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Routine: ABMM2DEF

Package: Third Party Billing

Routine: ABMM2DEF


Information

ABMM2DEF ;IHS/SD/SDR - MU Patient Volume DEF Report ;

Source Information

Source file <ABMM2DEF.m>

Call Graph

Call Graph Total: 3

Package Total Call Graph
Third Party Billing 3 ^ABMDRDBQ  PAZ^ABMDRUTL  $$EN^ABMVDF  

Entry Points

Name Comments DBIA/ICR reference
PRINT ;
COMPUTE ;

External References

Name Field # of Occurrence
^ABMDRDBQ ABMM2DEF+8
PAZ^ABMDRUTL PRINT+27
$$EN^ABMVDF PRINT+2, PRINT+5, PRINT+9, PRINT+13, PRINT+18, PRINT+28, PRINT+39, PRINT+69, PRINT+77, PRINT+80

Interaction Calls

Name Line Occurrences
Function Call: WRITE
  • Prompt: !!,"Definitions used in this Report:"
  • Line Location: PRINT+1
Function Call: WRITE
  • Prompt: !!,$$EN^ABMVDF("HIN"),"CONTINUOUS 90-DAY PERIOD:",$$EN^ABMVDF("HIF")," Any rolling 90-day period within the reporting year."
  • Line Location: PRINT+2
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+3
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"MINIMUM PATIENT VOLUME:",$$EN^ABMVDF("HIF")," Medicaid or Needy Volume greater than or equal to 30%"
  • Line Location: PRINT+5
Function Call: WRITE
  • Prompt: !?3," for EPs and 20% Pediatricians"
  • Line Location: PRINT+6
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+7
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"Participation year:",$$EN^ABMVDF("HIF")," The calendar year (Jan. 01 - Dec. 31) in which the EP is"
  • Line Location: PRINT+9
Function Call: WRITE
  • Prompt: !?3,"participating in the Medicaid EHR Incentive program."
  • Line Location: PRINT+10
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+11
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"Qualification year:",$$EN^ABMVDF("HIF")," The calendar year (Jan. 01 - Dec. 31) immediately prior to"
  • Line Location: PRINT+13
Function Call: WRITE
  • Prompt: !?3,"the Participation year. Patient Volume is calculated on encounters that"
  • Line Location: PRINT+14
Function Call: WRITE
  • Prompt: !?3,"occurred during the Qualification Year."
  • Line Location: PRINT+15
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+16
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"MEDICAID PATIENT VOLUME ENCOUNTERS:",$$EN^ABMVDF("HIF")
  • Line Location: PRINT+18
Function Call: WRITE
  • Prompt: " Medicaid encounters include all patient"
  • Line Location: PRINT+19
Function Call: WRITE
  • Prompt: !?3,"visits paid for by Medicaid or an 1115 waiver program. For states where a"
  • Line Location: PRINT+20
Function Call: WRITE
  • Prompt: !?3,"single payment is made to a facility without regard to the number of"
  • Line Location: PRINT+21
Function Call: WRITE
  • Prompt: !?3,"encounters a patient has during a single day, each EP who has an encounter"
  • Line Location: PRINT+22
Function Call: WRITE
  • Prompt: !?3,"with the patient that day will have the encounter included in their Patient"
  • Line Location: PRINT+23
Function Call: WRITE
  • Prompt: !?3,"Volume calculation."
  • Line Location: PRINT+24
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+25
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"MEDICAID INDIVIDUALS:",$$EN^ABMVDF("HIF")
  • Line Location: PRINT+28
Function Call: WRITE
  • Prompt: " Medicaid individuals are patients where Medicaid or a"
  • Line Location: PRINT+29
Function Call: WRITE
  • Prompt: !?3,"Medicaid demonstration project paid for part or all of any of the following:"
  • Line Location: PRINT+30
Function Call: WRITE
  • Prompt: !?3,"Service, Premiums, Co-payments and/or cost sharing."
  • Line Location: PRINT+31
Function Call: WRITE
  • Prompt: !?3,"They may be:"
  • Line Location: PRINT+32
Function Call: WRITE
  • Prompt: !?5,"1. Individuals enrolled in Medicaid, or"
  • Line Location: PRINT+33
Function Call: WRITE
  • Prompt: !?5,"2. Individuals enrolled in a Medicaid managed care plan, which includes"
  • Line Location: PRINT+34
Function Call: WRITE
  • Prompt: !?5,"patients enrolled in Managed Care Organizations (MCO's), Prepaid Inpatient"
  • Line Location: PRINT+35
Function Call: WRITE
  • Prompt: !?5,"Health Plans (PIHPs), or Prepaid Ambulatory Health Plans (PAHPs)."
  • Line Location: PRINT+36
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+37
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"NEEDY INDIVIDUAL PATIENT VOLUME ENCOUNTERS:",$$EN^ABMVDF("HIF")
  • Line Location: PRINT+39
Function Call: WRITE
  • Prompt: " The Needy Individual Patient Volume"
  • Line Location: PRINT+40
Function Call: WRITE
  • Prompt: !?3,"will be used for EPs who work predominately at an FQHC, RHC, Tribal or Urban"
  • Line Location: PRINT+59
Function Call: WRITE
  • Prompt: !?3,"clinic. An EP is considered to work predominantly at an FQHC, RHC, Tribal or"
  • Line Location: PRINT+60
Function Call: WRITE
  • Prompt: !?3,"Urban clinic when the FQHC/RHC/Tribal/Urban clinic is the clinical location"
  • Line Location: PRINT+61
Function Call: WRITE
  • Prompt: !?3,"for over 50% of all of the provider's total encounters for six (6) months in"
  • Line Location: PRINT+62
Function Call: WRITE
  • Prompt: !?3,"the most recent calendar year. FQHCs, RHCs, Tribal and Urban clinics use the"
  • Line Location: PRINT+63
Function Call: WRITE
  • Prompt: !?3,"Needy Individual encounter definition (expanded from the basic Medicaid"
  • Line Location: PRINT+64
Function Call: WRITE
  • Prompt: !?3,"encounter) for their encounters."
  • Line Location: PRINT+65
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+67
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"NEEDY INDIVIDUALS:",$$EN^ABMVDF("HIF")," Needy Individual encounters include all patient encounters"
  • Line Location: PRINT+69
Function Call: WRITE
  • Prompt: !?3,"paid for by:"
  • Line Location: PRINT+70
Function Call: WRITE
  • Prompt: !?5,"1. Medicaid-insurance type 'D' (includes 1115 Waivers)"
  • Line Location: PRINT+71
Function Call: WRITE
  • Prompt: !?5,"2. CHIP-insurance type 'K' billed as either Medicaid or Private Insurance"
  • Line Location: PRINT+72
Function Call: WRITE
  • Prompt: !?5,"3. Discounted (sliding scale) encounters"
  • Line Location: PRINT+73
Function Call: WRITE
  • Prompt: !?5,"4. Uncompensated care"
  • Line Location: PRINT+74
Function Call: WRITE
  • Prompt: !
  • Line Location: PRINT+75
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"Note on Discounted Sliding Scale Encounters:",$$EN^ABMVDF("HIF")," Discounted (sliding scale)"
  • Line Location: PRINT+77
Function Call: WRITE
  • Prompt: !?3,"encounters are not included in this version of the report, as they are not"
  • Line Location: PRINT+78
Function Call: WRITE
  • Prompt: !?3,"currently captured in RPMS."
  • Line Location: PRINT+79
Function Call: WRITE
  • Prompt: !,$$EN^ABMVDF("HIN"),"Note on Uncompensated Care:",$$EN^ABMVDF("HIF")," Uncompensated care includes all unpaid encounters."
  • Line Location: PRINT+80
Function Call: WRITE
  • Prompt: !?3,"Unpaid Encounters = Encounters which were billed, but for which no payment"
  • Line Location: PRINT+81
Function Call: WRITE
  • Prompt: !?3,"was received for the report period. Unpaid Encounters are not affected by"
  • Line Location: PRINT+82
Function Call: WRITE
  • Prompt: !?3,"beneficiary status."
  • Line Location: PRINT+83

Local Variables

Legend:

>> Not killed explicitly
* Changed
! Killed
~ Newed

Name Field # of Occurrence
>> ABMQ("NS" ABMM2DEF+6*
>> ABMQ("RC" ABMM2DEF+4*
>> ABMQ("RP" ABMM2DEF+7*
>> ABMQ("RX" ABMM2DEF+5*
>> DIROUT PRINT+27
>> DTOUT PRINT+27
>> DUOUT PRINT+27
IOST PRINT+27
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