBCNT+1
+10 ;
+11 SET IBA(IBCNT+1)=" "_$PIECE(IBLN,U,1)
End DoDot:1
+12 ;
BIQ SET IBA(1)=" >> "_IBCNT_" Billing Items added (363.21)..."
+1 DO MES^XPDUTL(.IBA)
+2 QUIT
ADDBR ; Add Billing Rates (363.3)
+1 NEW IBA,IBCNT,IBI,IBJ,IBBR,IBLN,IBFN,DD,DO,DINUM,DLAYGO,DIC,DIE,DA,DR,X,Y
SET IBCNT=0
+2 ;
+3 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(BRF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+4 ;
+5 IF $ORDER(^IBE(363.3,"B",$PIECE(IBLN,U,1),0))
QUIT
+6 ;
+7 FOR IBJ=1:1
SET IBBR=$GET(^IBE(363.3,IBJ,0))
IF IBBR=""
SET DINUM=IBJ
QUIT
+8 ;
+9 KILL DD,DO
SET DLAYGO=363.3
SET DIC="^IBE(363.3,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
DO FILE^DICN
KILL DIC
IF Y<1
KILL X,Y
QUIT
+10 SET IBFN=+Y
SET IBCNT=IBCNT+1
+11 ;
+12 SET DR=".02////"_$PIECE(IBLN,U,2)_";.03////"_$PIECE(IBLN,U,3)_";.04////"_$PIECE(IBLN,U,4)_";.05////"_$PIECE(IBLN,U,5)_";.06////"_$PIECE(IBLN,U,6)
+13 SET DIE="^IBE(363.3,"
SET DA=+IBFN
DO ^DIE
KILL DIE,DA,DR,X,Y
+14 ;
+15 SET IBA(IBCNT+1)=" "_$PIECE(IBLN,U,1)
End DoDot:1
+16 ;
BRQ SET IBA(1)=" >> "_IBCNT_" Billing Rates added (363.3)..."
+1 DO MES^XPDUTL(.IBA)
+2 QUIT
+3 ;
ADDRS ; add Rate Schedules (363) for Reasonable Charges, if this is the first time the patch is installed
+1 ; (charge sets will be added when rates are uploaded)
+2 NEW IBA,IBCNT,IBI,IBLN,IBFN,IBRT,IBBS,IBJ,IBLNCS,IBCS,IBCSFN,IBSTDT,IBRS,DINUM,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
SET IBSTDT=""
SET IBCNT=0
+3 ;
+4 IF $ORDER(^IBE(363.3,"B","RC PHYSICIAN MN",0))
GOTO RSQ
+5 ;
+6 ;I '$$PROD^IBCORC S IBSTDT=2981001
SET IBSTDT=$$VERSDT^IBCRHBRV(2)
+7 ;
+8 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(RSF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+9 ;
+10 SET IBBS=$PIECE(IBLN,U,4)
IF IBBS'=""
SET IBBS=$$MCCRUTL(IBBS,13)
Begin DoDot:2
+11 IF 'IBBS
DO MSG(" *** Billable Service "_$PIECE(IBLN,U,4)_" not defined, RS "_$PIECE(IBLN,U,1)_" not created")
End DoDot:2
if 'IBBS
QUIT
+12 ;
+13 SET IBRT=$PIECE(IBLN,U,2)
SET IBRT=$ORDER(^DGCR(399.3,"B",IBRT,0))
Begin DoDot:2
+14 IF 'IBRT
DO MSG(" *** Rate Type "_$PIECE(IBLN,U,2)_" not defined, RS "_$PIECE(IBLN,U,1)_" not created")
+15 IF +$PIECE($GET(^DGCR(399.3,+IBRT,0)),U,3)
SET IBRT=0
DO MSG(" *** Rate Type "_$PIECE(IBLN,U,2)_" not Active, RS "_$PIECE(IBLN,U,1)_" not created")
End DoDot:2
if 'IBRT
QUIT
+16 ;
+17 FOR IBJ=1:1
SET IBRS=$GET(^IBE(363,IBJ,0))
IF IBRS=""
SET DINUM=IBJ
QUIT
+18 ;
+19 KILL DD,DO
SET DLAYGO=363
SET DIC="^IBE(363,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
DO FILE^DICN
KILL DIC,DINUM,DLAYGO
IF Y<1
KILL X,Y
QUIT
+20 SET IBFN=+Y
SET IBCNT=IBCNT+1
+21 ;
+22 SET DR=".02////"_IBRT_";.03////"_$PIECE(IBLN,U,3)
if +IBBS
SET DR=DR_";.04////"_IBBS
SET DR=DR_";.05////"_IBSTDT
+23 SET DIE="^IBE(363,"
SET DA=+Y
DO ^DIE
KILL DIE,DA,DR,X,Y
+24 ;
+25 ; charge sets (multiple)
+26 SET IBLNCS=$PIECE(IBLN,":",2,999)
IF IBLNCS'=""
FOR IBJ=1:1
SET IBCS=$PIECE(IBLNCS,":",IBJ)
if IBCS=""
QUIT
Begin DoDot:2
+27 SET IBCSFN=$ORDER(^IBE(363.1,"B",IBCS,0))
if 'IBCSFN
QUIT
+28 ;
+29 SET DLAYGO=363
SET DA(1)=+IBFN
SET DIC="^IBE(363,"_DA(1)_",11,"
SET DIC(0)="L"
SET X=IBCS
SET DIC("DR")=".02////"_1
SET DIC("P")="363.0011P"
DO ^DIC
KILL DIC,DIE
End DoDot:2
End DoDot:1
+30 ;
RSQ SET IBA(1)=" >> "_IBCNT_" Rate Schedules added, active on "_$EXTRACT(IBSTDT,4,5)_"/"_$EXTRACT(IBSTDT,6,7)_"/"_$EXTRACT(IBSTDT,2,3)_" (363)..."
+1 DO MES^XPDUTL(.IBA)
+2 QUIT
+3 ;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
+1 NEW IBX,IBY
SET IBY=""
+2 IF $GET(X)'=""
SET IBX=0
FOR
SET IBX=$ORDER(^DGCR(399.1,"B",X,IBX))
if 'IBX
QUIT
IF $PIECE($GET(^DGCR(399.1,IBX,0)),U,+$GET(P))
SET IBY=IBX
+3 QUIT IBY
+4 ;
MSG(X) ;
+1 NEW IBX
SET IBX=$ORDER(IBA(999999),-1)
if 'IBX
SET IBX=1
SET IBX=IBX+1
+2 SET IBA(IBX)=$GET(X)
+3 QUIT
+4 ;
+5 ;
RBF ; billable services (399.1,.2)
+1 ;; name ^ abbreviation
+2 ;;
+3 ;;SKILLED NURSING^SNF
+4 ;;
+5 ;
BSF ; Bedsections (399.1,.12)
+1 ;; name ^ abbreviation ^ other care
+2 ;;
+3 ;;ICU^ICU
+4 ;;PARTIAL HOSPITALIZATION^PARTIAL HOSP
+5 ;;SKILLED NURSING CARE^SNF^SKILLED NURSING
+6 ;;SUB-ACUTE CARE^SUBACUTE^SKILLED NURSING
+7 ;;
+8 ;
BIF ; Billing Items (363.21)
+1 ;; name ^ type
+2 ;;
+3 ;;PARTIAL HOSPITALIZATION^9
+4 ;;
BRF ; Billing Rates File (363.3)
+1 ;; name ^ abbreviation ^ distribution ^ billable item ^ charge method ^ base allowed
+2 ;;
+3 ;;RC FACILITY PER DIEM^RC F/PD^1^1^1
+4 ;;
+5 ;;RC FACILITY HR^RC F/HR^1^2^6^1
+6 ;;RC FACILITY ML^RC F/ML^1^2^4
+7 ;;
+8 ;;RC MISCELLANEOUS^RC MISC^1^9^1
+9 ;;
+10 ;;RC PHYSICIAN MN^RC P/MN^1^2^5^1
+11 ;;RC PHYSICIAN ML^RC P/ML^1^2^4
+12 ;;
RSF ; Rate Schedules (363)
+1 ;; rs name ^ rate type ^ bill type ^ billable service ^ effective date ^^ charge sets
+2 ;;
+3 ;;RI-INPT^REIMBURSABLE INS.^1^^
+4 ;;RI-SNF^REIMBURSABLE INS.^1^SKILLED NURSING^
+5 ;;RI-OPT^REIMBURSABLE INS.^3^^
+6 ;;RI-RX^REIMBURSABLE INS.^3^^^^:TL-RX FILL
+7 ;;
+8 ;;NF-INPT^NO FAULT INS.^1^^
+9 ;;NF-SNF^NO FAULT INS.^1^SKILLED NURSING^
+10 ;;NF-OPT^NO FAULT INS.^3^^
+11 ;;NF-RX^NO FAULT INS.^3^^^^:TL-RX FILL
+12 ;;
+13 ;;WC-INPT^WORKERS' COMP.^1^^
+14 ;;WC-SNF^WORKERS' COMP.^1^SKILLED NURSING^
+15 ;;WC-OPT^WORKERS' COMP.^3^^
+16 ;;WC-RX^WORKERS' COMP.^3^^^^:TL-RX FILL
+17 ;;
