FBFPCI ;WOIFO/SAB-FPPS AUDIT REPORT ;8/6/2003 ;;3.5;FEE BASIS;**61**;JAN 30, 1995 ; ASKCI ; ask FPPS CLAIM ID K DA S DIR(0)="162.7,32" D ^DIR K DIR I $D(DIRUT) S FBQUIT=1 G EXIT S FBFPPSC=Y ; ; ask device S %ZIS="QM" D ^%ZIS I POP S FBQUIT=1 G EXIT I $D(IO("Q")) D S FBQUIT=0 G EXIT . S ZTRTN="QEN^FBFPCI",ZTDESC="FPPS Claim Inquiry" . F FBX="FBFPPSC" S ZTSAVE(FBX)="" . D ^%ZTLOAD,HOME^%ZIS K ZTSK ; QEN ; queued entry U IO ; GATHER ; collect and sort data S FBQUIT=0 K ^TMP($J) ; ; check inpatient invoices F FBDA=0 F S FBDA=$O(^FBAAI("AFC",FBFPPSC,FBDA)) Q:'FBDA D . S FBY0=$G(^FBAAI(FBDA,0)) . S FBAAIN=$P(FBY0,U) . S FBPROG=$P(FBY0,U,12) . I FBAAIN]"" S ^TMP($J,162.5,FBAAIN)=FBPROG ; ; check outpatient/ancillary invoices S FBDA3=0 F S FBDA3=$O(^FBAAC("AFC",FBFPPSC,FBDA3)) Q:'FBDA3 D .S FBDA2=0 .F S FBDA2=$O(^FBAAC("AFC",FBFPPSC,FBDA3,FBDA2)) Q:'FBDA2 D ..S FBDA1=0 ..F S FBDA1=$O(^FBAAC("AFC",FBFPPSC,FBDA3,FBDA2,FBDA1)) Q:'FBDA1 D ...S FBDA=0 ...F S FBDA=$O(^FBAAC("AFC",FBFPPSC,FBDA3,FBDA2,FBDA1,FBDA)) Q:'FBDA D ....S FBY0=$G(^FBAAC(FBDA3,1,FBDA2,1,FBDA1,1,FBDA,0)) ....S FBAAIN=$P(FBY0,U,16) ....I FBAAIN]"" S ^TMP($J,162.03,FBAAIN,FBDA3,FBDA2,FBDA1,FBDA)="" ; ; check pharmacy invoices S FBDA=0 F S FBDA=$O(^FBAA(162.1,"AFC",FBFPPSC,FBDA)) Q:'FBDA D . S FBY0=$G(^FBAA(162.1,FBDA,0)) . S FBAAIN=$P(FBY0,U) . I FBAAIN]"" S ^TMP($J,162.1,FBAAIN)="" ; ; check unauthorized claims S FBDA=0 F S FBDA=$O(^FB583("AFC",FBFPPSC,FBDA)) Q:'FBDA D . S FBY0=$G(^FB583(FBDA,0)) . S FBPN=$$GET1^DIQ(162.7,FBDA_",",2) . S FBVN=$$GET1^DIQ(162.7,FBDA_",",1) . S FBDT=$$GET1^DIQ(162.7,FBDA_",",.01) . S ^TMP($J,162.7,FBDT,FBDA)=FBPN_U_FBVN ; PRINT ; report data S FBPG=0 D NOW^%DTC S Y=% D DD^%DT S FBDTR=Y K FBDL S FBDL="",$P(FBDL,"-",IOM)="" ; D HD ; ; show invoices F FBFILE=162.5,162.03,162.1 D . S FBAAIN="" F S FBAAIN=$O(^TMP($J,FBFILE,FBAAIN)) Q:FBAAIN="" D . . I $Y+7>IOSL D HD Q:FBQUIT . . I FBFILE=162.5 D . . . S FBPROG=$P($G(^TMP($J,FBFILE,FBAAIN)),U) . . . W !,"Inpatient (" . . . W $S(FBPROG=6:"CH",FBPROG=7:"CNH",1:"") . . . W ") Invoice: ",FBAAIN . . I FBFILE=162.03 W !,"Outpatient/Ancillary Invoice: ",FBAAIN . . I FBFILE=162.1 W !,"Pharmacy Invoice: ",FBAAIN ; ; show unauthorized claims S FBDT="" F S FBDT=$O(^TMP($J,162.7,FBDT)) Q:FBDT="" D . S FBDA=0 F S FBDA=$O(^TMP($J,162.7,FBDT,FBDA)) Q:'FBDA D . . I $Y+7>IOSL D HD Q:FBQUIT . . S FBX=$G(^TMP($J,162.7,FBDT,FBDA)) . . W !,"Unauthorized Claim: ",$P(FBX,U)," ",$P(FBX,U,2)," ",FBDT ; I '$D(^TMP($J)) W !,"No VistA invoices found with specified FPPS CLAIM ID." ; I FBQUIT W !!,"REPORT STOPPED AT USER REQUEST" ; I 'FBQUIT,$E(IOST,1,2)="C-" S DIR(0)="E" D ^DIR K DIR I 'Y S FBQUIT=1 D ^%ZISC ; EXIT ; I $D(ZTQUEUED) S ZTREQ="@" K ^TMP($J) K FBAAIN,FBDA,FBDA1,FBDA2,FBDA3,FBDL,FBDT,FBDTR,FBFILE K FBPN,FBFPPSC,FBPG,FBPROG,FBVN,FBX,FBY0 K %,DIC,DIR,DIROUT,DIRUT,DTOUT,DUOUT,I,J,POP,X,Y I 'FBQUIT,$E(IOST,1,2)="C-" W ! G ASKCI K FBQUIT Q HD ; page header I $D(ZTQUEUED),$$S^%ZTLOAD S ZTSTOP=1,FBQUIT=1 Q I $E(IOST,1,2)="C-",FBPG S DIR(0)="E" D ^DIR K DIR I 'Y S FBQUIT=1 Q I $E(IOST,1,2)="C-"!FBPG W @IOF S FBPG=FBPG+1 W !,"FPPS Claim Inquiry for ID: ",FBFPPSC,?49,FBDTR,?72,"page ",FBPG W !,FBDL Q ; ;FBFPCI