Files > BILLING RATE

name
BILLING RATE
number
363.3
location
^IBE(363.3,
description
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.
Fields
#NameLocationTypeDetailsIndexDescription
.01name(+)0;1FREE TEXTBName of this rate. A rate defines a set of charges billable to a specific set of payers.
.02abbreviation(+)0;2FREE TEXTEnter a short identifier for this rate. This may be used on reports and displays.
.03distribution(+)0;3SET OF CODES1:NATIONAL
2:LOCAL
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.
.04billable item(+)0;4SET OF CODES1:BEDSECTION
2:CPT
3:NDC #
4:DRG
9:MISCELLANEOUS
This is the type of item that will be found in the Charge Item list for all charges of this rate.
.05charge method(+)0;5SET OF CODES1:COUNT
2:VA COST
3:QUANTITY
4:MILES
5:MINUTES
6:HOURS
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
.06base charge0;6BOOLEAN1:YES
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.

Referenced by 1 types

  1. CHARGE SET (363.1) -- billing rate