IBECEA21 ;ALB/CPM-Cancel/Edit/Add... Edit Prompts;19-APR-93 ;;2.0;INTEGRATED BILLING;**7,57,167,183,202,312**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ; Issue appropriate prompts for each charge type. If the charge ; being edited has not been billed, handle that charge before ; returning to IBECEA2. ; N IBSTOPDA,IBTYPE,IBGMT N IBSWINFO S IBSWINFO=$$SWSTAT^IBBAPI() ;IB*2.0*312 S IBGMT=0 ; ; Handle Outpatient Charges I IBXA=4 D G END .S (IBFR,IBTO,IBDT)=$P(IBND,"^",14),IBUNIT=IBUNITP .W !,"Re-calculating the OPT copay charge for ",$$DAT1^IBOUTL(IBFR)," ..." .; .; need to look up stop info to populate IBTYPE *167 .S IBSTOPDA=$S($P($P(IBND,"^",4),":")=350:$P(IBND,"^",20),1:$$GETSC^IBEMTSCU($P(IBND,"^",4),$P(IBND,"^",17))) .S IBTYPE=$S(IBSTOPDA>0:$P($G(^IBE(352.5,+$G(IBSTOPDA),0)),"^",3),1:1) .; .S IBX="O" D TYPE^IBAUTL2 Q:IBY<0 W " $",IBCHG .I 'IBH,IBCHG=IBCHGP W !,"This equals the billed amount - this charge cannot be edited." S IBY=-1 Q .I IBCHG=IBCHGP W !,"This charge is ready to be billed." D PASS^IBECEA22 S IBY=-1 Q .I IBH D UPCHG^IBECEA22(IBCHG) S IBY=-1 Q .S IBCRES=$O(^IBE(350.3,"B","MT CHARGE EDITED",0)) S:'IBCRES IBCRES=19 .W !!,"The original charge will be cancelled and re-billed for $",IBCHG,"." ; ; Handle Pharmacy Copay Charges I IBXA=5 D G END .D UNIT^IBECEAU2(IBUNITP) Q:IBY<0 .I 'IBH,IBUNIT=IBUNITP W !!,"No change was made!" S IBY=-1 Q .I IBH D UPCHG^IBECEA22(IBCHG,IBUNIT) S IBY=-1 Q .W !!,"The original charge will be cancelled and re-billed for $",$J(IBCHG,"",2),"." ; ; Handle all Inpatient Charges S IBFRP=+$P(IBND,"^",14),IBTOP=+$P(IBND,"^",15),IBLIM=$S(IBXA=3:DT,1:$$FMADD^XLFDT(DT,-1)) S IBGMT=$$ISGMTPT^IBAGMT(DFN,IBFRP) ;Check GMT Copayment Status D CLSTR^IBECEAU1(DFN,IBFRP) I 'IBCLDA W !!,"I cannot find a billing clock that was effective on ",$$DAT1^IBOUTL(IBFRP),"!",!,"Please adjust this patient's billing clocks before editing this charge." S IBY=-1 Q D CLDATA^IBAUTL3,DED^IBAUTL3 G:IBY<0 END ;For GMT Patients reduce Medicare Deductible to 20% I IBGMT>0 S IBMED=$$REDUCE^IBAGMT(IBMED) W !,"Medicare Deductible reduced due to GMT Copayment Status." S:IBXA=2 IBBS=$O(^DGCR(399.1,"AC",IBATYP,0)) I IBXA=2,$P($G(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU",IBCLDAY>90,IBCHGP'>IBCLDOL S IBMED=IBMED/2 I IBXA=1,IBCLDAY>90 D MED^IBECEA34 G:IBY<0 END W !!," ** ",$S($P(IBCLST,"^",4)=1:"Active",1:"Closed")," Billing Clock **" W !?2,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY," ",$$INPT^IBECEAU(IBCLDAY)," 90 days: $",IBCLDOL,! S:IBXA=3 IBDAYP=IBCLDAY-IBUNITP I IBXA=1!(IBXA=2) S IBDOLP=IBCLDOL-IBCHGP S:IBDOLP<0 IBDOLP=0 ; ; - ask for 'Bill From' date FR D FR^IBECEAU2(IBFRP) G:IBY<0 END I +IBSWINFO,(IBFR+1)>$P(IBSWINFO,"^",2) D G FR ;IB*2.0*312 .W !!,"The 'Bill From' date cannot be on or AFTER " .W "the PFSS Effective Date: ",$$FMTE^XLFDT($P(IBSWINFO,"^",2)) ; I IBFR0 IBGMTR=1,IBCHG=$$REDUCE^IBAGMT(IBCHG) I 'IBCHG W !!,"Unable to determine the per diem rate. Please check your rate table." S IBY=-1 G END I IBXA=2 S IBDT=IBFR D COPAY^IBAUTL2 G:IBY<0 END S:IBGMT>0 IBGMTR=1,IBCHG=$$REDUCE^IBAGMT(IBCHG) I IBCHG+IBDOLP$P(IBSWINFO,"^",2) D G TO ;IB*2.0*312 .W !!,"The 'Bill To' date cannot be on or AFTER " .W "the PFSS Effective Date: ",$$FMTE^XLFDT($P(IBSWINFO,"^",2)) ; I $P(IBCLST,"^",10),IBTO>$P(IBCLST,"^",10) W !!,"The 'Bill To' date cannot exceed the Billing Clock End Date (",$$DAT1^IBOUTL($P(IBCLST,"^",10)),")." G TO S IBUNIT=$$FMDIFF^XLFDT(IBTO,IBFR) I $$FMDIFF^XLFDT(IBTOP,IBFRP)0,IBXA<4,$$ISGMTPT^IBAGMT(DFN,IBTO)'=$$ISGMTPT^IBAGMT(DFN,IBFR) W !!,"The patient changed GMT Copayment status during the specified period!",! G TO I IBXA>1 D G END . S IBCHG=IBUNIT*IBCHG S:IBXA=2 IBCHG=$S(IBDOLP+IBCHG>IBMED:IBMED-IBDOLP,1:IBCHG) . I IBCHG=IBCHGP D CTBB^IBECEAU3 W !!,"No change was made!" S IBY=-1 Q . S:IBXA=2 IBDOLA=IBDOLP+IBCHG,IBDAYA=0 S:IBXA=3 IBDAYA=IBDAYP+IBUNIT,IBDOLA=0 . W !!,"New charge to be billed" W:IBGMTR "(GMT Rate)" W ": $",$J(IBCHG,"",2),! . I IBH D CHCL^IBECEA22 ; ; - ask for 'Fee Amount' S IBCLDOLO=IBCLDOL,IBCLDOL=IBCLDOL-IBCHGP S:IBCLDOL<0 IBCLDOL=0 I IBGMT>0 S IBGMTR=1 W !,"The patient has GMT Copayment Status! GMT rate must be applied.",! D FEE^IBECEAU2(IBCHGP) G:IBY<0 END I IBCHG=IBCHGP W !!,"No change was made!" S IBY=-1 G END S IBCLDOL=IBCLDOLO,IBDOLA=IBDOLP+IBCHG,IBDAYA=0 I IBH D CHCL^IBECEA22 ; END Q