IBCEF11 ;ALB/TMP - FORMATTER SPECIFIC BILL FUNCTIONS - CONT ;30-JAN-96 ;;2.0;INTEGRATED BILLING;**51,137,155,309,335,348,349**;21-MAR-94;Build 46 ;;Per VHA Directive 2004-038, this routine should not be modified. ; BOX24D(A,IB) ; Returns the lines for boxes 19-24 of the CMS-1500 display ; IB = flag is 1 if only box 24 is needed Q $S('$G(IB):"36",1:"44")_"^55" ; RCBOX() ; Returns the lines for revenue code boxes of the UB-04 display Q "19^41" ; OUTPT(IBIFN,IBPRINT) ; Returns an array of service line data from ; CMS-1500 box 24. Output is in IBXDATA(n) ; IBPRINT = print flag 1: return print fields ; 0: return EDI fields ; Uses diagnosis array ^TMP("IBXSAVE",$J,"DX",IBIFN,DIAG CODE)=SEQ # ; if it already exists. If not, it builds it from N-DIAGNOSES element ; ; For EDI call: Returns IBXDATA(n)= ; begin date(YYYYMMDD)^end date(YYYYMMDD)^pos^tos^ ; proc code/revenue code - if no procedure (not the pointers)^ ; type of code^dx pointer(s)^unit charge^units^modifiers separated by; ; ^purchased charge amount ^anesthesia minutes^emergency indicator^ ; lab-type service flag. ; ; Also Returns IBXDATA(IBI,"COB",COB,m) with COB data for each line ; item found in an accepted EOB for the bill and = the reference ; line in the first '^' piece followed by the '0' node data of file ; 361.115 (LINE LEVEL ADJUSTMENTS) ; COB = COB sequence # of adjustment's ins co, m = seq # ; -- AND -- ; IBXDATA(IBI,"COB",COB,m,z,p)= ; the data on the '0' node for each subordinate entry of file ; 361.11511 (REASONS) (Only first 3 pieces for 837 output) ; z = group code, sometimes preceeded by a space p = seq # ; ; For Print call: Returns begin date(DDMMYYYY)^end date(DDMMYYYY) or ; null if equal to begin date^pos^tos^bedsection name(if no procedure) ; or procedure code(not the pointer)^ ... refer to EDI call results ; Also, IBXDATA(n,"TEXT")=the text to print on first line of box 24, ; If no procedure code, returns IBXDATA(n,"A")=rev code abbrev ; ; For both calls, returns IBXDATA(n,item type,item ptr)="" ; -- AND -- ; IBXDATA(n,"RX")=RX#^drug name^NDC^refill #^(re)fill date^qty^days ; ^chrge^ien of file 362.4^NDC format ; If line references a prescription ; -- AND -- ; If no revenue code for a prescription, returns IBXDATA(n,"ARX")="" ; -- AND -- ; IBXDATA(n,"AUX")='AUX' node of the procedure entry ; N IB,IBI,IBJ,IBFLD,IBDXI,IBXIEN,Z,IBXTRA,IBRX,IBRX0,IBRX1,Z0,Z1 ; K ^TMP($J,"IBITEM") S ^TMP($J,"IBITEM")="" ; Build diagnosis array if not already built I $O(^TMP("IBXSAVE",$J,"DX",IBIFN,""))="",$O(^IBA(362.3,"AIFN"_IBIFN,"")) D .N Z,IBXDATA D F^IBCEF("N-DIAGNOSES",,,IBIFN) .S Z="" F S Z=$O(IBXDATA(Z)) K:$O(IBXDATA(0))=""&(Z="") IBXDATA Q:Z="" S:$P(IBXDATA(Z),U,2) ^TMP("IBXSAVE",$J,"DX",IBIFN,$P(IBXDATA(Z),U,2))=Z ; S IB(0)=$G(^DGCR(399,IBIFN,0)),IB("U")=$G(^("U")),IB("U1")=$G(^("U1")) S IBI="" F S IBI=$O(^TMP("IBXSAVE",$J,"DX",IBIFN,IBI)) Q:IBI="" S IBDXI(IBI)=^(IBI) I '$G(IBPRINT) D RVCE^IBCF23(IBIFN,IBIFN) I $G(IBPRINT) D RVCE^IBCF23(,IBIFN) ; Returns IBFLD(24) = begin date^end date^pos^tos^ ; proc/bedsection/revenue code^dx pointer^unit charge^ ; units^modifiers^ purchased charge amount ^anesthesia minutes^ ; emergency indicator ^ AND ; IBFLD(24,n,type,item)="" ; IBFLD(24,n_"A") = revenue code abbreviation if no procedure ; IBFLD(24,n,"AUX") = 'AUX' node of line item ; IBFLD(24,n,"RX") = soft pointer to file 362.4 from 'item' fld ; (can be null) ; D SET^IBCSC5A(IBIFN,.IBRX) ;prescriptions ; IBRX1(ien 362.4)=RX#^drug ien^NDC^refil #^(re)fil date^qty^days^chrge I IBRX S IBRX="" F S IBRX=$O(IBRX(IBRX)) Q:IBRX="" S IBRX0=0 F S IBRX0=$O(IBRX(IBRX,IBRX0)) Q:'IBRX0 D . N IBRXH . S IBRXH=IBRX(IBRX,IBRX0) . S IBRX1(+IBRXH)=IBRX_U_$P(IBRXH,U,2)_U_$P(IBRXH,U,5)_U_$P(IBRXH,U,7)_U_IBRX0_U_$P(IBRXH,U,4)_U_$P(IBRXH,U,3)_U_$P(IBRXH,U,6)_U_+IBRXH_U_$P(IBRXH,U,8) K IBRX ; S IBI=0 F S IBI=$O(IBFLD(24,IBI)) Q:IBI'=+IBI D . S IBRX1=0 . I '$G(IBPRINT) Q:$P(IBFLD(24,IBI),U,7)*$P(IBFLD(24,IBI),U,8)'>0 ; For EDI, ignore 0-charge line items . S IBXDATA(IBI)=$P(IBFLD(24,IBI),U)_U_$P(IBFLD(24,IBI),U,$S($P(IBFLD(24,IBI),U,2)=""&'$G(IBPRINT):1,1:2)) . S $P(IBXDATA(IBI),U,3,5)=$P(IBFLD(24,IBI),U,3,5) . S $P(IBXDATA(IBI),U,6)=$S($D(IBFLD(24,IBI_"X")):"CJ",1:"HC") . S $P(IBXDATA(IBI),U,7,13)=$P(IBFLD(24,IBI),U,6,12) . S $P(IBXDATA(IBI),U,14)=+$$ISLAB(IBXDATA(IBI)) . ; . I $D(IBFLD(24,IBI,"RX")) D ;Rx .. S IBRX1=1 .. I $P($G(IBFLD(24,IBI,"AUX")),U,8)'="" S $P(IBFLD(24,IBI,"AUX"),U,8)="",$P(IBFLD(24,IBI,"AUX"),U,9)="" ;No free text allowed for rx's .. I $D(IBRX1(+IBFLD(24,IBI,"RX"))) D Q ;Soft link exists ...D ZERO^IBRXUTL(+$P(IBRX1(+IBFLD(24,IBI,"RX")),U,2)) ... S IBXDATA(IBI,"RX")=IBRX1(+IBFLD(24,IBI,"RX")),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(+IBFLD(24,IBI,"RX")),U,2),.01)),1,30) ... K IBRX1(+IBFLD(24,IBI,"RX")) ... ; No soft link - must find the first Rx with the same charge .. S IBRX="" F S IBRX=$O(IBRX1(IBRX)) Q:'IBRX I +$P(IBRX1(IBRX),U,8)=+$P(IBXDATA(IBI),U,8) D Q ... D ZERO^IBRXUTL(+$P(IBRX1(IBRX),U,2)) ... S IBXDATA(IBI,"RX")=IBRX1(IBRX),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(IBRX),U,2),.01)),1,30) K IBRX1(IBRX) Q ... Q .. Q . ; . I $G(IBFLD(24,IBI,"AUX"))'="" D .. I $G(IBPRINT),$P(IBFLD(24,IBI,"AUX"),U,8)'="" S IBXDATA(IBI,"TEXT")=$P(IBFLD(24,IBI,"AUX"),U,8),$P(IBFLD(24,IBI,"AUX"),U,8)="" .. S IBXDATA(IBI,"AUX")=IBFLD(24,IBI,"AUX") .. Q . ; . I $G(IBPRINT) D .. I '$P(IBXDATA(IBI),U,8),'$G(IBXDATA(IBI,"RX")) D Q ... I $G(IBNOSHOW) Q ; don't show errors/warnings ... S IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS < #PROCEDURES, THEY MUST BE =" ... I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)="" ... Q .. ; .. I $G(IBFLD(24,IBI_"A"))'="" D Q ... S IBXDATA(IBI,"A")=IBFLD(24,IBI_"A") ... I $G(IBNOSHOW) Q ; don't show errors/warnings ... S IBXDATA(IBI,"TEXT")="Warning:** REV CODE UNITS > #PROCEDURES, THEY MUST BE=: "_IBFLD(24,IBI_"A") ... I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)="" ... Q .. ; .. S IBRX=$G(IBXDATA(IBI,"RX")) .. I IBRX'="" D ;Format Rx detail ... N Z ... S Z=$P(IBRX,U) ... S Z=$S(Z'="":"Rx#"_Z_" ",1:"RX: ") ... S IBXDATA(IBI,"TEXT")=Z_$S($P(IBRX,U,3)'="":"NDC: "_$P(IBRX,U,3),1:"NOC: "_$P(IBRX,U,2))_" Qty: "_$P(IBRX,U,6)_" Days: "_$P(IBRX,U,7) ... S $P(IBXDATA(IBI,"AUX"),U,9)="N4" ; service line comment qualifier for RX's ... Q .. Q . ; . I '$G(IBPRINT) D COBLINE^IBCEU6(IBIFN,IBI,.IBXDATA,,.IBXTRA) . Q ; I $G(IBPRINT) D . S IBRX=0 F S IBRX=$O(IBRX1(IBRX)) Q:'IBRX D .. S IBI=+$O(IBXDATA(""),-1)+1 .. S IBXDATA(IBI)=$$DATE($P(IBRX1(IBRX),U,5)) .. S IBXDATA(IBI,"TEXT")="**** ERROR - NO PROC LINK TO REV CODE FOR DRUG: RX#: "_$P(IBRX1(IBRX),U)_" NDC #: "_$P(IBRX1(IBRX),U,3) .. I $D(IBXDATA(IBI,"AUX")) S $P(IBXDATA(IBI,"AUX"),U,9)="" .. S IBXDATA(IBI,"ARX")="" .. D ZERO^IBRXUTL(+$P(IBRX1(IBRX),U,2)) .. S IBXDATA(IBI,"RX")=IBRX1(IBRX),$P(IBXDATA(IBI,"RX"),U,2)=$E($G(^TMP($J,"IBDRUG",+$P(IBRX1(IBRX),U,2),.01)),1,30) K IBRX1(IBRX) .. Q . Q ; I '$G(IBPRINT),$D(IBXTRA) D COMBO^IBCEU2(.IBXDATA,.IBXTRA,0) ;Handle bundled/unbundled lines K ^TMP($J,"IBDRUG") Q ; ISLAB(LDATA) ; Returns 0/1 if line item data indicates the item is a lab (1) ; 'LAB' is defined here as type of service = 5 Q $E($P(LDATA,U,4))="5" ; FMT(DATA,DLEN,FLEN) ; Returns a string in DATA with a max length of DLEN ; and a field length of FLEN Q $E($E(DATA,1,DLEN)_$J("",FLEN),1,FLEN) ; DATE(X,DEL) ; Returns FM date in X as MMxDDxYYYY where x=DEL S DEL=$G(DEL) S X=$$DATE^IBCF2(X,1,1) I X'="" S X=$E(X,1,2)_DEL_$E(X,3,4)_DEL_$E(X,5,8) Q X ; BATCH() ; Sets up record for and stores/returns the next batch number N NUM,FAC,DO,DD,DLAYGO,DIC,X,Y ;Keep latest batch number for view/print edi bill extract data option I $D(IBVNUM) S NUM=IBVNUM G BATCHQ ;Check for batch resubmit - if yes, use same number as original batch I $P($G(^TMP("IBRESUBMIT",$J)),U,3)=1 S NUM=$P(^($J),U) G BATCHQ L +^IBA(364.1,0):5 I '$T Q 0 S FAC=+$P($$SITE^VASITE(),U,3),NUM=$O(^IBA(364.1,"B",""),-1) I $D(^IBA(364.1,+NUM,0)),$P(^(0),U,2)="" F D Q:'NUM!($P($G(^IBA(364.1,+NUM,0)),U,2)'="") . I $D(^IBA(364.1,NUM,0)) S DA=NUM,DIK="^IBA(364.1," D ^DIK . S NUM=$O(^IBA(364.1,"B",""),-1) F S NUM=$S($P(NUM,FAC,2)'="":NUM+1,1:FAC_"0000001") Q:'$D(^IBA(364.1,"B",NUM)) K DO,DD S DIC="^IBA(364.1,",DLAYGO=364.1,DIC(0)="L",X=NUM D FILE^DICN K DD,DO I Y'>0 S NUM=0 L -^IBA(364.1,0) BATCHQ Q NUM ;