source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCD4.m@ 1757

Last change on this file since 1757 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version

File size: 4.6 KB
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1IBCD4 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - GATHER DX AND PROCEDURES) ;9/5/93
2 ;;2.0;INTEGRATED BILLING;**14,80,106,160,309,276,347**;21-MAR-94;Build 24
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5 ;
6IDX(PTF,DT1,DT2) ; find 501 movement Diagnosis and 701 Discharge Diagnosisfor a PTF record within bill range
7 ; check for billable bedsection and SC treatement and duplicates
8 ; results: IBT = number of billable movements within date range
9 ; IBMSG(X)=" error message " if any errors found
10 ; ^TMP("IBDX",$J)= PTF IFN
11 ; ^TMP("IBDX",$J,DX)=""
12 ; ^TMP("IBDX",$J,-MOVE DATE, x) = Dx
13 N IBMVT,IBN,IBDT,IBCNT,IBBS,IBSC,IBMV,IBDX,IBI,IBX K IBMSG,IBT,^TMP("IBDX",$J)
14 ;
15 D PTFDXDT^IBCSC4F(PTF,DT1,DT2) S IBMVT="M" I +$P($G(^TMP($J,"IBDX","D")),U,3) S IBMVT="D"
16 ;
17 S ^TMP("IBDX",$J)=+PTF S (IBT,IBBS,IBSC)=0,IBCNT=1
18 F IBN="D","M" S IBDT="" F S IBDT=$O(^TMP($J,"IBDX",IBN,IBDT)) Q:'IBDT D
19 . S IBMV=$G(^TMP($J,"IBDX",IBN,IBDT)) Q:IBMV=""
20 . ;
21 . I IBN="M" S IBT=IBT+1,IBX="" D Q:+IBX
22 .. I $P(IBMV,U,3)=1 S IBSC=IBSC+1,IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement related to an SC condition.",IBCNT=IBCNT+1,IBX=1
23 .. I $P($G(^DIC(42.4,+$P(IBMV,U,2),0)),U,5)="" S IBBS=IBBS+1,IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement is for a non-billable bedsection.",IBCNT=IBCNT+1,IBX=1
24 .. I '$P(IBMV,U,4) S IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement does not have a DRG as required for Reasonable Charges.",IBCNT=IBCNT+1
25 . I IBN'=IBMVT Q
26 . ;
27 . S IBI="" F S IBI=$O(^TMP($J,"IBDX",IBN,IBDT,IBI)) Q:'IBI D
28 .. S IBDX=$G(^TMP($J,"IBDX",IBN,IBDT,IBI)) Q:'IBDX
29 .. I '$P(IBDX,U,2),IBDT>+$G(^TMP("IBDX",$J,"DX",+IBDX)) S ^TMP("IBDX",$J,"DX",+IBDX)=IBDT_U_IBI
30 ;
31 S IBDX="" F S IBDX=$O(^TMP("IBDX",$J,"DX",IBDX)) Q:'IBDX D
32 . S IBX=^TMP("IBDX",$J,"DX",IBDX) I +IBX S ^TMP("IBDX",$J,-IBX,+$P(IBX,U,2))=IBDX
33 K ^TMP($J,"IBDX")
34 ;
35 I +IBSC S IBMSG(IBCNT)="PTF record indicates "_+IBSC_" of "_IBT_" movements are for Service Connected Care.",IBCNT=IBCNT+1
36 I +IBBS S IBMSG(IBCNT)="PTF record indicates "_+IBBS_" of "_IBT_" movements are for a non-billable bedsection.",IBCNT=IBCNT+1
37 S IBT=IBT-IBSC-IBBS I 'IBT S IBMSG(IBCNT)="0 movements are billable."
38IDXE Q
39 ;
40IPRC(PTF,DT1,DT2) ;find 401 and 601 procedures for a PTF record
41 ;results: ^TMP("IBIPRC",$J,PROC DATE)=PROC1^ ... ^PROC5
42 ;where PROC DATE = (45.01,45.01,.01) and (45,45.05,.01) and PROC = (45,45.01,8-12) and (45,45.05,4-8)
43 N IBX,IBY,IBZ,IBI K ^TMP("IBIPRC",$J) I '$D(^DGPT(+$G(PTF),0)) G IPRCE
44 S DT1=$S(+$G(DT1):+DT1,1:0),DT2=$S(+$G(DT2):+DT2,1:9999999),^TMP("IBIPRC",$J)=+PTF
45 S IBX=0 F S IBX=$O(^DGPT(+PTF,"S",IBX)) Q:'IBX S IBY=$G(^DGPT(+PTF,"S",IBX,0)) I +IBY'<DT1,+IBY'>DT2 D
46 . S IBZ="" F IBI=8:1:12 I +$P(IBY,U,IBI) S IBZ=IBZ_+$P(IBY,U,IBI)_U
47 . I +IBZ S ^TMP("IBIPRC",$J,+IBY)=$G(^TMP("IBIPRC",$J,+IBY))_IBZ
48 S IBX=0 F S IBX=$O(^DGPT(+PTF,"P",IBX)) Q:'IBX S IBY=$G(^DGPT(+PTF,"P",IBX,0)) I +IBY'<DT1,+IBY'>DT2 D
49 . S IBZ="" F IBI=5:1:9 I +$P(IBY,U,IBI) S IBZ=IBZ_+$P(IBY,U,IBI)_U
50 . I +IBZ S ^TMP("IBIPRC",$J,+IBY)=$G(^TMP("IBIPRC",$J,+IBY))_IBZ
51IPRCE Q
52 ;
53RXRF(PIFN,RIFN,IBDT) ; returns data on fill on date for rx (RX # ^ DRUG ^ DAYS SUPPLY ^ FILL DATE ^ QTY ^ NDC #)
54 N X,Y,PLN,RLN,IBFILL,PDFN,LIST,NODE
55 S X=""
56 S PDFN=$$FILE^IBRXUTL(PIFN,2)
57 S LIST="IBRXARR"
58 S NODE="R^^"
59 I +$G(PIFN) S PLN=$$RXZERO^IBRXUTL(PDFN,PIFN) I PLN'="" D
60 . D RX^PSO52API(PDFN,LIST,PIFN,,NODE,,)
61 . I $G(IBDT) D REF^PSO52EX($G(IBDT),$G(IBDT),LIST) S RIFN=$O(^TMP($J,LIST,"AD",IBDT,PIFN,""))
62 . S RLN="",IBFILL="^^" I $G(RIFN)="" S X="" Q
63 . I (RIFN=0)!(RIFN=-1) S RLN=$$RXSEC^IBRXUTL(PDFN,PIFN) Q:RLN="" S IBFILL=$P(PLN,U,8)_"^"_$P(RLN,U,2)_"^"_$P(PLN,U,7)
64 . I RIFN>0 S RLN=$$ZEROSUB^IBRXUTL(PDFN,PIFN,RIFN) Q:RLN="" S IBFILL=$P(RLN,U,10)_"^"_$P(RLN,U,1)_"^"_$P(RLN,U,4)
65 . S X=$P(PLN,U,1)_"^"_$P(PLN,U,6)_"^"_IBFILL_"^"_$$GETNDC^PSONDCUT(+PIFN,+RIFN)
66 E S X=""
67 K ^TMP($J,LIST)
68 Q X
69 ;
70CHK() ;other checks
71 N X S X=1 I $G(^DPT(+$G(IBDFN),0))="" S X="0^Patient information lacking."
72 Q X
73 ;
74CHKSYS() ;various checks to determine if bill can be created, returns true if passes XXXXXX
75 ;if fails then returns "0^error message"
76 ;requires nothing
77 N X,Y,I S X=1
78 I '$P($G(^IBE(350.9,1,1)),U,14) S X="0^MAS SERVICE PARAMETER UNKNOWN" G CHKSYSE
79 I +$P($$SITE^VASITE,U,3)<1 S X="0^ACILITY UNDEFINED" G CHKSYSE
80 ;G:$D(IBB) CHKSYSE
81 ;I '$D(DUZ(0)) S X="0^FILEMAN ACCESS UNDEFINED" G CHKSYSE
82 ;I $S($D(DLAYGO):2\1-(DLAYGO\1),1:1),DUZ(0)'="@",$D(^DIC(399,0,"LAYGO")) S DLAYGO=399
83CHKSYSE Q X
84 ;
85 ;GVARS(IFN) ;get data on bill IFN (commented out patch 80, does not appear to be used)
86 ;N I S X=1 I '$G(^DGCR(399,+$G(IFN),0)) S X=0 G GVARSE
87 ;F I=0,"M" S IB(I)=$G(^DGCR(399,+IFN,I))
88 ;S DGINPAR=$P($G(^DIC(36,+IB("MP"),0)),U,6,10)
89 ;GVARSE Q X
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