FileMan FileNo | FileMan Filename | Package |
---|---|---|
356.1 | HOSPITAL REVIEW | Integrated Billing |
Package | Total | FileMan Files |
---|---|---|
Integrated Billing | 2 | HOSPITAL REVIEW(#356.1)[.24] INSURANCE REVIEW(#356.2)[.03] |
Package | Total | FileMan Files |
---|---|---|
Integrated Billing | 5 | CLAIMS TRACKING REVIEW TYPE(#356.11)[.22] CLAIMS TRACKING SI/IS CATEGORIES(#356.3)[.04, .05, .08, .09, .12, .13] CLAIMS TRACKING NON-ACUTE CLASSIFICATIONS(#356.4)[#356.112(.01), #356.113(.01)] CLAIMS TRACKING(#356)[.02] HOSPITAL REVIEW(#356.1)[.24] |
Kernel | 1 | NEW PERSON(#200)[1.02, 1.04, 1.06] |
Registration | 1 | FACILITY TREATING SPECIALTY(#45.7)[.07] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | REVIEW DATE | 0;1 | DATE | ************************REQUIRED FIELD************************
|
.02 | TRACKING ID | 0;2 | POINTER TO CLAIMS TRACKING FILE (#356) | CLAIMS TRACKING(#356)
|
.03 | DAY FOR REVIEW | 0;3 | NUMBER |
|
.04 | SEVERITY OF ILLNESS | 0;4 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.05 | INTENSITY OF SERVICE | 0;5 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.06 | CRITERIA MET IN 24 HOURS | 0;6 | SET |
|
.07 | SPECIALTY FOR REVIEW | 0;7 | POINTER TO FACILITY TREATING SPECIALTY FILE (#45.7) | FACILITY TREATING SPECIALTY(#45.7)
|
.08 | SPECIALIZED UNIT SI | 0;8 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.09 | SPECIALIZED UNIT IS | 0;9 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.1 | PROVIDER INTERVIEWED? | 0;10 | SET |
|
.11 | ADMISSION DECISION INFLUENCED | 0;11 | SET |
|
.12 | D/C SCREENS MET | 0;12 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.13 | SPECIAL CARE D/C SCREENS MET | 0;13 | POINTER TO CLAIMS TRACKING SI/IS CATEGORIES FILE (#356.3) | CLAIMS TRACKING SI/IS CATEGORIES(#356.3)
|
.14 | SI/IS APPLY ALL DAYS | 0;14 | SET |
|
.19 | ACTIVE | 0;19 | SET |
|
.2 | NEXT REVIEW DATE | 0;20 | DATE |
|
.21 | REVIEW STATUS | 0;21 | SET |
|
.22 | TYPE OF REVIEW | 0;22 | POINTER TO CLAIMS TRACKING REVIEW TYPE FILE (#356.11) | ************************REQUIRED FIELD************************ CLAIMS TRACKING REVIEW TYPE(#356.11)
|
.23 | REVIEW METHODOLOGY | 0;23 | SET |
|
.24 | REVIEW COPIED FROM | 0;24 | POINTER TO HOSPITAL REVIEW FILE (#356.1) | HOSPITAL REVIEW(#356.1)
|
1.01 | DATE ENTERED | 1;1 | DATE |
|
1.02 | ENTERED BY | 1;2 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
1.03 | LAST EDIT ON | 1;3 | DATE |
|
1.04 | LAST EDITED BY | 1;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
1.05 | DATE COMPLETED | 1;5 | DATE |
|
1.06 | COMPLETED BY | 1;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
1.13 | ADD NEXT REVIEW | 1;13 | SET |
|
1.14 | NEXT REVIEW EXACTLY THE SAME | 1;14 | SET |
|
1.15 | ADDITIONAL REVIEWS REQUIRED | 1;15 | SET |
|
1.17 | ACUTE CARE DISCHARGE DATE | 1;17 | DATE |
|
11 | UTILIZATION REVIEW COMMENTS | 11;0 | WORD-PROCESSING #356.111 |
|
12 | REASON FOR NON-ACUTE ADMISSION | 12;0 | POINTER Multiple #356.112 | 356.112
|
13 | REASON FOR NON-ACUTE DAYS | 13;0 | POINTER Multiple #356.113 | 356.113
|
21 | PATIENT | COMPUTED |
|
ICR LINK | Subscribing Package(s) | Fields Referenced | Description |
---|---|---|---|
ICR #1351 | DAY OF REVIEW (.03). Access: Direct Global Read & w/Fileman SEVERITY OF ILLNESS (.04). Access: Direct Global Read & w/Fileman INTENSITY OF SERVICE (.05). Access: Direct Global Read & w/Fileman CRITERIA MET IN 24 HOURS? (.06). Access: Direct Global Read & w/Fileman SPECIALTY FOR REVIEWS (.07). Access: Direct Global Read & w/Fileman SPECIALIZED UNIT SI (.08). Access: Direct Global Read & w/Fileman SPECIALIZED UNIT IS (.09). Access: Direct Global Read & w/Fileman PROVIDER INTERVIEWED? (.1). Access: Direct Global Read & w/Fileman ADMISSION DECISION INFLUENCED (.11). Access: Direct Global Read & w/Fileman D/C SCREEN MET (.12). Access: Direct Global Read & w/Fileman ACTIVE (.19). Access: Direct Global Read & w/Fileman REVIEW STATUS (.21). Access: Direct Global Read & w/Fileman REASONS FOR NON-ACUTE ADMISSION (356.112,.01). Access: Direct Global Read & w/Fileman REASONS FOR NON-ACUTE DAYS (356.113,.01). Access: Direct Global Read & w/Fileman |
The 'C' x-ref is used to retrieve information on thedays of review, given it's parent Claims Tracking number. | |
ICR #5314 |
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^DD( | .21(XREF 2n1.4), .21(XREF 3n1.4), .21(XREF 4n1.4) |
^DD(356 | ID.02+1 |
^DD(356.1 | .21(XREF 2S), .21(XREF 3S), .21(XREF 4S), 21+1 |
^DD(356.11 | ID.22+1 |
^DPT - [#2] | 21+1 |
^IBE(356.11 - [#356.11] | ID.22+1, .02(XREF 3S), .02(XREF 3K), .22(XREF 2S), .22(XREF 2K) |
^IBT(356 - [#356] | ID.02+1, 21+1, 21OF9.2+1 |
^IBT(356.1 - [#356.1] | .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K) , .07(XREF 1S), .07(XREF 1K), .2(XREF 1S), .2(XREF 1K), .21(XREF 1S), .21(XREF 1K), .21(XREF 2S), .21(XREF 2n1.4), .21(XREF 3S), .21(XREF 3n1.4) , .21(XREF 4S), .21(XREF 4n1.4), .22(XREF 1S), .22(XREF 1K), .22(XREF 2S), .22(XREF 2K), 21OF9.2+1 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
% | .21(XREF 2n1.1) |
>> %DT | .01+1*, .2+1*, 1.01+1*, 1.03+1*, 1.05+1*, 1.17+1* |
%H | .21(XREF 2n1.1) |
%I | ID.02+1*!, ID.22+1*!, .21(XREF 2n1.1) |
>> C | ID.02+1*, ID.22+1* |
>> D0 | .21(XREF 2S), .21(XREF 3S), .21(XREF 4S), 21+1*, 21OF9.2+1* |
>> DA | .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K) , .07(XREF 1S), .07(XREF 1K), .2(XREF 1S), .2(XREF 1K), .21(XREF 1S), .21(XREF 1K), .21(XREF 2S), .21(XREF 3S), .21(XREF 4S), .22(XREF 1S) , .22(XREF 1K), .22(XREF 2S), .22(XREF 2K) |
DIC | ID.02+1, ID.21+1, ID.22+1, .04+1!*, .05+1!*, .08+1!*, .09+1!*, .12+1!*, .13+1!*, .22+1!* , .24+1!* |
DIC("S" | .04+1*, .04SCR+1*, .05+1*, .05SCR+1*, .08+1*, .08SCR+1*, .09+1*, .09SCR+1*, .12+1*, .12SCR+1* , .13+1*, .13SCR+1*, .22+1*, .22SCR+1*, .24+1*, .24SCR+1* |
>> DIE | .04+1, .05+1, .08+1, .09+1, .12+1, .13+1, .22+1, .24+1 |
>> DIG | .21(XREF 2n1.4), .21(XREF 3n1.4), .21(XREF 4n1.4) |
>> DIH | .21(XREF 2n1.4), .21(XREF 3n1.4), .21(XREF 4n1.4) |
>> DIU | .21(XREF 2S), .21(XREF 3S), .21(XREF 4S) |
DIV | .21(XREF 2S), .21(XREF 2n1.1), .21(XREF 2n1.4), .21(XREF 3S), .21(XREF 3n1.4), .21(XREF 4S), .21(XREF 4n1.4) |
DIV(0 | .21(XREF 2S), .21(XREF 2n1.4), .21(XREF 3S), .21(XREF 3n1.4), .21(XREF 4S), .21(XREF 4n1.4) |
DUZ | .21(XREF 3S) |
U | ID.02+1, ID.22+1, .01(XREF 2S), .01(XREF 2K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .21(XREF 2S), .21(XREF 2n1.4) , .21(XREF 3S), .21(XREF 3n1.4), .21(XREF 4S), .21(XREF 4n1.4), .22(XREF 2S), .22(XREF 2K), 21+1, 21OF9.2+1 |
X | .01+1*!, .01(XREF 1S), .01(XREF 1K), .01(XREF 2S), .01(XREF 2K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S) , .02(XREF 3K), .03+1!, .04+1*!, .05+1*!, .07(XREF 1S), .07(XREF 1K), .08+1*!, .09+1*!, .12+1*!, .13+1*! , .2+1*!, .2(XREF 1S), .2(XREF 1K), .21(XREF 1S), .21(XREF 1K), .21(XREF 2S), .21(XREF 2n1.1), .21(XREF 2n1.4), .21(XREF 3S), .21(XREF 3n1.4) , .21(XREF 4S), .21(XREF 4n1.4), .22+1*!, .22(XREF 1S), .22(XREF 1K), .22(XREF 2S), .22(XREF 2K), .24+1*!, 1.01+1*!, 1.03+1*! , 1.05+1*!, 1.17+1*!, 21+1* |
Y | ID.02+1*, ID.22+1*, .01+1, .04+1, .05+1, .08+1, .09+1, .12+1, .13+1, .2+1 , .21(XREF 2S), .21(XREF 3S), .21(XREF 4S), .22+1, .24+1, 1.01+1, 1.03+1, 1.05+1, 1.17+1 |
Y( | 21+1*, 21OF9.2+1* |
Y(0 | .21(XREF 2S), .21(XREF 3S), .21(XREF 4S) |
Y(1 | .21(XREF 2S), .21(XREF 3S), .21(XREF 4S) |