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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