STANDARD DATA DICTIONARY #363.1 -- CHARGE SET FILE 3/24/25 PAGE 1
STORED IN ^IBE(363.1, (59 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the definitions of all Charge Sets. A Charge Set defines a charge rate for a single type of billable event.
DO NOT edit data in this file with VA FileManager.
DD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: AWP CHARGE SET field (#9.12) of the IB SITE PARAMETERS File (#350.9)
CHARGE SET field (#.01) of the CHARGE SET sub-field (#363.0011) of the RATE SCHEDULE File (#363)
CHARGE SET field (#.02) of the CHARGE ITEM File (#363.2)
CHARGE SET field (#.02) of the BILLING RATE/SET sub-field (#363.3211) of the BILLING SPECIAL GROUPS File (#363.32)
CROSS
REFERENCED BY: NAME(B), BILLING RATE(C)
363.1,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: JUL 01, 1996
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
Descriptive name to help identify the billable items and the rated defined by the Charge Set.
DELETE TEST: 363,0)= I $O(^IBE(363,"C",DA,0)) W !,"Can not Delete a Charge Set that is assigned to a Rate Schedu
le!",!
363.2,0)= I $O(^IBA(363.2,"AIVDTS"_DA,0)) W !,"Can not Delete a Charge Set that has Charge Items de
fined!",!
CROSS-REFERENCE: 363.1^B
1)= S ^IBE(363.1,"B",$E(X,1,30),DA)=""
2)= K ^IBE(363.1,"B",$E(X,1,30),DA)
363.1,.02 BILLING RATE 0;2 POINTER TO BILLING RATE FILE (#363.3) (Required)
LAST EDITED: JUL 16, 1996
HELP-PROMPT: Enter the type of rate this Charge Set is a subset of.
DESCRIPTION:
This is the type of rate which defines the charges associated with this Charge Set.
CROSS-REFERENCE: 363.1^C
1)= S ^IBE(363.1,"C",$E(X,1,30),DA)=""
2)= K ^IBE(363.1,"C",$E(X,1,30),DA)
Cross-reference on Billing Rate.
363.1,.03 BILLABLE EVENT 0;3 POINTER TO MCCR UTILITY FILE (#399.1) (Required)
INPUT TRANSFORM: S DIC("S")="I +$P(^(0),U,14)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: JUL 01, 1996
HELP-PROMPT: Enter the type of event billed by this rate.
DESCRIPTION: This is the type of care being billed or itemized on a bill that the payer is charged for. This
should correspond to an actual item that may be found on a bill.
SCREEN: S DIC("S")="I +$P(^(0),U,14)=1"
EXPLANATION: Billable Events Only!
363.1,.04 CHARGE TYPE 0;4 SET
'1' FOR INSTITUTIONAL;
'2' FOR PROFESSIONAL;
LAST EDITED: SEP 23, 1996
HELP-PROMPT: If the charges in this set are exclusively professional or institutional, enter 1 or 2.
DESCRIPTION: Defines the charges in this Charge Set as exclusively either professional charges or institutional
charges.
This is used to identify the charges to add to bills that are defined as exclusively professional
or institutional bills.
363.1,.05 DEFAULT REVENUE CODE 0;5 POINTER TO REVENUE CODE FILE (#399.2)
INPUT TRANSFORM: S DIC("S")="I +$P(^(0),U,3)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: AUG 22, 1996
HELP-PROMPT: Enter the Revenue Code that should be used as the default when adding charges to a bill.
DESCRIPTION: This revenue code will be the default for all items in this Charge Set. If a Charge Item does not
have a Revenue Code defined for it, this code will be used. Therefore, if most charges for this
set should have the same revenue code, enter that code here.
If there is no Default Revenue Code for a Charge Set, then each Charge Item of that set will be
required to have a Revenue Code.
SCREEN: S DIC("S")="I +$P(^(0),U,3)=1"
EXPLANATION: Active Revenue Codes Only!
363.1,.06 DEFAULT BEDSECTION 0;6 POINTER TO MCCR UTILITY FILE (#399.1)
INPUT TRANSFORM: S DIC("S")="I +$P(^(0),U,5)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: AUG 22, 1996
HELP-PROMPT: Enter the bedsection that should be added to a bill with the charges for the items in this set.
DESCRIPTION: Bedsection is required to add charges to a bill. This is a bedsection that represents the service
responsible for the charges in this Set.
If the charge for this Billing Rate is not associated with a bedsection, then add the bedsection
that should be added to a bill with the charges for this Set.
SCREEN: S DIC("S")="I +$P(^(0),U,5)=1"
EXPLANATION: Billable Bedsections Only!
363.1,.07 REGION 0;7 POINTER TO BILLING REGION FILE (#363.31)
LAST EDITED: AUG 22, 1996
HELP-PROMPT: Enter the region which defines the divisions this set of charges apply to.
DESCRIPTION: This is the region the charges this set apply to. This is only needed if the charges for this set
are modified based on locality/region.
FILES POINTED TO FIELDS
BILLING RATE (#363.3) BILLING RATE (#.02)
BILLING REGION (#363.31) REGION (#.07)
MCCR UTILITY (#399.1) BILLABLE EVENT (#.03)
DEFAULT BEDSECTION (#.06)
REVENUE CODE (#399.2) DEFAULT REVENUE CODE (#.05)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):