IBTUTL1 ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ;21-JUN-93 ;;2.0;INTEGRATED BILLING;**13,223,249,292**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; OPT(DFN,IBETYP,IBTDT,ENCTR,IBRMARK,IBVSIT) ; -- add outpatient care entries ; -- input dfn := patient pointer to 2 ; ibetyp := pointer to type entry in 356.6 ; ibtdt := episode date ; enctr := pointer to opt. encounter file (optional) ; ibrmark := text of reason not billable (optional) ; ibvsit := pointer to visit file (optional) ; N X,Y,DA,DR,DIE,DIC,IBSCRN S IBSCRN=0 ;Allow user inter-actions if not queued and IBTALK=1 or not exist. I '$D(ZTQUEUED) D I IBSCRN G OPTSCRN . I $D(IBTALK),'$G(IBTALK) Q . I IBTDT<3060101 Q ;Don't use new code for claims prior to 1/1/2006 . S IBSCRN=1 I $G(IBETYP) S IBETYP=$O(^IBE(356.6,"AC",2,0)) I IBTDT<3060101 S X=$O(^IBT(356,"APTY",DFN,IBETYP,IBTDT,0)) I X S IBTRN=X G OPTQ ;Prevent duplicate date/time claims prior to 1/1/2006 ;Check for encounter already in claims tracking. I $D(ENCTR),$D(^IBT(356,"AENC",+DFN,+ENCTR)) S IBTRN=$O(^IBT(356,"AENC",+DFN,+ENCTR,0)) G OPTQ D ADDT^IBTUTL S DA=IBTRN,DIE="^IBT(356," I IBTRN<1 G OPTQ L +^IBT(356,+IBTRN):10 I '$T G OPTQ S DR=".02////"_$G(DFN)_";.03////"_$G(IBVSIT)_";.04////"_$G(ENCTR)_";.06////"_+IBTDT_";.18////"_IBETYP_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_DUZ_";.17////"_$$EABD^IBTUTL(IBETYP) I $G(IBRMARK)'="" S DR=DR_";.19///"_IBRMARK D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) OPTQ Q ; REFILL(DFN,IBETYP,IBTDT,IBRXN,IBRXN1,IBRMARK,IBEABD) ; -- add refill ; -- input dfn := patient pointer to 2 ; ibetyp := pointer to type entry in 356.6 ; ibtdt := episode date (refill date) ; ibrxn := pointer to 52 ; ibrxn1 := refill multiple entry ; ibrmark := non billable reason if unsure ; ibeabd := optional, can specify an earliest auto bill date ; N X,Y,DA,DR,DIE,DIC ;S X=$O(^IBT(356,"APTY",DFN,IBETYP,IBTDT,0)) I X S IBTRN=X G REFILLQ S X=$O(^IBT(356,"ARXFL",IBRXN,IBRXN1,0)) I X S IBTRN=X G REFILLQ D ADDT^IBTUTL I IBTRN<1 G REFILLQ S DA=IBTRN,DIE="^IBT(356," L +^IBT(356,+IBTRN):10 I '$T G REFILLQ S DR=".02////"_$G(DFN)_";.06////"_+IBTDT_";.08////"_IBRXN_";.1////"_IBRXN1_";.18////"_IBETYP_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_$S($G(IBDUZ):IBDUZ,1:DUZ)_";.17////"_$S($G(IBEABD):IBEABD,1:$$EABD^IBTUTL(IBETYP)) I $G(IBRMARK)'="" S DR=DR_";.19///"_IBRMARK D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) REFILLQ Q ; PRO(DFN,IBTDT,IBPRO,IBRMARK) ; -- add prosthetic entries ; -- input dfn := patient pointer to 2 ; ibetyp := pointer to type entry in 356.6 ; ibtdt := episode date ; N X,Y,DA,DR,DIE,DIC,IBETYP ;S IBETYP=$O(^IBE(356.6,"ACODE",4,0)) S IBETYP=$O(^IBE(356.6,"AC",3,0)) ;prosthetics type S X=$O(^IBT(356,"APRO",IBPRO,0)) I X S IBTRN=X G PROQ D ADDT^IBTUTL I IBTRN<1 G PROQ S DA=IBTRN,DIE="^IBT(356," L +^IBT(356,+IBTRN):10 I '$T G PROQ S DR=".02////"_$G(DFN)_";.06////"_+IBTDT_";.09////"_IBPRO_";.18////"_IBETYP_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_DUZ_";.17////"_$$EABD^IBTUTL(IBETYP) I $G(IBRMARK)'="" S DR=DR_";.19///"_IBRMARK D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) PROQ Q ; PT(DFN) ; -- format patient name - last 4 for output S Y="" I '$G(DFN) G PTQ I '$D(VA("PID")) D PID^VADPT S Y=$E($P($G(^DPT(DFN,0)),"^"),1,20)_" "_$E($G(^(0)),1)_VA("BID") PTQ Q Y ; PRODATA(IBDA) ; -- return data from prosthetics file N IBDA0,DA,DIC,DIE,DR K IBRMPR ; only one array at a time I '$G(IBDA) G PRODAQ S IBDA0=$G(^RMPR(660,+IBDA,0)) G:IBDA0="" PRODAQ DIQ S DIC="^RMPR(660,",DR=".01;1:5;7;10;12:17;24" S DIQ="IBRMPR",DIQ(0)="E",DA=IBDA D EN^DIQ1 PRODAQ Q ; OPTSCRN ; -- add outpatient care entries with user feedback ; called from OPT^IBTUTL1 which has following inputs ; -- input dfn := patient pointer to 2 ; ibetyp := pointer to type entry in 356.6 ; ibtdt := episode date ; enctr := pointer to opt. encounter file (optional) ; ibrmark := text of reason not billable (optional) ; ibvsit := pointer to visit file (optional) ; N CNT,DIR,DIROUT,DIRUT,DTOUT,DUOUT,IB3560,IBACT,IBDATE,IBENC,IBETYPNM N IBID,IBPATNM,IBQUIT,LINE,TEMP,TMP ;If encounter passed in already exists in claims Tracking, remove it. I $D(ENCTR),$D(^IBT(356,"AENC",+DFN,+ENCTR)) S ENCTR="" I $G(IBETYP) S IBETYP=$O(^IBE(356.6,"AC",2,0)) S IBQUIT=0 I $O(^IBT(356,"APTY",DFN,IBETYP,IBTDT,0)) D I X S IBTRN=X G OPTSCRNQ . S (CNT,LINE)=1,(TEMP,TMP,X)="" . S Y=IBTDT D DD^%DT S IBDATE=$E(Y_" ",1,18) S Y="" . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)="There are match(es) for the episode date you have entered:",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)=" EPISODE DATE PATIENT NAME CT ID TYPE ENCOUNTER ACTIVE",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ------------ ------------ ----- ---- --------- ------",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . F S X=$O(^IBT(356,"APTY",DFN,IBETYP,IBTDT,X)) Q:X="" D .. S IB3560=$G(^IBT(356,X,0)) I IB3560="" Q .. S IBID=$P($G(IB3560),U,1) S IBID=$S(IBID="":"ID_UNKNOWN",1:$E(IBID_" ",1,10)) .. S IBPATNM=$P($G(^DPT(DFN,0)),U,1) S IBPATNM=$S(IBPATNM="":"PATIENT_UNKNOWN",1:$E(IBPATNM_" ",1,15)) .. S IBENC=$P($G(IB3560),U,4) S IBENC=$S(IBENC="":"NONE ",1:$E(IBENC_" ",1,10)) .. S IBACT=$S($P($G(IB3560),U,20)=1:"YES",1:"NO ") .. S IBETYPNM=$P($G(^IBE(356.6,IBETYP,0)),U,2) S IBETYPNM=$S(IBETYPNM="":"NONE ",1:$E(IBETYPNM_" ",1,8)) .. S TMP("DIMSG",LINE)=$E(CNT_" ",1,3)_IBDATE_" "_IBPATNM_" "_IBID_" "_IBETYPNM_" "_IBENC_" "_IBACT .. S TEMP(CNT)=X_"^"_$TR(IBENC," ",""),CNT=CNT+1 .. S LINE=LINE+1 . I CNT>0 D .. S TMP("DIMSG",LINE+1)=$E(CNT_" ",1,3)_"*** CREATE A NEW CLAIMS TRACKING ENTRY ***" .. D MSG^DIALOG("WM",,,,"TMP") .. S DIR(0)="NA^1:"_CNT_":0" .. S DIR("A")="Select a Claims Tracking entry: " .. S DIR("?",1)="Choose a Claims Tracking entry from the previous list to continue processing." .. S DIR("?")="Valid responses are 1 thru "_CNT_" or ^ to exit." .. D ^DIR .. I ($G(DTOUT))!($G(DUOUT))!($G(DIRUT))!($G(DIROUT)) S IBQUIT=1 .. I Y>0 S X=+$G(TEMP(Y)) I +$P($G(TEMP(Y)),U,2)>0 S ENCTR=$P($G(TEMP(Y)),U,2) I IBQUIT Q I '$G(ENCTR) D . N CNT,DIR,IBDATA,IBDATA1,IBDATA2,IBERR,IBMSG,IBSCRN,IBTMP,LINE,TMP,X . N DIOUT,DIROUT,DTOUT,DUOUT . S X(1)=IBTDT . S IBSCRN="I $P($G(^(0)),U,2)="_DFN . S IBMSG="IBTMP(""ENC"")" . S IBERR="IBTMP(""ERR"")" . D FIND^DIC(409.68,,,"PQX",.X,,"B",IBSCRN,,IBMSG,IBERR) . I +IBTMP("ENC","DILIST",0)=0 S ENCTR="" Q . S CNT=+IBTMP("ENC","DILIST",0)+1 . S (LINE,X)=0 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . S TMP("DIMSG",LINE)="There are encounters for the episode date you have selected:",LINE=LINE+1 . S TMP("DIMSG",LINE)=" ",LINE=LINE+1 . F S X=$O(IBTMP("ENC","DILIST",X)) Q:X="" D .. S LINE=LINE+1 .. S IBDATA1=$P($G(IBTMP("ENC","DILIST",X,0)),"^"_IBTDT,1) .. S IBDATA2=$P($G(IBTMP("ENC","DILIST",X,0)),"^"_IBTDT,2) .. S IBDATA=$TR(IBDATA1_IBDATA2,"^"," ") .. S TMP("DIMSG",LINE)=$E(X_" ",1,4)_IBDATA . S TMP("DIMSG",LINE+1)=$E(+IBTMP("ENC","DILIST",0)+1_" ",1,4)_"*** CREATE A NEW CLAIMS TRACKING ENTRY WITHOUT AN ENCOUNTER ***" . D MSG^DIALOG("WM",,,,"TMP") . S DIR(0)="NA^1:"_CNT_":0" . S DIR("A")="Select an Encounter for the Claims Tracking entry: " . S DIR("?",1)="Choose an Encounter from the previous list to continue processing." . S DIR("?")="Valid responses are 1 thru "_CNT_" or ^ to exit." . D ^DIR . I ($G(DTOUT))!($G(DUOUT))!($G(DIRUT))!($G(DIROUT)) S IBQUIT=1 . I +$G(Y)<1 Q . S ENCTR=+$G(IBTMP("ENC","DILIST",+Y,0)) I 'ENCTR Q . I $D(^IBT(356,"AENC",+DFN,ENCTR)) S IBTRN=$O(^IBT(356,"AENC",+DFN,ENCTR,0)) Q I IBQUIT Q G:$G(IBTRN)'="" OPTSCRNQ D ADDT^IBTUTL S DA=IBTRN,DIE="^IBT(356," I IBTRN<1 G OPTSCRNQ L +^IBT(356,+IBTRN):10 I '$T G OPTSCRNQ S DR=".02////"_$G(DFN)_";.03////"_$G(IBVSIT)_";.04////"_$G(ENCTR)_";.06////"_+IBTDT_";.18////"_IBETYP_";.2////1;.24////"_$$INSURED^IBCNS1(DFN)_";1.01///NOW;1.02////"_DUZ_";.17////"_$$EABD^IBTUTL(IBETYP) I $G(IBRMARK)'="" S DR=DR_";.19///"_IBRMARK D ^DIE K DA,DR,DIE L -^IBT(356,+IBTRN) OPTSCRNQ Q