IBAUTL2 ;ALB/CPM-MEANS TEST BILLING UTILITIES ;30-AUG-91 ;;2.0;INTEGRATED BILLING;**52,153,167,187,183**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; CHFIND ; Find open charge for a billable event ; Input: IBEVDA, IBX (C=copay/P=per diem) ; Output: IBCH*DA=0/ien of charge also IBCH* if IBCH*DA>0 N J,X S J=0 F S J=$O(^IB("ACT",IBEVDA,J)) Q:'J S X=$G(^IB(J,0)) I X]"",(($P(X,"^",8)["CO-PAY"&(IBX="C"))!($P(X,"^",8)["PER DIEM"&(IBX="P"))) Q:$P(X,"^",5)=1 S:J IBCHTOTL=$P(X,"^",7),IBCHFR=$P(X,"^",14),IBCHTO=$P(X,"^",15) S @("IBCH"_IBX_"DA")=+J Q ; CHADD ; Add a new IB Action in #350 D ADD^IBAUTL I Y<1 S IBY=Y G CHADDQ S $P(^IB(IBN,0),"^",2,16)=DFN_"^"_IBATYP_"^"_IBSL_"^1^1^"_IBCHG_"^"_IBDESC_"^"_IBN_"^^^^"_IBFAC_"^"_IBDT_"^"_IBDT_"^"_IBEVDA I $G(IBGMTR) S $P(^IB(IBN,0),"^",21)=1 ; GMT RELATED field #.21 D NOW^%DTC S $P(^IB(IBN,1),"^")=DUZ,$P(^(1),"^",3,4)=DUZ_"^"_% S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",DFN,IBN)="" CHADDQ Q ; CHUPD ; Update an IB Action charge ; Input: IBCHTOTL, IBCHFR, IBDT, IBX(P/C), IBN, IBCHG, DUZ, IBGMTR(opt) N TOT,UNIT S UNIT=1 I IBX="P" S X1=IBDT,X2=IBCHFR D ^%DTC S UNIT=X+1,TOT=UNIT*IBCHG I IBX="C" S TOT=IBCHTOTL+IBCHG D NOW^%DTC S $P(^IB(IBN,0),"^",6,7)=UNIT_"^"_TOT,$P(^(0),"^",15)=IBDT,$P(^(1),"^",3,4)=DUZ_"^"_% I $G(IBGMTR) S $P(^IB(IBN,0),"^",21)=1 ; GMT RELATED field #.21 S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",+$G(DFN),IBN)="" Q ; SERV ; Find the service pointer for MAS. S IBSERV=$P($G(^IBE(350.9,1,1)),"^",14) I '$D(^DIC(49,+IBSERV,0)) S IBY="-1^IB003" Q ; TYPE ; Find the IB action type and rate for per diem and OPT co-payment charges. ; Input: IBDT, IBBS (if IBX=P), IBX (O=opt copay/P=per diem) ; IBTYPE (only if outpatient, specify Basic or Specialty) ; Output: IBATYP, IBCHG, IBDESC, IBRTED N J,IBOLDBS S IBCHG=0,IBDESC="" I IBX="O" D .S IBBS=$$ITPTR^IBCRU2(9,$S(IBTYPE=2:"SPECIALTY CARE",1:"BASIC CARE")) .S IBCS=$$CSN^IBCRU3("TL-MT OPT COPAY") .S IBOLDBS=$$MCCRUTL^IBCRU1("OUTPATIENT VISIT",5) .D COPAY ; I IBX="P" S IBATYP=+$P($G(^DGCR(399.1,IBBS,0)),"^",8) I IBATYP D COST X:$D(^IBE(350.1,IBATYP,20)) ^(20) I 'IBATYP S IBY="-1^IB008" G TYPEQ I 'IBCHG S IBY="-1^IB029" TYPEQ Q ; COST ; - find per diem charge. Input: IBATYP, IBDT Output: IBCHG N X S X=$O(^IBE(350.2,"AIVDT",IBATYP,-(IBDT+.1))),X=$O(^(+X,0)) I $D(^IBE(350.2,+X,0)) S X=$P(^(0),"^",4) S IBCHG=+X Q ; COPAY ; Find the Inpatient/NHCU daily copay rate and IB action type ; Input: IBBS, IBDT, IBCS (for the opt copay only) ; Output: IBATYP, IBCHG, IBDESC, IBRTED ; S (IBATYP,IBCHG)=0,IBDESC="" S IBATYP=$P($G(^DGCR(399.1,$S($D(IBOLDBS):IBOLDBS,1:IBBS),0)),"^",7) I 'IBATYP S IBY="-1^IB008" G COPAYQ I $D(^IBE(350.1,+IBATYP,20)) X ^(20) ; ; - charge set is not defined as input for inpatient rates I '$G(IBCS) S IBCS=$$CSN^IBCRU3("TL-INPT (INCLUSIVE)") S IBCHG=$$ITCHG^IBCRCI(IBCS,IBBS,IBDT) S IBRTED=$P(IBCHG,"^",2),IBCHG=+IBCHG ; I 'IBCHG S IBY="-1^IB030" COPAYQ K IBCS Q