FBPCR671 ;AISC/DMK,TET-CH/CNH POTENTIAL COST RECOVERY PRINT ;07/18/2006 ;;3.5;FEE BASIS;**4,48,55,69,76,98**;JAN 30, 1995;Build 54 ;;Per VHA Directive 10-93-142, this routine should not be modified. PRINT ;print data from tmp global I FBPG>1&(($Y+12)>IOSL) D HDR Q:FBOUT E D HDR1 S FBVI="" F S FBVI=$O(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI)) Q:FBVI']""!(FBOUT) D SH Q:FBOUT D Q:FBOUT .S FBDT=0 F S FBDT=$O(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT)) Q:'FBDT S FBI=0 F S FBI=$O(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI)) Q:'FBI D Q:FBOUT ..I ($Y+5)>IOSL D PAGE Q:FBOUT ..S FBDATA=^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI),FBCATC=$P(FBDATA,U,9),FBINS=$P(FBDATA,U,10) ..S FBINV=^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI,"FBINV") ..W ! W:$P(FBDATA,U,8)["R" "*" W:$P(FBDATA,U,9)]"" "#" ..W ?2,$P(FBDATA,U,1),?15,$P(FBDATA,U,5),?31,$P(FBDATA,U,6) ..W ?47,$P(FBDATA,U,7),?57,$P(FBINV,U,2) ..W !?2,$P(FBDATA,U,2),?15,$P(FBDATA,U,3),?25,$P(FBINV,U,1) .. ;Print adj reasons, if null then print suspend code ..W ?36,$S($P(FBINV,U,3)]"":$P(FBINV,U,3),1:$P(FBDATA,U,4)) ..W ?46,$S($P(FBINV,U,3)]"":$J($P(FBINV,U,4),14),1:$J($P(FBDATA,U,10),14)) ..W ?63,$P(FBINV,U,5) ..F FBY="DX","PROC" I $D(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI,FBY)) S FBDATA=^(FBY),FBSL=$L(FBDATA,"^") W !?2,FBY,": " F I=1:1:FBSL W $P(FBDATA,U,I)," " ..I FBCATC!FBINS D ...W !?5,">>>" ...I FBCATC=0 W "Cost recover from insurance." ...I FBCATC=1 W "Cost recover from means testing"_$S(FBINS:" and insurance.",1:".") ...I FBCATC=2 W "Cost recover from LTC co-pay"_$S(FBINS:" and insurance.",1:".") ...I FBCATC=3 W $S(FBINS:"Cost recover from insurance, ",1:"")_"1010EC Missing for LTC Patient." ...I FBCATC=4 W $S(FBINS:"Cost Recover from insurance and ",1:"")_"Potential Cost Recover from LTC co-pay." ..; ..I +$O(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI,"A",0)) D Q:FBOUT W !,FBDASH1 ...S (FBOV,FBCNT)=0,FBSL=7 D SHA Q:FBOUT ...F S FBCNT=$O(^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI,"A",FBCNT)) Q:'FBCNT S FBDATA=^(FBCNT),FBV=$P(FBDATA,U,11)_";"_$P(FBDATA,U,12) D D WRT Q:FBOUT ....N FBXX S FBXX=$O(^FBAAV("C",$P(FBDATA,U,12),"")) S $P(FBV,";",2)=$P(FBV,";",2)_"/"_$S(FBXX="":"**********",$P($G(^FBAAV(FBXX,3)),U,2)]"":$P(^FBAAV(FBXX,3),U,2),1:"**********") Q WRT ;write ancillary info N FBCATC,FBINS,FBADJ I ($Y+4)>IOSL D PAGE Q:FBOUT D SHA,SHA2 D:FBOV'=FBV SHA2 S FBADJ=^TMP($J,"FB",FBPSF,FBPT,FBPI,FBVI,FBDT,FBI,"A",FBCNT,"FBADJ") S FBCATC=$P(FBDATA,U,14),FBINS=$P(FBDATA,U,15) W ! W ?1,$P(FBDATA,U,1) W ?11,$P($P(FBDATA,U,2),",") W ?31,$J($P(FBADJ,U,2),10) W ?43,$P(FBDATA,U,6) W ?54,$P(FBDATA,U,7) W ?64,$P(FBDATA,U,8) I $P($P(FBDATA,U,2),",",2)]"" D Q:FBOUT . N FBI,FBMOD . F FBI=2:1 S FBMOD=$P($P(FBDATA,U,2),",",FBI) Q:FBMOD="" D Q:FBOUT . . I $Y+6>IOSL D PAGE Q:FBOUT D SHA,SHA2 W !," (continued)" . . W !,?16,"-",FBMOD W !,$P(FBDATA,U,3) W ?13,$P(FBDATA,U,4) W ?23,$S($P(FBADJ,U,3)]"":$P(FBADJ,U,3),1:$P(FBDATA,U,5)) W ?33,$J($S($P(FBADJ,U,4)]"":$J($P(FBADJ,U,4),14),1:$P(FBADJ,U,1)),14) W ?48,$P(FBADJ,U,5) W ?60,$P(FBADJ,U,6) W !?5,"Primary Dx: ",$P(FBDATA,U,9),?40,"S/C Condition? ",$P(FBDATA,U,8),?66,"Obl.#: ",$P(FBDATA,U,10) I FBCATC!FBINS D .W !?5,">>>" .I FBCATC=0 W "Cost recover from insurance." .I FBCATC=1 W "Cost recover from means testing"_$S(FBINS:" and insurance.",1:".") .I FBCATC=2 W "Cost recover from LTC co-pay"_$S(FBINS:" and insurance.",1:".") .I FBCATC=3 W $S(FBINS:"Cost recover from insurance, ",1:"")_"1010EC Missing for LTC Patient." .I FBCATC=4 W $S(FBINS:"Cost Recover from insurance and ",1:"")_"Potential Cost Recover from LTC co-pay." ; Q HDR ;main header D HDR^FBPCR Q:FBOUT HDR1 W !!?(IOM-(13+$L(FBXPROG))/2),"FEE PROGRAM: ",FBXPROG W !?1,"Invoice Date",?15,"Invoice No.",?31,"From Date",?48,"To Date",?57,"Patient Control #" W !?1,"Amt Claimed",?15,"Amt Paid",?25,"Cov Days",?36,"Adj Codes",?49,"Adj Amounts",?63,"Remit Remarks",!,FBDASH Q SH ;subheader - vendor, prints when name changed I ($Y+7)>IOSL D HDR Q:FBOUT W !!,"Vendor: ",$P(FBVI,";"),?41,"Vendor ID: ",$P($P(FBVI,";",2),"/",1) W !?20,"Fee Basis Billing Provider NPI: ",$P(FBVI,"/",2) Q SHA ;ancillary subheader I ($Y+16)>IOSL D PAGE Q:FBOUT W !?20,">>> ANCILLARY SERVICE PAYMENTS <<<",! SHA1 ;subheader for ancillary data W !!,?1,"Svc Date",?11,"CPT-MOD ",?19,"Travel Paid",?31,"Units Paid",?43,"Batch No.",?54,"Inv No.",?64,"Voucher Date" W !,"Amt Claimed",?13,"Amt Paid",?23,"Adj Code",?36,"Adj Amounts",?48,"Remit Remark",?61,"Patient Account No",!,FBDASH Q SHA2 ;subheader for vendor name I ($Y+9)>IOSL D HDR Q:FBOUT D SH,SHA I FBOV'=FBV S FBOV=FBV W !!,"Vendor: ",$P(FBV,";"),?41,"Vendor ID/NPI: ",$P(FBV,";",2) Q CR ;read for display Q:'FBPG S DIR(0)="E" W ! D ^DIR K DIR S:$D(DUOUT)!($D(DTOUT)) FBOUT=1 Q PAGE ;new page D HDR Q:FBOUT D SH Q WRTDX I $P(FBDX,"^",K)]"" W ?4,"Dx: ",$$ICD9^FBCSV1($P(FBDX,"^",K))," " Q Q WRTPC I $P(FBPROC,"^",L)]"" W ?4,"Proc: ",$$ICD0^FBCSV1($P(FBPROC,"^",L))," " Q Q WRTSC ;write service connected W !,"SERVICE CONNECTED? ",$S(+VAEL(3):"YES",1:"NO"),! Q