IBAUTL1 ;ALB/AAS - IB UTILITY ROUTINE FOR MEDICARE RATES ; 30-AUG-91 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; RATE ; - Calculates the Medicare rate for a CPT code. ; - Input X = visit date ^ division ^ ifn of cpt code ; - Output Y = charge ; S IBX=X N X S X=IBX S IBRG=$O(^IBE(350.4,"AIVDT",+$P(X,"^",3),-($P(X,"^")+1))) I IBRG S IBRG=$O(^(+IBRG,0)) ;determine current ib action type for code I $S('IBRG:1,'$D(^IBE(350.4,+IBRG,0)):1,'$P(^(0),"^",3):1,1:0) S Y=-1 G RATEQ S IBRG=+$P(^IBE(350.4,IBRG,0),"^",3) S DA=$O(^IBE(350.2,"AIVDT",IBRG,-($P(X,"^")+1))) I DA S DA=$O(^(+DA,0)) ; determine current ib action charge for rate group I $S('DA:1,'$D(^IBE(350.2,DA,10)):1,1:0) S Y=-1 G RATEQ X ^IBE(350.2,DA,10) RATEQ K IBRG,IBX Q ; VAR ; -Called by entries in 350.2 to get variables ; -input x=visit date^division ifn ; da=internal number from 350.2 ; -output y=wage%^non-wage%^locality multiplier ; S IBLOC=$O(^IBE(350.5,"AIVDT",+$P(X,"^",2),-($P(X,"^")+1))) I IBLOC S IBLOC=$O(^(+IBLOC,0)) I $S('IBLOC:1,'$D(^IBE(350.5,+IBLOC,0)):1,'$P(^(0),"^",7):1,1:0) S Y=-1 G VARQ S Y=$P(^IBE(350.5,IBLOC,0),"^",5,7) VARQ K IBLOC,IBWAG Q ; TEST S DA=14,X=DT_"^1^10141" D RATE ;X ^IBE(350.2,DA,10) W X," ",Y