source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCF33.m@ 1397

Last change on this file since 1397 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version

File size: 7.3 KB
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1IBCF33 ;ALB/ARH - UB-04 CMS-1450 (GATHER CODES) ;25-AUG-1993
2 ;;2.0;INTEGRATED BILLING;**52,80,109,51,230,349**;21-MAR-94;Build 46
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5 ;IBIFN required
6 ;
7 ; Not all free text prints in these blocks as of MRA/EDI - only print
8 ; REVENUE CODES and associated data, Rx's and prosthetics
9 ; and last line to indicate multiple pages
10 N IBI,IBJ,IBCU2,IBCOL,IBSTATE,IBCBILL,IBINPAT,IBX,IBY,Z,IBZ,IBLPG
11 S IBLINES=22,IBCU2=$G(^DGCR(399,IBIFN,"U2")),IBCOL=1,IBNOCOM=0
12 K IBXSAVE("RX-UB-04"),IBXSAVE("PROS-UB-04")
13 D HOS^IBCEF22(IBIFN)
14 ;
15 I $$TXMT^IBCEF4(IBIFN) S IBNOCOM=1
16 S Z="",IBNOCHG=0
17 ; Add total line as last entry, if not already there
18 ;S IBLCT=$O(IBXDATA(""),-1)
19 ;I IBLCT,$P(IBXDATA(IBLCT),U)'="001" S IBXDATA(IBLCT+1)="001"
20 ;S IBLCT=0
21 S IBLPG=($O(IBXDATA(""),-1)+$O(IBXSAVE("RX-UB-04",""),-1)+$O(IBXSAVE("PROS-UB-04",""),-1))/22,IBLPG=IBLPG\1+$S($P(IBLPG,".",2):1,1:0)
22 F S Z=$O(IBXDATA(Z)) Q:'Z D
23 . N IBZ1
24 . ;I $P(IBXDATA(Z),U)="001",'$O(IBXDATA(Z)) S IBZ="001",$P(IBZ,U,4)=$P(IBCBCOMM,U,1),IBDA=0 S:IBNOCHG $P(IBZ,U,9)=$G(IBNOCHG) S IBXDATA(Z)=IBZ D SET1 Q
25 . ;Get modifiers
26 . S IBZ1=$G(^DGCR(399,IBIFN,"RC",+$P(IBXDATA(Z),U,8),0)),IBMOD=""
27 . I $P(IBZ1,U,6),$S($P(IBZ1,U,10)=4:$P(IBZ1,U,11),1:'$P(IBZ1,U,10)) S $P(IBXDATA(Z),U,9)=$$MOD(IBZ1,IBIFN)
28 . S IBZ=$P(IBXDATA(Z),U)_U_$P(IBXDATA(Z),U,3,5)_"^^"_$P(IBXDATA(Z),U,2),$P(IBZ,U,9)=$P(IBXDATA(Z),U,6),$P(IBZ,U,13)=$P(IBXDATA(Z),U,7),$P(IBZ,U,10)=$P(IBXDATA(Z),U,9),$P(IBZ,U,14)=$P(IBXDATA(Z),U,10)
29 . I IBZ S IBNOCHG=IBNOCHG+$P(IBXDATA(Z),U,6),IBDA=$P(IBXDATA(Z),U,8) D SET1
30 . ;S IBLCT=IBLCT+1
31 I $D(IBXSAVE("RX-UB-04"))!$D(IBXSAVE("PROS-UB-04")) D
32 . N Z
33 . S Z=0 F S Z=$O(IBXSAVE("RX-UB-04",Z)) Q:'Z S IBZ=IBXSAVE("RX-UB-04",Z) D SET2
34 . S Z=0 F S Z=$O(IBXSAVE("PROS-UB-04",Z)) Q:'Z S IBZ=IBXSAVE("PROS-UB-04",Z) D SET2
35 D END
36 Q
37 ;
38RV ;rev codes sorted by bedsection - no longer used as of patch IB*2*51
39 S (IBBSN,IBBS,IBNOCHG)=0 F S IBBS=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS)) Q:'IBBS D
40 . S IBRV=0 F S IBRV=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS,IBRV)) Q:'IBRV D
41 .. S IBDA=0 F S IBDA=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS,IBRV,IBDA)) Q:'IBDA D
42 ... S IBX=$G(^DGCR(399,IBIFN,"RC",IBDA,0))
43 ... S IBZ=$P($G(^DGCR(399.1,+$P(IBX,U,5),0)),U,1) S IBBSN=IBZ,IBZ=IBX,IBNOCHG=IBNOCHG+$P(IBZ,U,9) D SET1
44 ;
45 ;loop through all rev codes, print those with no bedsection
46 S IBDA=0 F S IBDA=$O(^DGCR(399,IBIFN,"RC",IBDA)) Q:'IBDA S IBZ=$G(^(IBDA,0)) I +IBZ,$P(IBZ,U,5)="" S IBNOCHG=IBNOCHG+$P(IBZ,U,9) D SET1
47 ;
48TOTAL ;add total
49 ;I +$P(IBCBCOMM,U,2) S IBZ="",$P(IBZ,U,2)="SUBTOTAL",$P(IBZ,U,4)=+$P(IBCBCOMM,U,1) D SET1
50 ;
51 ;S IBX=$S(+$P(IBCBCOMM,U,2):4,1:2) D SPACE
52 S IBX=2 D SPACE
53 ;S IBZ="" D SET2
54 ;S IBJ=0 F IBI=4,5,6 S IBJ=IBJ+$P(IBCU2,U,IBI)
55 ;I +$P(IBCBCOMM,U,2),+$P(IBCBCOMM,U,2)'=IBJ S (IBI,IBZ)="",$P(IBZ,U,2)="LESS "_$P(IBCBCOMM,U,3),$P(IBZ,U,4)=+$P(IBCBCOMM,U,2) D SET1 S IBZ="" D SET2
56 ;
57 ;S IBZ="001",$P(IBZ,U,2)="TOTAL",$P(IBZ,U,4)=IBCBCOMM-$S(IBI="":$P(IBCBCOMM,U,2),1:0) S:IBNOCHG $P(IBZ,U,9)=$G(IBNOCHG) D SET1
58 ;
59 ;
60CPT ;add additional procedures
61 ;G:$G(IBFL(80))'>6 OPV S IBX=+IBFL(80)-4 D SPACE
62 ;S IBZ="" D SET2
63 ;S IBZ="ADDITIONAL PROCEDURE CODES:" D SET2
64 ;S IBI=6 F S IBI=$O(IBFL(80,IBI)) Q:'IBI D
65 ;. S IBX=$P(IBFL(80,IBI),U,2),IBZ=$E(IBX,1,2)_"/"_$E(IBX,3,4)_"/"_$E(IBX,5,6)_$J(" ",5)_$P(IBFL(80,IBI),U,1) D SET2
66 ;
67OPV ;add outpatient visit dates
68 ;G:'$O(^DGCR(399,IBIFN,"OP",0)) CONT S (IBX,IBY)=0 F S IBX=$O(^DGCR(399,IBIFN,"OP",IBX)) Q:'IBX S IBY=IBY+1
69 ;S IBX=IBY/3,IBX=IBX\1+$S(+$P(IBX,".",2):1,1:0)+1 D SPACE
70 ;S IBZ="" D SET2 S IBZ="OP VISIT DATE(S) BILLED:"_$J(" ",34-24)
71 ;S (IBI,IBJ)=0 F S IBI=$O(^DGCR(399,IBIFN,"OP",IBI)) Q:'IBI D
72 ;. S Y=$G(^DGCR(399,IBIFN,"OP",IBI,0)),IBZ=IBZ_$$FMTE^XLFDT(Y,2)_$S($O(^DGCR(399,IBIFN,"OP",IBI)):", ",1:"")
73 ;. S IBJ=IBJ+1 I IBJ>2 D SET2 S IBZ=$J(" ",34),IBJ=0
74 ;I $L(IBZ)>34 D SET2
75 ;
76CONT ;D ^IBCF331 ;More free text - can no longer print on UB-04
77 ;
78 ; fill in rest of page
79END D:'$G(IBNOCOM) FILLPG S $P(^TMP($J,"IBC-RC"),U,2)=0 S IBPG=+$G(^TMP($J,"IBC-RC")),IBX=IBPG/22,IBPG=IBX\1+$S(+$P(IBX,".",2):1,1:0)
80 K IBZ,IBBSN,IBBS,IBRV,IBDA,IBLN,IBCOL,IBLINES,IBARRAY,IBNOCHG,IBNOCOM,IBXSAVE("RX-UB-04"),IBXSAVE("PROS-UB-04")
81 Q
82 ;
83SPACE ;checks to see if IBX can fit on page, if not starts new page
84 Q:'IBX N IBLN,IBY S IBLN=+$G(^TMP($J,"IBC-RC")),IBY=IBLN#22 S:IBY=0&(IBLN'=0) IBY=22 I IBX>(IBLINES-IBY) D FILLPG
85 Q
86 ;
87FILLPG ;fill rest of page with blank lines
88 N IBI,IBLN,IBZ S IBFILL=1 F IBI=1:1:22 S IBLN=+$G(^TMP($J,"IBC-RC")) Q:'(IBLN#22) S IBZ="" D FILLUP Q:IBFILL=2
89 K IBFILL Q
90 ;
91SET1 ; add rev codes to array: rev cd ^ rev cd st abbrev. ^ CPT CODE ^ unit charge ^ units ^ total ^ non-cov charge ^ form locator 49 ^ rev code mult ien ^ cpt modifiers attached to revenue code/procedure (unlinked)^ outpt serv date
92 ;formats for output into specific column blocks 42-48
93 N IBX,IBY,IBLN,IBN,IBMOD
94 D NEXTLN S IBY=""
95 ;set up rev cd item with appropriate output values, non-rev cd entries for old bills should already be in external form
96 S IBN=$P(IBZ,U,9) ;non-covered charges
97 S IBMOD=$P(IBZ,U,10) I IBMOD'="" S IBMOD=$E($TR(IBMOD,",;"),1,4) ; cpt modifiers
98 I +IBZ S IBX=$G(^DGCR(399.2,+IBZ,0)) Q:IBX="" D
99 . S IBY=$P(IBX,U,1)_U_$P(IBX,U,2)_U_$$PRCD^IBCEF1($P(IBZ,U,6)_";ICPT(")_IBMOD
100 . S IBY=IBY_U_$P(IBZ,U,2)_U_$P(IBZ,U,3)_U_$P(IBZ,U,4)_U_IBN_U_$P(IBZ,U,13)_U_$G(IBDA)_U_U_$$DATE^IBCF2($P(IBZ,U,14),"",1)
101 I IBY="" S IBY=$P(IBZ,U,1)_U_$P(IBZ,U,2)_U_U_U_$P(IBZ,U,3)_U_$P(IBZ,U,4)_U_IBN_U_$P(IBZ,U,13)_U_$G(IBDA)_U_U_$$DATE^IBCF2($P(IBZ,U,14),"",1)
102 S IBLN=+$G(^TMP($J,"IBC-RC"))+1,^TMP($J,"IBC-RC",IBLN)=1_U_IBY,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
103 Q
104 ;
105SET2 ;set free text into block 42 array
106 Q:$G(IBNOCOM) ;No comments wanted
107 N IBLN D NEXTLN S IBCOL=$S('IBCOL:2,1:3)
108 S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I IBLN#22=1,$G(IBFILL) S IBFILL=2 Q
109 S ^TMP($J,"IBC-RC",IBLN)=IBCOL_U_IBZ,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
110 Q
111 ;
112FILLUP ; Fill block 42 with blank lines
113 N IBLN D NEXTLN S IBCOL=$S('IBCOL:2,1:3)
114 S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I IBLN#22=1,$G(IBFILL) S IBFILL=2 Q
115 S ^TMP($J,"IBC-RC",IBLN)=IBCOL_U_IBZ,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
116 Q
117 ;
118NEXTLN ;checks counter for next line, resets if necessary,
119 ;ie. if the line # indicated by the next line # var. has already been used then this increments the next line # var.
120 S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I $D(^TMP($J,"IBC-RC",IBLN)) S ^TMP($J,"IBC-RC")=IBLN S:'(IBLN#22) IBLINES=22 G NEXTLN
121 Q
122 ;
123MOD(RCLN,IBIFN) ; return modifier(s) for a directly linked CPT charge or for an indirectly linked one
124 N IBCPTN,IBMOD
125 S IBMOD=""
126 I $P($G(RCLN),U,10)=4 S IBCPTN=+$P(RCLN,U,11) I +IBCPTN S IBMOD=$$GETMOD^IBEFUNC(IBIFN,IBCPTN,1) ;Linked
127 I IBMOD="",$P(RCLN,U,14)'="" S IBMOD=$TR($P(RCLN,U,14),";",",") ; Not linked or linked, but manually entered modifiers only
128MODQ Q IBMOD
129 ;
130DATE45(IBIFN,IBXDATA,IBDATE) ; What prints in the service date box of UB-04
131 ; INPUT:
132 ; IBIFN = ien of bill
133 ; IBDATE = the default outpt service date
134 ; OUTPUT:
135 ; IBXDATA = the output formatter array with the service dates
136 ; (pass by reference)
137 N Z,Z0,IBR,IBIN
138 S IBIN=$$INPAT^IBCEF(IBXIEN,1)
139 F Z=1:1 Q:'$D(^TMP($J,"IBC-RC",Z)) S IBR=^(Z) D
140 . S Z0=$S(+IBR=1&'IBIN&(+$P(IBR,U,2)'=1):$S($P(IBR,U,12):$P(IBR,U,12),1:$G(IBDATE)),+IBR=2:$E($P(IBR,U,2),46,52),1:$E($P(IBR,U,2),41,47))
141 . S:Z'>22 IBXDATA(Z)=Z0 D:Z>22 CKREV^IBCEF3(Z,Z0)
142 Q
143 ;
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