1 | FBUTL2 ;WOIFO/SAB-FEE BASIS UTILITY ;7/1/2003
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2 | ;;3.5;FEE BASIS;**61,73**;JAN 30, 1995
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3 | Q
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4 | ADJ(FBTAS,FBADJ,FBMAX,FBDT,FBADJD,FBNOOUT) ; Prompt for adjustments
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5 | ;
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6 | ; Input
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7 | ; FBTAS - required, total amount suspended, number, may be negative
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8 | ; the sum of all adjustment amounts must equal this value
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9 | ; FBADJ - required, array passed by reference
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10 | ; will be initialized (killed)
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11 | ; array of any entered adjustments
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12 | ; format
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13 | ; FBADJ(#)=FBADJR^FBADJG^FBADJA
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14 | ; where
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15 | ; # = sequentially assigned number starting with 1
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16 | ; FBADJR = adjustment reason (internal value file 162.91)
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17 | ; FBADJG = adjustment group (inernal value file 162.92)
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18 | ; FBADJA = adjustment amount (dollar value)
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19 | ; FBMAX - optional, number, default to 1
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20 | ; maximum number of adjustments that may be entered by user
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21 | ; FBDT - optional, effective date, FileMan internal format
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22 | ; default to current date, used to determine available codes
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23 | ; FBADJD - optional, array passed by reference
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24 | ; same format as FBADJ
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25 | ; if passed, it will be used to supply default values
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26 | ; normally only used when editing an existing payment
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27 | ; FBNOOUT- optional, boolean value, default 0, set =1 if user
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28 | ; should not be allowed to exit using an uparrow
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29 | ; Result (value of $$ADJ extrinsic function)
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30 | ; FBRET - boulean value (0 or 1)
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31 | ; = 1 when valid adjustments entered
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32 | ; = 0 when processed ended due to time-out or entry of '^'
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33 | ; Output
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34 | ; FBADJ - the FBADJ input array passed by reference will be modified
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35 | ; if the result = 1 then it will contain entered adjustments
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36 | ; if the result = 0 then it will be undefined
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37 | ;
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38 | N FBADJR,FBCAS,FBCNT,FBEDIT,FBERR,FBI,FBNEW,FBRET
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39 | N DIR,DIRUT,DTOUT,DUOUT,X,Y
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40 | S FBRET=1
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41 | S FBMAX=$G(FBMAX,1)
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42 | S FBDT=$G(FBDT,DT)
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43 | S FBNOOUT=$G(FBNOOUT,0)
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44 | S FBTAS=+FBTAS
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45 | K FBADJ
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46 | ;
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47 | I +FBTAS=0 G EXIT ; no adjustment since total amount susp. is 0
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48 | ;
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49 | ; if default adjustments exist then load them into array
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50 | I $D(FBADJD) M FBADJ=FBADJD
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51 | S (FBCNT,FBCAS)=0
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52 | I $D(FBADJ) S FBI=0 F S FBI=$O(FBADJ(FBI)) Q:'FBI D
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53 | . S FBCNT=FBCNT+1
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54 | . S FBCAS=FBCAS+$P(FBADJ(FBI),U,3)
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55 | ;
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56 | ; if more than one adjustment can be entered then display number
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57 | ;
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58 | ;
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59 | ASKADJ ; multiply prompt for adjustments
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60 | ;
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61 | ; display current list of adjustments when more than 1 allowed
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62 | I FBMAX>1!(FBCNT>1) D
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63 | . W !!,"Current list of Adjustments: "
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64 | . I '$O(FBADJ(0)) W "none"
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65 | . S FBI=0 F S FBI=$O(FBADJ(FBI)) Q:'FBI D
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66 | . . W ?30,"Code: "
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67 | . . W:$P(FBADJ(FBI),U)]"" $P($G(^FB(161.91,$P(FBADJ(FBI),U),0)),U)
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68 | . . W ?44,"Group: "
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69 | . . W:$P(FBADJ(FBI),U,2)]"" $P($G(^FB(161.92,$P(FBADJ(FBI),U,2),0)),U)
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70 | . . W ?56,"Amount: "
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71 | . . W "$",$FN($P(FBADJ(FBI),U,3),"",2),!
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72 | ;
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73 | ; prompt for adjustment reason
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74 | ; if max is 1 and reason already on list then automatically select it
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75 | I FBMAX=1,FBCNT=1 D
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76 | . N FBI,FBADJR
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77 | . S FBI=$O(FBADJ(0))
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78 | . S:FBI FBADJR=$P(FBADJ(FBI),U)
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79 | . I FBADJR S Y=FBADJR_U_$P($G(^FB(161.91,FBADJR,0)),U)
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80 | E D I $D(DTOUT)!$D(DUOUT) S FBRET=0 G EXIT ; prompt user
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81 | . S DIR(0)="PO^161.91:EMZ"
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82 | . S DIR("A")="Select ADJUSTMENT REASON"
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83 | . S DIR("S")="I $P($$AR^FBUTL1(Y,,FBDT),U,4)=1"
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84 | . S DIR("?")="Select a HIPAA Adjustment (suspense) Reason Code"
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85 | . S DIR("?",1)="Adjustment reason codes explain why the amount paid differs"
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86 | . S DIR("?",2)="from the amount claimed."
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87 | . D ^DIR K DIR
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88 | ; if value was entered then process it and ask another if not max and
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89 | ; total amount suspended has not been accounted for
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90 | I +Y>0 D G:FBRET=0 EXIT I FBCNT<FBMAX,FBCAS'=FBTAS G ASKADJ
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91 | . S FBADJR=+Y
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92 | . ; if specified adj. reason already in list set FBEDIT = it's number
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93 | . S (FBI,FBEDIT)=0 F S FBI=$O(FBADJ(FBI)) Q:'FBI D Q:FBEDIT
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94 | . . I $P(FBADJ(FBI),U)=FBADJR S FBEDIT=FBI
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95 | . S FBNEW=$S(FBEDIT:0,1:1) ; flag as new if not on list
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96 | . ; if in list then edit the existing adj. reason
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97 | . I FBEDIT D Q:$D(DIRUT) Q:FBADJR=""
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98 | . . S DIR(0)="162.558,.01"
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99 | . . ;S DIR(0)="PO^161.91:EMZ"
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100 | . . ;S DIR("S")="I $P($$AR^FBUTL1(Y,,FBDT),U,4)=1"
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101 | . . ;S DIR("A")=" ADJUSTMENT REASON"
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102 | . . S DIR("B")=$P($G(^FB(161.91,FBADJR,0)),U)
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103 | . . ;S DIR("?")="Enter a HIPAA Adjustment (suspense) Reason Code"
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104 | . . ;S DIR("?",1)="Adjustment reason codes explain why the amount paid differs"
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105 | . . ;S DIR("?",2)="from the amount claimed."
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106 | . . D ^DIR K DIR I $D(DTOUT)!$D(DUOUT) S:FBMAX=1 FBRET=0 Q
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107 | . . I X="@" D Q ; "@" removes from list
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108 | . . . D DEL(FBEDIT)
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109 | . . . S FBADJR=""
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110 | . . . W " (deleted)"
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111 | . . I +Y>0 S FBADJR=+Y
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112 | . . ; ensure new value of edited reason is not already on list
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113 | . . S FBI=0 F S FBI=$O(FBADJ(FBI)) Q:'FBI D Q:FBADJR=""
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114 | . . . I $P(FBADJ(FBI),U)=FBADJR,FBI'=FBEDIT S FBADJR="" W !,$C(7)," Change was not accepted because the new value is already on the list."
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115 | . . Q:FBADJR=""
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116 | . . ; upate the existing reason
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117 | . . S $P(FBADJ(FBEDIT),U)=FBADJR
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118 | . ;
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119 | . ; if new reason then add to list
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120 | . I 'FBEDIT D Q:FBADJR=""
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121 | . . I (FBCNT+1)>FBMAX D Q
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122 | . . . S FBADJR=""
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123 | . . . W !,$C(7),"ERROR: A new reason would exceed maximum number (",FBMAX,") allowed for this invoice."
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124 | . . . W !," Select a reason code on the current list instead."
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125 | . . S FBEDIT=$O(FBADJ(" "),-1)+1
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126 | . . S $P(FBADJ(FBEDIT),U)=FBADJR,FBCNT=FBCNT+1
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127 | . ;
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128 | . ; ask for adjustment group
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129 | . S DIR(0)="162.558,1"
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130 | . ;S DIR(0)="P^161.92:EMZ"
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131 | . ;S DIR("S")="I $P($$AG^FBUTL1(Y,,FBDT),U,4)=1"
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132 | . ;S DIR("A")=" ADJUSTMENT GROUP"
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133 | . I $P(FBADJ(FBEDIT),U,2)]"" S DIR("B")=$P($G(^FB(161.92,$P(FBADJ(FBEDIT),U,2),0)),U)
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134 | . D ^DIR K DIR I $D(DIRUT) D:FBNEW DEL(FBEDIT) Q
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135 | . S $P(FBADJ(FBEDIT),U,2)=+Y
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136 | . ;
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137 | . ; ask for adjustment amount
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138 | . S DIR(0)="162.558,2"
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139 | . ;S DIR(0)="NA^-9999999.99:9999999.99:2^K:+X=0 X"
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140 | . ;S DIR("A")=" ADJUSTMENT AMOUNT: "
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141 | . S DIR("B")=$FN(FBTAS-FBCAS+$P(FBADJ(FBEDIT),U,3),"",2)
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142 | . D ^DIR K DIR I $D(DIRUT) D:FBNEW DEL(FBEDIT) Q
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143 | . S FBCAS=FBCAS-$P($G(FBADJ(FBEDIT)),U,3)+Y
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144 | . S $P(FBADJ(FBEDIT),U,3)=+Y
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145 | ;
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146 | VAL ; validate
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147 | S FBERR=0
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148 | I FBCAS'=FBTAS D
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149 | . S FBERR=1
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150 | . W !,$C(7),"ERROR: Must account for $",$FN(FBTAS-FBCAS,"",2)," more to cover the total amount suspended."
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151 | . W !," The current sum of adjustments is $",$FN(FBCAS,"",2),"."
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152 | . W !," The total amount suspended is $",$FN(FBTAS,"",2),"."
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153 | I FBCNT>FBMAX D
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154 | . S FBERR=1
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155 | . W !,$C(7),"ERROR: Maximum number of adjustment reasons (",FBMAX,") have been exceeded."
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156 | I FBERR G ASKADJ
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157 | ;
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158 | EXIT ;
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159 | ; if time-out or uparrow and total amount not covered then check if
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160 | ; exit is allowed by the calling routine. (not allowed during edit)
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161 | I FBRET=0,FBNOOUT S FBRET=1 I FBTAS'=FBCAS G VAL
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162 | I FBRET=0 K FBADJ
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163 | ;
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164 | Q FBRET
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165 | ;
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166 | DEL(FBI) ; delete adjustment reason from list
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167 | S FBCAS=FBCAS-$P($G(FBADJ(FBI)),U,3)
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168 | S FBCNT=FBCNT-1
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169 | K FBADJ(FBI)
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170 | S FBADJR=""
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171 | W " (reason deleted)"
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172 | Q
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173 | ;
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174 | ADJL(FBADJ) ; build list of adjustments extrinsic function
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175 | ; Input
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176 | ; FBADJ - required, array passed by reference
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177 | ; array adjustments
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178 | ; format
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179 | ; FBADJ(#)=FBADJR^FBADJG^FBADJA
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180 | ; where
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181 | ; # = integer number greater than 0
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182 | ; FBADJR = adjustment reason (internal value file 162.91)
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183 | ; FBADJG = adjustment group (inernal value file 162.92)
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184 | ; FBADJA = adjustment amount (dollar value)
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185 | ; Result
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186 | ; string containing sorted list (by external reason) of adjustments
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187 | ; format
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188 | ; FBADJRE 1^FBADJGE 1^FBADJAE 1^FBADJRE 2^FBADJGE 2^FBADJAE 2
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189 | ; where
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190 | ; FBADJRE = adjustment reason (external value)
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191 | ; FBADJGE = adjustment group (external value)
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192 | ; FBADJAE = adjustment amount (with cents)
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193 | N FBRET
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194 | N FBARJR,FBADJRE,FBADJG,FBADJGE,FBADJA,FBADJAE
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195 | N FBI,FBADJS
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196 | S FBRET=""
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197 | ;
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198 | ; build sorted array containing external values
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199 | S FBI=0 F S FBI=$O(FBADJ(FBI)) Q:'FBI D
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200 | . ; obtain internal values
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201 | . S FBADJR=$P(FBADJ(FBI),U)
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202 | . S FBADJG=$P(FBADJ(FBI),U,2)
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203 | . S FBADJA=$P(FBADJ(FBI),U,3)
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204 | . ; convert to external values
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205 | . S FBADJRE=$S(FBADJR:$P($G(^FB(161.91,FBADJR,0)),U),1:"")
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206 | . S FBADJGE=$S(FBADJG:$P($G(^FB(161.92,FBADJG,0)),U),1:"")
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207 | . S FBADJAE=$FN(FBADJA,"",2)
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208 | . ; store in sorted array
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209 | . S FBADJS(FBADJRE_U_FBI)=FBADJRE_U_FBADJGE_U_FBADJAE_U
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210 | ;
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211 | ; build list from sorted array
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212 | S FBI="" F S FBI=$O(FBADJS(FBI)) Q:FBI="" D
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213 | . S FBRET=FBRET_FBADJS(FBI)
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214 | ; strip trailing "^" from list
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215 | I $E(FBRET,$L(FBRET))="^" S FBRET=$E(FBRET,1,$L(FBRET)-1)
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216 | ;
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217 | Q FBRET
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218 | ;
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219 | ADJLR(FBADJL) ; build list of adjustment reasons extrinsic function
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220 | ; Input
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221 | ; FBADJL - required, string containing sorted list
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222 | ; (by external reason) of adjustments (see $$ADJL result)
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223 | ; Result
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224 | ; sting of adjustment reasons delimited by commas
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225 | ;
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226 | N FBRET,FBADJRE
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227 | N FBI
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228 | S FBRET=""
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229 | F FBI=1:3 S FBADJRE=$P(FBADJL,U,FBI) Q:FBADJRE="" S FBRET=FBRET_FBADJRE_","
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230 | ; strip trailing "," from list
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231 | I $E(FBRET,$L(FBRET))="," S FBRET=$E(FBRET,1,$L(FBRET)-1)
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232 | ;
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233 | Q FBRET
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234 | ;
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235 | ADJLA(FBADJL) ; build list of adjustment amounts extrinsic function
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236 | ; Input
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237 | ; FBADJL - required, string containing sorted list
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238 | ; (by external reason) of adjustments (see $$ADJL result)
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239 | ; Result
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240 | ; sting of adjustment reasons delimited by commas
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241 | ;
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242 | N FBRET,FBADJRE
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243 | N FBI
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244 | S FBRET=""
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245 | F FBI=3:3 S FBADJRE=$P(FBADJL,U,FBI) Q:FBADJRE="" S FBRET=FBRET_FBADJRE_","
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246 | ; strip trailing "," from list
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247 | I $E(FBRET,$L(FBRET))="," S FBRET=$E(FBRET,1,$L(FBRET)-1)
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248 | ;
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249 | Q FBRET
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250 | ;
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251 | ;FBUTL2
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