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Global: ^DGCR(399.1

Package: Integrated Billing

Global: ^DGCR(399.1


Information

FileMan FileNo FileMan Filename Package
399.1 MCCR UTILITY Integrated Billing

Description

Directly Accessed By Routines, Total: 40

Package Total Routines
Integrated Billing 39 IB20IN    IB20PT31    IB20PT7    IBAMTBU1    IBAMTD1    IBAUTL2    IBAUTL4    IBAUTL5
IBCA0    IBCF1    IBCF12    IBCF21    IBCF23    IBCF31    IBCF32    IBCF33
IBCOPV2    IBCSC4    IBCSC6    IBCSC61    IBCU    IBCU1    IBCU4    IBCU6
IBCU63    IBCVA1    IBECEA21    IBECEA33    IBOMTE1    IBOMTE2    IBTOSUM1    ^DGCR(399.5
IBORAT2A    IBRFN2    IBXSC41    IBXSC52    REVENUE CODE    ^DGCR(399    ^DGCR(399.1    
Registration 1 ^DIC(42.4    

Accessed By FileMan Db Calls, Total: 4

Package Total Routines
Integrated Billing 3 IB20PT31    IB20PT7    IBCBR    
Registration 1 DGCRBR    

Pointed To By FileMan Files, Total: 3

Package Total FileMan Files
Integrated Billing 2 BILL/CLAIMS(#399)[161, 162, #399.041(.01), #399.042(.05), #399.047(.01)]    BILLING RATES(#399.5)[.02]    
Registration 1 SPECIALTY(#42.4)[5]    

Pointer To FileMan Files, Total: 1

Package Total FileMan Files
Integrated Billing 1 IB ACTION TYPE(#350.1)[.14, .15]    

Fields, Total: 13

Field # Name Loc Type Details
.001 NUMBER NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUN 06, 1988
  • HELP-PROMPT:  Enter the internal file number of this entry.
  • DESCRIPTION:  
    This is the internal file number of this entry.
.01 NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  APR 30, 1992
  • HELP-PROMPT:  Answer must be 3-60 characters in length.
  • DESCRIPTION:  
    This is the full name/description of this entry.
  • CROSS-REFERENCE:  399.1^B
    1)= S ^DGCR(399.1,"B",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"B",$E(X,1,30),DA)
.02 CODE 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>3!($L(X)<1) X
  • LAST EDITED:  AUG 31, 1988
  • HELP-PROMPT:  Enter code or number which corresponds to this entry.
  • DESCRIPTION:  
    This identifies the code or number associated with this entry.
  • CROSS-REFERENCE:  399.1^C
    1)= S ^DGCR(399.1,"C",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"C",$E(X,1,30),DA)
  • CROSS-REFERENCE:  399.1^C1^MUMPS
    1)= I +X S ^DGCR(399.1,"C1",+X,DA)=""
    2)= K ^DGCR(399.1,"C1",+X,DA)
    Cross reference of the codes that identify the entries.
.03 ABBREVIATION 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>20!($L(X)<2) X
  • HELP-PROMPT:  Enter the 2-20 character abbreviation (if any) of the name of this entry.
  • DESCRIPTION:  
    This is the abbreviation (if any) of the name of this entry.
  • CROSS-REFERENCE:  399.1^D
    1)= S ^DGCR(399.1,"D",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"D",$E(X,1,30),DA)
.11 OCCURRENCE CODE 0;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is an Occurrence Code.
  • DESCRIPTION:  
    This indicates whether or not this entry is an Occurrence Code.
.12 BEDSECTION 0;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is a Bedsection.
  • DESCRIPTION:  
    This indicates whether or not this entry is a Bedsection.
.13 DISCHARGE STATUS 0;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 03, 1990
  • HELP-PROMPT:  Enter the code which indicates whether or not this is a Discharge Status.
  • DESCRIPTION:  
    This indicates whether or not this entry is a Discharge Status.
.14 IB ACTION TYPE (COPAYMENT) 0;7 POINTER TO IB ACTION TYPE FILE (#350.1) IB ACTION TYPE(#350.1)

  • LAST EDITED:  APR 07, 1992
  • DESCRIPTION:  This field will only be used for those bedsections which are included in the billing of Means Test/Category C charges.
    The field is a pointer to the IB ACTION TYPE file.  Once the bedsection is derived from the patient's treating specialty, the IB ACTION TYPE for the Category C Inpatient/NHC co-payment charge can be determined.
  • CROSS-REFERENCE:  399.1^AC
    1)= S ^DGCR(399.1,"AC",$E(X,1,30),DA)=""
    2)= K ^DGCR(399.1,"AC",$E(X,1,30),DA)
    This cross-reference is used to determine the billable bedsection for an Integrated Billing ACTION TYPE (file #350.2) for Means Test Inpatient or Nursing Home Care co-payment charges.  The actual charge for the action type
    is then found in the BILLING RATES file (#399.5), based on the bedsection and date of care.





.15
IB ACTION TYPE (PER DIEM)
0;8
POINTER TO IB ACTION TYPE FILE (#350.1)
IB ACTION TYPE(#350.1)
  • LAST EDITED:  APR 08, 1992
  • DESCRIPTION:  This field will only be used for those bedsections which are included in the billing of Means Test/Category C charges.
    The field is a pointer to the IB ACTION TYPE file.  Once the bedsection is derived from the patient's treating specialty, the IB ACTION TYPE for the Category C Inpatient/NHC per diem charge can be determined.





.16
OCC RELATED TO
0;9
SET

  • '1' FOR EMPLOYMENT;
  • '2' FOR AUTO ACCIDENT;
  • '3' FOR OTHER ACCIDENT;
  • LAST EDITED:  APR 28, 1992
  • HELP-PROMPT:  Enter the code that most accurately relates to the Occurence Code.
  • DESCRIPTION:  
    Relates the Occurrence Codes to the 'Condition Related To' question on the HCFA 1500, block 10.
  • SCREEN:  S DIC("S")="I $P(^DGCR(399.1,+DA,0),U,4)=1"
  • EXPLANATION:  Valid MCCR Occurrence Codes only!





.17
OCCURRENCE SPAN
0;10
SET

  • '1' FOR YES;
  • '0' FOR NO;
  • LAST EDITED:  JAN 03, 1994
  • HELP-PROMPT:  Enter Yes if this Occurrence code has two related dates associated with it.
  • DESCRIPTION:  
    A code and related dates that identify an event that relates to the payment of the claim.
  • TECHNICAL DESCR:  
    For Occurrence Spans both this flag and Occurrence Code must be set.  Setting this flag indicates two dates are required.
  • SCREEN:  S DIC("S")="I +$P(^DGCR(399.1,+DA,0),U,4)"
  • EXPLANATION:  Only Valid Occurrence Codes!





.18
VALUE CODE
0;11
SET

  • '1' FOR YES;
  • '0' FOR NO;
  • LAST EDITED:  DEC 21, 1993
  • HELP-PROMPT:  Enter Yes if this is a Value Code.





.19
VALUE CODE AMOUNT
0;12
SET

  • '1' FOR YES;
  • '0' FOR NO;
  • LAST EDITED:  JAN 03, 1994
  • HELP-PROMPT:  Enter Yes if the value associated with this code is a dollar amount.
  • DESCRIPTION:  
    Enter Yes if the value amount associated with this value code should be right justified to the right of the delimiter, ie with cents printed.
  • TECHNICAL DESCR:  If this is true then the value amount for the value code is a dollar amount and should be right justified to the right of the delimiter.  The value amounts for all other value codes will be right justified to the left of
    the delimiter.
  • SCREEN:  S DIC("S")="I +$P(^DGCR(399.1,+DA,0),U,11)"
  • EXPLANATION:  Only applies to value codes.







Found Entries, Total: 47




NAME: ACCIDENT HOUR    NAME: ACCIDENT/EMPLOYMENT RELATED    NAME: ACCIDENT/TORT LIABILITY    NAME: ALCOHOL AND DRUG TREATMENT    NAME: AUTO ACCIDENT    NAME: AUTO ACCIDENT/NO FAULT INSURANCE INVOLVED    NAME: BENEFIT ELIGIBILITY PERIOD    NAME: BLIND REHABILITATION    


NAME: CRIME VICTIM    NAME: DISCHARGED TO ANOTHER SHORT-TERM GENERAL HOSPITAL    NAME: DISCHARGED TO ANOTHER TYPE OF FACILITY    NAME: DISCHARGED TO HOME OR SELF CARE    NAME: DISCHARGED TO HOME UNDER CARE OF A HOME IV PROVIDER    NAME: DISCHARGED TO HOME UNDER CARE OF HOME HEALTH CARE SERVICE    NAME: DISCHARGED TO INTERMEDIATE CARE FACILITY    NAME: DISCHARGED TO SKILLED NURSING FACILITY    


NAME: EXPIRED    NAME: FIRST/LAST VISIT    NAME: GENERAL MEDICAL CARE    NAME: INPATIENT PROFESSIONAL COMPONENT CHARGES, COMBINED BILLED    NAME: INTERMEDIATE CARE    NAME: LAST MENSTRUAL PERIOD    NAME: LEFT AGAINST MEDICAL ADVICE    NAME: NEUROLOGY    


NAME: NO FAULT, INCLUDING AUTO/OTHER    NAME: NON-VA CARE    NAME: NONCOVERED LEVEL OF CARE    NAME: NURSING HOME CARE    NAME: ONSET OF SYMPTOMS/ILLNESS    NAME: OTHER ACCIDENT    NAME: OUTPATIENT DENTAL    NAME: OUTPATIENT VISIT    


NAME: PATIENT LIABILITY    NAME: PAYER CODE    NAME: PRESCRIPTION    NAME: PRIOR STAY DATES    NAME: PRO/UR APPROVED STAY DATES    NAME: PROVIDER LIABILITY PERIOD    NAME: PSYCHIATRIC CARE    NAME: QUALIFYING STAY DATES FOR SNF USE ONLY    


NAME: REHABILITATION MEDICINE    NAME: SNF LEVEL OF CARE    NAME: SNF PRIOR STAY DATES    NAME: SPINAL CORD INJURY CARE    NAME: STILL PATIENT    NAME: SURGICAL CARE    NAME: WORKER'S COMPENSATION    








ICR, Total: 1





ICR LINK
Subscribing Package(s)
Fields Referenced
Description




ICR #3821

  • ACCOUNTS RECEIVABLE
    		• 
BEDSECTION (.12). 
     Access: Direct Global Read & w/Fileman

    OCCURENCE CODE (.11). 
     Access: Direct Global Read & w/Fileman

    OCCURENCE SPAN (.17). 
     Access: Direct Global Read & w/Fileman

    CODE (.02). 
     Access: Direct Global Read & w/Fileman

    		


    

    


    Global Variables Directly Accessed
    

    

    

    
Name
Line Occurrences  (* Changed,  ! Killed)

    

    
^DGCR(399.1 - [#399.1]
.01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .03(XREF 1S), .03(XREF 1K), .14(XREF 1S), .14(XREF 1K)
    		

    

    

    


    Naked Globals
    

    

    

    
Name
Field # of Occurrence

    

    
^(0
ID.02+1

    

    

    


    Local Variables
    

    

  
    
    
    Legend:
    
    
    
      
        
    
           >> 
           Not killed explicitly
          
    
           * 
          Changed
          
    
           ! 
          Killed
          
    
          ~
          Newed
        
    
          
    
    
    
    
  
    

    

    
Name
Field # of Occurrence

    

    
>> DA
.01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .03(XREF 1S), .03(XREF 1K), .14(XREF 1S), .14(XREF 1K)
    		

    

    
>> DIC("S"
.16SCR+1*, .17SCR+1*, .19SCR+1*

    

    
U
ID.02+1

    

    
X
.001+1!, .01+1!, .01(XREF 1S), .01(XREF 1K), .02+1!, .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .03+1!
    , .03(XREF 1S), .03(XREF 1K), .14(XREF 1S), .14(XREF 1K)    		

    

    

    


    


    
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