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Global: ^IBE(363

Package: Integrated Billing

Global: ^IBE(363


Information

FileMan FileNo FileMan Filename Package
363 RATE SCHEDULE Integrated Billing

Description

Directly Accessed By Routines, Total: 38

Package Total Routines
Integrated Billing 38 CHARGE SET    IB20P383    IB20P418    IB20P424    IB20P498    IB20P503    IB20P510    IB20P538
IB20P541    IB20P554    IB20P555    IB20P558    IB20P569    IB20P578    IB20P610    IB20P618
IB20P632    IB20P645    IB3PSOU    IBCRBE    IBCRCC    IBCRED    IBCREE    IBCRHU2
IBCRLA1    IBCRLS    IBCROR    IBCRU3    IBCRU8    IBY473PO    IBY568PO    IBYP520
IBYPPC1    IBYPPR    IBYPSA1    ^IBE(363    ^IBE(363.1    IBYPSA    

Accessed By FileMan Db Calls, Total: 14

Package Total Routines
Integrated Billing 14 IB20P383    IB20P424    IB20P554    IB20P618    IB20P632    IB20P645    IB3PSOU    IBCREE
IBCROR    IBY568PO    IBYPPC1    IBYPPR    IBYPSA    IBYPSA1    

Pointer To FileMan Files, Total: 3

Package Total FileMan Files
Integrated Billing 3 MCCR UTILITY(#399.1)[.04]    RATE TYPE(#399.3)[.02]    CHARGE SET(#363.1)[#363.0011(.01)]    

Fields, Total: 10

Field # Name Loc Type Details
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Answer must be 3-20 characters in length. Enter a descriptive name for the payer and service.
  • DESCRIPTION:  
    A Rate Schedule which defines a set of charges billable to a payer for a specific type of service. This is a free text short description that should identify who and what is being billed.
  • CROSS-REFERENCE:  363^B
    1)= S ^IBE(363,"B",$E(X,1,30),DA)=""
    2)= K ^IBE(363,"B",$E(X,1,30),DA)
.02 RATE TYPE 0;2 POINTER TO RATE TYPE FILE (#399.3)
************************REQUIRED FIELD************************
RATE TYPE(#399.3)

  • INPUT TRANSFORM:  S DIC("S")="I '$P(^(0),U,3)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  AUG 01, 1996
  • HELP-PROMPT:  Enter the Rate Type this schedule applies to.
  • DESCRIPTION:  
    The Rate Type of the bills the charges of this schedule should be applied to.
  • SCREEN:  S DIC("S")="I '$P(^(0),U,3)"
  • EXPLANATION:  Only Active Rate Types!
  • CROSS-REFERENCE:  363^ARB^MUMPS
    1)= I +X,+$P($G(^IBE(363,DA,0)),U,3) S ^IBE(363,"ARB",+X,+$P(^(0),U,3),DA)=""
    2)= I +X,+$P($G(^IBE(363,DA,0)),U,3) K ^IBE(363,"ARB",+X,+$P(^(0),U,3),DA)
    Cross reference by Rate Type and Bill Type.
.03 BILL TYPE 0;3 SET
************************REQUIRED FIELD************************
  • '1' FOR INPATIENT;
  • '3' FOR OUTPATIENT;

  • LAST EDITED:  AUG 01, 1996
  • HELP-PROMPT:  The type of bill this schedule can be used for.
  • DESCRIPTION:  
    The type of care being billed or type of bill the charges of this schedule are for.
  • CROSS-REFERENCE:  363^ARB1^MUMPS
    1)= I +X,+$P($G(^IBE(363,DA,0)),U,2) S ^IBE(363,"ARB",+$P(^(0),U,2),+X,DA)=""
    2)= I +X,+$P($G(^IBE(363,DA,0)),U,2) K ^IBE(363,"ARB",+$P(^(0),U,2),+X,DA)
    Cross reference by Rate Type and Bill Type.
.04 BILLABLE SERVICE 0;4 POINTER TO MCCR UTILITY FILE (#399.1) MCCR UTILITY(#399.1)

  • INPUT TRANSFORM:  S DIC("S")="I +$P(^(0),U,13)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  • LAST EDITED:  JUL 03, 1996
  • HELP-PROMPT:  Enter the type of service this schedule covers.
  • DESCRIPTION:  
    The type of service covered by the charges of this Rate Schedule.
  • SCREEN:  S DIC("S")="I +$P(^(0),U,13)"
  • EXPLANATION:  Pre-defined Billable Services Only!
.05 EFFECTIVE DATE 0;5 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  The first date this schedule can be used.
  • DESCRIPTION:  
    The first date the charges associated with this Rate Schedule may be billed to a payer.
.06 INACTIVE DATE 0;6 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  JUL 01, 1996
  • HELP-PROMPT:  Enter the last date this schedule is effective.
  • DESCRIPTION:  
    This is the last date this Rate Schedule may be used to bill a payer.
1.01 DISPENSING FEE 1;1 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<.01)!(X?.E1"."3.N) X
  • LAST EDITED:  JUN 17, 2003
  • HELP-PROMPT:  Enter the dispensing fee part of the rate schedule adjustment.
  • DESCRIPTION:  
    This dollar amount is the dispensing fee component of the rate schedule adjustment that was entered.
1.02 ADMINISTRATIVE FEE 1;2 NUMBER

  • INPUT TRANSFORM:  S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999.99)!(X<.01)!(X?.E1"."3.N) X
  • LAST EDITED:  JUN 17, 2003
  • HELP-PROMPT:  Enter the administrative fee part of the rate schedule adjustment.
  • DESCRIPTION:  
    This dollar amount is the administrative fee component of the rate schedule adjustment that was entered.
10 ADJUSTMENT 10;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  AUG 22, 1996
  • HELP-PROMPT:  This is Standard MUMPS code. Enter M code that will modify the charge in X.
  • DESCRIPTION:  This allows the base charges of a rate to be adjusted for specific types of payers.
    Modifies the Unit Charge of all items assigned to this Rate Schedule. For Example, this would be used to bill a certain type of payer only 80% of the CMAC. Or to add a $2.50 fee to each prescription.
    This is a line of M code and should only be modified by an M programmer.
    Once the Unit Charge is determined for a billable item, this code is executed to modify that charge. This modified charge is what will be added to the bill.
    When this code is executed: - the original value of the Unit Charge will be in variable X - the modified charge to be billed should be returned in variable X Use the local namespace for any other variables needed and kill
    them.
    To charge 80% of the Unit Charge: S X=X*.8
    To add a $2.50 fee to the Unit Charge: S X=X+2.5
    WRITE AUTHORITY: @
11 CHARGE SET 11;0 POINTER Multiple #363.0011 363.0011

  • DESCRIPTION:  
    All Charge Sets for this Rate Schedule. These define all the charges that may be billable to the payors for a specific type of bill.

Found Entries, Total: 286

NAME: CC-DOD-INPT    NAME: CC-DOD-OPT    NAME: CC-DOD-RX    NAME: CC-DOD-RX    NAME: CC-DOD-RX    NAME: CC-DOD-RX    NAME: CC-DOD-RX    NAME: CC-DOD-RX    
NAME: CC-DOD-SNF    NAME: CC-NF-INPT    NAME: CC-NF-OPT    NAME: CC-NF-RX    NAME: CC-NF-RX    NAME: CC-NF-RX    NAME: CC-NF-RX    NAME: CC-NF-RX    
NAME: CC-NF-RX    NAME: CC-NF-SNF    NAME: CC-RI-INPT    NAME: CC-RI-OPT    NAME: CC-RI-RX    NAME: CC-RI-RX    NAME: CC-RI-RX    NAME: CC-RI-RX    
NAME: CC-RI-RX    NAME: CC-RI-RX    NAME: CC-RI-SNF    NAME: CC-TF-INPT    NAME: CC-TF-OPT    NAME: CC-TF-RX    NAME: CC-TF-RX    NAME: CC-TF-RX    
NAME: CC-TF-RX    NAME: CC-TF-RX    NAME: CC-TF-RX    NAME: CC-TF-SNF    NAME: CC-WC-INPT    NAME: CC-WC-OPT    NAME: CC-WC-RX    NAME: CC-WC-RX    
NAME: CC-WC-RX    NAME: CC-WC-RX    NAME: CC-WC-RX    NAME: CC-WC-RX    NAME: CC-WC-SNF    NAME: CCC-NF-INPT    NAME: CCC-NF-OPT    NAME: CCC-NF-RX    
NAME: CCC-NF-RX    NAME: CCC-NF-RX    NAME: CCC-NF-RX    NAME: CCC-NF-RX    NAME: CCC-NF-RX    NAME: CCC-NF-SNF    NAME: CCC-RI-INPT    NAME: CCC-RI-OPT    
NAME: CCC-RI-RX    NAME: CCC-RI-RX    NAME: CCC-RI-RX    NAME: CCC-RI-RX    NAME: CCC-RI-RX    NAME: CCC-RI-RX    NAME: CCC-RI-SNF    NAME: CCC-TF-INPT    
NAME: CCC-TF-OPT    NAME: CCC-TF-RX    NAME: CCC-TF-RX    NAME: CCC-TF-RX    NAME: CCC-TF-RX    NAME: CCC-TF-RX    NAME: CCC-TF-RX    NAME: CCC-TF-SNF    
NAME: CCC-WC-INPT    NAME: CCC-WC-OPT    NAME: CCC-WC-RX    NAME: CCC-WC-RX    NAME: CCC-WC-RX    NAME: CCC-WC-RX    NAME: CCC-WC-RX    NAME: CCC-WC-RX    
NAME: CCC-WC-SNF    NAME: CCN-NF-INPT    NAME: CCN-NF-OPT    NAME: CCN-NF-RX    NAME: CCN-NF-RX    NAME: CCN-NF-RX    NAME: CCN-NF-RX    NAME: CCN-NF-RX    
NAME: CCN-NF-RX    NAME: CCN-NF-SNF    NAME: CCN-RI-INPT    NAME: CCN-RI-OPT    NAME: CCN-RI-RX    NAME: CCN-RI-RX    NAME: CCN-RI-RX    NAME: CCN-RI-RX    
NAME: CCN-RI-RX    NAME: CCN-RI-RX    NAME: CCN-RI-SNF    NAME: CCN-TF-INPT    NAME: CCN-TF-OPT    NAME: CCN-TF-RX    NAME: CCN-TF-RX    NAME: CCN-TF-RX    
NAME: CCN-TF-RX    NAME: CCN-TF-RX    NAME: CCN-TF-RX    NAME: CCN-TF-SNF    NAME: CCN-WC-INPT    NAME: CCN-WC-OPT    NAME: CCN-WC-RX    NAME: CCN-WC-RX    
NAME: CCN-WC-RX    NAME: CCN-WC-RX    NAME: CCN-WC-RX    NAME: CCN-WC-RX    NAME: CCN-WC-SNF    NAME: CV-INPT    NAME: CV-OPT    NAME: CVA RI-INPT    
NAME: CVA RI-OPT    NAME: CVA RI-RX    NAME: CVA RI-SNF    NAME: CVA-INPT    NAME: CVA-OPT    NAME: CVA-RX    NAME: CVA-SNF    NAME: DNTL-OPT DENTAL    
NAME: DOD-BR-INPT    NAME: DOD-BR-OPT    NAME: DOD-BR-SNF    NAME: DOD-DIS EXAM-OPT    NAME: DOD-SCI-INPT    NAME: DOD-SCI-OPT    NAME: DOD-SCI-SNF    NAME: DOD-TBI-INPT    
NAME: DOD-TBI-OPT    NAME: DOD-TBI-SNF    NAME: DTR-RX    NAME: DTR-RX    NAME: FR-INPT    NAME: FR-OPT    NAME: FR-RX    NAME: FR-SNF    
NAME: HMN-INPT    NAME: HMN-OPT    NAME: HMN-OPT    NAME: HMN-RX    NAME: HMN-RX    NAME: HMN-RX    NAME: HMN-RX    NAME: HMN-RX    
NAME: HMN-RX    NAME: HMN-RX    NAME: HR-INPT    NAME: HR-OPT    NAME: HR-OPT    NAME: HR-OPT DENTAL    NAME: HR-RX    NAME: HR-RX    
NAME: HR-RX    NAME: HR-RX    NAME: HR-RX    NAME: HR-RX    NAME: HR-RX    NAME: IA-INPT    NAME: IA-OPT    NAME: IA-OPT    
NAME: IA-RX    NAME: IA-RX    NAME: IA-RX    NAME: IA-RX    NAME: IA-RX    NAME: IA-RX    NAME: INELIG-INPT    NAME: INELIG-OPT    
NAME: INELIG-OPT    NAME: INELIG-RX    NAME: INELIG-RX    NAME: INELIG-RX    NAME: INELIG-RX    NAME: INELIG-RX    NAME: INELIG-RX    NAME: INELIG-RX    
NAME: IR-INPT    NAME: IR-OPT    NAME: IR-OPT    NAME: IR-RX    NAME: IR-RX    NAME: IR-RX    NAME: IR-RX    NAME: IR-RX    
NAME: IR-RX    NAME: IR-RX    NAME: NF-INPT    NAME: NF-INPT    NAME: NF-INPT    NAME: NF-OPT    NAME: NF-OPT    NAME: NF-OPT    
NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    
NAME: NF-RX    NAME: NF-RX    NAME: NF-RX    NAME: NF-SNF    NAME: RI-INPT    NAME: RI-INPT    NAME: RI-INPT    NAME: RI-OPT    
NAME: RI-OPT    NAME: RI-OPT    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    
NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-RX    NAME: RI-SNF    NAME: TF-INPT    NAME: TF-INPT    
NAME: TF-OPT    NAME: TF-OPT    NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    
NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    NAME: TF-RX    NAME: TF-SNF    NAME: TR-DENTAL    NAME: TR-PHARM    NAME: TR-PHARM    
NAME: TR-PHARM    NAME: TR-PHARM    NAME: TR-PHARM    NAME: TR-PHARM    NAME: TR-RX    NAME: TR-RX    NAME: TR-RX    NAME: TR-RX    
NAME: TR-RX    NAME: TR-RX    NAME: TR-RX    NAME: TR-RX    NAME: TRRI-RX    NAME: TRRI-RX    NAME: TRRI-RX    NAME: TRRI-RX    
NAME: TRRI-RX    NAME: TRRI-RX    NAME: TRRI-RX    NAME: TRRI-RX    NAME: WC-INPT    NAME: WC-INPT    NAME: WC-INPT    NAME: WC-OPT    
NAME: WC-OPT    NAME: WC-OPT    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    
NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-RX    NAME: WC-SNF    

External References

Name Field # of Occurrence
^%DT .05+1, .06+1
^DIC .02+1, .04+1
^DIM 10+1

Global Variables Directly Accessed

Name Line Occurrences  (* Changed,  ! Killed)
^IBE(363 - [#363] .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K)

Naked Globals

Name Field # of Occurrence
^(0 .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K)

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> %DT .05+1*, .06+1*
>> DA .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K)
DIC .02+1!*, .04+1!*
DIC("S" .02+1*, .02SCR+1*, .04+1*, .04SCR+1*
>> DIE .02+1, .04+1
U .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K)
X .01+1!, .01(XREF 1S), .01(XREF 1K), .02+1*!, .02(XREF 1S), .02(XREF 1K), .03(XREF 1S), .03(XREF 1K), .04+1*!, .05+1*!
, .06+1*!, 1.01+1*!, 1.02+1*!, 10+1!, 10(IEN:43), 10(IEN:44), 10(IEN:48), 10(IEN:52), 10(IEN:53), 10(IEN:54)
10(IEN:55), 10(IEN:56), 10(IEN:57), 10(IEN:58), 10(IEN:59), 10(IEN:60), 10(IEN:61), 10(IEN:62), 10(IEN:63), 10(IEN:64)
10(IEN:65), 10(IEN:66), 10(IEN:67), 10(IEN:69), 10(IEN:71), 10(IEN:72), 10(IEN:73), 10(IEN:74), 10(IEN:75), 10(IEN:76)
10(IEN:77), 10(IEN:78), 10(IEN:79), 10(IEN:80), 10(IEN:81), 10(IEN:83), 10(IEN:84), 10(IEN:85), 10(IEN:86), 10(IEN:87)
10(IEN:88), 10(IEN:89), 10(IEN:90), 10(IEN:91), 10(IEN:92), 10(IEN:93), 10(IEN:94), 10(IEN:95), 10(IEN:96), 10(IEN:97)
10(IEN:98), 10(IEN:99), 10(IEN:100), 10(IEN:101), 10(IEN:102), 10(IEN:103), 10(IEN:104), 10(IEN:105), 10(IEN:106), 10(IEN:107)
10(IEN:112), 10(IEN:113), 10(IEN:114), 10(IEN:115), 10(IEN:116), 10(IEN:117), 10(IEN:118), 10(IEN:119), 10(IEN:120), 10(IEN:141)
10(IEN:142), 10(IEN:143), 10(IEN:144), 10(IEN:145), 10(IEN:146), 10(IEN:147), 10(IEN:148), 10(IEN:149), 10(IEN:150), 10(IEN:151)
10(IEN:152), 10(IEN:268), 10(IEN:269), 10(IEN:270), 10(IEN:271), 10(IEN:272), 10(IEN:273), 10(IEN:274), 10(IEN:275), 10(IEN:276)
10(IEN:277), 10(IEN:278), 10(IEN:279), 10(IEN:280), 10(IEN:281), 10(IEN:282), 10(IEN:283), 10(IEN:284), 10(IEN:285), 10(IEN:286)
>> Y .02+1, .04+1, .05+1, .06+1
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