| 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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