source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCBB11.m@ 1008

IBCBB11 ;ALB/AAS - CONTINUATION OF EDIT CHECK ROUTINE ;12 Jun 2006  3:45 PM
 ;;2.0;INTEGRATED BILLING;**51,343,363,371,395,392**;21-MAR-94;Build 2
 ;;Per VHA Directive 2004-038, this routine should not be modified.
 ;
WARN(IBDISP) ; Set warning in global
 ; DISP = warning text to display
 ;
 N Z
 S Z=+$O(^TMP($J,"BILL-WARN",""),-1)
 I Z=0 S ^TMP($J,"BILL-WARN",1)=$J("",5)_"**Warnings**:",Z=1
 S Z=Z+1,^TMP($J,"BILL-WARN",Z)=$J("",5)_IBDISP
 Q
 ;
MULTDIV(IBIFN,IBND0) ; Check for multiple divisions on a bill ien IBIFN
 ; IBND0 = 0-node of bill
 ;
 ;  Function returns 1 if more than 1 division found on bill
 N Z,Z0,Z1,MULT
 S MULT=0,Z1=$P(IBND0,U,22)
 I Z1 D
 . S Z=0 F  S Z=$O(^DGCR(399,IBIFN,"RC",Z)) Q:'Z  S Z0=$P(^(Z,0),U,7) I Z0,Z0'=Z1 S MULT=1 Q
 . S Z=0 F  S Z=$O(^DGCR(399,IBIFN,"CP",Z)) Q:'Z  S Z0=$P(^(Z,0),U,6) I Z0,Z0'=Z1 S MULT=2 Q
 I 'Z1 S MULT=3
 Q MULT
 ;
 ;; PREGNANCY DX CODES: V22**-V24**, V27**-V28**, 630**-677**
 ;; FLU SHOTS PROCEDURE CODES: 90724, G0008, 90732, G0009
 ;
 ; Check for required NPIs
NPICHK ;
 N IBNPIS,IBNONPI,IBNPIREQ,Z
 S IBNPIREQ=$$NPIREQ^IBCEP81(DT)  ; Check if NPI is required
 ; Check providers
 S IBNPIS=$$PROVNPI^IBCEF73A(IBIFN,.IBNONPI)
 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D
 . I IBNPIREQ S IBER=IBER_"IB"_(140+$P(IBNONPI,U,Z))_";" Q  ; If required, set error
 . D WARN("NPI for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNONPI,U,Z))_" provider has no value")  ; Else, set warning
 ; Check organizations
 S IBNONPI=""
 S IBNPIS=$$ORGNPI^IBCEF73A(IBIFN,.IBNONPI)
 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D
 . I IBNPIREQ S IBER=IBER_"IB"_(160+$P(IBNONPI,U,Z))_";" Q  ; If required, set error
 . ; PRXM/KJH - Changed descriptions.
 . D WARN("NPI for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNONPI,U,Z))_" has no value")  ; Else, set warning
 Q
 ;
 ; Check for required taxonomies
TAXCHK ;
 N IBTAXS,IBNOTAX,IBTAXREQ,Z
 S IBTAXREQ=$$TAXREQ^IBCEP81(DT)  ; Check if taxonomy is required
 ; Check providers
 S IBTAXS=$$PROVTAX^IBCEF73A(IBIFN,.IBNOTAX)
 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D
 . ; Only Referring, Rendering and Attending are currently sent to the payer
 . I IBTAXREQ,"134"[$P(IBNOTAX,U,Z) S IBER=IBER_"IB"_(250+$P(IBNOTAX,U,Z))_";" Q  ; If required, set error
 . D WARN("Taxonomy for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNOTAX,U,Z))_" provider has no value")  ; Else, set warning
 ; Check organizations
 S IBNOTAX=""
 S IBTAXS=$$ORGTAX^IBCEF73A(IBIFN,.IBNOTAX)
 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D
 . ; These are not currently sent to the payer so no errors yet
 . ; I IBTAXREQ S IBER=IBER_"IB"_(164+$P(IBNOTAX,U,Z))_";" Q  ; If required, set error
 . ; PRXM/KJH - Changed descriptions.
 . D WARN("Taxonomy for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNOTAX,U,Z))_" has no value")  ; Else, set warning
 Q
 ;
VALNDC(IBIFN,IBDFN) ; IB*2*363 - validate NDC# between PRESCRIPTION file (#52)
 ; and IB BILL/CLAIMS PRESCRIPTION REFILL file (#362.4)
 ; input - IBIFN = internal entry number of the billing record in the BILL/CLAIMS file (#399)
 ;         IBDFN = internal entry number of patient record in the PATIENT file (#2)
 N IBX,IBRXCOL
 ; call program that determines if NDC differences exist
 D VALNDC^IBEFUNC3(IBIFN,IBDFN,.IBRXCOL)
 Q:'$D(IBRXCOL)
 ; at least one RX on the IB record has an NDC discrepancy 
 S IBX=0 F  S IBX=$O(IBRXCOL(IBX)) Q:'IBX  D WARN("NDC# on Bill does not equal the NDC# on Rx "_IBRXCOL(IBX))
 Q
 ;
PRIIDCHK ; Check for required Pimarary ID (SSN/EIN)
 ; If the provider is on the claim, he must have one
 ; 
 N IBI,IBZ
 I $$TXMT^IBCEF4(IBIFN) D
 . D F^IBCEF("N-ALL ATT/REND PROV SSN/EI","IBZ",,IBIFN)
 . S IBI="" F  S IBI=$O(^DGCR(399,IBIFN,"PRV","B",IBI)) Q:IBI=""  D
 .. I $P(IBZ,U,IBI)="" S IBER=IBER_$S(IBI=1:"IB151;",IBI=2:"IB152;",IBI=3!(IBI=4):"IB321;",IBI=5:"IB153;",IBI=9:"IB154;",1:"")
 Q
 ;
RXNPI(IBIFN) ; check for multiple pharmacy npi's on the same bill
 N IBORG,IBRXNPI,IBX,IBY
 S IBORG=$$RXSITE^IBCEF73A(IBIFN,.IBORG)
 S IBX=0 F  S IBX=$O(IBORG(IBX)) Q:'IBX  S IBY=0 F  S IBY=$O(IBORG(IBX,IBY)) Q:'IBY  S IBRXNPI(+IBORG(IBX,IBY))=""
 S (IBX,IBY)=0 F  S IBX=$O(IBRXNPI(IBX)) Q:'IBX  S IBY=IBY+1
 I IBY>1 D WARN("Bill has prescriptions resulting from "_IBY_" different NPI locations")
 Q