IBCRBH1 ;ALB/ARH - RATES: BILL HELP DISPLAYS - CHARGES ; 10-OCT-1998 ;;2.0;INTEGRATED BILLING;**106,245**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; DISPCHG(IBIFN) ; display a bills items and their charges, display only, does not change the charges on the bill ; D BILL(IBIFN,1),SORTCI(IBIFN),DSPCHRG(1) ; display auto add charges K ^TMP($J,"IBCRCC"),^TMP($J,"IBCRCSX"),^TMP($J,"IBCRCSXR"),^TMP($J,"IBCRCSXN") D BILL(IBIFN,""),SORTCI(IBIFN),DSPCHRG("") ; display non-auto add charges K ^TMP($J,"IBCRCC"),^TMP($J,"IBCRCSX"),^TMP($J,"IBCRCSXR"),^TMP($J,"IBCRCSXN") D NOTES(IBIFN,1) Q ; BILL(IBIFN,IBAA,IBRSARR) ; given a bill number calculate charges using schedules that match the auto add flag ; if IBRSARR is defined it will be used to create charges rather than the standard set for the bills Rate Type ; Output: ^TMP($J,"IBCRCC" - same as would be calculated if the charges were being added to bill ; N IB0,IBU,IBBRT,IBBTYPE,IBCTYPE,IBRS,IBCS,IBBEVNT Q:'$G(IBIFN) K ^TMP($J,"IBCRCC") ; S IB0=$G(^DGCR(399,+IBIFN,0)) Q:IB0="" S IBU=$G(^DGCR(399,+IBIFN,"U")) Q:'IBU S IBBRT=+$P(IB0,U,7),IBBTYPE=$S($P(IB0,U,5)<3:1,1:3),IBCTYPE=+$P(IB0,U,27) ; ; get standard set of all rate schedules and charge sets available for the bill I '$D(IBRSARR) D RT^IBCRU3(IBBRT,IBBTYPE,$P(IBU,U,1,2),.IBRSARR,"",IBCTYPE) I 'IBRSARR G END ; ; process charge sets - set all charges for the bill into array S IBRS=0 F S IBRS=$O(IBRSARR(IBRS)) Q:'IBRS D . S IBCS=0 F S IBCS=$O(IBRSARR(IBRS,IBCS)) Q:'IBCS I IBRSARR(IBRS,IBCS)=IBAA D .. S IBBEVNT=+$P($G(^IBE(363.1,+IBCS,0)),U,3) Q:'IBBEVNT S IBBEVNT=$$EMUTL^IBCRU1(IBBEVNT) Q:IBBEVNT="" .. ; .. I IBBEVNT["INPATIENT BEDSECTION STAY" D INPTBS^IBCRBC1(IBIFN,IBRS,IBCS) .. I IBBEVNT["INPATIENT DRG" D INPTDRG^IBCRBC11(IBIFN,IBRS,IBCS) .. I IBBEVNT["OUTPATIENT VISIT DATE" D OPTVST^IBCRBC1(IBIFN,IBRS,IBCS) .. I IBBEVNT["PRESCRIPTION" D RX^IBCRBC1(IBIFN,IBRS,IBCS) .. I IBBEVNT["PROSTHETICS" D PI^IBCRBC1(IBIFN,IBRS,IBCS) .. I IBBEVNT["PROCEDURE" D CPT^IBCRBC1(IBIFN,IBRS,IBCS) ; I '$D(^TMP($J,"IBCRCC")) G END ; D MULTCPT^IBCRBCA1 D PSB^IBCRBCA2 D MODADJ^IBCRBCA3 ; END Q ; ; SORTCI(IBIFN) ; process charge array - create new array in sorted order with items combined, if possible ; if bs, rv cd, charge, cpt, div, item type, item ptr and component all match then charge is combined ; Input: TMP($J,"IBCRCC",X) = ... (from IBCRBC2) ; Output: TMP($J,"IBCRCSX",X) = ; RV CD ^ BS ^ CHG ^ UNITS ^ CPT ^ DIV ^ ITM TYPE ^ ITM PTR ^ CHRG CMPNT ^ CHRG SET ^ EVNT DT ^ ITM NAME ; TMP($J,"IBCRCSX",X,"CC",Y) = charge adjustment messages ; TMP($J,"IBCRCSXR",BS,RV CD,X) = "" ; TMP($J,"IBCRCSXN",DATE,ITEM NAME,X) = "" ; N IBI,IBLN,IBRVCD,IBBS,IBCHG,IBUNITS,IBCPT,IBDV,IBIT,IBIP,IBCMPT,IBCS,IBDT,IBNM,IBTUNITS,IBK,IBJ,IBX,IBY K ^TMP($J,"IBCRCSX"),^TMP($J,"IBCRCSXR"),^TMP($J,"IBCRCSXN") ; S IBI=0 F S IBI=$O(^TMP($J,"IBCRCC",IBI)) Q:'IBI D . ; . S IBLN=^TMP($J,"IBCRCC",IBI) . S IBRVCD=$P(IBLN,U,6),IBBS=$P(IBLN,U,7),IBCHG=+$FN($P(IBLN,U,12),"",2),IBUNITS=$P(IBLN,U,13) . S IBCPT=$P(IBLN,U,14),IBDV=$P(IBLN,U,15),IBIT=$P(IBLN,U,16),IBIP=$P(IBLN,U,17),IBCMPT=$P(IBLN,U,18) . S IBCS=$P(IBLN,U,2),IBDT=$P(IBLN,U,8),IBNM=$$ITMNM($G(IBIFN),IBBS,IBIT,IBIP,IBCPT) . ; . ; combine like charges, unless there are comments . S (IBTUNITS,IBK,IBJ)=0 F S IBJ=$O(^TMP($J,"IBCRCSXR",+IBBS,+IBRVCD,IBJ)) Q:'IBJ S IBK=IBJ D Q:+IBTUNITS .. I $D(^TMP($J,"IBCRCC",IBI,"CC")) Q .. S IBX=$G(^TMP($J,"IBCRCSX",IBJ)) .. I IBCHG=$P(IBX,U,3),IBCPT=$P(IBX,U,5),IBDV=$P(IBX,U,6),IBIT=$P(IBX,U,7),IBIP=$P(IBX,U,8),IBCMPT=$P(IBX,U,9) D ... S IBTUNITS=$P(IBX,U,4),IBDT=$P(IBX,U,11) . ; . I 'IBTUNITS S IBK=IBI ; no combination, new line item charge . S IBTUNITS=IBTUNITS+IBUNITS . ; . S ^TMP($J,"IBCRCSXR",+IBBS,+IBRVCD,IBK)="" . S ^TMP($J,"IBCRCSXN",IBDT_" ",IBNM_" ",IBK)="" . S ^TMP($J,"IBCRCSX",IBK)=IBRVCD_U_+IBBS_U_IBCHG_U_IBTUNITS_U_IBCPT_U_IBDV_U_IBIT_U_IBIP_U_IBCMPT_U_IBCS_U_IBDT_U_IBNM . S IBY=0 F S IBY=$O(^TMP($J,"IBCRCC",IBI,"CC",IBY)) Q:'IBY S ^TMP($J,"IBCRCSX",IBK,"CC",IBY)=^TMP($J,"IBCRCC",IBI,"CC",IBY) Q ; DSPCHRG(AA) ; display charges ; Input: TMP($J,"IBCRCSx",...) = ... (from SORTCI) ; N IBX,IBI,IBJ,IBK,IBLN,IBCNT,IBRVCD,IBCHG,IBUNITS,IBDV,IBCMPT,IBCS,IBDT,IBNM,IBTOTAL,IBQUIT,IBY S (IBTOTAL,IBQUIT)=0 ; D DSPHDR(AA) S IBCNT=4 ; S IBI="" F S IBI=$O(^TMP($J,"IBCRCSXN",IBI)) Q:IBI="" D Q:IBQUIT . S IBJ="" F S IBJ=$O(^TMP($J,"IBCRCSXN",IBI,IBJ)) Q:IBJ="" D Q:IBQUIT .. S IBK=0 F S IBK=$O(^TMP($J,"IBCRCSXN",IBI,IBJ,IBK)) Q:'IBK D Q:IBQUIT ... S IBLN=$G(^TMP($J,"IBCRCSX",IBK)) Q:IBLN="" ... ; ... ; add charges to RC multiple ... S IBRVCD=$P(IBLN,U,1),IBCHG=$P(IBLN,U,3),IBUNITS=$P(IBLN,U,4),IBDV=$P(IBLN,U,6) ... S IBCMPT=$P(IBLN,U,9),IBCS=$P(IBLN,U,10),IBDT=$P(IBLN,U,11),IBNM=$P(IBLN,U,12) ... S IBTOTAL=IBTOTAL+(IBCHG*IBUNITS),IBCNT=IBCNT+1 ... ; ... S IBX=IBRVCD_U_IBCHG_U_IBUNITS_U_IBCMPT_U_IBCS_U_IBDT_U_IBDV_U_IBNM D DSPLN(IBX) ... ; ... S IBY=0 F S IBY=$O(^TMP($J,"IBCRCSX",IBK,"CC",IBY)) Q:'IBY D .... S IBX=$G(^TMP($J,"IBCRCSX",IBK,"CC",IBY)) I IBX'="" D DISPLNC(IBX) S IBCNT=IBCNT+1 ... I $O(^TMP($J,"IBCRCSX",IBK,"CC",0)) D DISPLNC("") S IBCNT=IBCNT+1 ... ; ... I IBCNT>20 S IBQUIT=$$PAUSE(IBCNT) Q:IBQUIT D DSPHDR(AA) S IBCNT=4 ; I +IBTOTAL W !,?72,"--------",!,?70,$J(IBTOTAL,10,2) S IBCNT=IBCNT+2 I 'IBQUIT S IBQUIT=$$PAUSE(IBCNT) Q ; DSPHDR(AA) ; W @IOF,!,"Items and Charges on this Bill ("_$S('AA:"NOT ",1:"")_"Auto Add)" W !,"Item",?18,"Date",?28,"Charge Set",?40,"Div",?47,"Type",?52,"RvCd",?57,"Units",?64,"Charge",?75,"Total" W !,"--------------------------------------------------------------------------------" Q ; DSPLN(LN) ; N CS,DIV,CMP,RVCD,ITM,CHG,UNIT S LN=$G(LN) S CS=$P(LN,U,5) I +CS S CS=$P($G(^IBE(363.1,+$P(LN,U,5),0)),U,1) S DIV=$P($G(^DG(40.8,+$P(LN,U,7),0)),U,2) S CMP=$S($P(LN,U,4)=1:"INST",$P(LN,U,4)=2:"PROF",1:"") S RVCD=$P($G(^DGCR(399.2,+LN,0)),U,1) S ITM=$P(LN,U,8),CHG=+$P(LN,U,2),UNIT=$P(LN,U,3) W !,$E(ITM,1,15),?18,$$DATE($P(LN,U,6)),?28,$E(CS,1,7),?40,DIV,?47,CMP,?52,RVCD,?57,$J(UNIT,3),?62,$J(CHG,8,2),?71,$J((UNIT*CHG),9,2) Q ; DISPLNC(LN) ; display charge adjustment commenmts W !,?18,$G(LN) Q ; DATE(X) ; S X=$G(X),X=$E(X,4,5)_"/"_$E(X,6,7)_"/"_$E(X,2,3) Q X ; PAUSE(CNT) ; N IBI F IBI=CNT:1:22 W ! N DIR,DUOUT,DTOUT,DIRUT,IBX,X,Y S IBX=0,DIR(0)="E" D ^DIR K DIR I $D(DIRUT) S IBX=1 Q IBX ; ITMNM(IBIFN,IBBS,IBIT,IBIP,IBCPT) ; return external form of the item name N ITM S ITM="",IBBS=$G(IBBS),IBIT=$G(IBIT),IBIP=$G(IBIP),IBCPT=$G(IBCPT) I +IBIP S ITM=$$NAME^IBCSC61(IBIT,IBIP) I ITM="",+IBIT=4,+$G(IBIFN) S ITM=$$CPTNM(IBIFN,IBIT,IBIP) I ITM="",+IBCPT S ITM=$P($$CPT^ICPTCOD(+IBCPT,DT),U,2) I ITM="" S ITM=$$EMUTL^IBCRU1(IBBS) Q ITM ; CPTNM(IBIFN,TYPE,ITEM) ; retrurn external name of the charge item if it is a CPT item (type=399,42,.1) N IBX,NAME S IBX=0,NAME="" I +$G(TYPE)=4 S IBX=$G(^DGCR(399,+$G(IBIFN),"CP",+$G(ITEM),0)) I +IBX S NAME=$P($$CPT^ICPTCOD(+$P(IBX,U,1),DT),U,2) I +IBX S IBX=$$GETMOD^IBEFUNC(+$G(IBIFN),+$G(ITEM),1) I IBX'="" S NAME=NAME_"-"_IBX Q NAME ; ; ; ; NOTES(IBIFN,PAUSE) ; compile and print charge notes for a bill ; ; Current Checks are for those Treating Specialties that should not be billed using DRG: ; - Inpatient Institutional Reasonable Charges bill contains SNF Treating Specialty ; - Inpatient Institutional Reasonable Charges bill contains Observation Treating Specialty ; I $D(ZTQUEUED)!(+$G(IBAUTO)) Q N IB0,IBU,PTF,BEG,END,IBMVLN,IBENDDT,IBMDRG,IBFND,IBMSG,IBX S IBFND=0 K ^TMP($J,"IBCRC-PTF") S IB0=$G(^DGCR(399,+$G(IBIFN),0)) Q:IB0="" S IBU=$G(^DGCR(399,+$G(IBIFN),"U")) Q:'IBU ; I '$$BILLRATE^IBCRU3($P(IB0,U,7),$P(IB0,U,5),$P(IB0,U,3),"RC") Q ; not Reasonable Charges bill ; ; Outpatient Freestanding bill: display message if this is a non-provider based freestanding bill I $P(IB0,U,5)=3,$P(IB0,U,3)'<$$VERSDT^IBCRU8(2),$P($$RCDV^IBCRU8(+$P(IB0,U,22)),U,3)=3 D . S IBFND=IBFND+1,IBX=">>> Bill Division is Freestanding Non-Provider with Professional Charges only.",IBMSG(IBFND)=IBX ; ; Inpatient Institutional bill: check for treating specialties that should not be billed by DRG I +$P(IB0,U,8),$P(IB0,U,5)<3,$P(IB0,U,27)<2 D . ; . S PTF=+$P(IB0,U,8),BEG=+$P(IBU,U,1)\1,END=$S(+$P(IBU,U,2):+$P(IBU,U,2)\1,1:DT) . ; . D PTF^IBCRBG(PTF) . ; . S IBENDDT=BEG F S IBENDDT=$O(^TMP($J,"IBCRC-PTF",IBENDDT)) Q:'IBENDDT D I IBENDDT>END Q .. I (IBENDDT\1)=BEG,BEG'=END Q .. ; .. S IBMVLN=$G(^TMP($J,"IBCRC-PTF",IBENDDT)),IBMVLN=+$P(IBMVLN,U,6) Q:'IBMVLN .. S IBMDRG=$$NODRG^IBCRBG2(IBMVLN) Q:'IBMDRG .. ; .. S IBFND=IBFND+1,IBX=">>> "_$P(IBMDRG,U,2)_" ("_$$FMTE^XLFDT(IBENDDT,2)_") not billed using DRG" .. S:IBMDRG["Nursing" IBX=IBX_", use SNF." S:IBMDRG["Observa" IBX=IBX_", use Procedures." .. S IBMSG(IBFND)=$G(IBX) ; I +IBFND D I +$G(PAUSE) S IBFND=$$PAUSE(21) . W ! S IBX="" F S IBX=$O(IBMSG(IBX)) Q:IBX="" W !,IBMSG(IBX) K ^TMP($J,"IBCRC-PTF") Q