| [613] | 1 | IBCRHBR ;ALB/ARH - RATES: UPLOAD HOST FILES (RC) DRIVER ; 10-OCT-1998 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**106,138,148,245**;21-MAR-94 | 
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|  | 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified. | 
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|  | 4 | ; | 
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|  | 5 | ; | 
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|  | 6 | RC N IBLOAD,IBSITE,IBVERS | 
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|  | 7 | W @IOF,!,"Upload National Reasonable Charges Host Files to Temporary Vista Files (XTMP)" | 
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|  | 8 | W !,"-----------------------------------------------------------------------------" | 
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|  | 9 | ; | 
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|  | 10 | I '$$CONT^IBCRHBR5 Q | 
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|  | 11 | ; | 
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|  | 12 | S IBLOAD=$$RELOAD^IBCRHBR1 I IBLOAD<0 Q | 
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|  | 13 | ; | 
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|  | 14 | I IBLOAD=1 S IBVERS=$$SELVERS^IBCRHBRV Q:'IBVERS | 
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|  | 15 | ; | 
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|  | 16 | I ($G(IBVERS)>1.9)!($$VERSION^IBCRHBRV>1.9) G ^IBCRHBS | 
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|  | 17 | ; | 
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|  | 18 | I IBLOAD=1 S IBLOAD=$$HOSTLOAD^IBCRHBR1(IBVERS) I 'IBLOAD Q | 
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|  | 19 | ; | 
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|  | 20 | S IBSITE=$$SELSITE^IBCRHBR4 I 'IBSITE Q | 
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|  | 21 | ; | 
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|  | 22 | D CALCRC^IBCRHBR5(IBSITE) | 
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|  | 23 | ; | 
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|  | 24 | Q | 
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|  | 25 | ; | 
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|  | 26 | ; | 
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|  | 27 | ; ============================================================================================== | 
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|  | 28 | ; | 
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|  | 29 | 1 ;XTMP version of national files of all charges and area factors | 
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|  | 30 | ; | 
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|  | 31 | ; IBCR RC x,0: delete date ^ create date ^ name, date/time, by ^ ?? ^ count | 
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|  | 32 | ; | 
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|  | 33 | ; IBCR RC A:  DRG ^ surg/non-surg ^ rm&bd ^ anc ^ begin ^ end | 
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|  | 34 | ;             999 ^  ^ charge ^ ^ begin ^ end | 
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|  | 35 | ; IBCR RC B:  site number ^ surg rm&bd ^ surg anc ^ non-surg rm&bd ^ non-surg anc ^ skilled nursing ^ begin ^end | 
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|  | 36 | ; | 
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|  | 37 | ; IBCR RC C:  CPT ^ charge ^ begin ^ end ^ site limited | 
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|  | 38 | ; IBCR RC D:  site number ^ area factor ^ begin ^ end ^ site limited | 
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|  | 39 | ; | 
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|  | 40 | ; IBCR RC E: CPT ^ modifier ^ work expense ^ practice expense ^ code group ^ conversion factor ^ begin ^ end | 
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|  | 41 | ; | 
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|  | 42 | ; IBCR RC F: CPT ^ modifier ^ charge ^ code group ^ begin ^ end | 
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|  | 43 | ; | 
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|  | 44 | ; IBCR RC G: CPT ^ modifier ^ unit value ^ code group ^ conversion factor ^ begin ^ end | 
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|  | 45 | ; | 
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|  | 46 | ; IBCR RC H: site number ^ work adjuster ^ work expense ^ practice expense ^ begin ^ end | 
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|  | 47 | ; IBCR RC H, BC: code group area factors | 
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|  | 48 | ; | 
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|  | 49 | ; IBCR RC I: site number ^ area factor ^ begin ^ end | 
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|  | 50 | ; | 
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|  | 51 | 2 ;site file created from all national area factor files | 
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|  | 52 | ; | 
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|  | 53 | ; IBCR RC SITE: site number ^ site name, state ^ 3-digit zip | 
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|  | 54 | ; IBCR RC SITE, source file: source ifn | 
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|  | 55 | ; IBCR RC SITE, VERSION: version number | 
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|  | 56 | ; | 
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|  | 57 | 3 ;all XTMP files read by CM utility | 
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|  | 58 | ; | 
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|  | 59 | ; IBCR RC site: item ptr ^ effective date ^ inactive date ^ charge ^ modifier ^ base (2.0+) | 
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|  | 60 | ; | 
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|  | 61 | 4 ;all updates due to a new version are in routine IBCRHBRV | 
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|  | 62 | ; | 
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|  | 63 | ; ============================================================================================== | 
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|  | 64 | ; | 
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|  | 65 | ; | 
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|  | 66 | CGROUP ; set up code group array needed when calculating charges | 
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|  | 67 | N IBI,IBLN | 
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|  | 68 | F IBI=1:1 S IBLN=$P($T(CGROUPF+IBI),";;",2) Q:IBLN=""  I +IBLN D | 
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|  | 69 | . S ^TMP($J,"IBCR RC CGROUP",$P(IBLN,U,2))=+IBLN | 
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|  | 70 | Q | 
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|  | 71 | CGROUPF ; list of valid Code Groups and their corresponding piece in the area factor file (table h) | 
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|  | 72 | ;; | 
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|  | 73 | ;;5^Allergy Immunotherapy | 
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|  | 74 | ;;4^Allergy Testing | 
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|  | 75 | ;;21^Anesthesia | 
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|  | 76 | ;;10^Cardiovascular | 
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|  | 77 | ;;16^Chiropractor | 
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|  | 78 | ;;8^Consults | 
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|  | 79 | ;;7^Emer Room Visits and Observation Care | 
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|  | 80 | ;;14^Hearing/Speech Exams | 
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|  | 81 | ;;11^Immunizations | 
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|  | 82 | ;;1^Inpatient Visits | 
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|  | 83 | ;;23^Maternity - Cesarean Deliveries | 
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|  | 84 | ;;24^Maternity - Non-Deliveries | 
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|  | 85 | ;;22^Maternity - Normal Deliveries | 
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|  | 86 | ;;6^Miscellaneous Medical | 
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|  | 87 | ;;2^Office/Home/Urgent Care Visits | 
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|  | 88 | ;;17^Outpatient Psych/Alcohol & Drug Abuse | 
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|  | 89 | ;;20^Pathology | 
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|  | 90 | ;;15^Physical Exams | 
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|  | 91 | ;;9^Physical Medicine | 
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|  | 92 | ;;19^Radiology | 
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|  | 93 | ;;18^Surgery | 
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|  | 94 | ;;3^Therapeutic Injections | 
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|  | 95 | ;;13^Vision Exams | 
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|  | 96 | ;;12^Well Baby Exams | 
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|  | 97 | ;; | 
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