public YellowstoneParkBillingRuleSet()
{
this.m_BillingRuleSetId = "YLWSTN";
this.m_BillingRuleSetIdOld = "BCFC243C-8608-4F09-B8C7-173508A07BAD";
this.m_BillingRuleSetName = "Yellowstone Park Rule Set";
CptCodeCollection allCptCodes = CptCodeCollection.GetAll();
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Client;
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueAny();
billingRule2.PrimaryInsurance = new RuleValueString("Medicare");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueAny();
billingRule3.PrimaryInsurance = new RuleValueString("Commercial");
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule3);
//this.m_BillingRuleCollection.Add(new BillingRule("YLWSTN", 1, "Any", "Medicaid", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("YLWSTN", 1, "Any", "Medicare", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("YLWSTN", 0, "Any", "Any", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Client, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("YLWSTN", 1, "Any", "Commercial", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
}
public CptCodeCollection Clone()
{
CptCodeCollection result = new CptCodeCollection();
foreach (CptCode cptCode in this)
{
result.Add(cptCode.Clone(cptCode));
}
return(result);
}
public static CptCodeCollection GetSorted(CptCodeCollection cptCodeCollection)
{
CptCodeCollection result = new CptCodeCollection();
IOrderedEnumerable <CptCode> orderedResult = cptCodeCollection.OrderBy(i => i.Code);
foreach (CptCode cptCode in orderedResult)
{
result.Add(cptCode);
}
return(result);
}
public CptCodeCollection GetFISHCPTCodeCollection()
{
CptCodeCollection result = new CptCodeCollection();
result.Add(this.GetCPTCode("88374"));
result.Add(this.GetCPTCode("88377"));
result.Add(this.GetCPTCode("88368"));
result.Add(this.GetCPTCode("88369"));
result.Add(this.GetCPTCode("88367"));
result.Add(this.GetCPTCode("88373"));
return(result);
}
public HospitalSplitAllBillingRuleSet()
{
this.m_BillingRuleSetId = "HSA";
this.m_BillingRuleSetIdOld = "6040FB9A-6D25-4E3E-9922-A48BB8CEC8E3";
this.m_BillingRuleSetName = "Hospital Split All Rule Set";
CptCodeCollection allCptCodes = CptCodeCollection.GetAll();
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Split;
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueString("OP");
billingRule1.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueString("OP");
billingRule2.PrimaryInsurance = new RuleValueAny();
billingRule2.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueAny();
billingRule3.PrimaryInsurance = new RuleValueAny();
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueBoolean(true);
billingRule3.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule3);
}
public CptCodeCollection GetCptCodeCollection(FeeScheduleEnum feeSchedule)
{
CptCodeCollection result = new CptCodeCollection();
foreach (CptCode cptCode in this)
{
if (cptCode.FeeSchedule == feeSchedule)
{
result.Add(cptCode);
}
}
return(result);
}
public static CptCodeCollection GetCptCodeCollection(FeeScheduleEnum feeSchedule)
{
CptCodeCollection result = new CptCodeCollection();
CptCodeCollection allCodes = GetAll();
foreach (CptCode cptCode in allCodes)
{
if (cptCode.FeeSchedule == feeSchedule)
{
result.Add(cptCode);
}
}
return(result);
}
public GlobalBillingRuleSet()
{
this.m_BillingRuleSetId = "GLBL";
this.m_BillingRuleSetIdOld = "187E6457-F908-41AF-8232-D7754CC3E0CC";
this.m_BillingRuleSetName = "Global Rule Set";
CptCodeCollection allCptCodes = CptCodeCollection.GetAll();
BillingRule billingRule9 = new BillingRule();
billingRule9.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule9.Priority = 9;
billingRule9.PatientType = new RuleValueAny();
billingRule9.PrimaryInsurance = new RuleValueAny();
billingRule9.SecondaryInsurance = new RuleValueAny();
billingRule9.PostDischarge = new RuleValueAny();
billingRule9.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule9);
}
public HospitalSplitProfessionalBillingRuleSet()
{
this.m_BillingRuleSetId = "HSPRFSNL";
this.m_BillingRuleSetIdOld = "334DDC95-CF41-4C13-9326-A2C85B20BCCB";
this.m_BillingRuleSetName = "Hospital Split Professional Rule Set";
CptCodeCollection clinicalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Clinical);
CptCodeCollection professionalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Physician);
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Split;
billingRule0.ReferenceLab = new RuleValueAny();
billingRule0.PanelSetIncludeOnlyList.Add(13);
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule01 = new BillingRule();
billingRule01.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule01.Priority = 0;
billingRule01.PatientType = new RuleValueAny();
billingRule01.PrimaryInsurance = new RuleValueAny();
billingRule01.SecondaryInsurance = new RuleValueAny();
billingRule01.PostDischarge = new RuleValueAny();
billingRule01.BillingType = BillingTypeEnum.Split;
billingRule01.ReferenceLab = new RuleValueBoolean(true);
this.m_BillingRuleCollection.Add(billingRule01);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueAny();
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
billingRule1.ReferenceLab = new RuleValueAny();
billingRule1.PanelSetExcludeList.Add(13);
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueString("OP");
billingRule2.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
billingRule2.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueAny();
billingRule3.PrimaryInsurance = new RuleValueString("Governmental");
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Split;
billingRule3.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule3);
BillingRule billingRule4 = new BillingRule();
billingRule4.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule4.Priority = 4;
billingRule4.PatientType = new RuleValueAny();
billingRule4.PrimaryInsurance = new RuleValueString("Medicare");
billingRule4.SecondaryInsurance = new RuleValueAny();
billingRule4.PostDischarge = new RuleValueAny();
billingRule4.BillingType = BillingTypeEnum.Split;
billingRule4.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule4);
BillingRule billingRule5 = new BillingRule();
billingRule5.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule5.Priority = 5;
billingRule5.PatientType = new RuleValueString("IP");
billingRule5.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule5.SecondaryInsurance = new RuleValueAny();
billingRule5.PostDischarge = new RuleValueAny();
billingRule5.BillingType = BillingTypeEnum.Split;
billingRule5.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule5);
BillingRule billingRule6 = new BillingRule();
billingRule6.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule6.Priority = 6;
billingRule6.PatientType = new RuleValueString("IP");
billingRule6.PrimaryInsurance = new RuleValueAny();
billingRule6.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule6.PostDischarge = new RuleValueAny();
billingRule6.BillingType = BillingTypeEnum.Split;
billingRule6.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule6);
BillingRule billingRule9 = new BillingRule();
billingRule9.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule9.Priority = 9;
billingRule9.PatientType = new RuleValueAny();
billingRule9.PrimaryInsurance = new RuleValueAny();
billingRule9.SecondaryInsurance = new RuleValueAny();
billingRule9.PostDischarge = new RuleValueBoolean(true);
billingRule9.BillingType = BillingTypeEnum.Global;
billingRule9.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule9);
}
public NonProviderBasedClinicBillingRuleSet()
{
this.m_BillingRuleSetId = "NPBCSPLT";
this.m_BillingRuleSetIdOld = "187E6457-F908-41AF-8232-D7754CC3E0CC";
this.m_BillingRuleSetName = "Non Provider Based Clinic Split";
CptCodeCollection clinicalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Clinical);
CptCodeCollection professionalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Physician);
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Split;
billingRule0.PanelSetIncludeOnlyList.Add(13);
billingRule0.PanelSetIncludeOnlyList.Add(138);
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueAny();
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
billingRule1.PanelSetExcludeList.Add(13);
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueString("OP");
billingRule2.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueString("OP");
billingRule3.PrimaryInsurance = new RuleValueAny();
billingRule3.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule3);
BillingRule billingRule4 = new BillingRule();
billingRule4.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule4.Priority = 4;
billingRule4.PatientType = new RuleValueAny();
billingRule4.PrimaryInsurance = new RuleValueString("Medicare");
billingRule4.SecondaryInsurance = new RuleValueAny();
billingRule4.PostDischarge = new RuleValueAny();
billingRule4.BillingType = BillingTypeEnum.Split;
billingRule4.PanelSetIncludeOnlyList.Add(13);
billingRule4.PanelSetIncludeOnlyList.Add(138);
this.m_BillingRuleCollection.Add(billingRule4);
BillingRule billingRule5 = new BillingRule();
billingRule5.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule5.Priority = 5;
billingRule5.PatientType = new RuleValueAny();
billingRule5.PrimaryInsurance = new RuleValueAny();
billingRule5.SecondaryInsurance = new RuleValueString("Governmental");
billingRule5.PostDischarge = new RuleValueAny();
billingRule5.BillingType = BillingTypeEnum.Split;
billingRule5.PanelSetIncludeOnlyList.Add(13);
billingRule4.PanelSetIncludeOnlyList.Add(138);
this.m_BillingRuleCollection.Add(billingRule5);
BillingRule billingRule9 = new BillingRule();
billingRule9.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule9.Priority = 9;
billingRule9.PatientType = new RuleValueAny();
billingRule9.PrimaryInsurance = new RuleValueAny();
billingRule9.SecondaryInsurance = new RuleValueAny();
billingRule9.PostDischarge = new RuleValueBoolean(true);
billingRule9.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule9);
}
public ClientBillingRuleSet()
{
this.m_BillingRuleSetId = "CLNT";
this.m_BillingRuleSetIdOld = "B3A017F0-84C4-471D-8510-3ABC3DB9DE53";
this.m_BillingRuleSetName = "Client Billing Rule Set";
CptCodeCollection allCptCodes = CptCodeCollection.GetAll();
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Client;
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueString("Commercial");
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueAny();
billingRule2.PrimaryInsurance = new RuleValueString("BCHP");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueAny();
billingRule3.PrimaryInsurance = new RuleValueString("Medicare");
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule3);
BillingRule billingRule4 = new BillingRule();
billingRule4.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule4.Priority = 4;
billingRule4.PatientType = new RuleValueAny();
billingRule4.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule4.SecondaryInsurance = new RuleValueAny();
billingRule4.PostDischarge = new RuleValueAny();
billingRule4.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule4);
BillingRule billingRule5 = new BillingRule();
billingRule5.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule5.Priority = 5;
billingRule5.PatientType = new RuleValueAny();
billingRule5.PrimaryInsurance = new RuleValueAny();
billingRule5.SecondaryInsurance = new RuleValueString("BCHP");
billingRule5.PostDischarge = new RuleValueAny();
billingRule5.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule5);
BillingRule billingRule6 = new BillingRule();
billingRule6.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule6.Priority = 6;
billingRule6.PatientType = new RuleValueAny();
billingRule6.PrimaryInsurance = new RuleValueAny();
billingRule6.SecondaryInsurance = new RuleValueString("Medicare");
billingRule6.PostDischarge = new RuleValueAny();
billingRule6.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule6);
BillingRule billingRule7 = new BillingRule();
billingRule7.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule7.Priority = 7;
billingRule7.PatientType = new RuleValueAny();
billingRule7.PrimaryInsurance = new RuleValueAny();
billingRule7.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule7.PostDischarge = new RuleValueAny();
billingRule7.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule7);
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 0, "Any", "Any", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Client, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 1, "Any", "Commercial", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 2, "Any", "BCHP", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 3, "Any", "Medicare", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 4, "Any", "Medicaid", "Any", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 5, "Any", "Any", "BCHP", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 6, "Any", "Any", "Medicare", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
//this.m_BillingRuleCollection.Add(new BillingRule("CLNT", 7, "Any", "Any", "Medicaid", "Any", YellowstonePathology.Business.Billing.Model.BillingTypeEnum.Global, "All Codes", allCptCodes));
}
public HospitalGlobalBillingRuleSet()
{
this.m_BillingRuleSetId = "HGLBL";
this.m_BillingRuleSetIdOld = "20FC3546-B829-4F35-9571-D6EFE7A9954C";
this.m_BillingRuleSetName = "Hospital Global Rule Set";
CptCodeCollection allCptCodes = CptCodeCollection.GetAll();
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 1;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueString("Medicare");
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Split;
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 2;
billingRule2.PatientType = new RuleValueAny();
billingRule2.PrimaryInsurance = new RuleValueString("Governmental");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Split;
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 3;
billingRule3.PatientType = new RuleValueString("IP");
billingRule3.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Split;
this.m_BillingRuleCollection.Add(billingRule3);
BillingRule billingRule4 = new BillingRule();
billingRule4.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule4.Priority = 4;
billingRule4.PatientType = new RuleValueString("IP");
billingRule4.PrimaryInsurance = new RuleValueAny();
billingRule4.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule4.PostDischarge = new RuleValueAny();
billingRule4.BillingType = BillingTypeEnum.Split;
this.m_BillingRuleCollection.Add(billingRule4);
BillingRule billingRule9 = new BillingRule();
billingRule9.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule9.Priority = 9;
billingRule9.PatientType = new RuleValueAny();
billingRule9.PrimaryInsurance = new RuleValueAny();
billingRule9.SecondaryInsurance = new RuleValueAny();
billingRule9.PostDischarge = new RuleValueBoolean(true);
billingRule9.BillingType = BillingTypeEnum.Global;
this.m_BillingRuleCollection.Add(billingRule9);
}
public static CptCodeCollection GetAll()
{
CptCodeCollection result = new CptCodeCollection();
result.Add(new CptCodeDefinition.CPT81210());
result.Add(new CptCodeDefinition.CPT8121026());
result.Add(new CptCodeDefinition.CPT81220());
result.Add(new CptCodeDefinition.CPT8122026());
result.Add(new CptCodeDefinition.CPT81235());
result.Add(new CptCodeDefinition.CPT81240());
result.Add(new CptCodeDefinition.CPT8124026());
result.Add(new CptCodeDefinition.CPT81241());
result.Add(new CptCodeDefinition.CPT8124126());
result.Add(new CptCodeDefinition.CPT81261());
result.Add(new CptCodeDefinition.CPT8126126());
result.Add(new CptCodeDefinition.CPT81270());
result.Add(new CptCodeDefinition.CPT8127026());
result.Add(new CptCodeDefinition.CPT81275());
result.Add(new CptCodeDefinition.CPT8127526());
result.Add(new CptCodeDefinition.CPT8129126());
result.Add(new CptCodeDefinition.CPT81342());
result.Add(new CptCodeDefinition.CPT85055());
result.Add(new CptCodeDefinition.CPT85060());
result.Add(new CptCodeDefinition.CPT85097());
result.Add(new CptCodeDefinition.CPT86023());
result.Add(new CptCodeDefinition.CPT86356());
result.Add(new CptCodeDefinition.CPT86367());
result.Add(new CptCodeDefinition.CPT87491());
result.Add(new CptCodeDefinition.CPT87591());
result.Add(new CptCodeDefinition.CPT87621());
result.Add(new CptCodeDefinition.CPT87798());
result.Add(new CptCodeDefinition.CPT88104());
result.Add(new CptCodeDefinition.CPT88108());
result.Add(new CptCodeDefinition.CPT88112());
result.Add(new CptCodeDefinition.CPT88141());
result.Add(new CptCodeDefinition.CPT88142());
result.Add(new CptCodeDefinition.CPT88155());
result.Add(new CptCodeDefinition.CPT88160());
result.Add(new CptCodeDefinition.CPT88161());
result.Add(new CptCodeDefinition.CPT88172());
result.Add(new CptCodeDefinition.CPT88173());
result.Add(new CptCodeDefinition.CPT88175());
result.Add(new CptCodeDefinition.CPT88177());
result.Add(new CptCodeDefinition.CPT88182());
result.Add(new CptCodeDefinition.CPT88184());
result.Add(new CptCodeDefinition.CPT88185());
result.Add(new CptCodeDefinition.CPT88187());
result.Add(new CptCodeDefinition.CPT88188());
result.Add(new CptCodeDefinition.CPT88189());
result.Add(new CptCodeDefinition.CPT88237());
result.Add(new CptCodeDefinition.CPT88262());
result.Add(new CptCodeDefinition.CPT88264());
result.Add(new CptCodeDefinition.CPT88280());
result.Add(new CptCodeDefinition.CPT81287());
result.Add(new CptCodeDefinition.CPT88291());
result.Add(new CptCodeDefinition.CPT88300());
result.Add(new CptCodeDefinition.CPT88302());
result.Add(new CptCodeDefinition.CPT88304());
result.Add(new CptCodeDefinition.CPT88305());
result.Add(new CptCodeDefinition.CPT88307());
result.Add(new CptCodeDefinition.CPT88309());
result.Add(new CptCodeDefinition.CPT88311());
result.Add(new CptCodeDefinition.CPT88312());
result.Add(new CptCodeDefinition.CPT88312TC());
result.Add(new CptCodeDefinition.CPT88313());
result.Add(new CptCodeDefinition.CPT88313TC());
result.Add(new CptCodeDefinition.CPT88321());
result.Add(new CptCodeDefinition.CPT88323());
result.Add(new CptCodeDefinition.CPT88325());
result.Add(new CptCodeDefinition.CPT88329());
result.Add(new CptCodeDefinition.CPT88331());
result.Add(new CptCodeDefinition.CPT88332());
result.Add(new CptCodeDefinition.CPT88333());
result.Add(new CptCodeDefinition.CPT88334());
result.Add(new CptCodeDefinition.CPT88342());
result.Add(new CptCodeDefinition.CPT88342TC());
result.Add(new CptCodeDefinition.CPT88343());
result.Add(new CptCodeDefinition.CPT88343TC());
result.Add(new CptCodeDefinition.CPT88360());
result.Add(new CptCodeDefinition.CPT88360TC());
result.Add(new CptCodeDefinition.CPT88363());
result.Add(new CptCodeDefinition.CPT88365());
result.Add(new CptCodeDefinition.CPT88367());
result.Add(new CptCodeDefinition.CPT88368());
result.Add(new CptCodeDefinition.CPT89060());
result.Add(new CptCodeDefinition.CPT99000());
result.Add(new CptCodeDefinition.CPT81406());
result.Add(new CptCodeDefinition.CPT81403());
result.Add(new CptCodeDefinition.CPT81402());
result.Add(new CptCodeDefinition.CPT81401());
result.Add(new CptCodeDefinition.CPT81479());
result.Add(new CptCodeDefinition.CPT81245());
result.Add(new CptCodeDefinition.CPT81310());
result.Add(new CptCodeDefinition.CPT81301());
result.Add(new CptCodeDefinition.CPT81404());
result.Add(new CptCodeDefinition.CPT81206());
result.Add(new CptCodeDefinition.CPT81207());
result.Add(new CptCodeDefinition.CPT88261());
result.Add(new CptCodeDefinition.CPT81315());
result.Add(new CptCodeDefinition.CPT88285());
result.Add(new CptCodeDefinition.CPT81321());
result.Add(new CptCodeDefinition.CPT84179());
result.Add(new CptCodeDefinition.CPT88327());
result.Add(new CptCodeDefinition.CPT81407());
result.Add(new CptCodeDefinition.CPT88361());
result.Add(new CptCodeDefinition.CPT87624());
result.Add(new CptCodeDefinition.CPT87625());
result.Add(new CptCodeDefinition.CPT88341());
result.Add(new CptCodeDefinition.CPT88346());
result.Add(new CptCodeDefinition.CPT88347());
result.Add(new CptCodeDefinition.CPT88348());
result.Add(new CptCodeDefinition.CPT88377());
result.Add(new CptCodeDefinition.CPT88374());
result.Add(new CptCodeDefinition.CPT88373());
result.Add(new CptCodeDefinition.CPT88369());
result.Add(new CptCodeDefinition.CPT88120());
result.Add(new CptCodeDefinition.CPT81288());
result.Add(new CptCodeDefinition.CPT81263());
result.Add(new CptCodeDefinition.CPT81445());
result.Add(new CptCodeDefinition.CPT88233());
result.Add(new CptCodeDefinition.CPT81450());
result.Add(new CptCodeDefinition.CPT88239());
result.Add(new CptCodeDefinition.CPT88230());
result.Add(new CptCodeDefinition.CPT87661());
result.Add(new CptCodeDefinition.CPT81170());
result.Add(new CptCodeDefinition.CPT81219());
result.Add(new CptCodeDefinition.CPT81218());
result.Add(new CptCodeDefinition.CPT81276());
result.Add(new CptCodeDefinition.CPT81311());
result.Add(new CptCodeDefinition.CPT81314());
result.Add(new CptCodeDefinition.CPT81272());
result.Add(new CptCodeDefinition.CPT81264());
result.Add(new GCodeDefinitions.CPTG0123());
result.Add(new GCodeDefinitions.CPTG0124());
result.Add(new GCodeDefinitions.CPTG0145());
result.Add(new GCodeDefinitions.CPTG0461());
result.Add(new GCodeDefinitions.CPTG0462());
result.Add(new GCodeDefinitions.CPTG0416());
result.Add(new PQRSCodeDefinitions.PQRS3125F());
result.Add(new PQRSCodeDefinitions.PQRS3126F());
result.Add(new PQRSCodeDefinitions.PQRS3126F1P());
result.Add(new PQRSCodeDefinitions.PQRS3126F8P());
result.Add(new PQRSCodeDefinitions.PQRS3250F());
result.Add(new PQRSCodeDefinitions.PQRS3260());
result.Add(new PQRSCodeDefinitions.PQRS3260F());
result.Add(new PQRSCodeDefinitions.PQRS3267F());
result.Add(new PQRSCodeDefinitions.PQRSG8721());
result.Add(new PQRSCodeDefinitions.PQRSG8722());
result.Add(new PQRSCodeDefinitions.PQRSG8723());
result.Add(new PQRSCodeDefinitions.PQRSG8797());
result.Add(new PQRSCodeDefinitions.PQRSG8798());
result.Add(new PQRSCodeDefinitions.PQRS3394F());
result.Add(new PQRSCodeDefinitions.PQRS3394F8P());
result.Add(new PQRSCodeDefinitions.PQRS3395F());
result.Add(new PQRSCodeDefinitions.PQRSG9418());
result.Add(new PQRSCodeDefinitions.PQRSG9419());
result.Add(new PQRSCodeDefinitions.PQRSG9420());
result.Add(new PQRSCodeDefinitions.PQRSG9421());
result.Add(new PQRSCodeDefinitions.PQRSG9422());
result.Add(new PQRSCodeDefinitions.PQRSG9423());
result.Add(new PQRSCodeDefinitions.PQRSG9424());
result.Add(new PQRSCodeDefinitions.PQRSG9425());
result.Add(new PQRSCodeDefinitions.PQRSG9428());
result.Add(new PQRSCodeDefinitions.PQRSG9429());
result.Add(new CptCodeDefinition.AutopsyBlock());
return(GetSorted(result));
}
public HospitalSplitSurgicalAndReferenceLabBillingRuleSet()
{
this.m_BillingRuleSetId = "HSSRGCLRL";
this.m_BillingRuleSetIdOld = "ceb64127-9d7e-4f61-be5e-3fec67e00fb9";
this.m_BillingRuleSetName = "Hospital Split Surgical And Reference Lab Rule Set";
CptCodeCollection clinicalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Clinical);
CptCodeCollection professionalFeeScheduleCodes = Store.AppDataStore.Instance.CPTCodeCollection.GetCptCodeCollection(FeeScheduleEnum.Physician);
BillingRule billingRule0 = new BillingRule();
billingRule0.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule0.Priority = 0;
billingRule0.PatientType = new RuleValueAny();
billingRule0.PrimaryInsurance = new RuleValueAny();
billingRule0.SecondaryInsurance = new RuleValueAny();
billingRule0.PostDischarge = new RuleValueAny();
billingRule0.BillingType = BillingTypeEnum.Split;
billingRule0.ReferenceLab = new RuleValueAny();
billingRule0.PanelSetIncludeOnlyList.Add(13);
this.m_BillingRuleCollection.Add(billingRule0);
BillingRule billingRule01 = new BillingRule();
billingRule01.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule01.Priority = 1;
billingRule01.PatientType = new RuleValueAny();
billingRule01.PrimaryInsurance = new RuleValueAny();
billingRule01.SecondaryInsurance = new RuleValueAny();
billingRule01.PostDischarge = new RuleValueAny();
billingRule01.BillingType = BillingTypeEnum.Split;
billingRule01.ReferenceLab = new RuleValueBoolean(true);
this.m_BillingRuleCollection.Add(billingRule01);
BillingRule billingRule1 = new BillingRule();
billingRule1.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule1.Priority = 2;
billingRule1.PatientType = new RuleValueAny();
billingRule1.PrimaryInsurance = new RuleValueAny();
billingRule1.SecondaryInsurance = new RuleValueAny();
billingRule1.PostDischarge = new RuleValueAny();
billingRule1.BillingType = BillingTypeEnum.Global;
billingRule1.ReferenceLab = new RuleValueBoolean(false);
billingRule1.PanelSetExcludeList.Add(13);
this.m_BillingRuleCollection.Add(billingRule1);
BillingRule billingRule2 = new BillingRule();
billingRule2.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule2.Priority = 4;
billingRule2.PatientType = new RuleValueString("OP");
billingRule2.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule2.SecondaryInsurance = new RuleValueAny();
billingRule2.PostDischarge = new RuleValueAny();
billingRule2.BillingType = BillingTypeEnum.Global;
billingRule2.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule2);
BillingRule billingRule3 = new BillingRule();
billingRule3.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule3.Priority = 5;
billingRule3.PatientType = new RuleValueAny();
billingRule3.PrimaryInsurance = new RuleValueString("Governmental");
billingRule3.SecondaryInsurance = new RuleValueAny();
billingRule3.PostDischarge = new RuleValueAny();
billingRule3.BillingType = BillingTypeEnum.Split;
billingRule3.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule3);
BillingRule billingRule4 = new BillingRule();
billingRule4.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule4.Priority = 6;
billingRule4.PatientType = new RuleValueAny();
billingRule4.PrimaryInsurance = new RuleValueString("Medicare");
billingRule4.SecondaryInsurance = new RuleValueAny();
billingRule4.PostDischarge = new RuleValueAny();
billingRule4.BillingType = BillingTypeEnum.Split;
billingRule4.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule4);
BillingRule billingRule5 = new BillingRule();
billingRule5.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule5.Priority = 7;
billingRule5.PatientType = new RuleValueString("IP");
billingRule5.PrimaryInsurance = new RuleValueString("Medicaid");
billingRule5.SecondaryInsurance = new RuleValueAny();
billingRule5.PostDischarge = new RuleValueAny();
billingRule5.BillingType = BillingTypeEnum.Split;
billingRule5.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule5);
BillingRule billingRule6 = new BillingRule();
billingRule6.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule6.Priority = 8;
billingRule6.PatientType = new RuleValueString("IP");
billingRule6.PrimaryInsurance = new RuleValueAny();
billingRule6.SecondaryInsurance = new RuleValueString("Medicaid");
billingRule6.PostDischarge = new RuleValueAny();
billingRule6.BillingType = BillingTypeEnum.Split;
billingRule6.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule6);
BillingRule billingRule9 = new BillingRule();
billingRule9.BillingRuleSetId = this.m_BillingRuleSetId;
billingRule9.Priority = 9;
billingRule9.PatientType = new RuleValueAny();
billingRule9.PrimaryInsurance = new RuleValueAny();
billingRule9.SecondaryInsurance = new RuleValueAny();
billingRule9.PostDischarge = new RuleValueBoolean(true);
billingRule9.BillingType = BillingTypeEnum.Global;
billingRule9.ReferenceLab = new RuleValueAny();
this.m_BillingRuleCollection.Add(billingRule9);
}
