000100 IDENTIFICATION DIVISION.
000200 PROGRAM-ID. LTOPN152.
000300*AUTHOR.     CENTERS FOR MEDICARE AND MEDICAID SERVICES
000400*REMARKS.    - OPENS THE PROV FILE, MSAX FILE, CBSAX FILE, AND
000500*              IPPS CBSAX FILE
000600*            - FINDS PROV RECORD FOR THE GIVEN BILL TO BE
000700*              PASSED TO THE LTDRV___ MODULE
000800*            - LOADS THE MSAX, CBSAX, & IPPS CBSAX TABLES
000900*            - CALLS THE LTDRV___ MODULE
001000 DATE-COMPILED.
001100****************************************************************
001200*                                                              *
001300*   THIS SUBROUTINE IS FURNISHED BY THE CENTERS FOR MEDICARE   *
001400*   AND MEDICAID SERVICES.                                     *
001500*   IT IS TO BE USED AS AN AID IN IMPLEMENTING PROSPECTIVE     *
001600*   PAYMENT FOR LONG TERM CARE HOSPITALS.                      *
001700*   THE RESPONSIBILITY FOR INSTALLING, MODIFYING, TESTING,     *
001800*   MAINTAINING, AND VERIFYING THE ACCURACY OF THIS PROGRAM    *
001900*   IS THAT OF THE USER.                                       *
002000*                  *  *  *  *  *  *  *  *                      *
002100*   ONCE GROUPED THE PROSPECTIVE PAYMENT SUBROUTINE IS CALLED  *
002200*   TO CALCULATE THE TOTAL PAYMENT PRIOR TO DEDUCTIBLE,        *
002300*   CO-INSURANCE, AND CASES WHERE MEDICARE IS SECONDARY PAYOR. *
002400*   THE PROGRAM WILL:                                          *
002500*       1. LOAD THE TABLES USED TO CALCULATE PPS.              *
002600*       2. PASS BACK RETURN CODES.                             *
002700*                                                              *
002800*                  *  *  *  *  *  *  *  *                      *
002900*   THIS SUBROUTINE CALCULATES THE PROVIDER SPECIFIC           *
003000*   ELEMENTS ON A PROVIDER BREAK, THEREFORE IT WILL RUN FASTER *
003100*   WHEN BILLS ARE BATCHED BY PROVIDER.                        *
003200*                  *  *  *  *  *  *  *  *                      *
003300*                                                              *
003400*                                                              *
003500*--------------------------------------------------------------*
003600*   CHANGE LOG.                                                *
003700*--------------------------------------------------------------*
003800*                                                              *
003900*   04/07/2005 - AT THE REQUEST OF FISS, LTDRV___ MODIFIED TO  *
004000*                ONLY READ INPUT DATA AND LOAD TABLES FOR THE  *
004100*                PROVIDER SPECIFIC FILE & WAGE INDEX FILE      *
004200*                IT STILL RECEIVES THE BILL & PPS RECORDS      *
004300*                                                              *
004400*--------------------------------------------------------------*
004500*                                                              *
004600*   04/20/2005 - EFFECTIVE JULY 1, 2005, CBSA (CORE-BASED      *
004700*                STATISTICAL AREA) IS USED IN PLACE OF MSA     *
004800*                (METROPOLITAN STATISTICAL AREA), THE PROGRAM  *
004900*                DETERMINES WHETHER TO USE THE CBSA WAGE INDEX *
005000*                FILE OR MSA WAGE INDEX FILE BASED ON THE BILL *
005100*                DISCHARGE DATE                                *
005200*                                                              *
005300*--------------------------------------------------------------*
005400*                                                              *
005500*   05/02/2005 - ADDED PSF FIELDS - SPECIAL PAY INDICATOR &    *
005600*                SPECIAL WAGE INDEX                            *
005700*                                                              *
005800*--------------------------------------------------------------*
005900*                                                              *
006000*   01/17/2006 - MODIFIED FOR 1ST CICS PACKAGE RELEASE;        *
006100*                TO BE RELEASED APRIL 1, 2006                  *
006200*                                                              *
006300*--------------------------------------------------------------*
006400*                                                              *
006500*   01/19/2006 - PROGRAM NAME CHANGED FROM LTDRV___ TO LTOPN___*
006600*                                                              *
006700*--------------------------------------------------------------*
006800*                                                              *
006900*   05/02/2006 - ADD IPPS CBSA WAGE INDEX TABLE TO THE PROGRAM *
007000*                FOR SHORT STAY PROVISION #4 - STORE & LOAD    *
007100*                                                              *
007200*--------------------------------------------------------------*
007300*                                                              *
007400*   06/19/2006 - CHANGE VERSION FROM 07.0 TO 07.1              *
007500*                                                              *
007600*--------------------------------------------------------------*
007700*                                                              *
007800*   08/09/2006 - UPDATE FOR OCTOBER 2006 VERSION 07.3          *
007900*                                                              *
008000*--------------------------------------------------------------*
008100*                                                              *
008200*   09/06/2006 - UPDATE FOR OCTOBER 2006 VERSION 07.4          *
008300*                                                              *
008400*--------------------------------------------------------------*
008500*                                                              *
008600*   11/16/2006 - CREATED VERSION 07.5 FOR OCTOBER 2006         *
008700*                DUE TO CORRECTION OF THE IME                  *
008800*                MULTIPLIER USED IN THE 4TH SSO                *
008900*                PROVISION (IPPS PORTION), IPPS WAGE INDEX     *
009000*                CHANGE, & REMOVAL OF PPS-RTC 23               *
009100*                                                              *
009200*--------------------------------------------------------------*
009300*                                                              *
009400*   12/28/2006 - CREATED VERSION 07.6 FOR OCTOBER 2006         *
009500*                DUE TO CBSA SIZE LOGIC CORRECTION             *
009600*                ** THIS VERSION WAS NOT RELEASED **           *
009700*                                                              *
009800*--------------------------------------------------------------*
009900*                                                              *
010000*   05/03/2007 - UPDATE FOR JULY 2007 VERSION 08.0             *
010100*                                                              *
010200*--------------------------------------------------------------*
010300*                                                              *
010400*   08/13/2007 - UPDATE FOR OCTOBER 2007 VERSION 08.1          *
010500*                                                              *
010600*--------------------------------------------------------------*
010700*                                                              *
010800*   08/23/2007 - UPDATE FOR OCTOBER 2007 VERSION 08.2          *
010900*                (FOR REVISED IPPS RATES & WAGE INDEX TABLE)   *
011000*                                                              *
011100*--------------------------------------------------------------*
011200*                                                              *
011300*   09/14/2007 - UPDATE FOR OCTOBER 2007 VERSION 08.3          *
011400*                (FOR REVISED IPPS RATES & WAGE INDEX TABLE)   *
011500*                                                              *
011600*--------------------------------------------------------------*
011700*                                                              *
011800*   09/28/2007 - UPDATE FOR OCTOBER 2007 VERSION 08.4          *
011900*                (FOR REVISED IPPS RATES)                      *
012000*                                                              *
012100*--------------------------------------------------------------*
012200*                                                              *
012300*   12/27/2007 - UPDATE FOR OCTOBER 2007 VERSION 08.5          *
012400*                (FOR REVISED SHORT STAY OUTLIER LOGIC)        *
012500*                                                              *
012600*--------------------------------------------------------------*
012700*                                                              *
012800*   02/06/2008 - UPDATE FOR OCTOBER 2007 VERSION 08.6          *
012900*                (FOR REVISED STANDARD FEDERAL RATE &          *
013000*                 FIXED LOSS AMOUNT FOR APRIL 2008)            *
013100*                                                              *
013200*--------------------------------------------------------------*
013300*                                                              *
013400*   05/08/2008 - CREATED VERSION 09.0 FOR JULY 2008            *
013500*                (FOR NEW RATE YEAR 2009, STILL FY 2008)       *
013600*                                                              *
013700*--------------------------------------------------------------*
013800*                                                              *
013900*   05/19/2008 - CREATED VERSION 09.1 FOR JULY 2008            *
014000*                REVISED IPPS PUERTO RICO RATES                *
014100*                EFFECTIVE RETROACTIVE TO 10/01/2007           *
014200*                                                              *
014300*--------------------------------------------------------------*
014400*                                                              *
014500*   08/11/2008 - CREATED VERSION 09.2 FOR OCTOBER 2008         *
014600*                (FOR RATE YEAR 2009, FY 2009)                 *
014700*                ADDED FIELD P-VAL-BASED-PURCH-SCORE TO THE    *
014800*                PSF (TO BE USED IN IPPS 01/01/2008).          *
014900*                                                              *
015000*--------------------------------------------------------------*
015100*                                                              *
015200*   09/09/2008 - CREATED VERSION 09.3 FOR OCTOBER 2008         *
015300*                (FOR RATE YEAR 2009, FY 2009)                 *
015400*                                                              *
015500*--------------------------------------------------------------*
015600*                                                              *
015700*   02/17/2009 - CREATED VERSION 09.4 FOR OCTOBER 2008         *
015800*                (FOR RATE YEAR 2009, FY 2009)                 *
015900*                                                              *
016000*--------------------------------------------------------------*
016100*                                                              *
016200*   05/18/2009 - CREATED VERSION 09.5 FOR JUNE 3 - SEPT 30 2009*
016300*                (FOR RATE YEAR 2009, FY 2009)                 *
016400*                                                              *
016500*--------------------------------------------------------------*
016600*                                                              *
016700*   08/05/2009 - CREATED VERSION 10.0 FOR OCTOBER 2009         *
016800*                (FOR RATE YEAR 2010, FY 2010)                 *
016900*                                                              *
017000*--------------------------------------------------------------*
017100*                                                              *
017200*   09/03/2009 - CREATED VERSION 10.1 FOR OCTOBER 2009         *
017300*                (FOR RATE YEAR 2010, FY 2010)                 *
017400*                                                              *
017500*--------------------------------------------------------------*
017600*                                                              *
017700*   11/11/2009 - CREATED VERSION 10.2 FOR OCTOBER 2009         *
017800*                (FOR RATE YEAR 2010, FY 2010)                 *
017900*                                                              *
018000*--------------------------------------------------------------*
018100*                                                              *
018200*   04/07/2010 - CREATED VERSION 10.3 FOR OCTOBER 2009         *
018300*                (FOR RATE YEAR 2010, FY 2010)                 *
018400*                                                              *
018500*--------------------------------------------------------------*
018600*                                                              *
018700*   04/19/2010 - CREATED VERSION 10.4 FOR OCTOBER 2009         *
018800*                (FOR RATE YEAR 2010, FY 2010)                 *
018900*                                                              *
019000*--------------------------------------------------------------*
019100*                                                              *
019200*   08/04/2010 - CREATED VERSION 11.0 FOR OCTOBER 2010         *
019300*                (FOR RATE YEAR 2011, FY 2011)                 *
019400*                                                              *
019500*--------------------------------------------------------------*
019600*                                                              *
019700*   10/20/2010 - CREATED VERSION 11.1 FOR OCTOBER 2010         *
019800*                (FOR RATE YEAR 2011, FY 2011)                 *
019900*                ALLOWS DATES OF SERVICE OLDER THAN 5 YEARS    *
020000*--------------------------------------------------------------*
020100*                                                              *
020200*   08/01/2011 - CREATED VERSION 12.0 FOR OCTOBER 2011         *
020300*                (FOR RATE YEAR 2012, FY 2012)                 *
020400*                                                              *
020500*--------------------------------------------------------------*
020600*                                                              *
020700*   08/31/2011 - CREATED VERSION 12.1 FOR OCTOBER 2011         *
020800*                (FOR RATE YEAR 2012, FY 2012)                 *
020900*                                                              *
021000*--------------------------------------------------------------*
021100*                                                              *
021200*   10/28/2011 - CREATED VERSION 12.2 FOR OCTOBER 2011         *
021300*                (FOR RATE YEAR 2012, FY 2012)                 *
021400*                                                              *
021500*--------------------------------------------------------------*
021600*                                                              *
021700*   12/09/2011 - CREATED VERSION 12.3 FOR OCTOBER 2011         *
021800*                (FOR RATE YEAR 2012, FY 2012)                 *
021900*                                                              *
022000*--------------------------------------------------------------*
022100*                                                              *
022200*   07/31/2012 - CREATED VERSION 13.0 FOR OCTOBER 2012         *
022300*                (FOR RATE YEAR 2013, FY 2013)                 *
022400*                                                              *
022500*--------------------------------------------------------------*
022600*                                                              *
022700*   07/31/2012 - CREATED VERSION 13.0 FOR OCTOBER 2012         *
022800*                (FOR RATE YEAR 2013, FY 2013)                 *
022900*                                                              *
023000*--------------------------------------------------------------*
023100*                                                              *
023200*   11/16/2012 - IN VERSION 13.0 OF THE LTCH PPS PRICER        *
023300*                CHANGED "T-CBSA-DATA  OCCURS 0 TO 4000 TIMES" *
023400*                     TO "T-CBSA-DATA  OCCURS 0 TO 7000 TIMES" *
023500*                FOR IPPS-CBSA-WI-TABLE IN RESPONSE TO         *
023600*                HPAR CR8041H2 (R41212).  NO VERSION NUMBERS   *
023700*                CHANGED AND ONLY MODULES LTDRV130 AND         *
023800*                LTOPN130 CHANGED AS DESCRIBED ABOVE.          *
023900*                                                              *
024000*--------------------------------------------------------------*
024100*                                                              *
024200*   08/12/2013 - CREATED VERSION 14.0 FOR OCTOBER 2013         *
024300*                (FOR RATE YEAR 2014, FY 2014)                 *
024400*              - ADDED HOSPITAL QUALITY INDICATOR TO PSF       *
024500*                                                              *
024600*--------------------------------------------------------------*
024700*                                                              *
024800*   09/04/2013 - CREATED VERSION 14.1                          *
024900*              - INCORPORATED CHANGES TO LTCH AND IPPS WAGE    *
025000*                INDEX TABLES                                  *
025100*                                                              *
025200*                                                              *
025300*--------------------------------------------------------------*
025400*                                                              *
025500*   08/07/2014 - CREATED VERSION 15.0                          *
025600*                                                              *
025700*--------------------------------------------------------------*
025800*                                                              *
025900*   09/03/2014 - CREATED VERSION 15.1                          *
026000*                                                              *
026100*   11/20/2014 - CREATED VERSION 15.2
026200*
026300****************************************************************
026400
026500
026600 ENVIRONMENT DIVISION.
026700 CONFIGURATION SECTION.
026800 SOURCE-COMPUTER.            IBM-370.
026900 OBJECT-COMPUTER.            IBM-370.
027000 INPUT-OUTPUT  SECTION.
027100 FILE-CONTROL.
027200
027300     SELECT PROV-FILE ASSIGN       TO  UT-S-PPSPROV
027400            FILE STATUS IS PROV-STAT.
027500     SELECT CBSAX-FILE ASSIGN      TO  UT-S-PPSCBSAX
027600            FILE STATUS IS CBSAX-STAT.
027700     SELECT IPPS-CBSAX-FILE ASSIGN TO  UT-S-IPCBSAX
027800            FILE STATUS IS IPPS-CBSAX-STAT.
027900     SELECT MSAX-FILE ASSIGN       TO  UT-S-PPSMSAX
028000            FILE STATUS IS MSAX-STAT.
028100
028200 DATA DIVISION.
028300 FILE SECTION.
028400
028500 FD  PROV-FILE
028600     RECORDING MODE IS F
028700     LABEL RECORDS ARE STANDARD
028800     BLOCK CONTAINS 0 RECORDS.
028900 01  PROV-REC.
029000     05  PROV-PART1                 PIC X(80).
029100     05  PROV-PART2                 PIC X(80).
029200     05  PROV-PART3                 PIC X(80).
029300
029400 FD  CBSAX-FILE
029500     RECORDING MODE IS F
029600     LABEL RECORDS ARE STANDARD
029700     BLOCK CONTAINS 0 RECORDS.
029800***************************************************************
029900*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS              *
030000*    THE WAGE INDEX FOR THE STATES (RURAL) AND CBSA'S (URBAN).*
030100***************************************************************
030200 01  CBSAX-REC.
030300     05  X-CBSA-X.
030400         10  M-BLANK                PIC X(03).
030500         10  M-STATE                PIC 9(02).
030600     05  X-CBSA REDEFINES X-CBSA-X  PIC 9(05).
030700     05  FILLER                     PIC X(01).
030800     05  XE-DATE-C.
030900         10  XE-C-CC                PIC 9(02).
031000         10  XE-C-YY                PIC 9(02).
031100         10  XE-C-MM                PIC 9(02).
031200         10  XE-C-DD                PIC 9(02).
031300     05  FILLER                     PIC X(01).
031400     05  X-WAGE-INDEX1-C            PIC S9(02)V9(04).
031500     05  FILLER                     PIC X(01).
031600     05  X-WAGE-INDEX2-C            PIC S9(02)V9(04).
031700     05  FILLER                     PIC X(01).
031800     05  X-WAGE-INDEX3-C            PIC S9(02)V9(04).
031900     05  FILLER                     PIC X(01).
032000     05  X-STATE-CBSA-NAME          PIC X(39).
032100     05  FILLER                     PIC X(05).
032200
032300 FD  IPPS-CBSAX-FILE
032400     RECORDING MODE IS F
032500     LABEL RECORDS ARE STANDARD
032600     BLOCK CONTAINS 0 RECORDS.
032700***************************************************************
032800*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS THE IPPS     *
032900*    WAGE INDEX FOR THE STATES (RURAL) AND CBSA'S (URBAN).    *
033000***************************************************************
033100 01  F-IPPS-CBSA-REC.
033200     05  F-CBSA.
033300         10  F-CBSA-BLANK                PIC X(03).
033400         10  F-CBSA-STATE                PIC 9(02).
033500     05  F-CBSA9  REDEFINES F-CBSA       PIC 9(05).
033600     05  F-CBSA-SIZE             PIC X(01).
033700     05  F-CBSA-EFF-DATE.
033800         10  F-CBSA-CC           PIC 9(02).
033900         10  F-CBSA-YY           PIC 9(02).
034000         10  F-CBSA-MM           PIC 9(02).
034100         10  F-CBSA-DD           PIC 9(02).
034200     05  FILLER                  PIC X(01).
034300     05  F-CBSA-WAGE-INDX1       PIC S9(02)V9(04).
034400     05  FILLER                  PIC X(01).
034500     05  F-CBSA-WAGE-INDX2       PIC S9(02)V9(04).
034600     05  FILLER                  PIC X(01).
034700     05  F-CBSA-STATE-NAME       PIC X(50).
034800     05  FILLER                  PIC X(01).
034900
035000 FD  MSAX-FILE
035100     RECORDING MODE IS F
035200     LABEL RECORDS ARE STANDARD
035300     BLOCK CONTAINS 0 RECORDS.
035400***************************************************************
035500*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS              *
035600*    THE WAGE INDEX FOR THE STATES (RURAL) AND MSA'S (URBAN). *
035700***************************************************************
035800 01  MSAX-REC.
035900     05  X-MSA-X.
036000         10  M-BLANK                PIC X(02).
036100         10  M-STATE                PIC 9(02).
036200     05  X-MSA REDEFINES X-MSA-X    PIC 9(04).
036300     05  FILLER                     PIC X(01).
036400     05  XE-DATE-M.
036500         10  XE-M-CC                PIC 9(02).
036600         10  XE-M-YY                PIC 9(02).
036700         10  XE-M-MM                PIC 9(02).
036800         10  XE-M-DD                PIC 9(02).
036900     05  FILLER                     PIC X(01).
037000     05  X-WAGE-INDEX1-M            PIC S9(02)V9(04).
037100     05  FILLER                     PIC X(01).
037200     05  X-WAGE-INDEX2-M            PIC S9(02)V9(04).
037300     05  FILLER                     PIC X(01).
037400     05  X-WAGE-INDEX3-M            PIC S9(02)V9(04).
037500     05  FILLER                     PIC X(01).
037600     05  X-STATE-MSA-NAME           PIC X(44).
037700     05  FILLER                     PIC X(01).
037800
037900 WORKING-STORAGE SECTION.
038000 77  W-STORAGE-REF                  PIC X(48) VALUE
038100     'L T O P N _ _ _ - W O R K I N G   S T O R A G E'.
038200 01  OPN-VERSION                    PIC X(05) VALUE '015.2'.
038300 01  LTDRV152                       PIC X(08) VALUE 'LTDRV152'.
038400 01  TABLES-LOADED-SW               PIC 9(01) VALUE 0.
038500 01  EOF-SW                         PIC 9(01) VALUE 0.
038600
038700*****************************************************
038800* PROVIDER RECORD THAT CAN BE PASSED IN FROM THE    *
038900* USER                                              *
039000*****************************************************
039100 01  W-PROV-NEW-HOLD.
039200     02  W-PROV-NEWREC-HOLD1.
039300         05  W-P-NEW-NPI10.
039400             10  W-P-NEW-NPI8             PIC X(08).
039500             10  W-P-NEW-NPI-FILLER       PIC X(02).
039600         05  W-P-NEW-PROVIDER-OSCAR-NO.
039700             10  W-P-NEW-STATE            PIC X(02).
039800             10  FILLER                   PIC X(04).
039900         05  W-P-NEW-DATE-DATA.
040000             10  W-P-NEW-EFF-DATE.
040100                 15  W-P-NEW-EFF-DT-CC    PIC 9(02).
040200                 15  W-P-NEW-EFF-DT-YY    PIC 9(02).
040300                 15  W-P-NEW-EFF-DT-MM    PIC 9(02).
040400                 15  W-P-NEW-EFF-DT-DD    PIC 9(02).
040500             10  W-P-NEW-FY-BEGIN-DATE.
040600                 15  W-P-NEW-FY-BEG-DT-CC PIC 9(02).
040700                 15  W-P-NEW-FY-BEG-DT-YY PIC 9(02).
040800                 15  W-P-NEW-FY-BEG-DT-MM PIC 9(02).
040900                 15  W-P-NEW-FY-BEG-DT-DD PIC 9(02).
041000             10  W-P-NEW-REPORT-DATE.
041100                 15  W-P-NEW-REPORT-DT-CC PIC 9(02).
041200                 15  W-P-NEW-REPORT-DT-YY PIC 9(02).
041300                 15  W-P-NEW-REPORT-DT-MM PIC 9(02).
041400                 15  W-P-NEW-REPORT-DT-DD PIC 9(02).
041500             10  W-P-NEW-TERMINATION-DATE.
041600                 15  W-P-NEW-TERM-DT-CC   PIC 9(02).
041700                 15  W-P-NEW-TERM-DT-YY   PIC 9(02).
041800                 15  W-P-NEW-TERM-DT-MM   PIC 9(02).
041900                 15  W-P-NEW-TERM-DT-DD   PIC 9(02).
042000         05  W-P-NEW-WAIVER-CODE          PIC X(01).
042100             88  W-P-NEW-WAIVER-STATE       VALUE 'Y'.
042200         05  W-P-NEW-INTER-NO             PIC X(05).
042300         05  W-P-NEW-PROVIDER-TYPE        PIC X(02).
042400         05  W-P-NEW-CURRENT-CENSUS-DIV   PIC X(01).
042500         05  W-P-NEW-MSA-DATA.
042600             10  W-P-NEW-CHG-CODE-INDEX    PIC X.
042700             10  W-P-NEW-GEO-LOC-MSA        PIC X(04) JUST RIGHT.
042800             10  W-P-NEW-WAGE-INDEX-LOC-MSA PIC X(04) JUST RIGHT.
042900             10  W-P-NEW-STAND-AMT-LOC-MSA  PIC X(04) JUST RIGHT.
043000             10  W-P-NEW-STAND-AMT-LOC-MSA9
043100       REDEFINES W-P-NEW-STAND-AMT-LOC-MSA.
043200                 15  W-P-NEW-RURAL-1ST.
043300                     20  W-P-NEW-STAND-RURAL  PIC XX.
043400                 15  W-P-NEW-RURAL-2ND        PIC XX.
043500         05  W-P-NEW-SOL-COM-DEP-HOSP-YR PIC XX.
043600         05  W-P-NEW-LUGAR               PIC X.
043700         05  W-P-NEW-TEMP-RELIEF-IND     PIC X.
043800         05  W-P-NEW-FED-PPS-BLEND-IND   PIC X.
043900         05  FILLER                      PIC X(05).
044000     02  W-PROV-NEWREC-HOLD2.
044100         05  W-P-NEW-VARIABLES.
044200             10  W-P-NEW-FAC-SPEC-RATE     PIC  X(07).
044300             10  W-P-NEW-COLA              PIC  X(04).
044400             10  W-P-NEW-INTERN-RATIO      PIC  X(05).
044500             10  W-P-NEW-BED-SIZE          PIC  X(05).
044600             10  W-P-NEW-CCR               PIC  X(04).
044700             10  W-P-NEW-CMI               PIC  X(05).
044800             10  W-P-NEW-SSI-RATIO         PIC  X(04).
044900             10  W-P-NEW-MEDICAID-RATIO    PIC  X(04).
045000             10  W-P-NEW-PPS-BLEND-YR-IND  PIC  X(01).
045100             10  W-P-NEW-PRUP-UPDTE-FACTOR PIC  9(01)V9(05).
045200             10  W-P-NEW-DSH-PERCENT       PIC  V9(04).
045300             10  W-P-NEW-FYE-DATE.
045400                 15  W-P-NEW-FYE-CC        PIC 99.
045500                 15  W-P-NEW-FYE-YY        PIC 99.
045600                 15  W-P-NEW-FYE-MM        PIC 99.
045700                 15  W-P-NEW-FYE-DD        PIC 99.
045800         05  W-P-NEW-SPECIAL-PAY-IND       PIC X(01).
045900         05  W-P-NEW-HOSP-QUAL-IND         PIC X(01).
046000         05  W-P-NEW-GEO-LOC-CBSAX         PIC X(05).
046100         05  W-P-NEW-GEO-LOC-CBSA9 REDEFINES
046200                         W-P-NEW-GEO-LOC-CBSAX PIC 9(05).
046300         05  W-P-NEW-GEO-LOC-CBSA-AST REDEFINES
046400                         W-P-NEW-GEO-LOC-CBSA9.
046500             10 W-P-NEW-GEO-LOC-CBSA-1ST   PIC X.
046600             10 W-P-NEW-GEO-LOC-CBSA-2ND   PIC X.
046700             10 W-P-NEW-GEO-LOC-CBSA-3RD   PIC X.
046800             10 W-P-NEW-GEO-LOC-CBSA-4TH   PIC X.
046900             10 W-P-NEW-GEO-LOC-CBSA-5TH   PIC X.
047000         05  FILLER                        PIC X(10).
047100         05  W-P-NEW-SPECIAL-WAGE-INDEX    PIC 9(02)V9(04).
047200     02  W-PROV-NEWREC-HOLD3.
047300         05  W-P-NEW-PASS-AMT-DATA.
047400             10  W-P-NEW-PASS-AMT-CAPITAL    PIC X(06).
047500             10  W-P-NEW-PASS-AMT-DIR-MED-ED PIC X(06).
047600             10  W-P-NEW-PASS-AMT-ORGAN-ACQ  PIC X(06).
047700             10  W-P-NEW-PASS-AMT-PLUS-MISC  PIC X(06).
047800         05  W-P-NEW-CAPI-DATA.
047900             15  W-P-NEW-CAPI-PPS-PAY-CODE   PIC X.
048000             15  W-P-NEW-CAPI-HOSP-SPEC-RATE PIC X(6).
048100             15  W-P-NEW-CAPI-OLD-HARM-RATE  PIC X(6).
048200             15  W-P-NEW-CAPI-NEW-HARM-RATIO PIC X(5).
048300             15  W-P-NEW-CAPI-CSTCHG-RATIO   PIC X(04).
048400             15  W-P-NEW-CAPI-NEW-HOSP       PIC X.
048500             15  W-P-NEW-CAPI-IME            PIC X(05).
048600             15  W-P-NEW-CAPI-EXCEPTIONS     PIC X(6).
048700             15  W-P-VAL-BASED-PURCH-SCORE   PIC X(4).
048800         05  FILLER                        PIC X(18).
048900
049000***************************************************************
049100* FILE STATUS VARIABLES                                       *
049200***************************************************************
049300 01  PROV-STAT.
049400     02  PROV-STAT1          PIC X.
049500     02  PROV-STAT2          PIC X.
049600
049700 01  MSAX-STAT.
049800     02  MSAX-STAT1          PIC X.
049900     02  MSAX-STAT2          PIC X.
050000
050100 01  CBSAX-STAT.
050200     02  CBSAX-STAT1         PIC X.
050300     02  CBSAX-STAT2         PIC X.
050400
050500 01  IPPS-CBSAX-STAT.
050600     02  IPPS-CBSAX-STAT1    PIC X.
050700     02  IPPS-CBSAX-STAT2    PIC X.
050800
050900***************************************************************
051000* CBSA WAGE INDEX TABLE                                       *
051100***************************************************************
051200 01  CBSA-WI-TABLE.
051300     05  C-CBSA-DATA  OCCURS 0 TO 7000 TIMES
051400                      DEPENDING ON CBSA-CNT
051500                      ASCENDING KEY IS CBSAX-CBSA
051600                      INDEXED BY CU1 CU2.
051700         10  CBSAX-CBSA         PIC X(05).
051800         10  CBSAX-EFF-DATE     PIC X(08).
051900         10  CBSAX-WAGE-INDEX1  PIC S9(02)V9(04).
052000         10  CBSAX-WAGE-INDEX2  PIC S9(02)V9(04).
052100         10  CBSAX-WAGE-INDEX3  PIC S9(02)V9(04).
052200
052300***************************************************************
052400* IPPS CBSA WAGE INDEX TABLE                                  *
052500***************************************************************
052600 01  IPPS-CBSA-WI-TABLE.
052700     05  T-CBSA-DATA  OCCURS 0 TO 7000 TIMES
052800                      DEPENDING ON IPPS-CBSA-CNT
052900                      ASCENDING KEY IS T-CBSA
053000                      INDEXED BY MA1 MA2 MA3.
053100         10  T-CBSA             PIC X(5).
053200         10  T-CBSA-SIZE        PIC X(01).
053300         10  T-CBSA-EFF-DATE    PIC X(08).
053400         10  T-CBSA-WAGE-INDX1  PIC S9(02)V9(04).
053500         10  T-CBSA-WAGE-INDX2  PIC S9(02)V9(04).
053600
053700***************************************************************
053800* MSA WAGE INDEX TABLE                                        *
053900***************************************************************
054000 01  MSA-WI-TABLE.
054100     05  M-MSA-DATA   OCCURS 0 TO 4000 TIMES
054200                      DEPENDING ON MSA-CNT
054300                      ASCENDING KEY IS MSAX-MSA
054400                      INDEXED BY MU1 MU2.
054500         10  MSAX-MSA          PIC X(4).
054600         10  MSAX-EFF-DATE     PIC X(08).
054700         10  MSAX-WAGE-INDEX1  PIC S9(02)V9(04).
054800         10  MSAX-WAGE-INDEX2  PIC S9(02)V9(04).
054900         10  MSAX-WAGE-INDEX3  PIC S9(02)V9(04).
055000
055100***************************************************************
055200* RECORD COUNT VARIABLES                                      *
055300***************************************************************
055400 01  WORK-COUNTERS.
055500     05  CBSA-CNT              PIC 9(5) VALUE ZERO.
055600     05  MSA-CNT               PIC 9(5) VALUE ZERO.
055700     05  PROV-CNT              PIC 9(5) VALUE ZERO.
055800     05  IPPS-CBSA-CNT         PIC 9(5) VALUE ZERO.
055900
056000***************************************************************
056100*    THE PROVIDER SPECIFIC INFORMATION TABLE IS INITIALLY     *
056200*    SET TO OCCUR 2400 TIMES. THIS NUMBER SHOULD BE ADJUSTED  *
056300*    BY THE USER TO REFLECT THE NUMBER OF PROVIDER RECORDS    *
056400*    PLUS EXPANSION. EACH ENTRY COSTS 240 BYTES OF MEMORY.    *
056500*    THIS FILE MUST BE IN PROVIDER NUMBER, EFFECTIVE-DATE     *
056600*    SEQUENCE.                                                *
056700***************************************************************
056800 01  PROV-TABLE.
056900     05  PROV-ENTRIES       OCCURS 0 TO 2400 TIMES
057000                            DEPENDING ON PROV-CNT
057100                            ASCENDING KEY IS PROV-NO
057200                            INDEXED BY PX1.
057300         10  PROV-DATA1.
057400             15  PROV-NPI10.
057500                 20  PROV-NPI8       PIC X(08).
057600                 20  PROV-NPI-FILLER PIC X(02).
057700             15  PROV-NO             PIC X(06).
057800             15  PROV-EFF-DATE       PIC X(08).
057900             15  FILLER              PIC X(56).
058000
058100 01  PROV-DATA-2.
058200     05  PROV-ENTRIES2      OCCURS 0 TO 2400 TIMES
058300                            DEPENDING ON PROV-CNT
058400                            INDEXED BY PD2.
058500         10  PROV-DATA2              PIC X(80).
058600
058700 01  PROV-DATA-3.
058800     05  PROV-ENTRIES3      OCCURS 0 TO 2400 TIMES
058900                            DEPENDING ON PROV-CNT
059000                            INDEXED BY PD3.
059100         10  PROV-DATA3              PIC X(80).
059200
059300
059400**************************************************************
059500*      THIS IS THE PROV-RECORD THAT WILL BE PASSED TO        *
059600*      THE LTDRV___ PROGRAM                                  *
059700**************************************************************
059800 01  PROV-NEW-HOLD.
059900     02  PROV-NEWREC-HOLD1.
060000         05  P-NEW-NPI10.
060100             10  P-NEW-NPI8             PIC X(08).
060200             10  P-NEW-NPI-FILLER       PIC X(02).
060300         05  P-NEW-PROVIDER-NO.
060400             10  P-NEW-STATE            PIC 9(02).
060500             10  FILLER                 PIC X(04).
060600         05  P-NEW-DATE-DATA.
060700             10  P-NEW-EFF-DATE.
060800                 15  P-NEW-EFF-DT-CC    PIC 9(02).
060900                 15  P-NEW-EFF-DT-YY    PIC 9(02).
061000                 15  P-NEW-EFF-DT-MM    PIC 9(02).
061100                 15  P-NEW-EFF-DT-DD    PIC 9(02).
061200             10  P-NEW-FY-BEGIN-DATE.
061300                 15  P-NEW-FY-BEG-DT-CC PIC 9(02).
061400                 15  P-NEW-FY-BEG-DT-YY PIC 9(02).
061500                 15  P-NEW-FY-BEG-DT-MM PIC 9(02).
061600                 15  P-NEW-FY-BEG-DT-DD PIC 9(02).
061700             10  P-NEW-REPORT-DATE.
061800                 15  P-NEW-REPORT-DT-CC PIC 9(02).
061900                 15  P-NEW-REPORT-DT-YY PIC 9(02).
062000                 15  P-NEW-REPORT-DT-MM PIC 9(02).
062100                 15  P-NEW-REPORT-DT-DD PIC 9(02).
062200             10  P-NEW-TERMINATION-DATE.
062300                 15  P-NEW-TERM-DT-CC   PIC 9(02).
062400                 15  P-NEW-TERM-DT-YY   PIC 9(02).
062500                 15  P-NEW-TERM-DT-MM   PIC 9(02).
062600                 15  P-NEW-TERM-DT-DD   PIC 9(02).
062700         05  P-NEW-WAIVER-CODE          PIC X(01).
062800             88  P-NEW-WAIVER-STATE       VALUE 'Y'.
062900         05  P-NEW-INTER-NO             PIC 9(05).
063000         05  P-NEW-PROVIDER-TYPE        PIC X(02).
063100         05  P-NEW-CURRENT-CENSUS-DIV   PIC 9(01).
063200         05  P-NEW-CURRENT-DIV   REDEFINES
063300                    P-NEW-CURRENT-CENSUS-DIV   PIC 9(01).
063400         05  P-NEW-MSA-DATA.
063500             10  P-NEW-CHG-CODE-INDEX       PIC X.
063600             10  P-NEW-GEO-LOC-MSAX         PIC X(04) JUST RIGHT.
063700             10  P-NEW-GEO-LOC-MSA9   REDEFINES
063800                             P-NEW-GEO-LOC-MSAX  PIC 9(04).
063900             10  P-NEW-GEO-LOC-MSA-AST REDEFINES
064000                             P-NEW-GEO-LOC-MSA9.
064100                 15  P-NEW-GEO-MSA-1ST    PIC X.
064200                 15  P-NEW-GEO-MSA-2ND    PIC X.
064300                 15  P-NEW-GEO-MSA-3RD    PIC X.
064400                 15  P-NEW-GEO-MSA-4TH    PIC X.
064500             10  P-NEW-WAGE-INDEX-LOC-MSA   PIC X(04) JUST RIGHT.
064600             10  P-NEW-STAND-AMT-LOC-MSA    PIC X(04) JUST RIGHT.
064700             10  P-NEW-STAND-AMT-LOC-MSA9
064800                   REDEFINES P-NEW-STAND-AMT-LOC-MSA.
064900                 15  P-NEW-RURAL-1ST.
065000                     20  P-NEW-STAND-RURAL  PIC XX.
065100                         88  P-NEW-STD-RURAL-CHECK VALUE '  '.
065200                 15  P-NEW-RURAL-2ND        PIC XX.
065300         05  P-NEW-SOL-COM-DEP-HOSP-YR PIC XX.
065400                 88  P-NEW-SCH-YRBLANK    VALUE   '  '.
065500                 88  P-NEW-SCH-YR82       VALUE   '82'.
065600                 88  P-NEW-SCH-YR87       VALUE   '87'.
065700         05  P-NEW-LUGAR                    PIC X.
065800         05  P-NEW-TEMP-RELIEF-IND          PIC X.
065900         05  P-NEW-FED-PPS-BLEND-IND        PIC X.
066000         05  FILLER                         PIC X(05).
066100     02  PROV-NEWREC-HOLD2.
066200         05  P-NEW-VARIABLES.
066300             10  P-NEW-FAC-SPEC-RATE     PIC  9(05)V9(02).
066400             10  P-NEW-COLA              PIC  9(01)V9(03).
066500             10  P-NEW-INTERN-RATIO      PIC  9(01)V9(04).
066600             10  P-NEW-BED-SIZE          PIC  9(05).
066700             10  P-NEW-CCR               PIC  9(01)V9(03).
066800             10  P-NEW-CMI               PIC  9(01)V9(04).
066900             10  P-NEW-SSI-RATIO         PIC  V9(04).
067000             10  P-NEW-MEDICAID-RATIO    PIC  V9(04).
067100             10  P-NEW-PPS-BLEND-YR-IND  PIC  X(01).
067200             10  P-NEW-PRUP-UPDTE-FACTOR PIC  9(01)V9(05).
067300             10  P-NEW-DSH-PERCENT       PIC  V9(04).
067400             10  P-NEW-FYE-DATE.
067500                 15  P-NEW-FYE-CC        PIC 99.
067600                 15  P-NEW-FYE-YY        PIC 99.
067700                 15  P-NEW-FYE-MM        PIC 99.
067800                 15  P-NEW-FYE-DD        PIC 99.
067900         05  P-NEW-SPECIAL-PAY-IND         PIC X(01).
068000         05  FILLER                        PIC X(01).
068100         05  P-NEW-GEO-LOC-CBSAX           PIC X(05) JUST RIGHT.
068200         05  P-NEW-GEO-LOC-CBSA9 REDEFINES
068300                       P-NEW-GEO-LOC-CBSAX PIC 9(05).
068400         05  P-NEW-GEO-LOC-CBSA-AST REDEFINES
068500                       P-NEW-GEO-LOC-CBSA9.
068600             10 P-NEW-GEO-LOC-CBSA-1ST     PIC X.
068700             10 P-NEW-GEO-LOC-CBSA-2ND     PIC X.
068800             10 P-NEW-GEO-LOC-CBSA-3RD     PIC X.
068900             10 P-NEW-GEO-LOC-CBSA-4TH     PIC X.
069000             10 P-NEW-GEO-LOC-CBSA-STH     PIC X.
069100         05  FILLER                        PIC X(10).
069200         05  P-NEW-SPECIAL-WAGE-INDEX      PIC 9(02)V9(04).
069300     02  PROV-NEWREC-HOLD3.
069400         05  P-NEW-PASS-AMT-DATA.
069500             10  P-NEW-PASS-AMT-CAPITAL    PIC 9(04)V99.
069600             10  P-NEW-PASS-AMT-DIR-MED-ED PIC 9(04)V99.
069700             10  P-NEW-PASS-AMT-ORGAN-ACQ  PIC 9(04)V99.
069800             10  P-NEW-PASS-AMT-PLUS-MISC  PIC 9(04)V99.
069900         05  P-NEW-CAPI-DATA.
070000             15  P-NEW-CAPI-PPS-PAY-CODE   PIC X.
070100             15  P-NEW-CAPI-HOSP-SPEC-RATE PIC 9(04)V99.
070200             15  P-NEW-CAPI-OLD-HARM-RATE  PIC 9(04)V99.
070300             15  P-NEW-CAPI-NEW-HARM-RATIO PIC 9(01)V9999.
070400             15  P-NEW-CAPI-CSTCHG-RATIO   PIC 9V999.
070500             15  P-NEW-CAPI-NEW-HOSP       PIC X.
070600             15  P-NEW-CAPI-IME            PIC 9V9999.
070700             15  P-NEW-CAPI-EXCEPTIONS     PIC 9(04)V99.
070800         05  FILLER                        PIC X(22).
070900
071000
071100***************************************************************
071200 LINKAGE SECTION.
071300***************************************************************
071400
071500***************************************************************
071600*      THIS IS THE BILL-RECORD THAT IS PASSED TO THIS PROGRAM *
071700*      AND WILL BE PASSED TO PROGRAM LTDRV___                 *
071800***************************************************************
071900 01  BILL-NEW-DATA.
072000     05  B-NPI10.
072100         10  B-NPI8                   PIC X(08).
072200         10  B-NPI-FILLER             PIC X(02).
072300     05  B-PROVIDER-NO                PIC X(06).
072400     05  B-PATIENT-STATUS             PIC X(02).
072500     05  B-DRG-CODE                   PIC X(03).
072600     05  B-LOS                        PIC 9(03).
072700     05  B-COV-DAYS                   PIC 9(03).
072800     05  B-LTR-DAYS                   PIC 9(02).
072900     05  B-DISCHARGE-DATE.
073000         10  B-DISCHG-CC              PIC 9(02).
073100         10  B-DISCHG-YY              PIC 9(02).
073200         10  B-DISCHG-MM              PIC 9(02).
073300         10  B-DISCHG-DD              PIC 9(02).
073400     05  B-COV-CHARGES                PIC 9(07)V9(02).
073500     05  B-SPEC-PAY-IND               PIC X(01).
073600     05  FILLER                       PIC X(13).
073700
073800**************************************************************
073900*      THIS IS THE PPS DATA THAT IS PASSED TO THIS PROGRAM   *
074000*      AND WILL BE PASSED TO PROGRAM LTDRV___                *
074100**************************************************************
074200 01  PPS-DATA-ALL.
074300     05  PPS-RTC                      PIC 9(02).
074400     05  PPS-CHRG-THRESHOLD           PIC 9(07)V9(02).
074500     05  PPS-DATA.
074600         10  PPS-MSA                  PIC X(04).
074700         10  PPS-WAGE-INDEX           PIC 9(02)V9(04).
074800         10  PPS-AVG-LOS              PIC 9(02)V9(01).
074900         10  PPS-RELATIVE-WGT         PIC 9(01)V9(04).
075000         10  PPS-OUTLIER-PAY-AMT      PIC 9(07)V9(02).
075100         10  PPS-LOS                  PIC 9(03).
075200         10  PPS-DRG-ADJ-PAY-AMT      PIC 9(07)V9(02).
075300         10  PPS-FED-PAY-AMT          PIC 9(07)V9(02).
075400         10  PPS-FINAL-PAY-AMT        PIC 9(07)V9(02).
075500         10  PPS-FAC-COSTS            PIC 9(07)V9(02).
075600         10  PPS-NEW-FAC-SPEC-RATE    PIC 9(07)V9(02).
075700         10  PPS-OUTLIER-THRESHOLD    PIC 9(07)V9(02).
075800         10  PPS-SUBM-DRG-CODE        PIC X(03).
075900         10  PPS-CALC-VERS-CD         PIC X(05).
076000         10  PPS-REG-DAYS-USED        PIC 9(03).
076100         10  PPS-LTR-DAYS-USED        PIC 9(03).
076200         10  PPS-BLEND-YEAR           PIC 9(01).
076300         10  PPS-COLA                 PIC 9(01)V9(03).
076400         10  FILLER                   PIC X(04).
076500    05  PPS-OTHER-DATA.
076600         10  PPS-NAT-LABOR-PCT        PIC 9(01)V9(05).
076700         10  PPS-NAT-NONLABOR-PCT     PIC 9(01)V9(05).
076800         10  PPS-STD-FED-RATE         PIC 9(05)V9(02).
076900         10  PPS-BDGT-NEUT-RATE       PIC 9(01)V9(03).
077000         10  FILLER                   PIC X(20).
077100    05  PPS-PC-DATA.
077200         10  PPS-COT-IND              PIC X(01).
077300         10  FILLER                   PIC X(20).
077400
077500 01  PPS-CBSA                         PIC X(05).
077600
077700*****************************************************************
077800*            THESE ARE THE VERSIONS OF THE LTDRV___             *
077900*           PROGRAMS THAT WILL BE PASSED BACK----               *
078000*          ASSOCIATED WITH THE BILL BEING PROCESSED             *
078100*****************************************************************
078200 01  PRICER-OPT-VERS-SW.
078300     05  PRICER-OPTION-SW               PIC X(01).
078400         88  ALL-TABLES-PASSED          VALUE 'A'.
078500         88  PROV-RECORD-PASSED         VALUE 'P'.
078600     05  PPS-VERSIONS.
078700         10  PPDRV-VERSION              PIC X(05).
078800
078900**************************************************************
079000*      PROVIDER SPECIFIC RECORD                              *
079100**************************************************************
079200 01  PROV-RECORD-FROM-USER.
079300     05  PROV-REC1                  PIC X(80).
079400     05  PROV-REC2                  PIC X(80).
079500     05  PROV-REC3                  PIC X(80).
079600
079700*****************************************************************
079800*      CORE-BASED STATISTICAL AREA RECORD FROM USER (CBSA)      *
079900*****************************************************************
080000 01  CBSAX-TABLE-FROM-USER.
080100     05  FILLER                     PIC X(32000).
080200     05  FILLER                     PIC X(30000).
080300     05  FILLER                     PIC X(30000).
080400
080500*****************************************************************
080600*      IPPS CORE-BASED STATISTICAL AREA RECORD FROM USER (CBSA) *
080700*****************************************************************
080800 01  IPPS-CBSAX-TABLE-FROM-USER.
080900     05  FILLER                     PIC X(32000).
081000     05  FILLER                     PIC X(30000).
081100     05  FILLER                     PIC X(30000).
081200
081300*****************************************************************
081400*      METROPOLITAN STATISTICAL AREA RECORD FROM USER (MSA)     *
081500*****************************************************************
081600 01  MSAX-TABLE-FROM-USER.
081700     05  FILLER                     PIC X(32000).
081800     05  FILLER                     PIC X(30000).
081900     05  FILLER                     PIC X(30000).
082000
082100
082200
082300
082400 PROCEDURE DIVISION  USING BILL-NEW-DATA
082500                           PPS-DATA-ALL
082600                           PPS-CBSA
082700                           PRICER-OPT-VERS-SW
082800                           PROV-RECORD-FROM-USER
082900                           CBSAX-TABLE-FROM-USER
083000                           IPPS-CBSAX-TABLE-FROM-USER
083100                           MSAX-TABLE-FROM-USER.
083200
083300
083400******************************************************************
083500*                                                                *
083600*    PROCESSING:                                                 *
083700*       A. THIS MODULE WILL LOAD ALL TABLES THE FIRST TIME THIS  *
083800*          SUBROUTINE IS CALLED.                                 *
083900*       B. THIS MODULE WILL CALL THE LTDRV MODULE.               *
084000*       C. THE PROVIDER TABLE AND WAGE INDEX MSA AND CBSA        *
084100*          TABLES WILL BE PASSED TO THE LTDRV PROGRAM.           *
084200*                                                                *
084300******************************************************************
084400
084500     INITIALIZE PPS-DATA-ALL.
084600     INITIALIZE PPS-CBSA.
084700
084800*----------------------------------------------------------*
084900*  RTC = 98  --  BILL DISCHARGE DATE BEFORE 10/01/2002     *
085000*----------------------------------------------------------*
085100     IF B-DISCHARGE-DATE < 20021001
085200        MOVE 98 TO PPS-RTC
085300        GOBACK.
085400
085500
085600******************************************************************
085700 0000-TEST-PRICER-OPTION-SW.
085800******************************************************************
085900
086000*-----------------------------------------------------*
086100* DETERMINE WHICH FILES HAVE BEEN PASSED IN AND CALL  *
086200* THE APPROPRIATE PARAGRAPH                           *
086300*-----------------------------------------------------*
086400     IF PRICER-OPTION-SW  = 'A'
086500        PERFORM 1900-OPTION-SW-A THRU 1900-EXIT
086600     ELSE
086700       IF PRICER-OPTION-SW  = 'P'
086800          PERFORM 2000-OPTION-SW-P THRU 2000-EXIT
086900       ELSE
087000          PERFORM 2100-OPTION-SW THRU 2100-EXIT
087100       END-IF
087200     END-IF.
087300
087400*-----------------------------------------------------*
087500***  GET THE PROVIDER RECORD IF NEEDED                *
087600*-----------------------------------------------------*
087700     IF PROV-RECORD-PASSED OR ALL-TABLES-PASSED
087800        MOVE 00 TO PPS-RTC
087900     ELSE
088000        PERFORM 1200-GET-THIS-PROVIDER THRU 1200-EXIT
088100     END-IF.
088200
088300***  RTC = 59  --  PROVIDER NOT FOUND
088400     IF PPS-RTC = 59
088500        GOBACK.
088600
088700     IF P-NEW-GEO-LOC-CBSAX = SPACES
088800        MOVE ZEROS TO P-NEW-GEO-LOC-CBSAX
088900     END-IF.
089000
089100     IF P-NEW-GEO-LOC-MSAX = SPACES
089200        MOVE ZEROS TO P-NEW-GEO-LOC-MSAX
089300     END-IF.
089400
089500*-----------------------------------------------------*
089600***  CALL LATEST LTDRVYYV PROGRAM                     *
089700*-----------------------------------------------------*
089800     CALL LTDRV152 USING BILL-NEW-DATA
089900                         PPS-DATA-ALL
090000                         PPS-CBSA
090100                         PRICER-OPT-VERS-SW
090200                         PROV-NEW-HOLD
090300                         CBSA-WI-TABLE
090400                         IPPS-CBSA-WI-TABLE
090500                         MSA-WI-TABLE
090600                         WORK-COUNTERS.
090700
090800     GOBACK.
090900
091000
091100******************************************************************
091200 1200-GET-THIS-PROVIDER.
091300******************************************************************
091400*    ON A PROVIDER BREAK:                                        *
091500*        FIND THE NEW PROVIDER SPECIFIC DATA ELEMENTS            *
091600*    NOTE: IF BILLS ARE SORTED/BATCHED BY PROVIDER, FEWER        *
091700*             TABLE SEARCHES WILL BE NECESSARY.                  *
091800******************************************************************
091900     IF B-PROVIDER-NO NOT = P-NEW-PROVIDER-NO
092000        SEARCH ALL PROV-ENTRIES
092100          AT END
092200             MOVE 59 TO PPS-RTC
092300             GO TO 1200-EXIT
092400          WHEN PROV-NO (PX1) = B-PROVIDER-NO
092500             MOVE 00 TO PPS-RTC
092600             MOVE PROV-DATA1 (PX1) TO PROV-NEWREC-HOLD1
092700             SET PD2 TO PX1
092800             SET PD3 TO PX1
092900             MOVE PROV-DATA2 (PD2) TO PROV-NEWREC-HOLD2
093000             MOVE PROV-DATA3 (PD3) TO PROV-NEWREC-HOLD3
093100             PERFORM 1300-GET-CURR-PROV THRU 1300-EXIT
093200               VARYING PX1 FROM PX1 BY 1
093300                 UNTIL PROV-NO (PX1) NOT = B-PROVIDER-NO
093400                   OR PROV-NO (PX1) = '999999'.
093500
093600 1200-EXIT.
093700      EXIT.
093800
093900
094000******************************************************************
094100 1300-GET-CURR-PROV.
094200******************************************************************
094300     IF  B-DISCHARGE-DATE NOT < PROV-EFF-DATE (PX1)
094400         MOVE PROV-DATA1 (PX1) TO PROV-NEWREC-HOLD1
094500         SET PD2 TO PX1
094600         SET PD3 TO PX1
094700         MOVE PROV-DATA2 (PD2) TO PROV-NEWREC-HOLD2
094800         MOVE PROV-DATA3 (PD3) TO PROV-NEWREC-HOLD3
094900     END-IF.
095000
095100
095200 1300-EXIT.
095300      EXIT.
095400
095500
095600******************************************************************
095700 1500-LOAD-ALL-TABLES.
095800******************************************************************
095900*    THE FIRST TIME CALLED:                                      *
096000*        LOAD THE PROVIDER SPECIFIC TABLE SUPPLIED BY            *
096100*             THE INTERMEDIARY/USER.                             *
096200*        LOAD MSA, CBSA, & IPPS CBSA TABLES SUPPLIED BY CMS      *
096300******************************************************************
096400     MOVE ALL '9' TO PROV-NEW-HOLD.
096500     MOVE ALL '9' TO PROV-TABLE.
096600     MOVE ALL '9' TO PROV-DATA-2.
096700     MOVE ALL '9' TO PROV-DATA-3.
096800     OPEN INPUT PROV-FILE.
096900     MOVE 0 TO EOF-SW.
097000     SET PX1 TO EOF-SW.
097100
097200*----------------------------------------------------*
097300* LOAD THE PROVIDER TABLE                            *
097400*----------------------------------------------------*
097500     PERFORM 1600-READ-PROV-FILE THRU 1600-EXIT
097600             UNTIL EOF-SW = 1.
097700     CLOSE PROV-FILE.
097800
097900*----------------------------------------------------*
098000* LOAD THE MSA TABLE                                 *
098100*----------------------------------------------------*
098200     MOVE HIGH-VALUES TO MSA-WI-TABLE.
098300     PERFORM 1700-LOAD-MSAX-FILE THRU 1700-EXIT.
098400
098500*----------------------------------------------------*
098600* LOAD THE CBSA TABLE                                *
098700*----------------------------------------------------*
098800     MOVE HIGH-VALUES TO CBSA-WI-TABLE.
098900     PERFORM 1750-LOAD-CBSAX-FILE THRU 1750-EXIT.
099000
099100*----------------------------------------------------*
099200* LOAD THE IPPS CBSA TABLE                           *
099300*----------------------------------------------------*
099400     MOVE HIGH-VALUES TO IPPS-CBSA-WI-TABLE.
099500     PERFORM 1775-LOAD-IPPS-CBSAX-FILE THRU 1775-EXIT.
099600
099700
099800
099900 1500-EXIT.
100000      EXIT.
100100
100200
100300******************************************************************
100400 1600-READ-PROV-FILE.
100500******************************************************************
100600     READ PROV-FILE
100700         AT END
100800             SET PX1 UP BY 1
100900             MOVE ALL '9' TO PROV-DATA1 (PX1)
101000             SET PD2 TO PX1
101100             SET PD3 TO PX1
101200             MOVE ALL '9' TO PROV-DATA2 (PD2)
101300             MOVE ALL '9' TO PROV-DATA3 (PD3)
101400             MOVE 1 TO EOF-SW
101500             DISPLAY 'NUMBER OF PROVIDERS   = ' PROV-CNT.
101600
101700     IF  EOF-SW = 0
101800         ADD 1 TO PROV-CNT
101900         SET PX1 UP BY 1
102000         MOVE PROV-PART1 TO PROV-DATA1 (PX1)
102100         SET PD2 TO PX1
102200         SET PD3 TO PX1
102300         MOVE PROV-PART2 TO PROV-DATA2 (PD2)
102400         MOVE PROV-PART3 TO PROV-DATA3 (PD3)
102500     END-IF.
102600
102700 1600-EXIT.
102800      EXIT.
102900
103000
103100******************************************************************
103200 1700-LOAD-MSAX-FILE.
103300******************************************************************
103400     OPEN INPUT MSAX-FILE.
103500     MOVE 0 TO EOF-SW.
103600     SET MU1 TO EOF-SW.
103700
103800     PERFORM 1800-READ-MSAX-FILE THRU 1800-EXIT
103900                      UNTIL EOF-SW = 1.
104000     CLOSE MSAX-FILE.
104100
104200 1700-EXIT.
104300      EXIT.
104400
104500
104600******************************************************************
104700 1750-LOAD-CBSAX-FILE.
104800******************************************************************
104900     OPEN INPUT CBSAX-FILE.
105000     MOVE 0 TO EOF-SW.
105100     SET CU1 TO EOF-SW.
105200
105300     PERFORM 1850-READ-CBSAX-FILE THRU 1850-EXIT
105400                      UNTIL EOF-SW = 1.
105500     CLOSE CBSAX-FILE.
105600
105700 1750-EXIT.
105800      EXIT.
105900
106000
106100******************************************************************
106200 1775-LOAD-IPPS-CBSAX-FILE.
106300******************************************************************
106400     OPEN INPUT IPPS-CBSAX-FILE.
106500     MOVE 0 TO EOF-SW.
106600     SET MA3 TO EOF-SW.
106700
106800     PERFORM 1875-READ-IPPS-CBSAX-FILE THRU 1875-EXIT
106900                      UNTIL EOF-SW = 1.
107000     CLOSE IPPS-CBSAX-FILE.
107100
107200 1775-EXIT.
107300      EXIT.
107400
107500
107600******************************************************************
107700 1800-READ-MSAX-FILE.
107800******************************************************************
107900     READ MSAX-FILE
108000         AT END
108100             MOVE 1 TO EOF-SW
108200             DISPLAY 'NUMBER OF MSA RECORDS = ' MSA-CNT.
108300
108400     IF EOF-SW = 0
108500        ADD 1 TO MSA-CNT
108600        SET MU1 UP BY 1
108700        MOVE X-MSA-X         TO MSAX-MSA         (MU1)
108800        MOVE XE-DATE-M       TO MSAX-EFF-DATE    (MU1)
108900        MOVE X-WAGE-INDEX1-M TO MSAX-WAGE-INDEX1 (MU1)
109000        MOVE X-WAGE-INDEX2-M TO MSAX-WAGE-INDEX2 (MU1)
109100        MOVE X-WAGE-INDEX3-M TO MSAX-WAGE-INDEX3 (MU1)
109200     END-IF.
109300
109400 1800-EXIT.
109500      EXIT.
109600
109700
109800******************************************************************
109900 1850-READ-CBSAX-FILE.
110000******************************************************************
110100     READ CBSAX-FILE
110200         AT END
110300             MOVE 1 TO EOF-SW
110400             DISPLAY 'NUMBER OF CBSA RECORDS = ' CBSA-CNT.
110500
110600     IF EOF-SW = 0
110700        ADD 1 TO CBSA-CNT
110800        SET CU1 UP BY 1
110900        MOVE X-CBSA-X        TO CBSAX-CBSA        (CU1)
111000        MOVE XE-DATE-C       TO CBSAX-EFF-DATE    (CU1)
111100        MOVE X-WAGE-INDEX1-C TO CBSAX-WAGE-INDEX1 (CU1)
111200        MOVE X-WAGE-INDEX2-C TO CBSAX-WAGE-INDEX2 (CU1)
111300        MOVE X-WAGE-INDEX3-C TO CBSAX-WAGE-INDEX3 (CU1)
111400     END-IF.
111500
111600 1850-EXIT.
111700      EXIT.
111800
111900
112000******************************************************************
112100 1875-READ-IPPS-CBSAX-FILE.
112200******************************************************************
112300     READ IPPS-CBSAX-FILE
112400         AT END
112500             MOVE 1 TO EOF-SW
112600             DISPLAY 'NUMBER OF IP CBSA RECORDS = ' IPPS-CBSA-CNT.
112700
112800     IF EOF-SW = 0
112900        ADD 1 TO IPPS-CBSA-CNT
113000        SET MA3 UP BY 1
113100        MOVE F-CBSA            TO T-CBSA            (MA3)
113200        MOVE F-CBSA-SIZE       TO T-CBSA-SIZE       (MA3)
113300        MOVE F-CBSA-EFF-DATE   TO T-CBSA-EFF-DATE   (MA3)
113400        MOVE F-CBSA-WAGE-INDX1 TO T-CBSA-WAGE-INDX1 (MA3)
113500        MOVE F-CBSA-WAGE-INDX2 TO T-CBSA-WAGE-INDX2 (MA3)
113600     END-IF.
113700
113800 1875-EXIT.
113900      EXIT.
114000
114100
114200******************************************************************
114300 1900-OPTION-SW-A.
114400******************************************************************
114500     MOVE ALL '9' TO PROV-NEW-HOLD.
114600     MOVE PROV-RECORD-FROM-USER TO PROV-NEW-HOLD.
114700
114800     IF TABLES-LOADED-SW = 0
114900
115000*---------------------------------------------------------------*
115100*      MOVE THE MSA FILE FROM USER INTO MSA TABLE               *
115200*---------------------------------------------------------------*
115300          MOVE HIGH-VALUES                TO MSA-WI-TABLE
115400          MOVE MSAX-TABLE-FROM-USER       TO MSA-WI-TABLE
115500
115600*---------------------------------------------------------------*
115700*      MOVE THE CBSA FILE FROM USER INTO CBSA TABLE             *
115800*---------------------------------------------------------------*
115900          MOVE HIGH-VALUES                TO CBSA-WI-TABLE
116000          MOVE CBSAX-TABLE-FROM-USER      TO CBSA-WI-TABLE
116100
116200*---------------------------------------------------------------*
116300*      MOVE THE IPPS CBSA FILE FROM USER INTO CBSA TABLE        *
116400*---------------------------------------------------------------*
116500          MOVE HIGH-VALUES                TO IPPS-CBSA-WI-TABLE
116600          MOVE IPPS-CBSAX-TABLE-FROM-USER TO IPPS-CBSA-WI-TABLE
116700
116800          MOVE 1 TO TABLES-LOADED-SW
116900
117000     END-IF.
117100
117200
117300 1900-EXIT.
117400      EXIT.
117500
117600
117700******************************************************************
117800 2000-OPTION-SW-P.
117900******************************************************************
118000     MOVE ALL '9' TO PROV-NEW-HOLD.
118100     MOVE PROV-RECORD-FROM-USER TO PROV-NEW-HOLD.
118200
118300     IF TABLES-LOADED-SW = 0
118400*---------------------------------------------------------*
118500*      LOAD MSA TABLE                                     *
118600*---------------------------------------------------------*
118700          MOVE HIGH-VALUES TO MSA-WI-TABLE
118800          PERFORM 1700-LOAD-MSAX-FILE THRU 1700-EXIT
118900
119000*---------------------------------------------------------*
119100*      LOAD CBSA TABLE                                    *
119200*---------------------------------------------------------*
119300          MOVE HIGH-VALUES TO CBSA-WI-TABLE
119400          PERFORM 1750-LOAD-CBSAX-FILE THRU 1750-EXIT
119500
119600*---------------------------------------------------------*
119700*      LOAD IPPS CBSA TABLE                               *
119800*---------------------------------------------------------*
119900          MOVE HIGH-VALUES TO IPPS-CBSA-WI-TABLE
120000          PERFORM 1775-LOAD-IPPS-CBSAX-FILE THRU 1775-EXIT
120100
120200          MOVE 1 TO TABLES-LOADED-SW
120300
120400     END-IF.
120500
120600
120700 2000-EXIT.
120800      EXIT.
120900
121000
121100******************************************************************
121200 2100-OPTION-SW.
121300******************************************************************
121400     IF  TABLES-LOADED-SW = 0
121500         PERFORM 1500-LOAD-ALL-TABLES THRU 1500-EXIT
121600         MOVE 1 TO TABLES-LOADED-SW
121700     END-IF.
121800
121900 2100-EXIT.
122000      EXIT.
122100
122200*********************  END OF PROGRAM   **************************
