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Last change
on this file since 628 was 628, checked in by George Lilly, 14 years ago |
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initial load of FOIAVistA 6/30/08 version
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File size:
782 bytes
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| 1 | IBCEMU4 ;ALB/ESG - MRA UTILITIES ;25-OCT-2004
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| 2 | ;;2.0;INTEGRATED BILLING;**288**;21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | ;
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| 5 | Q
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| 6 | ;
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| 7 | DENDUP(IBEOB) ; Denied for Duplicate Function
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| 8 | ; Function returns true if MRA is Denied AND Reason code 18 is present (Duplicate claim/service)
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| 9 | NEW IBX,IBM,LINE,DUP,ADJ
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| 10 | S IBX=0,IBM=$G(^IBM(361.1,+$G(IBEOB),0))
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| 11 | I $P(IBM,U,4)'=1 G DENDUPX ; not an MRA
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| 12 | I $P(IBM,U,13)'=2 G DENDUPX ; not Denied
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| 13 | ;
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| 14 | ; check line item adjustments for reason code 18
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| 15 | S LINE=0,DUP=0
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| 16 | F S LINE=$O(^IBM(361.1,IBEOB,15,LINE)) Q:'LINE D Q:DUP
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| 17 | . S ADJ=0
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| 18 | . F S ADJ=$O(^IBM(361.1,IBEOB,15,LINE,1,ADJ)) Q:'ADJ D Q:DUP
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| 19 | .. I $D(^IBM(361.1,IBEOB,15,LINE,1,ADJ,1,"B",18)) S DUP=1 Q
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| 20 | .. Q
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| 21 | . Q
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| 22 | ;
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| 23 | I DUP S IBX=1
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| 24 | DENDUPX ;
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| 25 | Q IBX
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| 26 | ;
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