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Sub-Field: 399.042

Package: Integrated Billing

BILL/CLAIMS(#399)-->399.042

Sub-Field: 399.042

Information

Parent File	Name	Number	Package
BILL/CLAIMS(#399)	REVENUE CODE	399.042	Integrated Billing

Details

Field #	Name	Loc	Type	Details
.001	NUMBER		NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1N.N) X` LAST EDITED: `JUL 10, 1990` HELP-PROMPT: `Type a Number between 1 and 99999, 0 Decimal Digits` DESCRIPTION: This is the sequential number of the entry. Use of this number facilitates reference to the line item charges and revenue codes it is associated with. WRITE AUTHORITY: ^
.01	REVENUE CODE	0;1	POINTER TO REVENUE CODE FILE (#399.2)	**********************REQUIRED FIELD********************** REVENUE CODE(#399.2) INPUT TRANSFORM: `S D="D",DIC("S")="I $P(^(0),""^"",3)" D IX^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `JUN 10, 1993` HELP-PROMPT: `Enter the code(s) which identify a specific accommodation, ancillary service, or billing calculation. You may enter up to 10 codes per bill.` SCREEN: `S DIC("S")="I $D(^DGCR(399.2,""AC"",+Y))"` EXPLANATION: `Select active revenue codes only!` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `399.042^B` 1)= S ^DGCR(399,DA(1),"RC","B",$E(X,1,30),DA)="" 2)= K ^DGCR(399,DA(1),"RC","B",$E(X,1,30),DA) CROSS-REFERENCE: `399.042^ABS1^MUMPS` 1)= I $P(^DGCR(399,DA(1),"RC",DA,0),U,5) S ^DGCR(399,DA(1),"RC","ABS",$P(^DGCR(399,DA(1),"RC",DA,0),U,5),$E(X,1,30),DA)="" 2)= I $P(^DGCR(399,DA(1),"RC",DA,0),U,5) K ^DGCR(399,DA(1),"RC","ABS",$P(^DGCR(399,DA(1),"RC",DA,0),U,5),$E(X,1,30),DA) Cross reference of all revenue codes with bedsections.
.02	CHARGES	0;2	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>99999)!(X<0) X` LAST EDITED: `SEP 21, 1992` HELP-PROMPT: `Type a Dollar Amount between 0 and 99999, 2 Decimal Digits` DESCRIPTION: This is the unit charge for this revenue code. It will be multiplied times the number of units to determine the total cost for this revenue code. CROSS-REFERENCE: `399.042^TC1^MUMPS` 1)= D 21^IBCU2 2)= D 22^IBCU2 Sets/deletes total charges.
.03	UNITS OF SERVICE	0;3	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:X'?1.N X I $D(X) S:X']"" X=1` LAST EDITED: `SEP 21, 1992` HELP-PROMPT: `Enter the number of units of service (accommodation days, miles, treatments, etc.) rendered to or for this patient for this revenue code.` DESCRIPTION: This is the number of day of inpatient care or the number of outpatient visits for this revenue code. It will be multiplied by the CHARGES field to determine the TOTAL charges for this revenue code. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `399.042^TC^MUMPS` 1)= D 31^IBCU2 2)= D 32^IBCU2 Adds/deletes total charges.
.04	TOTAL	0;4	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:X?1.10N.1".".2N X` LAST EDITED: `SEP 21, 1992` HELP-PROMPT: `Type a Dollar Amount between 0 and 999999, 2 Decimal Digits` DESCRIPTION: This is the total charges for this revenue code. It is computed by the system. UNEDITABLE NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `399.042^ATC^MUMPS` 1)= S DGXRF=1 D TC^IBCU2 K DGXRF 2)= S DGXRF=2 D TC^IBCU2 K DGXRF Sets/deletes total charges, FY 1 charges. Also sets FY 2 charges to "".
.05	BEDSECTION	0;5	POINTER TO MCCR UTILITY FILE (#399.1)	**********************REQUIRED FIELD********************** MCCR UTILITY(#399.1) INPUT TRANSFORM: `S DIC("S")="I $P(^(0),U,5)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `MAY 14, 1990` DESCRIPTION: If this is an inpatient bill then this is the Specialty associated with authorized rates for the type of care provided for this revenue code. TECHNICAL DESCR: Includes only billable bedsections. SCREEN: `S DIC("S")="I $P(^(0),U,5)"` EXPLANATION: `ONLY BILLABLE BEDSECTIONS` CROSS-REFERENCE: `399.042^ABS^MUMPS` 1)= S ^DGCR(399,DA(1),"RC","ABS",$E(X,1,30),+^DGCR(399,DA(1),"RC",DA,0),DA)="" 2)= K ^DGCR(399,DA(1),"RC","ABS",$E(X,1,30),+^DGCR(399,DA(1),"RC",DA,0),DA) Cross reference of all revenue codes with bedsections.
.06	PROCEDURE	0;6	POINTER TO CPT FILE (#81)	CPT(#81) LAST EDITED: `SEP 03, 1993` DESCRIPTION: `This field may be used to associate the revenue code with a procedure. This will be needed primarily to accomodate the HCFA 1500 which allows charges by procedure not revenue code. The charge associated with the` revenue code will be printed on the HCFA 1500 claim form in the same line item as the procedure. This field is also used for revenue codes that are for Billable Ambulatory Surgeries (BASC). It identifies the CPT code of the surgery which is being billed for. CROSS-REFERENCE: `399^ASC1^MUMPS` 1)= I $$RC^IBEFUNC1(DA(1),DA) S ^DGCR(399,"ASC1",$E(X,1,30),DA(1),DA)="" 2)= K ^DGCR(399,"ASC1",$E(X,1,30),DA(1),DA) All Billable Ambulatory Surgery Codes (BASC) that have been billed. CROSS-REFERENCE: `399^ASC2^MUMPS` 1)= I $$RC^IBEFUNC1(DA(1),DA) S ^DGCR(399,"ASC2",DA(1),$E(X,1,30),DA)="" 2)= K ^DGCR(399,"ASC2",DA(1),$E(X,1,30),DA) All bills with charges for Billable Ambulatory Surgery Codes (BASC).
.07	DIVISION	0;7	POINTER TO MEDICAL CENTER DIVISION FILE (#40.8)	MEDICAL CENTER DIVISION(#40.8) LAST EDITED: `MAR 10, 1994` DESCRIPTION: This field is completed only if the revenue code is for a Billable Ambulatory Surgery. It identifies the division where the surgery was performed. NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `399^ASC11^MUMPS` 1)= I $$RC^IBEFUNC1(DA(1),DA) S ^DGCR(399,"ASC1",$P(^DGCR(399,DA(1),"RC",DA,0),U,6),DA(1),DA)="" 2)= K ^DGCR(399,"ASC1",+$P(^DGCR(399,DA(1),"RC",DA,0),U,6),DA(1),DA) All Billable Ambulatory Surgery Codes (BASC) that have been billed. CROSS-REFERENCE: `399^ASC21^MUMPS` 1)= I $$RC^IBEFUNC1(DA(1),DA) S ^DGCR(399,"ASC2",DA(1),$P(^DGCR(399,DA(1),"RC",DA,0),U,6),DA)="" 2)= K ^DGCR(399,"ASC2",DA(1),+$P(^DGCR(399,DA(1),"RC",DA,0),U,6),DA) All bills with charges for Billable Ambulatory Surgery Codes (BASC).
.08	AUTO	0;8	SET	'1' FOR YES; LAST EDITED: `FEB 07, 1994` HELP-PROMPT: `This field sould be automatically added by the software, user entry is not necessary.` DESCRIPTION: True if the revenue code and charge were added by the automatic charge calculation routine, blank if added manually by the user. TECHNICAL DESCR: `Should only be true if the automatic charge calculator created the revenue code and charge based on the chargable items on the bill. Should be null for any rev code manually entered by a user. (FILE^IBCU62) This is` used to determine which of the revenue codes should be deleted before the calculator re-builds them. (ALL^IBCU61)

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