IBCSCH ;ALB/MJB - MCCR HELP ROUTINE ;03 JUN 88 15:25 ;;2.0;INTEGRATED BILLING;**52,80,106,124,138,51,148,137,161,245,232,287,348,349,374**;21-MAR-94;Build 16 ;;Per VHA Directive 2004-038, this routine should not be modified. ; ;MAP TO DGCRSCH ; N I,C,IBSCNNZ,IBQ,IBPRNT,Z S IBSCNNZ=$$UP^XLFSTR($G(IBSCNN)),IBQ=0 I '$D(IBPAR) D Q:IBQ . I $F(".?1500.?HCFA.","."_$G(IBSCNNZ)_"."),$$FT^IBCEF(IBIFN)=2 S IBQ=1,IBPRNT=2 D BL24(IBIFN,0) Q . I $G(IBSCNNZ)="?SC" S IBQ=1 D DISPSC(IBIFN) Q . I $G(IBSCNNZ)="?INS" S IBQ=1 D INSDSPL(IBIFN) Q . I $G(IBSCNNZ)="?INX" S IBQ=1 D INSDSPLX(IBIFN) Q . I $G(IBSCNNZ)="?PRV" S IBQ=1 D DISPROPT(IBIFN) Q . I $G(IBSCNNZ)="?CHG" S IBQ=1 D DISPCHG^IBCRBH1(IBIFN) Q . I $G(IBSCNNZ)="?PRC" S IBQ=1 D DISPPRC^IBCSCH1(IBIFN) Q . I $G(IBSCNNZ)="?CPT" S IBQ=1 D BCPTCHG^IBCRBH2(IBIFN) Q . I $G(IBSCNNZ)="?INC" S IBQ=1 D EDIT^IBCBB(IBIFN) Q . I $G(IBSCNNZ)="?CLA",$$CK0^IBCIUT1() S IBQ=1 D CLA^IBCISC(IBIFN) Q . I $G(IBSCNNZ)="?MRA",$$MCRONBIL^IBEFUNC(IBIFN),$T(SCR^IBCEMVU)'="" S IBQ=1 D SCR^IBCEMVU(IBIFN) Q . I $G(IBSCNNZ)="?ID" S IBQ=1 D DISPID^IBCEF74(IBIFN) Q . Q ; S IBH("HELP")="" D ^IBCSCU,H^IBCSCU K IBH("HELP") W !,"Enter '^' to stop the display ",$S(IBV:"",1:"and edit "),"of data," W:'$D(IBPAR) " '^N' to jump to screen #N (see",!,"listing below), to continue on to the next available screen" I IBV W "." G M W " or enter",!,"the field group number(s) you wish to edit using commas and dashes as",!,"delimiters. Those groups enclosed in brackets ""[]"" are editable while those" W !,"enclosed in arrows ""<>"" are not." G:$D(IBPAR) M1 M W " Special help screens:" W !,?5,"Enter '?SC' to view SC Status and Rated Disabilities." W !,?5,"Enter '?INS' to view the patients insurance policies." W !,?5,"Enter '?INX' to view the patients insurance policies with comments." W !,?5,"Enter '?PRV' to view provider specific information." W !,?5,"Enter '?PRC' to view all procedures on the bill and related data." W !,?5,"Enter '?CHG' to view all items on the bill with potential charges." W !,?5,"Enter '?CPT' to view all charges for selected CPT codes and bill type." I $$FT^IBCEF(IBIFN)=2 W !,?5,"Enter '?1500' to view how block 24 will print on a CMS-1500." W !,?5,"Enter '?INC' to execute the edits & view the bill inconsistencies." I $$CK0^IBCIUT1() W !?5,"Enter '?CLA' to view the ClaimsManager options." I $$MCRONBIL^IBEFUNC(IBIFN) W !?5,"Enter '?MRA' to view Medicare Remittance Advice EOB's on file." W !,?5,"Enter '?ID' to view all IDs to be electronically transmitted on this claim." ; I +IBSR'=9 S Z="DATA GROUPS ON SCREEN "_+IBSR W ! X IBWW D @(IBSR1_IBSR) D W D S W ! F I=$Y:1:20 W ! S Z="PRESS KEY" X IBWW W " to RETURN to SCREEN ",+IBSR R X:DTIME Q M1 N I,Z S Z="DATA GROUPS ON PARAMETER SCREEN" W !! X IBWW D @(IBSR1_IBSR) D W W ! F I=$Y:1:20 W ! S Z="PRESS KEY" X IBWW W " to RETURN to PARAMETER SCREEN" R X:DTIME Q 1 S X="DOB^Alias Name^Sex, Marital Status^Veteran Status, Eligibility^Address, Temporary Address^SC at Time of Care" Q 2 S X="Patient Employer Name, Address^Spouse Employer Name, Address" Q 3 S X="Payer Information^Provider Numbers^Mailing Address" Q 4 S X="Admission Information^Discharge Information^Diagnosis Code(s)^Coding Method, Inpt Proc Code(s)^Occurrence Code(s)^Condition Code(s)^Value Code(s)" Q 5 S X="Event Date^Outpatient Diagnosis^Outpatient Visits^Coding Method, Opt. Pro. Code(s)^Occurrence Code(s)^Condition Code(s)" Q 6 S X="Bill Type, Covered/Non-Covered Days^R.O.I., Assignment of Benefits^Statement Covers Period^Bedsection, Length of Stay^Revenue Code(s), Offset, Total^Rate Schedule(s)^Prior Payments/Claims" Q 7 S X="Bill Type, Covered/Non-Covered Days^R.O.I., Assignment of Benefits^Statement Covers Period^Outpatient Visits^Revenue Code(s), Offset, Total^Rate Schedule(s)^Prior Payments/Claims" Q 8 S X="Bill Remark^Form Locator 2^Form Locator 9^Form Locator 27^Form Locator 45^Form Locator 92^Form Locator 93^Tx Auth. Code" Q 9 S X="Locally defined fields" Q 28 S X="Bill Remark, ICN/DCN's, Tx Auth. Code, Admit Diagnosis/Source ^Providers^Force to Print^Provider ID Maintenance^Other Facility (VA/non)" Q H8 S X="Period Unable to Work^Admit Dx, ICN/DCN, Tx/Prior Auth. Code^Providers^Non-VA Facility^Form Locator 19^Force to Print" Q PAR S X="Fed Tax #, BC/BS #, MAS Svc Pointer^Bill Signer, Billing Supervisor^Security Parameters, Outpatient CPT parameters ^Remarks, Mailgroups^Agent Cashier Address/Phone" Q S N C,I,Z,J W !! S Z="AVAILABLE SCREENS" X IBWW S X="Demographic^Employment^Payer^Inpatient Event^Outpatient Event^Inpatient Billing - General^Outpatient Billing - General^Billing - Specific^Locally Defined" S C=0 F I=1:1 S J=$P(X,"^",I) Q:J="" I '$E(IBVV,I) S C=C+1,Z="^"_I,IBW=(C#2) W:'(C#2) ?41 X IBWW S Z=$S(I?1N:" ",1:" ")_J_" Data" W Z Q W N I,J,Z F I=1:1 S J=$P(X,"^",I) Q:J="" S Z=I,IBW=(I#2) W:'(I#2) ?42 X IBWW W " "_J W:'(I-1)#2 ! Q Q ;IBCSCH ; ; BL24(IBIFN,IBNOSHOW) ; display block 24 of CMS-1500 ; IBNOSHOW = 1 for not to show error/warning text line N X,Y,DIR,IBPG,IBLN,IBCOL,IBX,IBQ,IBLC,IBLIN,IBPFORM,IBD,IBC1,Z,Z0,IBXDATA,IBXSAVE,IBNXPG K ^TMP("IBXSAVE",$J) S IBQ=0,IBLC=9 Q:'$G(IBIFN) K ^TMP("IBXDISP",$J) ; S IBLIN=$$BOX24D^IBCEF11() S IBPFORM=$S($P($G(^IBE(353,2,2)),U,8):$P(^(2),U,8),1:2) S IBX=$$BILLN^IBCEFG0(0,"1^99",IBLIN,+IBIFN,IBPFORM) ; W @IOF,!,"Example of diagnoses, procedures and charges printing on the CMS-1500" W !,"--------------------------------------------------------------------------------" ; ; box 19 - lines 36-37 F Z=+IBLIN,IBLIN+1 I $D(^TMP("IBXDISP",$J,1,Z)) S Z0=$G(^TMP("IBXDISP",$J,1,Z,+$O(^TMP("IBXDISP",$J,1,Z,20),-1))) I Z0'="" S:Z=+IBLIN Z0="BOX 19 DATA: "_Z0 W !,Z0 ; ; box 21 - lines 39-41 W !,"21. diagnosis" I $D(^TMP("IBXDISP",$J,2,IBLIN+3)) W ?16,"(1st 4 only)" W !,?5,"1. ",$G(^TMP("IBXDISP",$J,1,IBLIN+3,3)),?25,"3. ",$G(^TMP("IBXDISP",$J,1,IBLIN+3,30)) W !,?5,"2. ",$G(^TMP("IBXDISP",$J,1,IBLIN+5,3)),?25,"4. ",$G(^TMP("IBXDISP",$J,1,IBLIN+5,30)) ; ; box 24 - lines 44-55 D PG S IBPG=0 F S IBPG=$O(^TMP("IBXDISP",$J,IBPG)) Q:'IBPG D Q:IBQ . I '$D(^TMP("IBXDISP",$J,IBPG,IBLIN+9)) Q ; no line's on this page . F IBLN=IBLIN+8:1:+$P(IBLIN,U,2) S IBCOL=$O(^TMP("IBXDISP",$J,IBPG,IBLN,0)) Q:'IBCOL&'$O(^TMP("IBXDISP",$J,IBPG,IBLN)) S IBLC=IBLC+1 I IBCOL D Q:IBQ .. S IBCOL=0,IBC1=1 F S IBCOL=$O(^TMP("IBXDISP",$J,IBPG,IBLN,IBCOL)) Q:'IBCOL I $TR($G(^(IBCOL))," ")'="" D ... W:IBC1 ! S IBC1=0 W ?(IBCOL-1),$G(^TMP("IBXDISP",$J,IBPG,IBLN,IBCOL)) . S IBNXPG=$O(^TMP("IBXDISP",$J,IBPG)) ; next page . I 'IBQ,IBNXPG,$D(^TMP("IBXDISP",$J,IBNXPG,IBLIN+9)) S IBLIN=$$BOX24D^IBCEF11(),IBQ=$$PAUSE^IBCSCH1(IBLC) Q:IBQ S IBLC=9 W @IOF D PG . Q ; W !,"--------------------------------------------------------------------------------" I 'IBPG,'IBQ S IBQ=$$PAUSE^IBCSCH1(IBLC) K ^TMP("IBXDISP",$J),^TMP("IBXSAVE",$J) Q ; PG ; Display box 24 letters at top of charge list W !,"24. A B C D E F G H I J" W !,"--------------------------------------------------------------------------------" Q ; INSDSPL(IBIFN) ; Display patient's policies N DIR,X,Y,IBX,DFN,IBDTIN,IBCOVEXT W @IOF S IBX=$G(^DGCR(399,+$G(IBIFN),0)),DFN=$P(IBX,U,2),IBDTIN=$P(IBX,U,3),IBCOVEXT=1 I +DFN D DISPDT^IBCNS W ! S DIR("A")="Press RETURN to continue",DIR(0)="E" D ^DIR K DIR Q ; INSDSPLX(IBIFN) ; Display patient's policies extended (?INX) N IBX,DFN,IBDATE S IBX=$G(^DGCR(399,+$G(IBIFN),0)),DFN=$P(IBX,U,2),IBDATE=$P(IBX,U,3) D DISP^IBCNS3(DFN,IBDATE,123) Q ; DISPSC(IBIFN) ; display patients SC Status and Rated Disabilities N IB0,DFN,IBSC,IBX,VAEL,VAERR S IB0=$G(^DGCR(399,+$G(IBIFN),0)),DFN=$P(IB0,U,2),IBSC=$P(IB0,U,18) W !,@IOF,!,"SC Status and Rated Disabilities for ",$P($G(^DPT(+$G(DFN),0)),U,1) W !,"--------------------------------------------------------------------------------",! I +$G(IBIFN) W !," SC At Time Of Care: ",$S(IBSC=1:"Yes",IBSC=0:"No",1:"") I +$G(DFN) D ELIG^VADPT D DIS^DGRPDB W !!,"--------------------------------------------------------------------------------" S IBX=$$PAUSE^IBCSCH1(19) Q ; DISPROPT(IBIFN) ; prompt for VA or Non-VA provider. N X,Y,DIR S DIR(0)="SAO^V:VA PROVIDER;N:NON-VA PROVIDER",DIR("A")="(V)A or (N)on-VA Provider: ",DIR("B")="V" D ^DIR I Y="V" D DISPPRV^IBCSCH2(IBIFN) Q I Y="N" D DISPNVA^IBCSCH2(IBIFN) Q ;