IBTRKR5 ;ALB/AAS - CLAIMS TRACKING - ADD/TRACK PROSTHETICS ;13-JAN-94 ;;2.0;INTEGRATED BILLING;**13,260,312,339**;21-MAR-94;Build 2 ;;Per VHA Directive 2004-038, this routine should not be modified. ; % ; -- entry point for nightly background job N IBTSBDT,IBTSEDT S IBTSBDT=$$FMADD^XLFDT(DT,-30)-.1 S IBTSEDT=$$FMADD^XLFDT(DT,-3)+.9 D EN1 Q ; EN ; -- entry point to ask date range N IBSWINFO S IBSWINFO=$$SWSTAT^IBBAPI() ;IB*2.0*312 N IBBDT,IBEDT,IBTSBDT,IBTSEDT,IBTALK S IBTALK=1 I '$P($G(^IBE(350.9,1,6)),"^",4) W !!,"I'm sorry, Tracking of Prosthetics is currently turned off." G ENQ W !!!,"Select the Date Range of Prosthetics to Add to Claims Tracking.",! D DATE^IBOUTL I IBBDT<1!(IBEDT<1) G ENQ S IBTSBDT=IBBDT,IBTSEDT=IBEDT ; ; -- check selected dates ;IB*2.0*312 ; Do NOT PROCESS on VistA if Start or End>=Switch Eff Dt ;CCR-930 I +IBSWINFO,((IBTSBDT+1)>$P(IBSWINFO,"^",2))!((IBTSEDT+1)>$P(IBSWINFO,"^",2)) D G EN .W !!,"The Begin OR End Date CANNOT be on or after the PFSS Effective date" .W ": ",$$FMTE^XLFDT($P(IBSWINFO,"^",2)) ; S IBTRKR=$G(^IBE(350.9,1,6)) ; start date can't be before parameters I +IBTRKR,IBTSBDT<+IBTRKR S IBTSBDT=IBTRKR W !!,"Begin date is before Claims Tracking Start Date, changed to ",$$DAT1^IBOUTL(IBTSBDT) ; -- end date into future I IBTSEDT>$$FMADD^XLFDT(DT,-3) W !!,"I'll automatically change the end date to 3 days prior to the date queued to run." ; W !!!,"I'm going to automatically queue this off and send you a" W !,"mail message when complete.",! S ZTIO="",ZTRTN="EN1^IBTRKR5",ZTSAVE("IB*")="",ZTDESC="IB - Add Prosthetics to Claims Tracking" D ^%ZTLOAD I $G(ZTSK) K ZTSK W !,"Request Queued" ENQ K ZTSK,ZTIO,ZTSAVE,ZTDESC,ZTRTN D HOME^%ZIS Q ; EN1 ; -- add prostethics to claims tracking file N I,J,X,Y,IBTRKR,IBDT,DFN,IBDATA,IBCNT,IBCNT1,IBCNT2,IBDTS N IBSWINFO S IBSWINFO=$$SWSTAT^IBBAPI() ;IB*2.0*312 ; ; -- check parameters S IBTRKR=$G(^IBE(350.9,1,6)) G:'$P(IBTRKR,"^",5) EN1Q ; quit if prothetics tracking off I +IBTRKR,IBTSBDT<+IBTRKR S IBTSBDT=IBTRKR ; start date can't be before parameters ; ; -- users can queue into future, make sure dates not after date run I IBTSEDT>$$FMADD^XLFDT(DT,-3) S IBMESS="(Selected end date of "_$$DAT1^IBOUTL(IBTSEDT)_" automatically changed to "_$$DAT1^IBOUTL($$FMADD^XLFDT(DT,-3))_".)",IBTSEDT=$$FMADD^XLFDT(DT,-3) ; ;S IBPRTYP=$O(^IBE(356.6,"AC",3,0)) ; this is the event type pointer for prosthetics ; ; -- cnt= total count, cnt1=count added nsc, cnt2=count of pending S (IBCNT,IBCNT1,IBCNT2)=0 S (IBDTS,IBDT)=IBTSBDT-.0001 ; ; loop twice, once for shipmnet date (new search), and once for ; delivery date (old search) for backward compatibility. F S IBDT=$O(^RMPR(660,"AF",IBDT)) Q:'IBDT!(IBDT>IBTSEDT) D .; Do NOT PROCESS on VistA if IBDT>=Switch Eff Date ;CCR-930 .I +IBSWINFO,(IBDT+1)>$P(IBSWINFO,"^",2) Q ;IB*2.0*312 .S IBDA=0 F S IBDA=$O(^RMPR(660,"AF",IBDT,IBDA)) Q:'IBDA D PRCHK ; ; reset date and do old check S IBDT=IBDTS F S IBDT=$O(^RMPR(660,"CT",IBDT)) Q:'IBDT!(IBDT>IBTSEDT) D .; Do NOT PROCESS on VistA if IBDT>=Switch Eff Date ;CCR-930 .I +IBSWINFO,(IBDT+1)>$P(IBSWINFO,"^",2) Q ;IB*2.0*312 .S IBDA="" F S IBDA=$O(^RMPR(660,"CT",IBDT,IBDA)) Q:'IBDA D PRCHK ; I $G(IBTALK) D BULL ;^IBTRKR51 EN1Q I $D(ZTQUEUED) S ZTREQ="@" Q ; PRCHK ; -- check and add item N IBE,IBP,IBDX,IBRMARK,IBARR,IBT S IBCNT=IBCNT+1,IBRMARK="" I '$D(ZTQUEUED),($G(IBTALK)) W "." ; S IBDATA=$G(^RMPR(660,+IBDA,0)) Q:IBDATA="" S DFN=$P(IBDATA,"^",2) D CL^SDCO21(DFN,IBDT,"",.IBARR) ; ; -- checks copied from rmprbil v2.0 /feb 2, 1994 Q:'$D(^RMPR(660,+IBDA,"AM")) Q:$P(^RMPR(660,+IBDA,0),U,9)=""!($P(^(0),U,12)="")!($P(^(0),U,6)="")!($P(^(0),U,14)="V")!($P(^(0),U,2)="")!($P(^(0),U,15)="*") ;Q:($P(^RMPR(660,+IBDA,"AM"),U,3)=2)!($P(^("AM"),U,3)=3) ; ; I $O(^IBT(356,"APRO",IBDA,0)) G PRCHKQ ; already in claims tracking ; ; -- see if tracking only insured and pt is insured I $P(IBTRKR,"^",5)=1,'$$INSURED^IBCNS1(DFN,IBDT) G PRCHKQ ; patient not insure ; ; -- if clasifications required, check exemptions I '$D(IBARR) G CLQ S IBE=0 F IBP=1:1:4 S IBDX(IBP)=$G(^RMPR(660,+IBDA,"BA"_IBP)) I IBDX(IBP) S IBE=1 I 'IBE S IBRMARK="NEEDS SC DETERMINATION" G CLQ ; no ICD node in RMPR, use old method of determining status S IBE=0 F S IBE=$O(IBARR(IBE)) Q:'IBE!($L($G(IBRMARK))) F IBP=1:1:4 Q:$L($G(IBRMARK)) I IBDX(IBP) S IBRMARK=$S($P(IBDX(IBP),"^",IBE+1):$P($T(CLTXT+IBE),";",3),$P(IBDX(IBP),"^",IBE+1)=0:"",1:"NEEDS SC DETERMINATION") ; ; CLQ ; -- ok to add to tracking module D PRO^IBTUTL1(DFN,IBDT,IBDA,$G(IBRMARK)) I '$D(ZTQUEUED),$G(IBTALK) W "+" I $G(IBRMARK)'="" S IBCNT2=IBCNT2+1 I $G(IBRMARK)="" S IBCNT1=IBCNT1+1 K VAEL,VA,IBDATA,DFN,X,Y PRCHKQ Q ; BULL ; -- send bulletin ; S XMSUB="Prosthetic Items added to Claims Tracking Complete" S IBT(1)="The process to automatically add Prosthetic Items has successfully completed." S IBT(1.1)="" S IBT(2)=" Start Date: "_$$DAT1^IBOUTL(IBTSBDT) S IBT(3)=" End Date: "_$$DAT1^IBOUTL(IBTSEDT) I $D(IBMESS) S IBT(3.1)=IBMESS S IBT(4)="" S IBT(5)=" Total Prosthetics Items checked: "_$G(IBCNT) S IBT(6)="Total NSC Prosthetic Items Added: "_$G(IBCNT1) S IBT(7)=" Total SC Prosthetic Items Added: "_$G(IBCNT2) S IBT(8)="" S IBT(9)="*The items added as SC require determination and editing to be billed" D SEND^IBTRKR31 BULLQ Q ; CLTXT ; classification text for reason not billable ;;AGENT ORANGE ;;IONIZING RADIATION ;;SC TREATMENT ;;SOUTHWEST ASIA ;;MILITARY SEXUAL TRAUMA ;;HEAD/NECK CANCER ;;COMBAT VETERAN