| 1 | IBATCM ;LL/ELZ - TRANSFER PRICING TRANSACTION CHARGES ; 02-MAR-1999
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| 2 | ;;2.0;INTEGRATED BILLING;**115**;21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | ;
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| 5 | TOTAL(IBIEN) ; -- recalculate total and set
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| 6 | N IBT,IBD,IBTL S IBTL=0
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| 7 | S IBT=$P(^IBAT(351.61,IBIEN,0),"^",12)
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| 8 | I IBT["DGPM(" D Q
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| 9 | . S IBD=^IBAT(351.61,IBIEN,1)
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| 10 | . S IBTL=$P(IBD,"^",5)*$P(IBD,"^",6)+$P(IBD,"^",2)
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| 11 | . D SETTL(IBTL)
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| 12 | I IBT["SCE(" D Q
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| 13 | . N IBX S IBX=0 F S IBX=$O(^IBAT(351.61,IBIEN,3,IBX)) Q:IBX<1 D
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| 14 | .. S IBD=^IBAT(351.61,IBIEN,3,IBX,0)
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| 15 | .. S IBTL=$P(IBD,"^",2)*$P(IBD,"^",3)+IBTL
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| 16 | . D SETTL(IBTL)
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| 17 | I IBT["RMPR(660," D SETTL($P($G(^IBAT(351.61,IBIEN,4)),"^",5)) Q
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| 18 | S IBD=^IBAT(351.61,IBIEN,4)
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| 19 | S IBTL=$P(IBD,"^",2)*$P(IBD,"^",3)
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| 20 | D SETTL(IBTL)
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| 21 | Q
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| 22 | SETTL(X) ; -- files total
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| 23 | N DIE,DR,DA Q:X<.01
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| 24 | S DIE="^IBAT(351.61,",DA=IBIEN,DR="6.02///"_$FN(X,"",2)_";.05////P"
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| 25 | D ^DIE
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| 26 | Q
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| 27 | INPT(DRG,DATE,FAC) ; -- returns inpatient rates
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| 28 | ;
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| 29 | Q $$RATE("TP INPATIENT",DRG,DATE,$G(FAC))
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| 30 | ;
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| 31 | OPT(CPT,DATE,FAC) ; -- returns outpatient rates
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| 32 | ;
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| 33 | Q $$RATE("TP OUTPATIENT",CPT,DATE,FAC)
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| 34 | ;
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| 35 | RATE(BR,ITEM,DATE,FAC) ; -- returns rates for BR from charge master
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| 36 | ; CHARGE=1!0^default rate^nego rate^rate to use
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| 37 | ; if FAC undefined, send back default
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| 38 | N IBCHARGE,IBFAC
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| 39 | ;
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| 40 | ; look up negotiated rates if exist
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| 41 | I $G(FAC) F IBFAC=FAC,+$$VISN^IBATUTL(FAC) S $P(IBCHARGE,"^",2)=+$$ITCHG^IBCRCI($$TPCS^IBCRU7(BR,IBFAC),ITEM,DATE) Q:$P(IBCHARGE,"^",2)
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| 42 | ;
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| 43 | ; find default adjust by .8 and round
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| 44 | S $P(IBCHARGE,"^")=$FN((+$$ITCHG^IBCRCI($$TPCS^IBCRU7(BR),ITEM,DATE))*.8,"",2)
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| 45 | ;
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| 46 | ; set rate to use
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| 47 | S $P(IBCHARGE,"^",3)=$S($P(IBCHARGE,"^",2):$P(IBCHARGE,"^",2),1:+IBCHARGE)
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| 48 | ;
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| 49 | Q $S($P(IBCHARGE,"^",3):"1^",1:"0^")_IBCHARGE
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| 50 | ;
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