source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCC1.m@ 1458

Last change on this file since 1458 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version
File size: 6.2 KB
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1IBCC1 ;ALB/MJB - CANCEL THIRD PARTY BILL ;10-OCT-94
2 ;;2.0;INTEGRATED BILLING;**19,95,160,159,320,347,377**;21-MAR-94;Build 23
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5RNB ; -- Add a reason not billable to claims tracking
6 N X,Y,DIC,DIE,I,J,DA,DR,IBTYP,IBTRE,IB,IBAPPT,IBDT,IBTALK,IBCODE,IBTRED,IBTSAV,FILL,IBRX,IBDATA,IBD,IBDT,IBQUIT,IBPRO,IBDD
7 N ZT,TCNT,CNT
8 Q:'$G(IBIFN)
9 S IB(0)=$G(^DGCR(399,IBIFN,0)),IBTYP=$P(IB(0),"^",5),IBQUIT=0
10 I '$D(DFN) S DFN=$P(IB(0),"^",2)
11 KILL ^TMP($J,"IBCC1")
12 ;
13 ; -- is inpt find entry in dgpm, then in ibt(356, s da=ibtre then edit
14INPT I IBTYP<3 D
15 .S DATE=$P(IB(0),"^",3),DFN=$P(IB(0),"^",2)
16 .S DGPM=$O(^DGPM("APTT1",DFN,DATE,0)) ; double check for asih
17 .I DGPM S (IBTRE,IBTSAV)=$O(^IBT(356,"AD",DGPM,0))
18 .I $G(IBTRE) D CTSET(IBTRE)
19 .Q:IBQUIT
20 .;
21 .; -- alternate inpt method
22 .S IBCODE=$O(^IBE(356.6,"ACODE",1,0))
23 .S DATE=$P(IB(0),"^",3),DFN=$P(IB(0),"^",2)
24 .S IBDT=(DATE-.25) F S IBDT=$O(^IBT(356,"APTY",DFN,IBCODE,IBDT)) Q:'IBDT!(IBDT>(DATE+.24)) D
25 ..S IBTRE=0 F S IBTRE=$O(^IBT(356,"APTY",DFN,IBCODE,IBDT,IBTRE)) Q:IBTRE=""!(IBQUIT) D:$G(IBTSAV)'=IBTRE CTSET(IBTRE)
26 .Q
27 ;
28OPT ; -- is opt-find entries in IBT(356, for opt dates and then edit
29 I IBTYP>2 S IBCODE=$O(^IBE(356.6,"ACODE",2,0)) D
30 .S IBAPPT=0 F S IBAPPT=$O(^DGCR(399,IBIFN,"OP",IBAPPT)) Q:'IBAPPT!(IBQUIT) D
31 ..S IBDT=(IBAPPT-.01) F S IBDT=$O(^IBT(356,"APTY",DFN,IBCODE,IBDT)) Q:'IBDT!(IBDT>(IBAPPT+.24)) D
32 ...S IBTRE=0 F S IBTRE=$O(^IBT(356,"APTY",DFN,IBCODE,IBDT,IBTRE)) Q:IBTRE=""!(IBQUIT) D CTSET(IBTRE)
33 .Q
34 ;
35RX ; -- find rx's on bill
36 S IBDD=0 F S IBDD=$O(^IBA(362.4,"AIFN"_IBIFN,IBDD)) Q:'IBDD S IBD=0 F S IBD=$O(^IBA(362.4,"AIFN"_IBIFN,IBDD,IBD)) Q:'IBD!(IBQUIT) D
37 .S IBDATA=$G(^IBA(362.4,IBD,0)),IBRX=$P(IBDATA,"^",5),IBDT=$P(IBDATA,"^",3)
38 .I '$G(IBRX) S DIC=52,DIC(0)="BO",X=$P(IBDATA,"^",1) D DIC^PSODI(52,.DIC,X) S IBRX=+Y K DIC,X,Y Q:IBRX=-1
39 .S FILL="" F S FILL=$O(^IBT(356,"ARXFL",IBRX,FILL)) Q:FILL=""!(IBQUIT) D
40 ..S IBTRE=0 F S IBTRE=$O(^IBT(356,"ARXFL",IBRX,FILL,IBTRE)) Q:'IBTRE!(IBQUIT) I $P(^IBT(356,+IBTRE,0),"^",6)=IBDT D CTSET(IBTRE)
41 ;
42PRO ; -- find prosthetics on bill
43 S IBDD=0 F S IBDD=$O(^IBA(362.5,"AIFN"_IBIFN,IBDD)) Q:'IBDD S IBD=0 F S IBD=$O(^IBA(362.5,"AIFN"_IBIFN,IBDD,IBD)) Q:'IBD!(IBQUIT) D
44 .S IBDATA=$G(^IBA(362.5,IBD,0)),IBPRO=$P(IBDATA,"^",4)
45 .Q:'$G(IBPRO)
46 .S IBTRE=0 F S IBTRE=$O(^IBT(356,"APRO",+IBPRO,IBTRE)) Q:'IBTRE!(IBQUIT) D CTSET(IBTRE)
47 ;
48 ; ----- Finished with the gathering of the CT data entries -----
49 ;
50 ; count up the total number of CT entries recorded in the scratch global
51 S ZT="",TCNT=0
52 F S ZT=$O(^TMP($J,"IBCC1",ZT)) Q:ZT="" S IBTRE=0 F S IBTRE=$O(^TMP($J,"IBCC1",ZT,IBTRE)) Q:'IBTRE S TCNT=TCNT+1
53 ;
54 ; loop thru all of the associated CT entries and call the RNBEDIT procedure for each one
55 S ZT="",CNT=0
56 F S ZT=$O(^TMP($J,"IBCC1",ZT)) Q:ZT=""!IBQUIT D Q:IBQUIT
57 . S IBTRE=0 F S IBTRE=$O(^TMP($J,"IBCC1",ZT,IBTRE)) Q:'IBTRE!IBQUIT S CNT=CNT+1 D RNBEDIT(IBTRE,ZT,TCNT,CNT)
58 . Q
59 ;
60 ; clean-up the scratch global when completed
61 KILL ^TMP($J,"IBCC1")
62 Q
63 ;
64CTSET(IBTRE) ; procedure to store this CT entry in the scratch global
65 Q:'$G(IBTRE)
66 S ^TMP($J,"IBCC1",$$TYPE(IBTRE),IBTRE)=""
67CTSETX ;
68 Q
69 ;
70RNBEDIT(IBTRE,CTTYPE,TCNT,CNT) ; CT entry display and capture RNB data and additional comment data
71 Q:IBQUIT
72 I '$D(IBTALK) D
73 . N CTZ
74 . W !!,"Since you have canceled this bill, you may enter a Reason Not Billable and"
75 . W !,"an Additional Comment into Claims Tracking."
76 . W !,"This will take the care off of the UNBILLED lists."
77 . I TCNT=1 S CTZ="Note: There is 1 associated Claims Tracking entry."
78 . E S CTZ="Note: There are "_TCNT_" associated Claims Tracking entries."
79 . W !!,CTZ
80 . Q
81 ;
82 S IBTALK=1
83 ;
84 N %,IBTRED,IBTRED1 S IBTRED=$G(^IBT(356,IBTRE,0)),IBTRED1=$G(^IBT(356,IBTRE,1))
85 ;
86 W !!,"Claims Tracking Entry [",CNT," of ",TCNT,"]"
87 W !?7,"Entry ID#: ",+IBTRED
88 W !?12,"Type: ",$$EXPAND^IBTRE(356,.18,$P(IBTRED,U,18))
89 ;
90 I CTTYPE=1 D ; inpatient admission or scheduled admission
91 . W !?2,"Admission Date: ",$$FMTE^XLFDT($P(IBTRED,U,6),"1P")
92 . Q
93 ;
94 I CTTYPE=2 D ; outpatient visit
95 . N IBOE,IBOE0
96 . W !?6,"Visit Date: ",$$FMTE^XLFDT($P(IBTRED,U,6),"1P")
97 . S IBOE=+$P(IBTRED,U,4),IBOE0=$$SCE^IBSDU(IBOE)
98 . W !?10,"Clinic: ",$$GET1^DIQ(44,+$P(IBOE0,U,4)_",",.01)
99 . Q
100 ;
101 I CTTYPE=3 D ; prescription refill
102 . N PSONTALK,PSOTMP,X
103 . S PSONTALK=1
104 . S X=+$P(IBTRED,U,8)_U_+$P(IBTRED,U,10) D EN^PSOCPVW
105 . ;if refill was deleted and EN^PSOCPVW doesn't return any data use IB API
106 . I '$D(PSOTMP) D PSOCPVW^IBNCPDPC(+$P(IBTRED,U,2),+$P(IBTRED,U,8),.PSOTMP)
107 . W !?3,"Prescription#: ",$G(PSOTMP(52,+$P(IBTRED,U,8),.01,"E"))
108 . I '$P(IBTRED,U,10) W !?7,"Fill Date: ",$$FMTE^XLFDT($P(IBTRED,U,6),"1P")
109 . I $P(IBTRED,U,10) W !?5,"Refill Date: ",$$FMTE^XLFDT($P(IBTRED,U,6),"1P")
110 . W !?12,"Drug: ",$G(PSOTMP(52,+$P(IBTRED,U,8),6,"E"))
111 . Q
112 ;
113 I CTTYPE=4 D ; prosthetic item
114 . N IBDA,IBRMPR
115 . S IBDA=$P(IBTRED,U,9)
116 . D PRODATA^IBTUTL1(IBDA)
117 . W !?3,"Delivery Date: ",$$FMTE^XLFDT($P(IBTRED,U,6),"1P")
118 . W !?12,"Item: ",$G(IBRMPR(660,+IBDA,4,"E"))
119 . W !?5,"Description: ",$G(IBRMPR(660,+IBDA,24,"E"))
120 . Q
121 ;
122 I $G(IBMCSRNB)'="",$P(IBTRED,U,19) W !," Note: A Reason Not Billable has been previously entered",!?8,"for this Claims Tracking record."
123 I $G(IBMCSCAC)'="",$P(IBTRED1,U,8)'="" W !," Note: An Additional Comment has been previously entered",!?8,"for this Claims Tracking record."
124 ;
125 S DA=IBTRE,DIE="^IBT(356,",DR=".19"
126 I $G(IBMCSRNB)'="" S DR=".19//"_$P(IBMCSRNB,U,2) ; IB*320 MCS cancel - reason not billable
127 I $G(IBMCSCAC)'="" S DR=DR_";1.08//^S X=IBMCSCAC" ; IB*377 MCS cancel - additional comment
128 I $G(IBMCSCAC)="" S DR=DR_";1.08" ; IB*377 additional comment field SRS 3.3.2.1
129 D ^DIE
130 ;
131 ; - if the RNB or additional comment changed, update the user and date/time last edited
132 I $P(IBTRED,U,19)'=$P($G(^IBT(356,IBTRE,0)),U,19)!($P(IBTRED1,U,8)'=$P($G(^IBT(356,IBTRE,1)),U,8)) D NOW^%DTC S DR="1.03///"_%_";1.04////"_DUZ D ^DIE
133 ;
134 ; $D(Y) indicates an up-arrow exit from the DIE call (??)
135 I $D(Y) S DFN=+$P(^IBT(356,IBTRE,0),"^",2) D FIND^IBOHCT(DFN,IBTRE) S IBQUIT=1
136 Q
137 ;
138TYPE(Z) ; function to get the type of claims tracking entry
139 ; Z is the ien to file 356
140 Q +$P($G(^IBE(356.6,+$P($G(^IBT(356,+Z,0)),U,18),0)),U,3)
141 ;
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