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
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File size:
782 bytes
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1 | IBCEMU4 ;ALB/ESG - MRA UTILITIES ;25-OCT-2004
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2 | ;;2.0;INTEGRATED BILLING;**288**;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 | Q
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6 | ;
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7 | DENDUP(IBEOB) ; Denied for Duplicate Function
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8 | ; Function returns true if MRA is Denied AND Reason code 18 is present (Duplicate claim/service)
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9 | NEW IBX,IBM,LINE,DUP,ADJ
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10 | S IBX=0,IBM=$G(^IBM(361.1,+$G(IBEOB),0))
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11 | I $P(IBM,U,4)'=1 G DENDUPX ; not an MRA
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12 | I $P(IBM,U,13)'=2 G DENDUPX ; not Denied
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13 | ;
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14 | ; check line item adjustments for reason code 18
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15 | S LINE=0,DUP=0
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16 | F S LINE=$O(^IBM(361.1,IBEOB,15,LINE)) Q:'LINE D Q:DUP
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17 | . S ADJ=0
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18 | . F S ADJ=$O(^IBM(361.1,IBEOB,15,LINE,1,ADJ)) Q:'ADJ D Q:DUP
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19 | .. I $D(^IBM(361.1,IBEOB,15,LINE,1,ADJ,1,"B",18)) S DUP=1 Q
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20 | .. Q
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21 | . Q
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22 | ;
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23 | I DUP S IBX=1
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24 | DENDUPX ;
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25 | Q IBX
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26 | ;
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