source: FOIAVistA/tag/r/FEE_BASIS-FB/FBAAMP.m@ 628

Last change on this file since 628 was 628, checked in by George Lilly, 14 years ago

initial load of FOIAVistA 6/30/08 version
File size: 8.3 KB
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1FBAAMP ;AISC/CMR-MULTIPLE PAYMENT ENTRY ;9/29/2003
2 ;;3.5;FEE BASIS;**4,21,38,55,61,67**;JAN 30, 1995
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 S FBMP=1 ;multiple payment flag
5 G ^FBAACO
61 ;return from FBAACO
7 D MMPPT^FBAACP G:$G(FBAAOUT) Q1
8 D MPDT I 'FBMPDT G Q1
9 K FBAAOUT W ! D CPTM^FBAALU(FBMPDT,DFN) I 'FBGOT G Q1
10 ; prompt revenue code
11 S FBAARC=$$ASKREVC^FBUTL5() I FBAARC="^" S FBAAOUT=1 G Q1
12 ; prompt units paid
13 S FBUNITS=$$ASKUNITS^FBUTL5() I FBUNITS="^" S FBAAOUT=1 G Q1
14 S FY=$E(DT,1,3)+1700+$S($E(DT,4,5)>9:1,1:0)
15 D ASKZIP^FBAAFS($G(FBV)) I $G(FBAAOUT)!($G(FBZIP)']"") G Q1
16 I $$ANES^FBAAFS($$CPT^FBAAUTL4(FBAACP)) D ASKTIME^FBAAFS I $G(FBAAOUT)!('$G(FBTIME)) G Q1
17 D HCFA^FBAAMP1 G Q1:$G(FBAAOUT)
18AMTCL S DIR(0)="162.03,1",DIR("A")="Amount Claimed: $",DIR("?")="Enter the amount being claimed by the vendor" D ^DIR K DIR G Q:$D(DIRUT) S FBJ=+Y
19 W ! S DIR("A")="Is $"_FBJ_" correct for Amount Claimed",DIR("B")="Yes",DIR(0)="Y" D ^DIR K DIR G Q:$D(DIRUT),AMTCL:'Y
20RDAP D FEE G Q:$G(FBAAOUT) S FBK=FBAMTPD
21 W ! S DIR("A")="Is $"_FBK_" correct for Amount Paid",DIR("B")="Yes",DIR(0)="Y" D ^DIR K DIR G Q:$D(DIRUT),RDAP:'Y
22 S FBAAAS=0 K FBADJ I FBJ-FBK D SUSP^FBAAMP1 I $G(FBAAOUT) G Q:$D(DUOUT),Q1
23 S FBJ=+FBJ,FBK=+FBK,FBAAAS=+FBAAAS
24 ; prompt for remittance remarks
25 I $$RR^FBUTL4(.FBRRMK,2)=0 S FBAAOUT=1 G Q1
26MULT W:FBINTOT>0 !,"Invoice: "_FBAAIN_" Totals: $ "_FBINTOT
27 W !! S %DT("A")="Date of Service: ",%DT="AEPX" D ^%DT G Q1:X=""!(X="^")
28 D DATCK^FBAAUTL G MULT:'$D(X)!(Y<0)
29 S FBDT=Y
30 I '$$CHKCPT() W !,$C(7),"Invalid Date of Service." G MULT
31 I $$CHKICD9^FBCSV1(+$G(FBHCFA(28)),$G(FBDT))="" G MULT
32 I '$G(FBAAMM1),'$$CHKFS() W !,$C(7),"Invalid Date of Service." G MULT
33 S DIR(0)="Y",DIR("A")="Is "_($$DATX^FBAAUTL(FBDT))_" correct",DIR("B")="Yes" D ^DIR K DIR G MULT:$D(DIRUT)!('Y)
34 S FBAADT=FBDT
35 S FBMODL=$$MODL^FBAAUTL4("FBMODA","I")
36 I $D(^FBAAC("AE",DFN,FBV,FBAADT,FBAACP_$S($G(FBMODL)]"":"-"_FBMODL,1:""))) S DIR(0)="Y",DIR("A")="Code already exists for that date! Want to add another service for the SAME DATE",DIR("B")="No" D ^DIR K DIR G MULT:$D(DIRUT)!('Y)
37 I FBFPPSC]"" S FBFPPSL=$$FPPSL^FBUTL5() I FBFPPSL=-1 G Q1
38 W !! D GETSVDT^FBAACO5(DFN,FBV,FBASSOC,0,FBAADT) G Q:$G(FBAAOUT)
39 D SETO^FBAACO3,SVCPR^FBAACO1 G Q:$G(FBAAOUT)
40FILE S TP="",DR="1///^S X=FBJ;Q;2///^S X=FBK;47///^S X=FBUNITS"
41 I FBCSID]"" S DR=DR_";49///^S X=FBCSID"
42 I FBFPPSC]"" S DR=DR_";50///^S X=FBFPPSC;51///^S X=FBFPPSL"
43 I FBAARC]"" S DR=DR_";48////^S X=FBAARC"
44 ;S DR=DR_$S(FBJ-FBK:";3///^S X=FBAAAS;3.5////^S X=DT;4////^S X=FBAASC;D DESC^FBAAMP1",1:"")
45 S DR(1,162.03,1)="6////^S X=DUZ;7////^S X=FBAABE;8////^S X=BO;13///^S X=FBAAID;14///^S X=FBAAIN;15///^S X=FBPT;16////^S X=FBPOV;17///^S X=FBTT;18///^S X=FBAAPTC;23////^S X=2;26////^S X=FBPSA"
46 S DR(1,162.03,2)="34///^S X=$G(FBAAMM1);28////^S X=FBHCFA(28);30////^S X=FBHCFA(30);31////^S X=FBHCFA(31);32////^S X=FBHCFA(32);33///^S X=FBAAVID;44///^S X=FBFSAMT;45////^S X=FBFSUSD"
47 S DIE="^FBAAC("_DFN_",1,"_FBV_",1,"_FBSDI_",1,"
48 S DA=FBAACPI,DA(1)=FBSDI,DA(2)=FBV,DA(3)=DFN
49 D LOCK^FBUCUTL(DIE,FBAACPI,1)
50 D ^DIE
51 D FILEADJ^FBAAFA(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBADJ)
52 D FILERR^FBAAFR(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBRRMK)
53 L -^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI)
54 S FBINTOT=FBINTOT+FBK
55 W " ....OK, DONE...."
56 I FBK>0 S Z1=$P(^FBAA(161.7,FBAABE,0),"^",11)+1,$P(^(0),"^",11)=Z1
57 W:Z1>(FBAAMPI-20) !,*7,"Warning, you can only enter ",(FBAAMPI-Z1)," more line items!" I Z1>(FBAAMPI-1) D S FBMAX=1 G Q1
58 .W !!,*7,"You have reached the maximum number of payments for a Batch!",!,"You must select another Batch for entering Payments!"
59 G MULT
60Q1 K FBADJ,FBAADT,FBX,FBAACP,DIC,DIE,X,Y,DIRUT,DUOUT,DTOUT,FBOUT,FBSI,FBMPDT G ^FBAACO:$D(FBMAX),1^FBAACO
61 ;
62Q ;kill variables and exit
63 D Q^FBAACO
64 Q
65 ;
66MPDT ;
67 S FBMPDT=""
68 S DIR(0)="D^::EX"
69 S DIR("A")="Enter date to use for CPT/ICD checks and fee schedule calc"
70 S DIR("B")="TODAY"
71 S DIR("?",1)="Enter a date. This date will be used when checking for"
72 S DIR("?",2)="an active CPT/Modifier/ICD code. Also, the fee schedule"
73 S DIR("?",3)="amount will be computed based on this date."
74 S DIR("?")="Enter '^' to exit."
75 W !
76 D ^DIR K DIR S:'$D(DIRUT) FBMPDT=Y
77 Q
78 ;
79FEE N FBX,FB1725
80 ; set FB1725 flag = true if payment for a 38 U.S.C. 1725 claim
81 S FB1725=$S($G(FB583):+$P($G(^FB583(+FB583,0)),U,28),1:0)
82 S FBFY=FY-1
83 S (FBFSAMT,FBFSUSD,FBAMFS)=""
84 S FBX=$$GET^FBAAFS($$CPT^FBAAUTL4(FBAACP),$$MODL^FBAAUTL4("FBMODA","E"),FBMPDT,$G(FBZIP),$$FAC^FBAAFS($G(FBHCFA(30))),$G(FBTIME))
85 ;
86 I '$G(FBAAMM1) D
87 . S FBFSAMT=$P(FBX,U),FBFSUSD=$P(FBX,U,2)
88 E D
89 . W !,?2,"Payment is for a contracted service so fee schedule does not apply."
90 ;
91 I $P($G(FBX),U)]"" D
92 . W !?2,$S($G(FBAAMM1):"However, f",1:"F")
93 . W "ee schedule amount is $",$P(FBX,U)," from the "
94 . W:$P(FBX,U,3)]"" $P(FBX,U,3)," " ; year if returned
95 . W:$P(FBX,U,2)]"" $$EXTERNAL^DILFD(162.03,45,"",$P(FBX,U,2))
96 E W !?2,"Unable to determine a FEE schedule amount."
97 ;
98 I FB1725 D
99 . W !!?2,"**Payment is for emergency treatment under 38 U.S.C. 1725."
100 . I FBFSAMT D
101 . . S FBFSAMT=$J(FBFSAMT*.7,0,2)
102 . . W !?2," Therefore, fee schedule amount reduced to $",FBFSAMT," (70%)."
103 ;
104 I $G(FBUNITS)>1 D
105 . W !!?2,"Units Paid = ",FBUNITS
106 . Q:FBFSAMT'>0
107 . N FBFSUNIT
108 . ; determine if fee schedule can be multipled by units
109 . S FBFSUNIT=$S(FBFSUSD="R":1,FBFSUSD="F"&(FBMPDT>3040930):1,1:0)
110 . I FBFSUNIT D
111 . . S FBFSAMT=$J(FBFSAMT*FBUNITS,0,2)
112 . . W !?2," Therefore, fee schedule amount increased to $",FBFSAMT
113 . E D
114 . . W !?2," Fee schedule not complied on per unit basis so amount not adjusted by units."
115 ;
116 I '$G(FBAAMM1) D
117 . ; set default amount paid to lesser of amt claimed (J) or fee sched.
118 . S FBAMFS=$S(FBFSAMT>$G(FBJ):$G(FBJ),1:FBFSAMT)
119 ;
120 W !
121 ;
122AMTPD S DIR(0)="162.5,9",DIR("A")="Amount Paid: $",DIR("B")=$G(FBAMFS),DIR("?")="^D HELP1^FBAAMP" K:$G(FBAMFS)="" DIR("B") D ^DIR K DIR I $D(DIRUT) S FBAAOUT=1 Q
123 I +Y>FBJ W !!,*7,"Amount paid cannot be greater than the amount claimed." G AMTPD
124 I FBAMFS]"" I +Y>FBAMFS&('$D(^XUSEC("FBAASUPERVISOR",DUZ))) W !!,*7,"You must be a holder of the 'FBAASUPERVISOR' key in order to",!,"exceed the Fee Schedule.",! G AMTPD
125 S FBAMTPD=+Y K FBAMFS Q
126HELP1 W !!,"Enter a dollar amount that does not exceed the amount claimed.",!
127 I FBAMFS>0 W "Only the holder of the 'FBAASUPERVISOR' key may exceed the",!,"Fee Schedule.",!
128 Q
129 ;
130CHKCPT() ; check if CPT/Modifer active on date of service
131 N FBCPTX,FBI,FBMOD,FBMODX,FBRET
132 S FBRET=1
133 S FBCPTX=$$CPT^ICPTCOD(FBAACP,FBDT,1)
134 I '$P(FBCPTX,U,7) S FBRET=0 W !," CPT Code ",$P(FBCPTX,U,2)," inactive on date of service."
135 I $O(FBMODA(0)) D
136 . S FBI=0 F S FBI=$O(FBMODA(FBI)) Q:'FBI D
137 . . S FBMODX=$$MOD^ICPTMOD(FBMODA(FBI),"I",FBDT,1)
138 . . I '$P(FBMODX,U,7) S FBRET=0 W !," CPT Modifier ",$P(FBMODX,U,2)," inactive on date of service."
139 Q FBRET
140 ;
141CHKFS() ; check if fee schedule amount is different on date of service
142 N FBX,FBRET,FB1725
143 S FBRET=1 ; return value - true if date of service allowed
144 ; set FB1725 flag = true if payment for a 38 U.S.C. 1725 claim
145 S FB1725=$S($G(FB583):+$P($G(^FB583(+FB583,0)),U,28),1:0)
146 S FBX=$$GET^FBAAFS($$CPT^FBAAUTL4(FBAACP),$$MODL^FBAAUTL4("FBMODA","E"),FBDT,$G(FBZIP),$$FAC^FBAAFS($G(FBHCFA(30))),$G(FBTIME))
147 ; set FB1725 flag = true if payment for a 38 U.S.C. 1725 claim
148 S FB1725=$S($G(FB583):+$P($G(^FB583(+FB583,0)),U,28),1:0)
149 ; adjust amount if mill bill
150 I FB1725 S $P(FBX,U)=$J($P(FBX,U)*.7,0,2)
151 ; adjust amount if units > 1
152 I $G(FBUNITS) D
153 . N FBFSUNIT
154 . ; determine if fee schedule can be multipled by units
155 . S FBFSUNIT=$S($P(FBX,U,2)="R":1,$P(FBX,U,2)="F"&(FBDT>3040930):1,1:0)
156 . I FBFSUNIT S $P(FBX,U)=$J($P(FBX,U)*FBUNITS,0,2)
157 ; issue warning if lesser of claim and fee schedule amount different
158 I +$S($P(FBX,U)>$G(FBJ):$G(FBJ),1:$P(FBX,U))'=+$S(FBFSAMT>$G(FBJ):$G(FBJ),1:FBFSAMT) D
159 . W !," Warning: The fee schedule amount (",$P(FBX,U),") for this date of service "
160 . W !," differs from the initial fee schedule amount (",FBFSAMT,")."
161 . I $P(FBX,U)>0,FBK>$P(FBX,U) D
162 . . W !," Amount paid (",FBK,") exceeds the fee schedule amount."
163 . . I '$D(^XUSEC("FBAASUPERVISOR",DUZ)) D
164 . . . W !," You must be a holder of the 'FBAASUPERVISOR' key in order"
165 . . . W !," to exceed the Fee Schedule."
166 . . . S FBRET=0
167 . W:FBRET !," You may want to separately process this date of service."
168 Q FBRET
169 ;
170ANCIL ;ENTRY POINT FOR mutiple ancillary payment option
171 S FBCHCO=1 D ^FBAAMP
172 K FBCHCO Q
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