1 | IBAUTL3 ;ALB/CPM-MEANS TEST BILLING UTILITIES (CON'T.) ; 05-SEP-91
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2 | ;;2.0;INTEGRATED BILLING;**176**;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 | DED ; Find Medicare deductible rate on the billing clock date.
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6 | ; Input: IBSERV, IBCLDT Output: IBMED - Medicare deductible
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7 | N X S IBMED=0
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8 | S X=$O(^IBE(350.1,"ANEW",IBSERV,81,0)) I 'X S IBY="-1^IB031" G DEDQ
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9 | S X=$O(^IBE(350.2,"AIVDT",+X,-(IBCLDT+.1))),X=$O(^(+X,0))
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10 | S IBMED=$P($G(^IBE(350.2,+X,0)),"^",4) I 'IBMED S IBY="-1^IB032"
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11 | DEDQ Q
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12 | ;
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13 | EVADD ; Add a new billable event in File #350.
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14 | ; Input: IBSITE, DFN, IBSL, IBEVDT, IBSERV, IBNH Output: IBEVDA
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15 | ; IBNHLTC (optional for LTC only)
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16 | D ADD^IBAUTL I Y<1 S IBY=Y G EVADDQ
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17 | N IBATYP,IBDESC
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18 | S IBEVDA=IBN
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19 | S IBATYP=$O(^IBE(350.1,"ANEW",IBSERV,$S($G(IBNHLTC):93,IBNH:92,1:91),0)) I 'IBATYP S IBY="-1^IB008" G EVADDQ
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20 | S IBDESC=$P($G(^IBE(350.1,+IBATYP,0)),"^")
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21 | S $P(^IB(IBN,0),"^",3,17)=IBATYP_"^"_IBSL_"^1^^^"_IBDESC_"^^^^^"_IBFAC_"^^^"_IBN_"^"_IBEVDT
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22 | D NOW^%DTC S $P(^IB(IBN,1),"^")=DUZ,$P(^(1),"^",3,4)=DUZ_"^"_%
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23 | S DIK="^IB(",DA=IBN D IX1^DIK
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24 | EVADDQ K DIK,DA Q
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25 | ;
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26 | EVFIND ; Find most recent active (incomplete - still being billed)
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27 | ; inpatient/NHCU event since original admission.
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28 | ; Input: DFN, IBADMDT Output: IBEVDT, IBEVDA, IBEVCAL
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29 | N IBD,J S IBD=IBADMDT\1,(IBEVDA,IBEVCAL,IBEVDT)=0,J=-DT
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30 | F S J=$O(^IB("AFDT",DFN,J)) Q:'J!(-J<IBD)!(IBEVDT) F S IBEVDA=$O(^IB("AFDT",DFN,J,IBEVDA)) Q:'IBEVDA I $P($G(^IB(IBEVDA,0)),"^",5)=1 S IBEVDT=-J,IBEVCAL=$P(^(0),"^",18) Q
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31 | Q
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32 | ;
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33 | EVCLOS1 ; Set Last Calc date to yesterday before closing event. Input: IBDT
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34 | S X1=IBDT,X2=-1 D C^%DTC S IBEVCLD=X
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35 | EVCLOSE ; Close event record. Input: IBEVDA, IBEVCLD
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36 | N IBDR S IBDR=".05////2;"
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37 | EVUPD ; Update event record. Input: IBEVDA, IBEVCLD
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38 | S DR=".18////"_IBEVCLD_";13////"_$S($D(DUZ):DUZ,1:.5)_";14///NOW"
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39 | I $D(IBDR) S DR=IBDR_DR
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40 | S DIE="^IB(",DA=IBEVDA D ^DIE K DIE,DA,DR Q
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41 | ;
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42 | CLADD ; Add a new billing clock in File #351.
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43 | ; Input: IBSITE, DFN, IBCLDT, IBSERV Output: IBCLDA, IBMED
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44 | L +^IBE(351,0):10 E S IBY="-1^IB014" G CLADDQ
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45 | S X=$P($S($D(^IBE(351,0)):^(0),1:"^^-1"),"^",3)+1 I 'X S IBY="-1^IB015" G CLADDQ
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46 | K DD,DO,DIC,DR S DIC="^IBE(351,",DIC(0)="L",DLAYGO=351
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47 | F X=X:1 I X>0,'$D(^IBE(351,X)) L +^IBE(351,X):1 I $T,'$D(^IBE(351,X)) S DINUM=X,X=+IBSITE_X D FILE^DICN I +Y>0 Q
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48 | S (DA,IBCLDA)=+Y,DIE="^IBE(351,",DR=".02////"_DFN_";.03////"_IBCLDT_";.04////1;11////"_$S($D(DUZ):DUZ,1:.5)_";12///NOW;13////"_$S($D(DUZ):DUZ,1:.5)_";14///NOW"
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49 | D ^DIE K DA,DR,DIE L -^IBE(351,IBCLDA)
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50 | S IBY=$S('$D(Y):1,1:"-1^IB028") D:IBY>0 DED
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51 | CLADDQ L -^IBE(351,0) K DO,DD,DINUM,DIC Q
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52 | ;
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53 | CLOCK ; Determine if the patient has an active billing clock.
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54 | ; Input: IBSERV Output: IBCLDA, IBCLDT, IBCLDAY, IBCLDOL
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55 | S IBCLDA=+$O(^IBE(351,"ACT",DFN,0))
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56 | D:IBCLDA CLDATA,DED Q
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57 | ;
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58 | CLDATA ; Return data from the current billing clock.
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59 | N X S X=$G(^IBE(351,+IBCLDA,0)),IBCLDT=$P(X,"^",3),IBCLDAY=$P(X,"^",9)
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60 | S IBCLDOL=$P(X,"^",$S(IBCLDAY<91:5,IBCLDAY<181:6,IBCLDAY<271:7,1:8)) Q
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61 | ;
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62 | CLOCKCL ; Close out the current billing clock.
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63 | ; Input: DFN, IBCLDA, IBCLDT; IBCLDOL, IBCLDAY {opt}
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64 | ; Output: IBCLDA=0
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65 | N IBCLENDT,K S K=$$BILST^DGMTUB(DFN)
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66 | S X1=IBCLDT,X2=364 D C^%DTC S IBCLENDT=X
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67 | I K S:K<IBCLENDT IBCLENDT=K
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68 | I $D(IBCLDOL),$D(IBCLDAY) D CLUPD
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69 | S DA=IBCLDA,DIE="^IBE(351,",DR=".04////2;.1////"_IBCLENDT_";13////"_$S($D(DUZ):DUZ,1:.5)_";14///NOW"
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70 | D ^DIE K DA,DR,DIE S IBY=$S('$D(Y):1,1:"-1^IB028"),IBCLDA=0 Q
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71 | ;
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72 | CLUPD ; - update billing clock. Input: IBCLDA, IBCLDOL, IBCLDAY
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73 | D NOW^%DTC
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74 | S $P(^IBE(351,IBCLDA,0),"^",$S(IBCLDAY<91:5,IBCLDAY<181:6,IBCLDAY<271:7,1:8))=IBCLDOL,$P(^(0),"^",9)=IBCLDAY,$P(^(1),"^",3,4)=$S($D(DUZ):DUZ,1:.5)_"^"_%
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75 | S DIK="^IBE(351,",DA=IBCLDA D IX1^DIK K DIK,DA Q
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