| 1 | IB20P123 ;ALB/RB - DM PHASE IV POST-INIT ; 18-AUG-00 | 
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| 2 | ;;2.0;INTEGRATED BILLING;**123**;21-MAR-94 | 
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| 3 | ; | 
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| 4 | D ADD ; Adds new entries to file 356.8 - REASONS NOT BILLABLE | 
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| 5 | ; | 
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| 6 | D DIS ; Disables data extraction for MCCR/UR Summary Report. | 
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| 7 | ; | 
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| 8 | D REM ; Removes Days Denied Report from Utilization Mgmt. Reports menu. | 
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| 9 | ; | 
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| 10 | D DMM ; Update IBJ DIAGNOSTIC MEASURES MENU and IBJD DM EXTRACT MENU options | 
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| 11 | ;       with Entry Points. | 
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| 12 | Q | 
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| 13 | ; | 
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| 14 | ADD ; - Add new entries to file #356.8 | 
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| 15 | N DIC,DINUM,DD,DO,X,X0,X1,X2,X3 | 
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| 16 | ; | 
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| 17 | D BMES^XPDUTL("Adding new entries to file 356.8 - REASONS NOT BILLABLE") | 
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| 18 | ; | 
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| 19 | S X0="" F X=1:1 Q:$P(X0,U,7)  I '$D(^IBE(356.8,X,0)) S X0=X0_X_U | 
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| 20 | F X1=1:1:7 D | 
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| 21 | . S X2=$P($T(ENT+X1),";;",2),X3=X1 | 
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| 22 | . I '$D(^IBE(356.8,"B",X2)) D | 
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| 23 | . . K DD,DO S DIC="^IBE(356.8,",DIC(0)="L" | 
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| 24 | . . S DINUM=$P(X0,U,X3),X=X2 | 
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| 25 | . . D FILE^DICN | 
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| 26 | ; | 
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| 27 | Q | 
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| 28 | ; | 
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| 29 | DIS ; - Disable data extraction for MCCR/UR Summary Report. | 
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| 30 | N DA,DIE,DR | 
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| 31 | ; | 
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| 32 | D BMES^XPDUTL("Disabling the data extraction for MCCR/UR Summary Report") | 
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| 33 | ; | 
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| 34 | S DA=$O(^IBE(351.7,"B","MCCR/UR SUMMARY REPORT",0)) | 
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| 35 | I DA,'$P($G(^IBE(351.7,DA,0)),U,2) S DIE=351.7,DR=".02////1" D ^DIE | 
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| 36 | ; | 
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| 37 | Q | 
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| 38 | ; | 
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| 39 | REM ; - Remove Days Denied Report from Utilization Mgmt. Reports menu. | 
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| 40 | N DA,DIK,X | 
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| 41 | ; | 
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| 42 | D BMES^XPDUTL("Removing Days Denied Report from Utilization Mgmt Report Menu") | 
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| 43 | ; | 
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| 44 | S DA(1)=$O(^DIC(19,"B","IBJD UTILIZATION REPORTS",0)) G:'DA(1) QREM | 
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| 45 | S X=$O(^DIC(19,"B","IBT OUTPUT DENIED DAYS REPORT",0)) G:'X QREM | 
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| 46 | S DA=$O(^DIC(19,DA(1),10,"B",X,0)) G:'DA QREM | 
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| 47 | S DIK="^DIC(19,"_DA(1)_",10," D ^DIK | 
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| 48 | ; | 
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| 49 | QREM Q | 
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| 50 | ; | 
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| 51 | DMM ; - Update the Diagnotic Measures menu entry point: MSG^IBJDE1 | 
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| 52 | N DA,DIE,DR | 
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| 53 | ; | 
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| 54 | D BMES^XPDUTL("Updating Diagnostic Measures Menu Options - Entry Points") | 
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| 55 | ; | 
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| 56 | S DA=$O(^DIC(19,"B","IBJ DIAGNOSTIC MEASURES MENU","")) | 
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| 57 | I DA S DIE=19,DR="20////D MSG^IBJDE1" D ^DIE | 
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| 58 | ; | 
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| 59 | ; - Update the Diagnostic Measures Extract Menu entry point: CHK^IBJDE1 | 
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| 60 | S DA=$O(^DIC(19,"B","IBJD DM EXTRACT MENU","")) | 
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| 61 | I DA S DIE=19,DR="20////D CHK^IBJDE1" D ^DIE | 
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| 62 | Q | 
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| 63 | ; | 
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| 64 | ENT ; - File entries. | 
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| 65 | ;;CREDENTIALING ISSUE | 
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| 66 | ;;INSUFFICIENT DOCUMENTATION | 
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| 67 | ;;NO DOCUMENTATION | 
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| 68 | ;;NON-BILLABLE PROVIDER (RESID.) | 
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| 69 | ;;NON-BILLABLE PROVIDER (OTHER) | 
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| 70 | ;;OTHER COMPLIANCE | 
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| 71 | ;;OUT OF NETWORK (PPO) | 
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