000100 IDENTIFICATION DIVISION.
000200 PROGRAM-ID. LTOPN162.
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*   03/20/15 - VERSION 15.3 CREATED TO ADD NEW DATA NAMES      *
026400*                                                              *
026500*   06/29/15 - VERSION 16.B CREATED TO TEST UPDATED LOGIC      *
026600*                                                              *
026700*   08/05/15 - VERSION 16.0 CREATED TO TEST UPDATED LOGIC      *
026800*                                                              *
026900*   11/25/15 - VERSION 16.C CREATED TO TEST UPDATED INTERFACE  *
027000*              (BILL-NEW-DATA - ADDED COST REPORT DAYS) &      *
027100*              LOGIC                                           *
027200*                                                              *
027300*   12/11/15 - VERSION 16.1 CREATED TO IMPLEMENT CR9401 4-1-16 *
027400*                                                              *
027500*   01/08/16 - VERSION 16.2                                   *
027600*                                                              *
027700****************************************************************
027800
027900 ENVIRONMENT DIVISION.
028000 CONFIGURATION SECTION.
028100 SOURCE-COMPUTER.            IBM-370.
028200 OBJECT-COMPUTER.            IBM-370.
028300 INPUT-OUTPUT  SECTION.
028400 FILE-CONTROL.
028500
028600     SELECT PROV-FILE ASSIGN       TO  UT-S-PPSPROV
028700            FILE STATUS IS PROV-STAT.
028800     SELECT CBSAX-FILE ASSIGN      TO  UT-S-PPSCBSAX
028900            FILE STATUS IS CBSAX-STAT.
029000     SELECT IPPS-CBSAX-FILE ASSIGN TO  UT-S-IPCBSAX
029100            FILE STATUS IS IPPS-CBSAX-STAT.
029200     SELECT MSAX-FILE ASSIGN       TO  UT-S-PPSMSAX
029300            FILE STATUS IS MSAX-STAT.
029400
029500 DATA DIVISION.
029600 FILE SECTION.
029700
029800 FD  PROV-FILE
029900     RECORDING MODE IS F
030000     LABEL RECORDS ARE STANDARD
030100     BLOCK CONTAINS 0 RECORDS.
030200 01  PROV-REC.
030300     05  PROV-PART1                 PIC X(80).
030400     05  PROV-PART2                 PIC X(80).
030500     05  PROV-PART3                 PIC X(80).
030600
030700 FD  CBSAX-FILE
030800     RECORDING MODE IS F
030900     LABEL RECORDS ARE STANDARD
031000     BLOCK CONTAINS 0 RECORDS.
031100***************************************************************
031200*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS              *
031300*    THE WAGE INDEX FOR THE STATES (RURAL) AND CBSA'S (URBAN).*
031400***************************************************************
031500 01  CBSAX-REC.
031600     05  X-CBSA-X.
031700         10  M-BLANK                PIC X(03).
031800         10  M-STATE                PIC 9(02).
031900     05  X-CBSA REDEFINES X-CBSA-X  PIC 9(05).
032000     05  FILLER                     PIC X(01).
032100     05  XE-DATE-C.
032200         10  XE-C-CC                PIC 9(02).
032300         10  XE-C-YY                PIC 9(02).
032400         10  XE-C-MM                PIC 9(02).
032500         10  XE-C-DD                PIC 9(02).
032600     05  FILLER                     PIC X(01).
032700     05  X-WAGE-INDEX1-C            PIC S9(02)V9(04).
032800     05  FILLER                     PIC X(01).
032900     05  X-WAGE-INDEX2-C            PIC S9(02)V9(04).
033000     05  FILLER                     PIC X(01).
033100     05  X-WAGE-INDEX3-C            PIC S9(02)V9(04).
033200     05  FILLER                     PIC X(01).
033300     05  X-STATE-CBSA-NAME          PIC X(39).
033400     05  FILLER                     PIC X(05).
033500
033600 FD  IPPS-CBSAX-FILE
033700     RECORDING MODE IS F
033800     LABEL RECORDS ARE STANDARD
033900     BLOCK CONTAINS 0 RECORDS.
034000***************************************************************
034100*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS THE IPPS     *
034200*    WAGE INDEX FOR THE STATES (RURAL) AND CBSA'S (URBAN).    *
034300***************************************************************
034400 01  F-IPPS-CBSA-REC.
034500     05  F-CBSA.
034600         10  F-CBSA-BLANK                PIC X(03).
034700         10  F-CBSA-STATE                PIC 9(02).
034800     05  F-CBSA9  REDEFINES F-CBSA       PIC 9(05).
034900     05  F-CBSA-SIZE             PIC X(01).
035000     05  F-CBSA-EFF-DATE.
035100         10  F-CBSA-CC           PIC 9(02).
035200         10  F-CBSA-YY           PIC 9(02).
035300         10  F-CBSA-MM           PIC 9(02).
035400         10  F-CBSA-DD           PIC 9(02).
035500     05  FILLER                  PIC X(01).
035600     05  F-CBSA-WAGE-INDX1       PIC S9(02)V9(04).
035700     05  FILLER                  PIC X(01).
035800     05  F-CBSA-WAGE-INDX2       PIC S9(02)V9(04).
035900     05  FILLER                  PIC X(01).
036000     05  F-CBSA-STATE-NAME       PIC X(50).
036100     05  FILLER                  PIC X(01).
036200
036300 FD  MSAX-FILE
036400     RECORDING MODE IS F
036500     LABEL RECORDS ARE STANDARD
036600     BLOCK CONTAINS 0 RECORDS.
036700***************************************************************
036800*    THIS RECORD IS SUPPLIED BY CMS AND CONTAINS              *
036900*    THE WAGE INDEX FOR THE STATES (RURAL) AND MSA'S (URBAN). *
037000***************************************************************
037100 01  MSAX-REC.
037200     05  X-MSA-X.
037300         10  M-BLANK                PIC X(02).
037400         10  M-STATE                PIC 9(02).
037500     05  X-MSA REDEFINES X-MSA-X    PIC 9(04).
037600     05  FILLER                     PIC X(01).
037700     05  XE-DATE-M.
037800         10  XE-M-CC                PIC 9(02).
037900         10  XE-M-YY                PIC 9(02).
038000         10  XE-M-MM                PIC 9(02).
038100         10  XE-M-DD                PIC 9(02).
038200     05  FILLER                     PIC X(01).
038300     05  X-WAGE-INDEX1-M            PIC S9(02)V9(04).
038400     05  FILLER                     PIC X(01).
038500     05  X-WAGE-INDEX2-M            PIC S9(02)V9(04).
038600     05  FILLER                     PIC X(01).
038700     05  X-WAGE-INDEX3-M            PIC S9(02)V9(04).
038800     05  FILLER                     PIC X(01).
038900     05  X-STATE-MSA-NAME           PIC X(44).
039000     05  FILLER                     PIC X(01).
039100
039200 WORKING-STORAGE SECTION.
039300 77  W-STORAGE-REF                  PIC X(48) VALUE
039400     'L T O P N _ _ _ - W O R K I N G   S T O R A G E'.
039500 01  OPN-VERSION                    PIC X(05) VALUE '016.2'.
039600 01  LTDRV162                       PIC X(08) VALUE 'LTDRV162'.
039700 01  TABLES-LOADED-SW               PIC 9(01) VALUE 0.
039800 01  EOF-SW                         PIC 9(01) VALUE 0.
039900
040000*****************************************************
040100* PROVIDER RECORD THAT CAN BE PASSED IN FROM THE    *
040200* USER                                              *
040300*****************************************************
040400 01  W-PROV-NEW-HOLD.
040500     02  W-PROV-NEWREC-HOLD1.
040600         05  W-P-NEW-NPI10.
040700             10  W-P-NEW-NPI8             PIC X(08).
040800             10  W-P-NEW-NPI-FILLER       PIC X(02).
040900         05  W-P-NEW-PROVIDER-OSCAR-NO.
041000             10  W-P-NEW-STATE            PIC X(02).
041100             10  FILLER                   PIC X(04).
041200         05  W-P-NEW-DATE-DATA.
041300             10  W-P-NEW-EFF-DATE.
041400                 15  W-P-NEW-EFF-DT-CC    PIC 9(02).
041500                 15  W-P-NEW-EFF-DT-YY    PIC 9(02).
041600                 15  W-P-NEW-EFF-DT-MM    PIC 9(02).
041700                 15  W-P-NEW-EFF-DT-DD    PIC 9(02).
041800             10  W-P-NEW-FY-BEGIN-DATE.
041900                 15  W-P-NEW-FY-BEG-DT-CC PIC 9(02).
042000                 15  W-P-NEW-FY-BEG-DT-YY PIC 9(02).
042100                 15  W-P-NEW-FY-BEG-DT-MM PIC 9(02).
042200                 15  W-P-NEW-FY-BEG-DT-DD PIC 9(02).
042300             10  W-P-NEW-REPORT-DATE.
042400                 15  W-P-NEW-REPORT-DT-CC PIC 9(02).
042500                 15  W-P-NEW-REPORT-DT-YY PIC 9(02).
042600                 15  W-P-NEW-REPORT-DT-MM PIC 9(02).
042700                 15  W-P-NEW-REPORT-DT-DD PIC 9(02).
042800             10  W-P-NEW-TERMINATION-DATE.
042900                 15  W-P-NEW-TERM-DT-CC   PIC 9(02).
043000                 15  W-P-NEW-TERM-DT-YY   PIC 9(02).
043100                 15  W-P-NEW-TERM-DT-MM   PIC 9(02).
043200                 15  W-P-NEW-TERM-DT-DD   PIC 9(02).
043300         05  W-P-NEW-WAIVER-CODE          PIC X(01).
043400             88  W-P-NEW-WAIVER-STATE       VALUE 'Y'.
043500         05  W-P-NEW-INTER-NO             PIC X(05).
043600         05  W-P-NEW-PROVIDER-TYPE        PIC X(02).
043700         05  W-P-NEW-CURRENT-CENSUS-DIV   PIC X(01).
043800         05  W-P-NEW-MSA-DATA.
043900             10  W-P-NEW-CHG-CODE-INDEX    PIC X.
044000             10  W-P-NEW-GEO-LOC-MSA        PIC X(04) JUST RIGHT.
044100             10  W-P-NEW-WAGE-INDEX-LOC-MSA PIC X(04) JUST RIGHT.
044200             10  W-P-NEW-STAND-AMT-LOC-MSA  PIC X(04) JUST RIGHT.
044300             10  W-P-NEW-STAND-AMT-LOC-MSA9
044400       REDEFINES W-P-NEW-STAND-AMT-LOC-MSA.
044500                 15  W-P-NEW-RURAL-1ST.
044600                     20  W-P-NEW-STAND-RURAL  PIC XX.
044700                 15  W-P-NEW-RURAL-2ND        PIC XX.
044800         05  W-P-NEW-SOL-COM-DEP-HOSP-YR PIC XX.
044900         05  W-P-NEW-LUGAR               PIC X.
045000         05  W-P-NEW-TEMP-RELIEF-IND     PIC X.
045100         05  W-P-NEW-FED-PPS-BLEND-IND   PIC X.
045200         05  FILLER                      PIC X(05).
045300     02  W-PROV-NEWREC-HOLD2.
045400         05  W-P-NEW-VARIABLES.
045500             10  W-P-NEW-FAC-SPEC-RATE     PIC  X(07).
045600             10  W-P-NEW-COLA              PIC  X(04).
045700             10  W-P-NEW-INTERN-RATIO      PIC  X(05).
045800             10  W-P-NEW-BED-SIZE          PIC  X(05).
045900             10  W-P-NEW-CCR               PIC  X(04).
046000             10  W-P-NEW-CMI               PIC  X(05).
046100             10  W-P-NEW-SSI-RATIO         PIC  X(04).
046200             10  W-P-NEW-MEDICAID-RATIO    PIC  X(04).
046300             10  W-P-NEW-PPS-BLEND-YR-IND  PIC  X(01).
046400             10  W-P-NEW-PRUP-UPDTE-FACTOR PIC  9(01)V9(05).
046500             10  W-P-NEW-DSH-PERCENT       PIC  V9(04).
046600             10  W-P-NEW-FYE-DATE.
046700                 15  W-P-NEW-FYE-CC        PIC 99.
046800                 15  W-P-NEW-FYE-YY        PIC 99.
046900                 15  W-P-NEW-FYE-MM        PIC 99.
047000                 15  W-P-NEW-FYE-DD        PIC 99.
047100         05  W-P-NEW-SPECIAL-PAY-IND       PIC X(01).
047200         05  W-P-NEW-HOSP-QUAL-IND         PIC X(01).
047300         05  W-P-NEW-GEO-LOC-CBSAX         PIC X(05).
047400         05  W-P-NEW-GEO-LOC-CBSA9 REDEFINES
047500                         W-P-NEW-GEO-LOC-CBSAX PIC 9(05).
047600         05  W-P-NEW-GEO-LOC-CBSA-AST REDEFINES
047700                         W-P-NEW-GEO-LOC-CBSA9.
047800             10 W-P-NEW-GEO-LOC-CBSA-1ST   PIC X.
047900             10 W-P-NEW-GEO-LOC-CBSA-2ND   PIC X.
048000             10 W-P-NEW-GEO-LOC-CBSA-3RD   PIC X.
048100             10 W-P-NEW-GEO-LOC-CBSA-4TH   PIC X.
048200             10 W-P-NEW-GEO-LOC-CBSA-5TH   PIC X.
048300         05  FILLER                        PIC X(10).
048400         05  W-P-NEW-SPECIAL-WAGE-INDEX    PIC 9(02)V9(04).
048500     02  W-PROV-NEWREC-HOLD3.
048600         05  W-P-NEW-PASS-AMT-DATA.
048700             10  W-P-NEW-PASS-AMT-CAPITAL    PIC X(06).
048800             10  W-P-NEW-PASS-AMT-DIR-MED-ED PIC X(06).
048900             10  W-P-NEW-PASS-AMT-ORGAN-ACQ  PIC X(06).
049000             10  W-P-NEW-PASS-AMT-PLUS-MISC  PIC X(06).
049100         05  W-P-NEW-CAPI-DATA.
049200             15  W-P-NEW-CAPI-PPS-PAY-CODE   PIC X.
049300             15  W-P-NEW-CAPI-HOSP-SPEC-RATE PIC X(6).
049400             15  W-P-NEW-CAPI-OLD-HARM-RATE  PIC X(6).
049500             15  W-P-NEW-CAPI-NEW-HARM-RATIO PIC X(5).
049600             15  W-P-NEW-CAPI-CSTCHG-RATIO   PIC X(04).
049700             15  W-P-NEW-CAPI-NEW-HOSP       PIC X.
049800             15  W-P-NEW-CAPI-IME            PIC X(05).
049900             15  W-P-NEW-CAPI-EXCEPTIONS     PIC X(6).
050000             15  W-P-VAL-BASED-PURCH-SCORE   PIC X(4).
050100         05  FILLER                        PIC X(18).
050200
050300***************************************************************
050400* FILE STATUS VARIABLES                                       *
050500***************************************************************
050600 01  PROV-STAT.
050700     02  PROV-STAT1          PIC X.
050800     02  PROV-STAT2          PIC X.
050900
051000 01  MSAX-STAT.
051100     02  MSAX-STAT1          PIC X.
051200     02  MSAX-STAT2          PIC X.
051300
051400 01  CBSAX-STAT.
051500     02  CBSAX-STAT1         PIC X.
051600     02  CBSAX-STAT2         PIC X.
051700
051800 01  IPPS-CBSAX-STAT.
051900     02  IPPS-CBSAX-STAT1    PIC X.
052000     02  IPPS-CBSAX-STAT2    PIC X.
052100
052200***************************************************************
052300* CBSA WAGE INDEX TABLE                                       *
052400***************************************************************
052500 01  CBSA-WI-TABLE.
052600     05  C-CBSA-DATA  OCCURS 0 TO 7000 TIMES
052700                      DEPENDING ON CBSA-CNT
052800                      ASCENDING KEY IS CBSAX-CBSA
052900                      INDEXED BY CU1 CU2.
053000         10  CBSAX-CBSA         PIC X(05).
053100         10  CBSAX-EFF-DATE     PIC X(08).
053200         10  CBSAX-WAGE-INDEX1  PIC S9(02)V9(04).
053300         10  CBSAX-WAGE-INDEX2  PIC S9(02)V9(04).
053400         10  CBSAX-WAGE-INDEX3  PIC S9(02)V9(04).
053500
053600***************************************************************
053700* IPPS CBSA WAGE INDEX TABLE                                  *
053800***************************************************************
053900 01  IPPS-CBSA-WI-TABLE.
054000     05  T-CBSA-DATA  OCCURS 0 TO 7000 TIMES
054100                      DEPENDING ON IPPS-CBSA-CNT
054200                      ASCENDING KEY IS T-CBSA
054300                      INDEXED BY MA1 MA2 MA3.
054400         10  T-CBSA             PIC X(5).
054500         10  T-CBSA-SIZE        PIC X(01).
054600         10  T-CBSA-EFF-DATE    PIC X(08).
054700         10  T-CBSA-WAGE-INDX1  PIC S9(02)V9(04).
054800         10  T-CBSA-WAGE-INDX2  PIC S9(02)V9(04).
054900
055000***************************************************************
055100* MSA WAGE INDEX TABLE                                        *
055200***************************************************************
055300 01  MSA-WI-TABLE.
055400     05  M-MSA-DATA   OCCURS 0 TO 4000 TIMES
055500                      DEPENDING ON MSA-CNT
055600                      ASCENDING KEY IS MSAX-MSA
055700                      INDEXED BY MU1 MU2.
055800         10  MSAX-MSA          PIC X(4).
055900         10  MSAX-EFF-DATE     PIC X(08).
056000         10  MSAX-WAGE-INDEX1  PIC S9(02)V9(04).
056100         10  MSAX-WAGE-INDEX2  PIC S9(02)V9(04).
056200         10  MSAX-WAGE-INDEX3  PIC S9(02)V9(04).
056300
056400***************************************************************
056500* RECORD COUNT VARIABLES                                      *
056600***************************************************************
056700 01  WORK-COUNTERS.
056800     05  CBSA-CNT              PIC 9(5) VALUE ZERO.
056900     05  MSA-CNT               PIC 9(5) VALUE ZERO.
057000     05  PROV-CNT              PIC 9(5) VALUE ZERO.
057100     05  IPPS-CBSA-CNT         PIC 9(5) VALUE ZERO.
057200
057300***************************************************************
057400*    THE PROVIDER SPECIFIC INFORMATION TABLE IS INITIALLY     *
057500*    SET TO OCCUR 2400 TIMES. THIS NUMBER SHOULD BE ADJUSTED  *
057600*    BY THE USER TO REFLECT THE NUMBER OF PROVIDER RECORDS    *
057700*    PLUS EXPANSION. EACH ENTRY COSTS 240 BYTES OF MEMORY.    *
057800*    THIS FILE MUST BE IN PROVIDER NUMBER, EFFECTIVE-DATE     *
057900*    SEQUENCE.                                                *
058000***************************************************************
058100 01  PROV-TABLE.
058200     05  PROV-ENTRIES       OCCURS 0 TO 2400 TIMES
058300                            DEPENDING ON PROV-CNT
058400                            ASCENDING KEY IS PROV-NO
058500                            INDEXED BY PX1.
058600         10  PROV-DATA1.
058700             15  PROV-NPI10.
058800                 20  PROV-NPI8       PIC X(08).
058900                 20  PROV-NPI-FILLER PIC X(02).
059000             15  PROV-NO             PIC X(06).
059100             15  PROV-EFF-DATE       PIC X(08).
059200             15  FILLER              PIC X(56).
059300
059400 01  PROV-DATA-2.
059500     05  PROV-ENTRIES2      OCCURS 0 TO 2400 TIMES
059600                            DEPENDING ON PROV-CNT
059700                            INDEXED BY PD2.
059800         10  PROV-DATA2              PIC X(80).
059900
060000 01  PROV-DATA-3.
060100     05  PROV-ENTRIES3      OCCURS 0 TO 2400 TIMES
060200                            DEPENDING ON PROV-CNT
060300                            INDEXED BY PD3.
060400         10  PROV-DATA3              PIC X(80).
060500
060600
060700**************************************************************
060800*      THIS IS THE PROV-RECORD THAT WILL BE PASSED TO        *
060900*      THE LTDRV___ PROGRAM                                  *
061000**************************************************************
061100 01  PROV-NEW-HOLD.
061200     02  PROV-NEWREC-HOLD1.
061300         05  P-NEW-NPI10.
061400             10  P-NEW-NPI8             PIC X(08).
061500             10  P-NEW-NPI-FILLER       PIC X(02).
061600         05  P-NEW-PROVIDER-NO.
061700             10  P-NEW-STATE            PIC 9(02).
061800             10  FILLER                 PIC X(04).
061900         05  P-NEW-DATE-DATA.
062000             10  P-NEW-EFF-DATE.
062100                 15  P-NEW-EFF-DT-CC    PIC 9(02).
062200                 15  P-NEW-EFF-DT-YY    PIC 9(02).
062300                 15  P-NEW-EFF-DT-MM    PIC 9(02).
062400                 15  P-NEW-EFF-DT-DD    PIC 9(02).
062500             10  P-NEW-FY-BEGIN-DATE.
062600                 15  P-NEW-FY-BEG-DT-CC PIC 9(02).
062700                 15  P-NEW-FY-BEG-DT-YY PIC 9(02).
062800                 15  P-NEW-FY-BEG-DT-MM PIC 9(02).
062900                 15  P-NEW-FY-BEG-DT-DD PIC 9(02).
063000             10  P-NEW-REPORT-DATE.
063100                 15  P-NEW-REPORT-DT-CC PIC 9(02).
063200                 15  P-NEW-REPORT-DT-YY PIC 9(02).
063300                 15  P-NEW-REPORT-DT-MM PIC 9(02).
063400                 15  P-NEW-REPORT-DT-DD PIC 9(02).
063500             10  P-NEW-TERMINATION-DATE.
063600                 15  P-NEW-TERM-DT-CC   PIC 9(02).
063700                 15  P-NEW-TERM-DT-YY   PIC 9(02).
063800                 15  P-NEW-TERM-DT-MM   PIC 9(02).
063900                 15  P-NEW-TERM-DT-DD   PIC 9(02).
064000         05  P-NEW-WAIVER-CODE          PIC X(01).
064100             88  P-NEW-WAIVER-STATE       VALUE 'Y'.
064200         05  P-NEW-INTER-NO             PIC 9(05).
064300         05  P-NEW-PROVIDER-TYPE        PIC X(02).
064400         05  P-NEW-CURRENT-CENSUS-DIV   PIC 9(01).
064500         05  P-NEW-CURRENT-DIV   REDEFINES
064600                    P-NEW-CURRENT-CENSUS-DIV   PIC 9(01).
064700         05  P-NEW-MSA-DATA.
064800             10  P-NEW-CHG-CODE-INDEX       PIC X.
064900             10  P-NEW-GEO-LOC-MSAX         PIC X(04) JUST RIGHT.
065000             10  P-NEW-GEO-LOC-MSA9   REDEFINES
065100                             P-NEW-GEO-LOC-MSAX  PIC 9(04).
065200             10  P-NEW-GEO-LOC-MSA-AST REDEFINES
065300                             P-NEW-GEO-LOC-MSA9.
065400                 15  P-NEW-GEO-MSA-1ST    PIC X.
065500                 15  P-NEW-GEO-MSA-2ND    PIC X.
065600                 15  P-NEW-GEO-MSA-3RD    PIC X.
065700                 15  P-NEW-GEO-MSA-4TH    PIC X.
065800             10  P-NEW-WAGE-INDEX-LOC-MSA   PIC X(04) JUST RIGHT.
065900             10  P-NEW-STAND-AMT-LOC-MSA    PIC X(04) JUST RIGHT.
066000             10  P-NEW-STAND-AMT-LOC-MSA9
066100                   REDEFINES P-NEW-STAND-AMT-LOC-MSA.
066200                 15  P-NEW-RURAL-1ST.
066300                     20  P-NEW-STAND-RURAL  PIC XX.
066400                         88  P-NEW-STD-RURAL-CHECK VALUE '  '.
066500                 15  P-NEW-RURAL-2ND        PIC XX.
066600         05  P-NEW-SOL-COM-DEP-HOSP-YR PIC XX.
066700                 88  P-NEW-SCH-YRBLANK    VALUE   '  '.
066800                 88  P-NEW-SCH-YR82       VALUE   '82'.
066900                 88  P-NEW-SCH-YR87       VALUE   '87'.
067000         05  P-NEW-LUGAR                    PIC X.
067100         05  P-NEW-TEMP-RELIEF-IND          PIC X.
067200         05  P-NEW-FED-PPS-BLEND-IND        PIC X.
067300         05  FILLER                         PIC X(05).
067400     02  PROV-NEWREC-HOLD2.
067500         05  P-NEW-VARIABLES.
067600             10  P-NEW-FAC-SPEC-RATE     PIC  9(05)V9(02).
067700             10  P-NEW-COLA              PIC  9(01)V9(03).
067800             10  P-NEW-INTERN-RATIO      PIC  9(01)V9(04).
067900             10  P-NEW-BED-SIZE          PIC  9(05).
068000             10  P-NEW-CCR               PIC  9(01)V9(03).
068100             10  P-NEW-CMI               PIC  9(01)V9(04).
068200             10  P-NEW-SSI-RATIO         PIC  V9(04).
068300             10  P-NEW-MEDICAID-RATIO    PIC  V9(04).
068400             10  P-NEW-PPS-BLEND-YR-IND  PIC  X(01).
068500             10  P-NEW-PRUP-UPDTE-FACTOR PIC  9(01)V9(05).
068600             10  P-NEW-DSH-PERCENT       PIC  V9(04).
068700             10  P-NEW-FYE-DATE.
068800                 15  P-NEW-FYE-CC        PIC 99.
068900                 15  P-NEW-FYE-YY        PIC 99.
069000                 15  P-NEW-FYE-MM        PIC 99.
069100                 15  P-NEW-FYE-DD        PIC 99.
069200         05  P-NEW-SPECIAL-PAY-IND         PIC X(01).
069300         05  FILLER                        PIC X(01).
069400         05  P-NEW-GEO-LOC-CBSAX           PIC X(05) JUST RIGHT.
069500         05  P-NEW-GEO-LOC-CBSA9 REDEFINES
069600                       P-NEW-GEO-LOC-CBSAX PIC 9(05).
069700         05  P-NEW-GEO-LOC-CBSA-AST REDEFINES
069800                       P-NEW-GEO-LOC-CBSA9.
069900             10 P-NEW-GEO-LOC-CBSA-1ST     PIC X.
070000             10 P-NEW-GEO-LOC-CBSA-2ND     PIC X.
070100             10 P-NEW-GEO-LOC-CBSA-3RD     PIC X.
070200             10 P-NEW-GEO-LOC-CBSA-4TH     PIC X.
070300             10 P-NEW-GEO-LOC-CBSA-STH     PIC X.
070400         05  FILLER                        PIC X(10).
070500         05  P-NEW-SPECIAL-WAGE-INDEX      PIC 9(02)V9(04).
070600     02  PROV-NEWREC-HOLD3.
070700         05  P-NEW-PASS-AMT-DATA.
070800             10  P-NEW-PASS-AMT-CAPITAL    PIC 9(04)V99.
070900             10  P-NEW-PASS-AMT-DIR-MED-ED PIC 9(04)V99.
071000             10  P-NEW-PASS-AMT-ORGAN-ACQ  PIC 9(04)V99.
071100             10  P-NEW-PASS-AMT-PLUS-MISC  PIC 9(04)V99.
071200         05  P-NEW-CAPI-DATA.
071300             15  P-NEW-CAPI-PPS-PAY-CODE   PIC X.
071400             15  P-NEW-CAPI-HOSP-SPEC-RATE PIC 9(04)V99.
071500             15  P-NEW-CAPI-OLD-HARM-RATE  PIC 9(04)V99.
071600             15  P-NEW-CAPI-NEW-HARM-RATIO PIC 9(01)V9999.
071700             15  P-NEW-CAPI-CSTCHG-RATIO   PIC 9V999.
071800             15  P-NEW-CAPI-NEW-HOSP       PIC X.
071900             15  P-NEW-CAPI-IME            PIC 9V9999.
072000             15  P-NEW-CAPI-EXCEPTIONS     PIC 9(04)V99.
072100         05  FILLER                        PIC X(22).
072200
072300
072400***************************************************************
072500 LINKAGE SECTION.
072600***************************************************************
072700
072800***************************************************************
072900*      THIS IS THE BILL-RECORD THAT IS PASSED TO THIS PROGRAM *
073000*      AND WILL BE PASSED TO PROGRAM LTDRV___                 *
073100***************************************************************
073200 01  BILL-NEW-DATA.
073300     05  B-NPI10.
073400         10  B-NPI8                   PIC X(08).
073500         10  B-NPI-FILLER             PIC X(02).
073600     05  B-PROVIDER-NO                PIC X(06).
073700     05  B-PATIENT-STATUS             PIC X(02).
073800     05  B-DRG-CODE                   PIC X(03).
073900     05  B-LOS                        PIC 9(03).
074000     05  B-COV-DAYS                   PIC 9(03).
074100     05  B-LTR-DAYS                   PIC 9(02).
074200     05  B-CST-RPT-DAYS               PIC 9(03).
074300     05  B-DISCHARGE-DATE.
074400         10  B-DISCHG-CC              PIC 9(02).
074500         10  B-DISCHG-YY              PIC 9(02).
074600         10  B-DISCHG-MM              PIC 9(02).
074700         10  B-DISCHG-DD              PIC 9(02).
074800     05  B-COV-CHARGES                PIC 9(07)V9(02).
074900     05  B-SPEC-PAY-IND               PIC X(01).
075000     05  B-REVIEW-CODE                PIC 9(02).
075100     05  B-DIAGNOSIS-CODE-TABLE.
075200         10  B-DIAGNOSIS-CODE         PIC X(07) OCCURS 25 TIMES
075300                                      INDEXED BY IDX-DIAG.
075400     05  B-PROCEDURE-CODE-TABLE.
075500         10 B-PROCEDURE-CODE          PIC X(07) OCCURS 25 TIMES
075600                                      INDEXED BY IDX-PROC.
075700     05  FILLER                       PIC X(20).
075800
075900**************************************************************
076000*      THIS IS THE PPS DATA THAT IS PASSED TO THIS PROGRAM   *
076100*      AND WILL BE PASSED TO PROGRAM LTDRV___                *
076200**************************************************************
076300 01  PPS-DATA-ALL.
076400     05  PPS-RTC                      PIC X(02).
076500     05  PPS-CHRG-THRESHOLD           PIC 9(07)V9(02).
076600     05  PPS-DATA.
076700         10  PPS-MSA                  PIC X(04).
076800         10  PPS-WAGE-INDEX           PIC 9(02)V9(04).
076900         10  PPS-AVG-LOS              PIC 9(02)V9(01).
077000         10  PPS-RELATIVE-WGT         PIC 9(01)V9(04).
077100         10  PPS-OUTLIER-PAY-AMT      PIC 9(07)V9(02).
077200         10  PPS-LOS                  PIC 9(03).
077300         10  PPS-DRG-ADJ-PAY-AMT      PIC 9(07)V9(02).
077400         10  PPS-FED-PAY-AMT          PIC 9(07)V9(02).
077500         10  PPS-FINAL-PAY-AMT        PIC 9(07)V9(02).
077600         10  PPS-FAC-COSTS            PIC 9(07)V9(02).
077700         10  PPS-NEW-FAC-SPEC-RATE    PIC 9(07)V9(02).
077800         10  PPS-OUTLIER-THRESHOLD    PIC 9(07)V9(02).
077900         10  PPS-SUBM-DRG-CODE        PIC X(03).
078000         10  PPS-CALC-VERS-CD         PIC X(05).
078100         10  PPS-REG-DAYS-USED        PIC 9(03).
078200         10  PPS-LTR-DAYS-USED        PIC 9(03).
078300         10  PPS-BLEND-YEAR           PIC 9(01).
078400         10  PPS-COLA                 PIC 9(01)V9(03).
078500         10  FILLER                   PIC X(04).
078600    05  PPS-OTHER-DATA.
078700         10  PPS-NAT-LABOR-PCT        PIC 9(01)V9(05).
078800         10  PPS-NAT-NONLABOR-PCT     PIC 9(01)V9(05).
078900         10  PPS-STD-FED-RATE         PIC 9(05)V9(02).
079000         10  PPS-BDGT-NEUT-RATE       PIC 9(01)V9(03).
079100         10  FILLER                   PIC X(20).
079200    05  PPS-PC-DATA.
079300         10  PPS-COT-IND              PIC X(01).
079400         10  FILLER                   PIC X(20).
079500
079600 01  PPS-CBSA                         PIC X(05).
079700
079800 01  PPS-PAYMENT-DATA.
079900     05  PPS-SITE-NEUTRAL-COST-PMT    PIC 9(07)V99.
080000     05  PPS-SITE-NEUTRAL-IPPS-PMT    PIC 9(07)V99.
080100     05  PPS-STANDARD-FULL-PMT        PIC 9(07)V99.
080200     05  PPS-STANDARD-SSO-PMT         PIC 9(07)V99.
080300
080400*****************************************************************
080500*            THESE ARE THE VERSIONS OF THE LTDRV___             *
080600*           PROGRAMS THAT WILL BE PASSED BACK----               *
080700*          ASSOCIATED WITH THE BILL BEING PROCESSED             *
080800*****************************************************************
080900 01  PRICER-OPT-VERS-SW.
081000     05  PRICER-OPTION-SW               PIC X(01).
081100         88  ALL-TABLES-PASSED          VALUE 'A'.
081200         88  PROV-RECORD-PASSED         VALUE 'P'.
081300     05  PPS-VERSIONS.
081400         10  PPDRV-VERSION              PIC X(05).
081500
081600**************************************************************
081700*      PROVIDER SPECIFIC RECORD                              *
081800**************************************************************
081900 01  PROV-RECORD-FROM-USER.
082000     05  PROV-REC1                  PIC X(80).
082100     05  PROV-REC2                  PIC X(80).
082200     05  PROV-REC3                  PIC X(80).
082300
082400*****************************************************************
082500*      CORE-BASED STATISTICAL AREA RECORD FROM USER (CBSA)      *
082600*****************************************************************
082700 01  CBSAX-TABLE-FROM-USER.
082800     05  FILLER                     PIC X(32000).
082900     05  FILLER                     PIC X(30000).
083000     05  FILLER                     PIC X(30000).
083100
083200*****************************************************************
083300*      IPPS CORE-BASED STATISTICAL AREA RECORD FROM USER (CBSA) *
083400*****************************************************************
083500 01  IPPS-CBSAX-TABLE-FROM-USER.
083600     05  FILLER                     PIC X(32000).
083700     05  FILLER                     PIC X(30000).
083800     05  FILLER                     PIC X(30000).
083900
084000*****************************************************************
084100*      METROPOLITAN STATISTICAL AREA RECORD FROM USER (MSA)     *
084200*****************************************************************
084300 01  MSAX-TABLE-FROM-USER.
084400     05  FILLER                     PIC X(32000).
084500     05  FILLER                     PIC X(30000).
084600     05  FILLER                     PIC X(30000).
084700
084800
084900
085000
085100 PROCEDURE DIVISION  USING BILL-NEW-DATA
085200                           PPS-DATA-ALL
085300                           PPS-CBSA
085400                           PPS-PAYMENT-DATA
085500                           PRICER-OPT-VERS-SW
085600                           PROV-RECORD-FROM-USER
085700                           CBSAX-TABLE-FROM-USER
085800                           IPPS-CBSAX-TABLE-FROM-USER
085900                           MSAX-TABLE-FROM-USER.
086000
086100
086200******************************************************************
086300*                                                                *
086400*    PROCESSING:                                                 *
086500*       A. THIS MODULE WILL LOAD ALL TABLES THE FIRST TIME THIS  *
086600*          SUBROUTINE IS CALLED.                                 *
086700*       B. THIS MODULE WILL CALL THE LTDRV MODULE.               *
086800*       C. THE PROVIDER TABLE AND WAGE INDEX MSA AND CBSA        *
086900*          TABLES WILL BE PASSED TO THE LTDRV PROGRAM.           *
087000*                                                                *
087100******************************************************************
087200
087300     INITIALIZE PPS-DATA-ALL.
087400     INITIALIZE PPS-CBSA.
087500
087600*----------------------------------------------------------*
087700*  RTC = 98  --  BILL DISCHARGE DATE BEFORE 10/01/2002     *
087800*----------------------------------------------------------*
087900     IF B-DISCHARGE-DATE < 20021001
088000        MOVE 98 TO PPS-RTC
088100        GOBACK.
088200
088300
088400******************************************************************
088500 0000-TEST-PRICER-OPTION-SW.
088600******************************************************************
088700
088800*-----------------------------------------------------*
088900* DETERMINE WHICH FILES HAVE BEEN PASSED IN AND CALL  *
089000* THE APPROPRIATE PARAGRAPH                           *
089100*-----------------------------------------------------*
089200     IF PRICER-OPTION-SW  = 'A'
089300        PERFORM 1900-OPTION-SW-A THRU 1900-EXIT
089400     ELSE
089500       IF PRICER-OPTION-SW  = 'P'
089600          PERFORM 2000-OPTION-SW-P THRU 2000-EXIT
089700       ELSE
089800          PERFORM 2100-OPTION-SW THRU 2100-EXIT
089900       END-IF
090000     END-IF.
090100
090200*-----------------------------------------------------*
090300***  GET THE PROVIDER RECORD IF NEEDED                *
090400*-----------------------------------------------------*
090500     IF PROV-RECORD-PASSED OR ALL-TABLES-PASSED
090600        MOVE 00 TO PPS-RTC
090700     ELSE
090800        PERFORM 1200-GET-THIS-PROVIDER THRU 1200-EXIT
090900     END-IF.
091000
091100***  RTC = 59  --  PROVIDER NOT FOUND
091200     IF PPS-RTC = 59
091300        GOBACK.
091400
091500     IF P-NEW-GEO-LOC-CBSAX = SPACES
091600        MOVE ZEROS TO P-NEW-GEO-LOC-CBSAX
091700     END-IF.
091800
091900     IF P-NEW-GEO-LOC-MSAX = SPACES
092000        MOVE ZEROS TO P-NEW-GEO-LOC-MSAX
092100     END-IF.
092200
092300*-----------------------------------------------------*
092400***  CALL LATEST LTDRVYYV PROGRAM                     *
092500*-----------------------------------------------------*
092600     CALL LTDRV162 USING BILL-NEW-DATA
092700                         PPS-DATA-ALL
092800                         PPS-CBSA
092900                         PPS-PAYMENT-DATA
093000                         PRICER-OPT-VERS-SW
093100                         PROV-NEW-HOLD
093200                         CBSA-WI-TABLE
093300                         IPPS-CBSA-WI-TABLE
093400                         MSA-WI-TABLE
093500                         WORK-COUNTERS.
093600
093700     GOBACK.
093800
093900
094000******************************************************************
094100 1200-GET-THIS-PROVIDER.
094200******************************************************************
094300*    ON A PROVIDER BREAK:                                        *
094400*        FIND THE NEW PROVIDER SPECIFIC DATA ELEMENTS            *
094500*    NOTE: IF BILLS ARE SORTED/BATCHED BY PROVIDER, FEWER        *
094600*             TABLE SEARCHES WILL BE NECESSARY.                  *
094700******************************************************************
094800*    IF B-PROVIDER-NO NOT = P-NEW-PROVIDER-NO
094900        SEARCH ALL PROV-ENTRIES
095000          AT END
095100             MOVE 59 TO PPS-RTC
095200             GO TO 1200-EXIT
095300          WHEN PROV-NO (PX1) = B-PROVIDER-NO
095400             MOVE 00 TO PPS-RTC
095500             MOVE PROV-DATA1 (PX1) TO PROV-NEWREC-HOLD1
095600             SET PD2 TO PX1
095700             SET PD3 TO PX1
095800             MOVE PROV-DATA2 (PD2) TO PROV-NEWREC-HOLD2
095900             MOVE PROV-DATA3 (PD3) TO PROV-NEWREC-HOLD3
096000             PERFORM 1300-GET-CURR-PROV THRU 1300-EXIT
096100               VARYING PX1 FROM PX1 BY 1
096200                 UNTIL PROV-NO (PX1) NOT = B-PROVIDER-NO
096300                   OR PROV-NO (PX1) = '999999'.
096400
096500 1200-EXIT.
096600      EXIT.
096700
096800
096900******************************************************************
097000 1300-GET-CURR-PROV.
097100******************************************************************
097200     IF  B-DISCHARGE-DATE NOT < PROV-EFF-DATE (PX1)
097300         MOVE PROV-DATA1 (PX1) TO PROV-NEWREC-HOLD1
097400         SET PD2 TO PX1
097500         SET PD3 TO PX1
097600         MOVE PROV-DATA2 (PD2) TO PROV-NEWREC-HOLD2
097700         MOVE PROV-DATA3 (PD3) TO PROV-NEWREC-HOLD3
097800     END-IF.
097900
098000
098100 1300-EXIT.
098200      EXIT.
098300
098400
098500******************************************************************
098600 1500-LOAD-ALL-TABLES.
098700******************************************************************
098800*    THE FIRST TIME CALLED:                                      *
098900*        LOAD THE PROVIDER SPECIFIC TABLE SUPPLIED BY            *
099000*             THE INTERMEDIARY/USER.                             *
099100*        LOAD MSA, CBSA, & IPPS CBSA TABLES SUPPLIED BY CMS      *
099200******************************************************************
099300     MOVE ALL '9' TO PROV-NEW-HOLD.
099400     MOVE ALL '9' TO PROV-TABLE.
099500     MOVE ALL '9' TO PROV-DATA-2.
099600     MOVE ALL '9' TO PROV-DATA-3.
099700     OPEN INPUT PROV-FILE.
099800     MOVE 0 TO EOF-SW.
099900     SET PX1 TO EOF-SW.
100000
100100*----------------------------------------------------*
100200* LOAD THE PROVIDER TABLE                            *
100300*----------------------------------------------------*
100400     PERFORM 1600-READ-PROV-FILE THRU 1600-EXIT
100500             UNTIL EOF-SW = 1.
100600     CLOSE PROV-FILE.
100700
100800*----------------------------------------------------*
100900* LOAD THE MSA TABLE                                 *
101000*----------------------------------------------------*
101100     MOVE HIGH-VALUES TO MSA-WI-TABLE.
101200     PERFORM 1700-LOAD-MSAX-FILE THRU 1700-EXIT.
101300
101400*----------------------------------------------------*
101500* LOAD THE CBSA TABLE                                *
101600*----------------------------------------------------*
101700     MOVE HIGH-VALUES TO CBSA-WI-TABLE.
101800     PERFORM 1750-LOAD-CBSAX-FILE THRU 1750-EXIT.
101900
102000*----------------------------------------------------*
102100* LOAD THE IPPS CBSA TABLE                           *
102200*----------------------------------------------------*
102300     MOVE HIGH-VALUES TO IPPS-CBSA-WI-TABLE.
102400     PERFORM 1775-LOAD-IPPS-CBSAX-FILE THRU 1775-EXIT.
102500
102600
102700
102800 1500-EXIT.
102900      EXIT.
103000
103100
103200******************************************************************
103300 1600-READ-PROV-FILE.
103400******************************************************************
103500     READ PROV-FILE
103600         AT END
103700             SET PX1 UP BY 1
103800             MOVE ALL '9' TO PROV-DATA1 (PX1)
103900             SET PD2 TO PX1
104000             SET PD3 TO PX1
104100             MOVE ALL '9' TO PROV-DATA2 (PD2)
104200             MOVE ALL '9' TO PROV-DATA3 (PD3)
104300             MOVE 1 TO EOF-SW
104400             DISPLAY 'NUMBER OF PROVIDERS   = ' PROV-CNT.
104500
104600     IF  EOF-SW = 0
104700         ADD 1 TO PROV-CNT
104800         SET PX1 UP BY 1
104900         MOVE PROV-PART1 TO PROV-DATA1 (PX1)
105000         SET PD2 TO PX1
105100         SET PD3 TO PX1
105200         MOVE PROV-PART2 TO PROV-DATA2 (PD2)
105300         MOVE PROV-PART3 TO PROV-DATA3 (PD3)
105400     END-IF.
105500
105600 1600-EXIT.
105700      EXIT.
105800
105900
106000******************************************************************
106100 1700-LOAD-MSAX-FILE.
106200******************************************************************
106300     OPEN INPUT MSAX-FILE.
106400     MOVE 0 TO EOF-SW.
106500     SET MU1 TO EOF-SW.
106600
106700     PERFORM 1800-READ-MSAX-FILE THRU 1800-EXIT
106800                      UNTIL EOF-SW = 1.
106900     CLOSE MSAX-FILE.
107000
107100 1700-EXIT.
107200      EXIT.
107300
107400
107500******************************************************************
107600 1750-LOAD-CBSAX-FILE.
107700******************************************************************
107800     OPEN INPUT CBSAX-FILE.
107900     MOVE 0 TO EOF-SW.
108000     SET CU1 TO EOF-SW.
108100
108200     PERFORM 1850-READ-CBSAX-FILE THRU 1850-EXIT
108300                      UNTIL EOF-SW = 1.
108400     CLOSE CBSAX-FILE.
108500
108600 1750-EXIT.
108700      EXIT.
108800
108900
109000******************************************************************
109100 1775-LOAD-IPPS-CBSAX-FILE.
109200******************************************************************
109300     OPEN INPUT IPPS-CBSAX-FILE.
109400     MOVE 0 TO EOF-SW.
109500     SET MA3 TO EOF-SW.
109600
109700     PERFORM 1875-READ-IPPS-CBSAX-FILE THRU 1875-EXIT
109800                      UNTIL EOF-SW = 1.
109900     CLOSE IPPS-CBSAX-FILE.
110000
110100 1775-EXIT.
110200      EXIT.
110300
110400
110500******************************************************************
110600 1800-READ-MSAX-FILE.
110700******************************************************************
110800     READ MSAX-FILE
110900         AT END
111000             MOVE 1 TO EOF-SW
111100             DISPLAY 'NUMBER OF MSA RECORDS = ' MSA-CNT.
111200
111300     IF EOF-SW = 0
111400        ADD 1 TO MSA-CNT
111500        SET MU1 UP BY 1
111600        MOVE X-MSA-X         TO MSAX-MSA         (MU1)
111700        MOVE XE-DATE-M       TO MSAX-EFF-DATE    (MU1)
111800        MOVE X-WAGE-INDEX1-M TO MSAX-WAGE-INDEX1 (MU1)
111900        MOVE X-WAGE-INDEX2-M TO MSAX-WAGE-INDEX2 (MU1)
112000        MOVE X-WAGE-INDEX3-M TO MSAX-WAGE-INDEX3 (MU1)
112100     END-IF.
112200
112300 1800-EXIT.
112400      EXIT.
112500
112600
112700******************************************************************
112800 1850-READ-CBSAX-FILE.
112900******************************************************************
113000     READ CBSAX-FILE
113100         AT END
113200             MOVE 1 TO EOF-SW
113300             DISPLAY 'NUMBER OF CBSA RECORDS = ' CBSA-CNT.
113400
113500     IF EOF-SW = 0
113600        ADD 1 TO CBSA-CNT
113700        SET CU1 UP BY 1
113800        MOVE X-CBSA-X        TO CBSAX-CBSA        (CU1)
113900        MOVE XE-DATE-C       TO CBSAX-EFF-DATE    (CU1)
114000        MOVE X-WAGE-INDEX1-C TO CBSAX-WAGE-INDEX1 (CU1)
114100        MOVE X-WAGE-INDEX2-C TO CBSAX-WAGE-INDEX2 (CU1)
114200        MOVE X-WAGE-INDEX3-C TO CBSAX-WAGE-INDEX3 (CU1)
114300     END-IF.
114400
114500 1850-EXIT.
114600      EXIT.
114700
114800
114900******************************************************************
115000 1875-READ-IPPS-CBSAX-FILE.
115100******************************************************************
115200     READ IPPS-CBSAX-FILE
115300         AT END
115400             MOVE 1 TO EOF-SW
115500             DISPLAY 'NUMBER OF IP CBSA RECORDS = ' IPPS-CBSA-CNT.
115600
115700     IF EOF-SW = 0
115800        ADD 1 TO IPPS-CBSA-CNT
115900        SET MA3 UP BY 1
116000        MOVE F-CBSA            TO T-CBSA            (MA3)
116100        MOVE F-CBSA-SIZE       TO T-CBSA-SIZE       (MA3)
116200        MOVE F-CBSA-EFF-DATE   TO T-CBSA-EFF-DATE   (MA3)
116300        MOVE F-CBSA-WAGE-INDX1 TO T-CBSA-WAGE-INDX1 (MA3)
116400        MOVE F-CBSA-WAGE-INDX2 TO T-CBSA-WAGE-INDX2 (MA3)
116500     END-IF.
116600
116700 1875-EXIT.
116800      EXIT.
116900
117000
117100******************************************************************
117200 1900-OPTION-SW-A.
117300******************************************************************
117400     MOVE ALL '9' TO PROV-NEW-HOLD.
117500     MOVE PROV-RECORD-FROM-USER TO PROV-NEW-HOLD.
117600
117700     IF TABLES-LOADED-SW = 0
117800
117900*---------------------------------------------------------------*
118000*      MOVE THE MSA FILE FROM USER INTO MSA TABLE               *
118100*---------------------------------------------------------------*
118200          MOVE HIGH-VALUES                TO MSA-WI-TABLE
118300          MOVE MSAX-TABLE-FROM-USER       TO MSA-WI-TABLE
118400
118500*---------------------------------------------------------------*
118600*      MOVE THE CBSA FILE FROM USER INTO CBSA TABLE             *
118700*---------------------------------------------------------------*
118800          MOVE HIGH-VALUES                TO CBSA-WI-TABLE
118900          MOVE CBSAX-TABLE-FROM-USER      TO CBSA-WI-TABLE
119000
119100*---------------------------------------------------------------*
119200*      MOVE THE IPPS CBSA FILE FROM USER INTO CBSA TABLE        *
119300*---------------------------------------------------------------*
119400          MOVE HIGH-VALUES                TO IPPS-CBSA-WI-TABLE
119500          MOVE IPPS-CBSAX-TABLE-FROM-USER TO IPPS-CBSA-WI-TABLE
119600
119700          MOVE 1 TO TABLES-LOADED-SW
119800
119900     END-IF.
120000
120100
120200 1900-EXIT.
120300      EXIT.
120400
120500
120600******************************************************************
120700 2000-OPTION-SW-P.
120800******************************************************************
120900     MOVE ALL '9' TO PROV-NEW-HOLD.
121000     MOVE PROV-RECORD-FROM-USER TO PROV-NEW-HOLD.
121100
121200     IF TABLES-LOADED-SW = 0
121300*---------------------------------------------------------*
121400*      LOAD MSA TABLE                                     *
121500*---------------------------------------------------------*
121600          MOVE HIGH-VALUES TO MSA-WI-TABLE
121700          PERFORM 1700-LOAD-MSAX-FILE THRU 1700-EXIT
121800
121900*---------------------------------------------------------*
122000*      LOAD CBSA TABLE                                    *
122100*---------------------------------------------------------*
122200          MOVE HIGH-VALUES TO CBSA-WI-TABLE
122300          PERFORM 1750-LOAD-CBSAX-FILE THRU 1750-EXIT
122400
122500*---------------------------------------------------------*
122600*      LOAD IPPS CBSA TABLE                               *
122700*---------------------------------------------------------*
122800          MOVE HIGH-VALUES TO IPPS-CBSA-WI-TABLE
122900          PERFORM 1775-LOAD-IPPS-CBSAX-FILE THRU 1775-EXIT
123000
123100          MOVE 1 TO TABLES-LOADED-SW
123200
123300     END-IF.
123400
123500
123600 2000-EXIT.
123700      EXIT.
123800
123900
124000******************************************************************
124100 2100-OPTION-SW.
124200******************************************************************
124300     IF  TABLES-LOADED-SW = 0
124400         PERFORM 1500-LOAD-ALL-TABLES THRU 1500-EXIT
124500         MOVE 1 TO TABLES-LOADED-SW
124600     END-IF.
124700
124800 2100-EXIT.
124900      EXIT.
125000
125100*********************  END OF PROGRAM   **************************
