IBTUTL ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ; 21-JUN-93 ;;Version 2.0 ; INTEGRATED BILLING ;**23,62**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ADM(DGPMCA,VAINDT,RANDOM,IBVSIT) ; -- set up info for adding a current admission ; -- Input DGPMCA = pointer for an admission to patient movement file ; VAINDT = optional date for admission (default is dt) ; RANDOM = whether or not this is a random sample ; IBVSIT = Pointer to visit file (optional) ; N DA,DIC,DIE,DR,X,VAIN,VA,IBSCHED,IBSCH I '$G(VAINDT) K VAINDT I '$G(DGPMCA) S VA200="" D INP^VADPT S DGPMCA=VAIN(1) Q:DGPMCA="" S RANDOM=$S($G(RANDOM):1,1:0) S X=$O(^IBT(356,"ADM",DFN,DGPMCA,0)) I X S IBTRN=X G ADMQ S IBADMDT=$P(^DGPM(DGPMCA,0),"^") ;S IBETYP=+$O(^IBE(356.6,"B","INPATIENT ADMISSION",0)) S IBETYP=+$O(^IBE(356.6,"AC",1,0)) S (IBSCH,IBTRN)=$O(^IBT(356,"ASCH",+$$SCH^IBTRKR2(DGPMCA),0)) D:'IBTRN ADDT I IBTRN<1 G ADMQ S DA=IBTRN,DIE="^IBT(356," L +^IBT(356,+IBTRN):10 I '$T G ADMQ S DR=$$ADMDR(IBADMDT,IBETYP,DGPMCA,RANDOM) D ^DIE K DA,DR,DIE I $P($G(^IBT(356,IBTRN,0)),"^",32) S DA=IBTRN,DR=".32///@",DIE="^IBT(356," D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) ; S IBSCHED=$S($P(^DGPM(DGPMCA,0),U,25):10,1:20) ; ; -- if random sample add hospital review I $P(^IBT(356,IBTRN,0),U,25) D PRE^IBTUTL2(DT,IBTRN,IBSCHED) ; ; -- if scheduled admission entry converted to admission, don't add ; second insurance review I $G(IBSCH) G ADMQ ; ; -- if insured add ins review I $P(^IBT(356,IBTRN,0),U,24) D COM^IBTUTL3(DT,IBTRN,IBSCHED,$G(IBTRV)) ; ADMQ Q ; ADDT ; -- add new entry to tracking, ibt(356 ; N %DT,DD,DO,DIC,DR,DIE,DLAYGO,IBTR1,DINUM L +^IBT(356,0):0 ;I '$T S Y="-1^IB085" G ADDTQ ;I $G(^IBT(356,0))="" S Y="-1^IB086" G ADDTQ S X=$P($G(^IBT(356,0)),"^",3)+1 L -^IBT(356,0) S DIC="^IBT(356,",DIC(0)="L",DLAYGO=356 F X=X:1 L:$D(IBTR1) -^IBT(356,IBTR1) I X>0,'$D(^IBT(356,X)) S IBTR1=X L +^IBT(356,IBTR1):1 I $T,'$D(^IBT(356,X)) S DINUM=X,X=($$IBSITE())_X D FILE^DICN I +Y>0 Q L -^IBT(356,IBTR1) I +Y<1 S Y="-1^IB087" ADDTQ ;I +Y<0 D ^IBTERR S IBTRN=+Y,IBNEW=1 Q ; OTH(DFN,IBETYP,IBTDT) ; -- add miscellaneous entries, care may not be in data base ; -- input dfn := patient pointer to 2 ; ibetyp := pointer to type entry in 356.6 ; ibtdt := episode date ; N X,Y,DA,DR,DIE,DIC S X=$O(^IBT(356,"APTY",DFN,IBETYP,IBTDT,0)) I X S IBTRN=X G OTHQ D ADDT I IBTRN<1 G OTHQ S DA=IBTRN,DIE="^IBT(356," S DR=".02////"_$G(DFN)_";.06////"_+$G(IBTDT)_";.18////"_IBETYP_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_DUZ_";.17////"_$$EABD(IBETYP,IBTDT) L +^IBT(356,+IBTRN):10 I '$T G OTHQ D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) OTHQ Q ; IBSITE() ; -- calculate site from site parameters ; -- output ibsite = station number ; N IBFAC,IBSITE D SITE^IBAUTL Q IBSITE ; ADMDR(IBADMDT,IBETYP,DGPMCA,RANDOM) ; -- set up dr string for admissions S DR="" I '$G(IBETYP)!'$G(IBADMDT) G ADMDRQ S DR=".02////"_$G(DFN)_";.03////"_$G(IBVSIT)_";.05////"_$G(DGPMCA)_";.06////"_+$G(IBADMDT)_";.18////"_$G(IBETYP)_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_DUZ_";.17////"_$$EABD(IBETYP,$G(IBADMDT)) D .I $G(DGPMCA),$G(RANDOM) S DR=DR_";.25////1" Q ADMDRQ Q DR ; EABD(IBETYP,IBTDT) ; -- compute earliest auto bill date: date entered plus days delay for event type ; -- input IBETYPE = pointer to type of entry file ; IBTDT = episode date, if not passed in uses DT ; N X,X1,X2,Y,IBETYPD S Y="" I '$G(IBETYP) G EABDQ S IBETYPD=$G(^IBE(356.6,+IBETYP,0)) I '$G(IBTDT) S IBTDT=DT I '$P(IBETYPD,"^",4) G EABDQ ; automated billing turned off S X2=+$P(IBETYPD,"^",6) ;set earliest autobill date to entered date plus days delay S X1=IBTDT D C^%DTC S Y=X\1 EABDQ Q Y ; BILL(IBTRN) ;check if event is billable, return EABD if it is N X,Y,Z,IBTRND S (X,Y)="" S IBTRND=$G(^IBT(356,+$G(IBTRN),0)) I IBTRND="" G BILLQ ; ; -- billed and bill not cancelled and not inpt interim first or continuous I +$P(IBTRND,U,11) S Z=$$BILLED^IBCU8(IBTRN),Y=$P(Z,U,2) I +Z,'Y G BILLQ ; ; -- special type (not riem. ins), not billable, inactive I +$P(IBTRND,U,12)!(+$P(IBTRND,U,19))!('$P(IBTRND,U,20)) G BILLQ I 'Y S Y=+$G(^IBT(356,+$G(IBTRN),1)) I 'Y S Y=DT S X=$$EABD(+$P(IBTRND,U,18),Y) BILLQ Q X ; STOBIL Q KTOBIL Q