STANDARD DATA DICTIONARY #363.3 -- BILLING RATE FILE 6/27/25 PAGE 1
STORED IN ^IBE(363.3, (19 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 defines the types of rates available to bill third parties for reimbursment.
Nationally distributed Billing Rates should not be modified. DO NOT edit data in this file with VA FileManager.
DD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: BILLING RATE field (#.02) of the CHARGE SET File (#363.1)
BILLING RATE field (#.01) of the BILLING RATE/SET sub-field (#363.3211) of the BILLING SPECIAL GROUPS File (#363.32)
CROSS
REFERENCED BY: NAME(B)
363.3,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: JUL 12, 1996
HELP-PROMPT: Answer must be 3-30 characters in length. Enter a descriptive name to identify the rate.
DESCRIPTION:
Name of this rate. A rate defines a set of charges billable to a specific set of payers.
DELETE TEST: .03,0)= I $P($G(^IBE(363.3,DA,0)),U,3)=1 W !,"Can not Delete Nationally Distibuted Billing Rates!",
!
363.1,0)= I $O(^IBE(363.1,"C",DA,0)) W !,"Can not Delete a Billing Rate that has Charge Sets define
d!",!
CROSS-REFERENCE: 363.3^B
1)= S ^IBE(363.3,"B",$E(X,1,30),DA)=""
2)= K ^IBE(363.3,"B",$E(X,1,30),DA)
363.3,.02 ABBREVIATION 0;2 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>8!($L(X)<2) X
LAST EDITED: JUL 12, 1996
HELP-PROMPT: Answer must be 2-8 characters in length.
DESCRIPTION:
Enter a short identifier for this rate. This may be used on reports and displays.
363.3,.03 DISTRIBUTION 0;3 SET (Required)
'1' FOR NATIONAL;
'2' FOR LOCAL;
LAST EDITED: JUL 12, 1996
HELP-PROMPT: Enter Local.
DESCRIPTION: This indicates how the rate and all corresponding data is distributed to the sites. All National
entries will be exported nationally and should not be modified locally.
363.3,.04 BILLABLE ITEM 0;4 SET (Required)
'1' FOR BEDSECTION;
'2' FOR CPT;
'3' FOR NDC #;
'4' FOR DRG;
'9' FOR MISCELLANEOUS;
LAST EDITED: OCT 02, 1998
HELP-PROMPT: Enter the type of item the charge for this rate is associated with.
DESCRIPTION:
This is the type of item that will be found in the Charge Item list for all charges of this rate.
363.3,.05 CHARGE METHOD 0;5 SET (Required)
'1' FOR COUNT;
'2' FOR VA COST;
'3' FOR QUANTITY;
'4' FOR MILES;
'5' FOR MINUTES;
'6' FOR HOURS;
LAST EDITED: NOV 10, 2003
HELP-PROMPT: Enter the method of charge calculation for this rate.
DESCRIPTION: Indicates how the charge will be calculated for the Billable Items found on the bills. COUNT:
charge per Item found on the bill VA COST: calculated value of the VA cost for an item QUANTITY:
price per dispense unit (NDC # charges only) MILES: charge per mile MINUTES: charge with base
plus incremental charge per 15 minutes HOURS: charge with base plus incremental charge per hour
363.3,.06 BASE CHARGE 0;6 SET
'1' FOR YES;
LAST EDITED: DEC 10, 2003
HELP-PROMPT: Enter YES if a Base Charge is allowed for this Billing Rate.
DESCRIPTION: Certain types of charges require both an incremental charge per unit and base charge applied once
per item. Enter yes if this Billing Rate allows a base charge plus the unit charge for an item.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):