| 1 | IB20PT7 ;ALB/ARH - ADD NEW ENTRIES TO TABLE FILES ; 12/20/93
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| 2 |  ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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| 3 |  ;
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| 4 |  D DS ;     Add new discharge statuses for bills
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| 5 |  D RT ;     Add new Rate Types to file #399.3 for CHAMPVA
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| 6 |  D RVC ;    Add new revenue codes to file #399.2
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| 7 |  D OSC ;    Adding new Occurrence Span Codes
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| 8 |  D VC ;     Adding new Value Codes
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| 9 |  Q
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| 10 |  ;
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| 11 |  ;
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| 12 | DS ; Add new discharge statuses for bills
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| 13 |  W !!,">>> Adding new discharge status for bills..."
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| 14 |  F IBI=1:1 S IBX=$P($T(DSF+IBI),";;",2,999) Q:IBX=""  D
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| 15 |  . 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),$P(IBY,U,6) S IBY=1 Q
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| 16 |  . Q:IBY  K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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| 17 |  . S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.13////1" D ^DIE
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| 18 |  K DIC,DIE,DA,DR,Y
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| 19 |  Q
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| 20 |  ;
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| 21 | RT ; Add new Rate Types to file #399.3 for CHAMPVA
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| 22 |  W !!,">>> Adding new entries to the Rate Type File - CHAMPVA ..."
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| 23 |  F IBI=1:1 S IBX=$P($T(RTF+IBI),";;",2,999) Q:IBX=""  D
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| 24 |  . S IBY=$E($P(IBX,U,1),1,30) Q:$D(^DGCR(399.3,"B",IBY))
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| 25 |  . K DD,DO S DIC="^DGCR(399.3,",DIC(0)="L",X=IBY D FILE^DICN K DA,DO Q:Y<0
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| 26 |  . S DA=+Y,DIE=DIC,DR=".02////"_$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////"_$P(IBX,U,9) D ^DIE
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| 27 |  K DIC,DIE,DA,DR,Y
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| 28 |  Q
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| 29 |  ;
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| 30 | RVC ; Add new revenue codes to file #399.2
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| 31 |  W !!,">>> Adding new revenue codes..."
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| 32 |  F IBI=1:1 S IBX=$P($T(RVCF+IBI),";;",2,999) Q:IBX=""  D
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| 33 |  . S IBY=$P(IBX,U,1),IBZ=$G(^DGCR(399.2,+IBY,0)) Q:(+IBY'=+IBZ)!($P(IBZ,U,2)'="*RESERVED")
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| 34 |  . S DA=+IBY,DIE="^DGCR(399.2,",DR="1////"_$P(IBX,U,2)_";3////"_$P(IBX,U,4) D ^DIE
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| 35 |  K DIC,DIE,DA,DR,Y
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| 36 |  Q
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| 37 |  ;
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| 38 | OSC ; Adding new Occurrence Span Codes
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| 39 |  W !!,">>> Adding Occurrence Span Codes..."
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| 40 |  F IBI=1:1 S IBX=$P($T(OSCF+IBI),";;",2,999) Q:IBX=""  D
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| 41 |  . 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),$P(IBY,U,10) S IBY=1 Q
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| 42 |  . Q:IBY  K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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| 43 |  . S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.11////1;.17////1" D ^DIE
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| 44 |  K DIC,DIE,DA,DR,Y
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| 45 |  Q
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| 46 |  ;
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| 47 | VC ; Adding new Value Codes
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| 48 |  W !!,">>> Adding Value Codes..."
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| 49 |  F IBI=1:1 S IBX=$P($T(VCF+IBI),";;",2,999) Q:IBX=""  D
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| 50 |  . 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),$P(IBY,U,11) S IBY=1 Q
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| 51 |  . Q:IBY  K DA,DO S DIC="^DGCR(399.1,",DIC(0)="L",X=$P(IBX,U,1) D FILE^DICN K DA,DO Q:Y<0!('$P(Y,U,3))
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| 52 |  . S DA=+Y,DIE=DIC,DR=".02////"_$P(IBX,U,2)_";.18////1;.19////"_$P(IBX,U,3) D ^DIE
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| 53 |  K DIC,DIE,DA,DR,Y
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| 54 |  Q
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| 55 |  ;
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| 56 |  ;
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| 57 | DSF ; - new discharge status, 399.1
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| 58 |  ;;DISCHARGED TO HOME UNDER CARE OF A HOME IV PROVIDER^08
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| 59 |  ;
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| 60 |  ;
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| 61 | RTF ; - new rate type entries
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| 62 |  ;;CHAMPVA REIMB. INS.^REIMBURSABLE INS.^1^REIM INS^1^^i^1^1
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| 63 |  ;;CHAMPVA^CHAMPVA^1^CHAMPVA^1^^i^1^1
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| 64 |  ;
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| 65 |  ;
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| 66 | RVCF ; - new revenue codes
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| 67 |  ;;294^MED EQUIP/SUPPLIES/DRUGS^^SUPPLIES/DRUGS FOR DME EFFECTIVENESS HOME-HEALTH AGENCY ONLY
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| 68 |  ;;404^PET SCAN^^POSITRON EMMISSION TOMOGROPHY
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| 69 |  ;;547^AMBUL/PHARMACY^^PHARMACY
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| 70 |  ;;548^AMBUL/TELEPHONIC EKG^^TELEPHONE TRANSMISSION EKG
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| 71 |  ;;636^DRUGS/DETAIL CODE^^DRUGS REQUIRING DETAILED CODING
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| 72 |  ;;761^TREATMENT RM^^TREATMENT ROOM
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| 73 |  ;;762^OBSERVATION RM^^OBSERVATION ROOM
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| 74 |  ;;882^HOME DIALYSIS AID VISIT^^HOME DIALYSIS AID VISIT
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| 75 |  ;;947^CMPLX MED EQUIP-ANC^^COMPLEX MEDICAL EQUIPMENT - ANCILLARY
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| 76 |  ;
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| 77 |  ;
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| 78 | OSCF ; - add occurrence span codes
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| 79 |  ;;QUALIFYING STAY DATES FOR SNF USE ONLY^70
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| 80 |  ;;PRIOR STAY DATES^71
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| 81 |  ;;FIRST/LAST VISIT^72
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| 82 |  ;;BENEFIT ELIGIBILITY PERIOD^73
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| 83 |  ;;NONCOVERED LEVEL OF CARE^74
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| 84 |  ;;SNF LEVEL OF CARE^75
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| 85 |  ;;PATIENT LIABILITY^76
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| 86 |  ;;PROVIDER LIABILITY PERIOD^77
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| 87 |  ;;SNF PRIOR STAY DATES^78
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| 88 |  ;;PAYER CODE^79
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| 89 |  ;;PRO/UR APPROVED STAY DATES^M0
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| 90 |  ;
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| 91 |  ;
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| 92 | VCF ; - add value codes
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| 93 |  ;;INPATIENT PROFESSIONAL COMPONENT CHARGES, COMBINED BILLED^04
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| 94 |  ;;NO FAULT, INCLUDING AUTO/OTHER^14^1
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| 95 |  ;;WORKER'S COMPENSATION^15
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| 96 |  ;;ACCIDENT HOUR^45
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| 97 |  ;
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