Routine: ABMMUDEF

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	ABMMUDEF+7
PAZ^ABMDRUTL	PRINT+27
$$EN^ABMVDF	PRINT+2, PRINT+5, PRINT+9, PRINT+13, PRINT+18, PRINT+28, PRINT+39, PRINT+49, PRINT+57, PRINT+60

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 or RHC. An EP is" Line Location: PRINT+41
Function Call: WRITE	Prompt: !?3,"considered to work predominantly at an FQHC or RHC when the FQHC/RHC is the" Line Location: PRINT+42
Function Call: WRITE	Prompt: !?3,"clinical location for over 50% of all of the provider's total encounters for" Line Location: PRINT+43
Function Call: WRITE	Prompt: !?3,"six (6) months in the most recent calendar year. FQHCs and RHCs use the" Line Location: PRINT+44
Function Call: WRITE	Prompt: !?3,"Needy Individual encounter definition (expanded from the basic Medicaid" Line Location: PRINT+45
Function Call: WRITE	Prompt: !?3,"encounter) for their encounters." Line Location: PRINT+46
Function Call: WRITE	Prompt: ! Line Location: PRINT+47
Function Call: WRITE	Prompt: !,$$EN^ABMVDF("HIN"),"NEEDY INDIVIDUALS:",$$EN^ABMVDF("HIF")," Needy Individual encounters include all patient encounters" Line Location: PRINT+49
Function Call: WRITE	Prompt: !?3,"paid for by:" Line Location: PRINT+50
Function Call: WRITE	Prompt: !?5,"1. Medicaid-insurance type 'D' (includes 1115 Waivers)" Line Location: PRINT+51
Function Call: WRITE	Prompt: !?5,"2. CHIP-insurance type 'K' billed as either Medicaid or Private Insurance" Line Location: PRINT+52
Function Call: WRITE	Prompt: !?5,"3. Discounted (sliding scale) encounters" Line Location: PRINT+53
Function Call: WRITE	Prompt: !?5,"4. Uncompensated care" Line Location: PRINT+54
Function Call: WRITE	Prompt: ! Line Location: PRINT+55
Function Call: WRITE	Prompt: !,$$EN^ABMVDF("HIN"),"Note on Discounted Sliding Scale Encounters:",$$EN^ABMVDF("HIF")," Discounted (sliding scale)" Line Location: PRINT+57
Function Call: WRITE	Prompt: !?3,"encounters are not included in this version of the report, as they are not" Line Location: PRINT+58
Function Call: WRITE	Prompt: !?3,"currently captured in RPMS." Line Location: PRINT+59
Function Call: WRITE	Prompt: !,$$EN^ABMVDF("HIN"),"Note on Uncompensated Care:",$$EN^ABMVDF("HIF")," Uncompensated care includes all unpaid encounters." Line Location: PRINT+60
Function Call: WRITE	Prompt: !?3,"Unpaid Encounters = Encounters which were billed, but for which no payment" Line Location: PRINT+61
Function Call: WRITE	Prompt: !?3,"was received for the report period. Unpaid Encounters are not affected by" Line Location: PRINT+62
Function Call: WRITE	Prompt: !?3,"beneficiary status." Line Location: PRINT+63

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> ABMQ("NS"	ABMMUDEF+5*
>> ABMQ("RC"	ABMMUDEF+3*
>> ABMQ("RP"	ABMMUDEF+6*
>> ABMQ("RX"	ABMMUDEF+4*
>> DIROUT	PRINT+27
>> DTOUT	PRINT+27
>> DUOUT	PRINT+27
IOST	PRINT+27

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Package: Third Party Billing

Routine: ABMMUDEF

Information

Source Information

Call Graph

Call Graph Total: 3

Entry Points

External References

Interaction Calls

Local Variables

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