98 lines
3.9 KiB
Mathematica
98 lines
3.9 KiB
Mathematica
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IB20PT7 ;ALB/ARH - ADD NEW ENTRIES TO TABLE FILES ; 12/20/93
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;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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D DS ; Add new discharge statuses for bills
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D RT ; Add new Rate Types to file #399.3 for CHAMPVA
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D RVC ; Add new revenue codes to file #399.2
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D OSC ; Adding new Occurrence Span Codes
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D VC ; Adding new Value Codes
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Q
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;
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;
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DS ; Add new discharge statuses for bills
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W !!,">>> Adding new discharge status for bills..."
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F IBI=1:1 S IBX=$P($T(DSF+IBI),";;",2,999) Q:IBX="" D
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. S IBJ=0 F S IBJ=$O(^DGCR(399.1,IBJ)) Q:'IBJ S IBY=$G(^DGCR(399.1,IBJ,0)) I $P(IBX,U,1)=$P(IBY,U,1),$P(IBX,U,2)=$P(IBY,U,2),$P(IBY,U,6) S IBY=1 Q
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. Q:IBY K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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. S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.13////1" D ^DIE
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K DIC,DIE,DA,DR,Y
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Q
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;
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RT ; Add new Rate Types to file #399.3 for CHAMPVA
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W !!,">>> Adding new entries to the Rate Type File - CHAMPVA ..."
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F IBI=1:1 S IBX=$P($T(RTF+IBI),";;",2,999) Q:IBX="" D
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. S IBY=$E($P(IBX,U,1),1,30) Q:$D(^DGCR(399.3,"B",IBY))
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. K DD,DO S DIC="^DGCR(399.3,",DIC(0)="L",X=IBY D FILE^DICN K DA,DO Q:Y<0
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. S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.03////"_$P(IBX,U,3)_";.04////"_$P(IBX,U,4)_";.05////"_$P(IBX,U,5)_";.06////"_$P(IBX,U,6)_";.07////"_$P(IBX,U,7)_";.08////"_$P(IBX,U,8)_";.09////"_$P(IBX,U,9) D ^DIE
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K DIC,DIE,DA,DR,Y
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Q
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;
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RVC ; Add new revenue codes to file #399.2
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W !!,">>> Adding new revenue codes..."
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F IBI=1:1 S IBX=$P($T(RVCF+IBI),";;",2,999) Q:IBX="" D
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. S IBY=$P(IBX,U,1),IBZ=$G(^DGCR(399.2,+IBY,0)) Q:(+IBY'=+IBZ)!($P(IBZ,U,2)'="*RESERVED")
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. S DA=+IBY,DIE="^DGCR(399.2,",DR="1////"_$P(IBX,U,2)_";3////"_$P(IBX,U,4) D ^DIE
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K DIC,DIE,DA,DR,Y
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Q
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;
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OSC ; Adding new Occurrence Span Codes
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W !!,">>> Adding Occurrence Span Codes..."
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F IBI=1:1 S IBX=$P($T(OSCF+IBI),";;",2,999) Q:IBX="" D
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. S IBJ=0 F S IBJ=$O(^DGCR(399.1,IBJ)) Q:'IBJ S IBY=$G(^DGCR(399.1,IBJ,0)) I $P(IBX,U,1)=$P(IBY,U,1),$P(IBX,U,2)=$P(IBY,U,2),$P(IBY,U,10) S IBY=1 Q
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. Q:IBY K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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. S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.11////1;.17////1" D ^DIE
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K DIC,DIE,DA,DR,Y
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Q
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;
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VC ; Adding new Value Codes
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W !!,">>> Adding Value Codes..."
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F IBI=1:1 S IBX=$P($T(VCF+IBI),";;",2,999) Q:IBX="" D
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. S IBJ=0 F S IBJ=$O(^DGCR(399.1,IBJ)) Q:'IBJ S IBY=$G(^DGCR(399.1,IBJ,0)) I $P(IBX,U,1)=$P(IBY,U,1),$P(IBX,U,2)=$P(IBY,U,2),$P(IBY,U,11) S IBY=1 Q
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. Q:IBY K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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. S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.18////1;.19////"_$P(IBX,U,3) D ^DIE
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K DIC,DIE,DA,DR,Y
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Q
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DSF ; - new discharge status, 399.1
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;;DISCHARGED TO HOME UNDER CARE OF A HOME IV PROVIDER^08
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RTF ; - new rate type entries
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;;CHAMPVA REIMB. INS.^REIMBURSABLE INS.^1^REIM INS^1^^i^1^1
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;;CHAMPVA^CHAMPVA^1^CHAMPVA^1^^i^1^1
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RVCF ; - new revenue codes
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;;294^MED EQUIP/SUPPLIES/DRUGS^^SUPPLIES/DRUGS FOR DME EFFECTIVENESS HOME-HEALTH AGENCY ONLY
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;;404^PET SCAN^^POSITRON EMMISSION TOMOGROPHY
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;;547^AMBUL/PHARMACY^^PHARMACY
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;;548^AMBUL/TELEPHONIC EKG^^TELEPHONE TRANSMISSION EKG
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;;636^DRUGS/DETAIL CODE^^DRUGS REQUIRING DETAILED CODING
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;;761^TREATMENT RM^^TREATMENT ROOM
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;;762^OBSERVATION RM^^OBSERVATION ROOM
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;;882^HOME DIALYSIS AID VISIT^^HOME DIALYSIS AID VISIT
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;;947^CMPLX MED EQUIP-ANC^^COMPLEX MEDICAL EQUIPMENT - ANCILLARY
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OSCF ; - add occurrence span codes
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;;QUALIFYING STAY DATES FOR SNF USE ONLY^70
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;;PRIOR STAY DATES^71
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;;FIRST/LAST VISIT^72
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;;BENEFIT ELIGIBILITY PERIOD^73
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;;NONCOVERED LEVEL OF CARE^74
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;;SNF LEVEL OF CARE^75
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;;PATIENT LIABILITY^76
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;;PROVIDER LIABILITY PERIOD^77
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;;SNF PRIOR STAY DATES^78
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;;PAYER CODE^79
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;;PRO/UR APPROVED STAY DATES^M0
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VCF ; - add value codes
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;;INPATIENT PROFESSIONAL COMPONENT CHARGES, COMBINED BILLED^04
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;;NO FAULT, INCLUDING AUTO/OTHER^14^1
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;;WORKER'S COMPENSATION^15
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;;ACCIDENT HOUR^45
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