IBAMTS ;ALB/CPM - APPOINTMENT EVENT DRIVER INTERFACE ;20-JUL-93 ;;2.0;INTEGRATED BILLING;**52,115,132,153,164,156,171,247,312,341,339**;21-MAR-94;Build 2 ;;Per VHA Directive 2004-038, this routine should not be modified. ; EN ; Main interface entry point. ; N IBSWINFO S IBSWINFO=$$SWSTAT^IBBAPI() ;IB*2.0*312 I '$G(DUZ) D DUZ^XUP(.5) ;IB*2.0*341 Setting of DUZ covered by IA 4129 ; S IBJOB=5,IBWHER="",IBDUZ=DUZ,IBY=1 ; Do Transfer Pricing I '+IBSWINFO D ^IBATEO ;IB*2.0*312 ; Check Encounter Related to LTC N IBALTC D EN^IBAECO I '$$BILST^DGMTUB(DFN) G ENQ ; never Means Test billable I '$$CHECK^IBECEAU(0) D ^IBAERR1 G ENQ ; can't set vital parameters ; ; - process all parent outpatient encounters S IBORG=0 F S IBORG=$O(^TMP("SDEVT",$J,SDHDL,IBORG)) Q:'IBORG D .S IBOE=0 F S IBOE=$O(^TMP("SDEVT",$J,SDHDL,IBORG,"SDOE",IBOE)) Q:'IBOE S IBEVT=$G(^(IBOE,0,"AFTER")),IBEV0=$G(^("BEFORE")) D ..; ..S IBDT=$S(IBEVT:+IBEVT,1:+IBEV0),IBDAT=$P(IBDT,".") ..; Do NOT PROCESS on VistA if IBDAT>=Switch Eff Date ;CCR-930 ..I +IBSWINFO,(IBDAT+1)>$P(IBSWINFO,"^",2) Q ;IB*2.0*312 ..; ..S IBAPTY=$S(IBEVT:$P(IBEVT,"^",10),1:$P(IBEV0,"^",10)) ..S IBBILLED=$$BFO^IBECEAU(DFN,IBDAT),IBY=1 ..; ..; - if C&P encounter, cancel charges for the day and quit ..I IBAPTY=1!(IBALTC) D:IBBILLED Q ...S IBCRES=+$O(^IBE(350.3,"B",$S(IBALTC:"BILLED LTC CHARGE",1:"COMP & PENSION VISIT RECORDED"),0)) ...S:'IBCRES IBCRES=23 S IBWHER="" ...D CANCH^IBECEAU4(IBBILLED,IBCRES,0) ..; ..; - quit if there are any C&P encounters on the visit date ..Q:$$CNP^IBECEAU(DFN,IBDAT) ..; ..; - quit if there are any LTC encounters on the visit date ..Q:$$LTCENC^IBAECU(DFN,IBDAT) ..; ..; - don't process child events ..I IBEVT]"" Q:$P(IBEVT,"^",6) ..I IBEVT="",IBEV0]"" Q:$P(IBEV0,"^",6) ..; ..; - get statuses ..S IBAST=+$P(IBEVT,"^",12),IBBST=+$P(IBEV0,"^",12) ..; ..; - do either NEW or UPDATED processing ..I IBAST=2,IBBST'=2 D NEW^IBAMTS1 Q ..D UPD^IBAMTS2 ; ENQ K IBJOB,IBWHER,IBORG,IBOE,IBEVT,IBEV0,IBAST,IBBST,IBDUZ,IBY K IBDT,IBDAT,IBAPTY,IBBILLED,IBSERV,IBSITE,IBFAC,IBCRES,IBRTED Q ; BULL ; Send bulletin when classified patients are billed stops which ; are exempt from the classification process. N IBT,IBC,IBPT,IBDUZ,IBX S IBPT=$$PT^IBEFUNC(DFN),IBX=$$CLTY S XMSUB="CHARGE FOR STOP CODE EXEMPT FROM CLASSIFICATION" S IBT(1)="The following patient, who "_$S(IBX="SC":"has a service connected disability,",IBX="CV":"is Combat Veteran",1:"has claimed exposure to "_IBX_",") S IBT(2)="was billed the Means Test outpatient copay for a stop code which is" S IBT(3)="exempt from classification:" S IBT(4)=" " S IBC=4 S IBDUZ=DUZ D PAT^IBAERR1 S Y=IBDAT D DD^%DT S IBC=IBC+1,IBT(IBC)="Stop Date: "_Y S IBC=IBC+1,IBT(IBC)="Stop Code: "_$P($G(^DIC(40.7,+$P(IBEVT,"^",3),0)),"^") S IBC=IBC+1,IBT(IBC)=" " S IBC=IBC+1,IBT(IBC)="Please check this patient's medical record to determine if the care provided" S IBC=IBC+1,IBT(IBC)="was related to the "_$S(IBX="SC":"SC disability",IBX="CV":"Combat Veteran status",1:"claimed exposure")_", and, if related, cancel the charge." D MAIL^IBAERR1 K X,Y,XMSUB,XMY,XMTEXT,XMDUZ Q ; CLTY() ; Return the classification type N IBARR,Y D CL^SDCO21(DFN,IBDAT,"",.IBARR) S Y="" I $D(IBARR(3)) S Y="SC" G CLTYQ I $D(IBARR(7)),+$$CVEDT^IBACV(DFN,IBDAT) S Y="CV" G CLTYQ I $D(IBARR(1)) S Y="Agent Orange" G CLTYQ I $D(IBARR(2)) S Y="Ionizing Radiation" G CLTYQ I $D(IBARR(4)) S Y="Southwest Asia" G CLTYQ I $D(IBARR(8)) S Y="Project 112/SHAD" G CLTYQ I $D(IBARR(5)) S Y="Military Sexual Trauma" G CLTYQ I $D(IBARR(6)) S Y="Head/Neck Cancer" G CLTYQ CLTYQ Q Y