IBCRHBC3 ;ALB/ARH - RATES: UPLOAD HOST FILES (CMAC 2005+) ; 10-MAY-2005 ;;2.0;INTEGRATED BILLING;**307,329**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ; ROUTINE SPECIFIC FOR FORMAT OF YEAR 2005+ CMAC FILES ; CMAC(IBPATH,IBFILE,IBNAME,IBMODP,IBMODT) ; upload CMAC file from a VMS file into ^XTMP N X,Y,IBI,IBXRF,IBDONE,IBXRF1,IBXRF2,IBFLINE,IBINACT,IBMOD,IBCHG N IBLOC,IBCPT,IBNFP,IBFP,IBNFNP,IBFNP,IBEFDT,IBTRDT,IBPPC,IBPTC,IBNPPC,IBNPTC ; D SETUP(IBFILE,IBNAME) ; S IBXRF=IBNAME_IBFILE,IBLOC="",IBDONE="" ; D OPEN^%ZISH("CMAC UPLOAD",IBPATH,IBFILE,"R") I POP W !!,"**** Unable to open ",IBPATH,IBFILE,! G CMACQ ; U IO(0) W !!,"Loading ",IBFILE," into ^XTMP " ; S IBI=0 F S IBI=IBI+1 U IO R IBFLINE:5 Q:$$ENDF D PARSE,STORE I '(IBI#100) U IO(0) W "." ; D CLOSE^%ZISH("CMAC UPLOAD") ; S IBDONE=(IBI-1)_U_IBXRF ; CMACQ Q IBDONE ; ENDF() N IBX S IBX=1 I $T,IBFLINE'="" S IBX=0 I $$STATUS^%ZISH S IBX=1 I 'IBX,'$$LNFORM(IBFLINE) D . U IO(0) . W !!,"**** Error while reading file: line not expected format (98 numeric characters):" . W !!,"Line Length=",$L(IBFLINE)," characters" W:IBFLINE="" ?40,"Line read is null" . W !,"LINE='",IBFLINE,"'",!!,"Upload Aborted!" . S IBX=1 H 7 U IO I IBI=1,IBFLINE="" U IO(0) W !!,"First line of file has no data, can not continue!" S IBX=1 H 7 U IO Q IBX ; LNFORM(LINE) ; check an individual line of the file for proper format (length=98 characters) N IBX S IBX=0,LINE=$G(LINE) I (LINE?98N)!(LINE?3N5AN90N) S IBX=1 Q IBX ; PARSE ; process a single line from a CMAC file: parse out into individual fields and store the line in XTMP ; S IBLOC=$E(IBFLINE,1,3) ; locality S IBCPT=$E(IBFLINE,4,8) ; CPT procedure S IBNFP=$E(IBFLINE,9,16) ; category 2 Non-Facility Physician charge S IBFP=$E(IBFLINE,17,24) ; category 1 Facility Physician charge S IBNFNP=$E(IBFLINE,25,32) ; category 4 Non-Facility Non-Physician charge S IBFNP=$E(IBFLINE,33,40) ; category 3 Facility Non-Physician charge S IBEFDT=$E(IBFLINE,41,48) ; effective date S IBTRDT=$E(IBFLINE,57,64) ; termination date S IBPPC=$E(IBFLINE,65,72) ; Physician professional component S IBPTC=$E(IBFLINE,73,80) ; Physician technical component S IBNPPC=$E(IBFLINE,81,88) ; Non-Physician professional component S IBNPTC=$E(IBFLINE,89,96) ; Non-Physician technical component Q ; STORE ; S IBXRF1=IBXRF_" "_IBLOC ; S IBMOD="",IBEFDT=$$DATE(IBEFDT),IBINACT="" I IBTRDT'=99999999,+IBTRDT S IBINACT=$$DATE(IBTRDT) ; I +IBFP S IBCHG=$$CGF(IBFP),IBMOD="" S IBXRF2="FAC/PHYS CAT 1" D SET I +IBFNP S IBCHG=$$CGF(IBFNP),IBMOD="" S IBXRF2="FAC/NONPHYS CAT 3" D SET ; I +IBNFP S IBCHG=$$CGF(IBNFP),IBMOD="" S IBXRF2="NONFAC/PHYS CAT 2" D SET I +IBNFNP S IBCHG=$$CGF(IBNFNP),IBMOD="" S IBXRF2="NONFAC/NONPHYS CAT 4" D SET ; I +IBMODP,+IBPPC S IBCHG=$$CGF(IBPPC),IBMOD=IBMODP S IBXRF2="FAC/PHYS PC" D SET S IBXRF2="NON"_IBXRF2 D SET I +IBMODT,+IBPTC S IBCHG=$$CGF(IBPTC),IBMOD=IBMODT S IBXRF2="FAC/PHYS TC" D SET S IBXRF2="NON"_IBXRF2 D SET ; I +IBMODP,+IBNPPC S IBCHG=$$CGF(IBNPPC),IBMOD=IBMODP S IBXRF2="FAC/NONPHYS PC" D SET S IBXRF2="NON"_IBXRF2 D SET I +IBMODT,+IBNPTC S IBCHG=$$CGF(IBNPTC),IBMOD=IBMODT S IBXRF2="FAC/NONPHYS TC" D SET S IBXRF2="NON"_IBXRF2 D SET ; Q ; CGF(AMT) ; return charge string from file line in dollar format Q +($E(AMT,1,6)_"."_$E(AMT,7,8)) ; SET ; N IBX S IBX=$G(^XTMP(IBXRF1,0)) I IBX="" D SETHDR S $P(^XTMP(IBXRF1,0),U,4)=+$P(IBX,U,4)+1 S $P(^XTMP(IBXRF1,IBXRF2),U,1)=+$G(^XTMP(IBXRF1,IBXRF2))+1 S ^XTMP(IBXRF1,IBXRF2,IBI)=IBCPT_U_IBEFDT_U_IBINACT_U_+IBCHG_U_IBMOD Q ; SETHDR ; N IBX S IBX="IB upload of Host file "_IBFILE_", on "_$$HTE^XLFDT($H,2)_" by "_$P($G(^VA(200,+$G(DUZ),0)),U,1) S ^XTMP(IBXRF1,0)=$$FMADD^XLFDT(DT,2)_U_DT_U_IBX ; S ^XTMP(IBXRF1,IBXRF2)=0_U_2_U_$G(IBCS) Q ; ; DATE(DATE) ; return yymmdd in FM format N IBX S IBX="" I $G(DATE)?8N S IBX=$S($E(DATE,1,2)<20:"2",1:"3")_$E(DATE,3,8) Q IBX ; ; LNDT(LINE) ; return the date of an individual line, in FM format N IBX S IBX=$E($G(LINE),41,48) S IBX=$$DATE(IBX) Q IBX ; ; ; SETUP(IBFILE,IBNAME) ; set up Charge Sets, Billing Regions, Rate Schedule links for new charges ; if new region entered, asks user for divisions N IBLOC,IBXRF1,IBXRF2,IBEVENT,IBCT,IBBS,IBRV,IBRG,IBCS ; S IBLOC=$P($P($G(IBFILE),"CMAC",2),".",1),IBXRF1=$G(IBNAME)_IBFILE_" "_IBLOC S IBEVENT="PROCEDURE",IBCT="PROF",IBBS="OUTPATIENT VISIT",IBRV=510 ; ; ; Find/Create Billing Region S IBRG=$$RG^IBCRHU2("CMAC "_IBLOC,,IBLOC) ; ; ; Category 1 Facility Physician Charges S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" FAC/PHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS) D RSBR^IBCRHU2(IBCS,1,$G(IBGLBEFF)) F IBXRF2="FAC/PHYS CAT 1","FAC/PHYS PC","FAC/PHYS TC" D SETHDR ; ; ; Category 3 Facility Non-Physician Charges S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" FAC/NONPHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS) D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF)) F IBXRF2="FAC/NONPHYS CAT 3","FAC/NONPHYS PC","FAC/NONPHYS TC" D SETHDR ; ; ; Category 2 Non-Facility Physician Charges S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" NONFAC/PHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS) D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF)) F IBXRF2="NONFAC/PHYS CAT 2","NONFAC/PHYS PC","NONFAC/PHYS TC" D SETHDR ; ; ; Category 4 Non-Facility Non-Physician Charges S IBCS=$$CS^IBCRHU2("CMAC "_IBLOC_" NONFAC/NONPHYS","CMAC",IBEVENT,$P(IBRG,U,2),IBCT,IBRV,IBBS) D RSBR^IBCRHU2(IBCS,0,$G(IBGLBEFF)) F IBXRF2="NONFAC/NONPHYS CAT 4","NONFAC/NONPHYS PC","NONFAC/NONPHYS TC" D SETHDR ; ; ; get divisions added to new Billing Region I +$P(IBRG,U,3) D GETDIV^IBCRHU2(+IBRG) Q