1 | IBCRU3 ;ALB/ARH - RATES: UTILITIES (CS/BR) ;22-MAY-1996
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2 | ;;2.0;INTEGRATED BILLING;**52,106,223**;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 | CSN(N) ; returns the IFN of the Charge Set name passed in
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6 | N X S X="" I $G(N)'="" S X=$O(^IBE(363.1,"B",N,0))
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7 | Q X
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8 | ;
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9 | CSBI(CS) ; returns a Charge Set rates Billable Item (363.3,.04): 0 or BI ^ bi name
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10 | N IBX,IBCS0,IBBI S IBX=0
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11 | S IBCS0=$G(^IBE(363.1,+$G(CS),0)),IBBI=$P($G(^IBE(363.3,+$P(IBCS0,U,2),0)),U,4)
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12 | I +IBBI S IBX=IBBI_U_$$EXPAND^IBCRU1(363.3,.04,IBBI)
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13 | Q IBX
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14 | ;
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15 | CSBR(CS) ; return data on a charge set: billable event ^ BE IFN ^ billing rate IFN ^ billable item ^ charge method
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16 | N IBBRFN,IBBEVNT,IBLN1,IBLN,IBX S IBX=""
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17 | S IBLN=$G(^IBE(363.1,+$G(CS),0)),IBBRFN=+$P(IBLN,U,2),IBBEVNT=$$EMUTL^IBCRU1($P(IBLN,U,3))
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18 | S IBLN1=$G(^IBE(363.3,IBBRFN,0))
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19 | I IBLN'="" S IBX=IBBEVNT_U_$P(IBLN,U,3)_U_IBBRFN_U_$P(IBLN1,U,4)_U_$P(IBLN1,U,5)
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20 | Q IBX
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21 | ;
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22 | CSDV(CS,DIV,DDIV) ; check if the division is covered by this charge set
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23 | ; "" if - Charge Set has no region defined (ie. covers all divisions)
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24 | ; div if - division passed in and it is one of the divisions of the region defined for the Charge Set
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25 | ; - no division but default division is one of the divisions of the region defined for the Set
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26 | ; -1 - otherwise: division not covered by CS
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27 | ;
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28 | N IBX,IBCS0,IBRGFN S IBX=-1,DIV=$G(DIV),DDIV=$G(DDIV)
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29 | S IBCS0=$G(^IBE(363.1,+$G(CS),0)),IBRGFN=$P(IBCS0,U,7) I IBCS0="" G CSDVQ
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30 | ;
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31 | I 'IBRGFN S IBX="" G CSDVQ
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32 | I +IBRGFN,+DIV,$D(^IBE(363.31,+IBRGFN,11,"B",DIV)) S IBX=DIV G CSDVQ
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33 | I +IBRGFN,'DIV,+DDIV,$D(^IBE(363.31,+IBRGFN,11,"B",DDIV)) S IBX=DDIV G CSDVQ
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34 | ;
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35 | CSDVQ Q IBX
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36 | ;
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37 | RT(RT,BT,EFDT,ARR,BE,CT) ; return array of all rate schedules and charge sets for a rate type and bill type and date
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38 | ; EFDT may be passed as 'begin dt^end dt' to get CSs active within a date range, like a bill's date range
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39 | ; output ARR = number of rate schedule-charge set combinations found
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40 | ; ARR(rate sched IFN,charge set IFN) = 1 if charges for set are auto added
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41 | N IBBEG,IBEND,IBRSFN,IBRS0,IBCSI,IBBE,IBLN,IBAA K ARR S ARR=0,IBBE=""
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42 | S RT=$G(RT),BT=$G(BT),EFDT=$G(EFDT),CT=$G(CT) I +BT S BT=$S(BT<3:1,1:3)
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43 | S (IBBEG,IBEND)="" S IBBEG=+EFDT,IBEND=$S(+$P(EFDT,U,2):+$P(EFDT,U,2),1:IBBEG)
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44 | I $G(BE)'="" S:+BE BE=$$EMUTL^IBCRU1(BE) S IBBE=$$MCCRUTL^IBCRU1(BE,14)
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45 | I IBBE'=0 S IBRSFN=0 F S IBRSFN=$O(^IBE(363,"ARB",+RT,+BT,IBRSFN)) Q:'IBRSFN D
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46 | . S IBRS0=$G(^IBE(363,+IBRSFN,0)) I +EFDT I (+$P(IBRS0,U,5)>IBEND)!(+$P(IBRS0,U,6)&(+$P(IBRS0,U,6)<IBBEG)) Q
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47 | . S IBCSI=0 F S IBCSI=$O(^IBE(363,IBRSFN,11,IBCSI)) Q:'IBCSI D
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48 | .. S IBLN=$G(^IBE(363,IBRSFN,11,IBCSI,0)) Q:'IBLN
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49 | .. S IBAA=$P(IBLN,U,2)
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50 | .. I +IBBE,+$P($G(^IBE(363.1,+IBLN,0)),U,3)'=IBBE Q
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51 | .. I +CT,+$P($G(^IBE(363.1,+IBLN,0)),U,4)'=CT S IBAA=""
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52 | .. S ARR=ARR+1,ARR(IBRSFN,+IBLN)=IBAA
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53 | Q
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54 | ;
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55 | BILLRATE(RT,BT,EVDT,FNDRATE) ; return true if the bill is a FND rate bill
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56 | ; - one of the auto add Charge Sets must be a FND Billing Rate
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57 | N IBRS,IBCS,IBCS0,IBBR0,IBFND,IBRSARR S IBFND=0
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58 | ;
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59 | D RT(+$G(RT),+$G(BT),$G(EVDT),.IBRSARR)
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60 | ;
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61 | I $G(FNDRATE)'="" S IBRS=0 F S IBRS=$O(IBRSARR(IBRS)) Q:'IBRS D Q:IBFND
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62 | . S IBCS=0 F S IBCS=$O(IBRSARR(IBRS,IBCS)) Q:'IBCS I +IBRSARR(IBRS,IBCS) D Q:IBFND
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63 | .. S IBCS0=$G(^IBE(363.1,IBCS,0)),IBBR0=$G(^IBE(363.3,+$P(IBCS0,U,2),0))
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64 | .. I $P(IBBR0,U,1)[FNDRATE S IBFND=1
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65 | ;
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66 | Q IBFND
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67 | ;
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68 | PERDIEM(RT,BT,EVDT) ; return true (BR ifn) if the charges for the rate and bill type are perdiem charges
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69 | ; - one of the auto add Charge Sets (except RX or Pros) must be either Tort Liable or Interagency
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70 | N IBRS,IBCS,IBCS0,IBBEVNT,IBBR,IBBRN,IBFND,IBRSARR S IBFND=0
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71 | ;
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72 | D RT(+$G(RT),+$G(BT),$G(EVDT),.IBRSARR)
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73 | ;
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74 | S IBRS=0 F S IBRS=$O(IBRSARR(IBRS)) Q:'IBRS D Q:IBFND
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75 | . S IBCS=0 F S IBCS=$O(IBRSARR(IBRS,IBCS)) Q:'IBCS I +IBRSARR(IBRS,IBCS) D Q:IBFND
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76 | .. S IBCS0=$G(^IBE(363.1,IBCS,0)),IBBR=+$P(IBCS0,U,2),IBBRN=$P($G(^IBE(363.3,+IBBR,0)),U,1)
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77 | .. S IBBEVNT=$$EMUTL^IBCRU1(+$P(IBCS0,U,3)) I (IBBEVNT["PRESCRIPTION")!(IBBEVNT["PROSTHETICS") Q
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78 | .. I (IBBRN["TORTIOUSLY LIABLE")!(IBBRN["INTERAGENCY") S IBFND=IBBR
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79 | ;
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80 | Q IBFND
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81 | ;
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82 | EVNTITM(RT,BT,BE,EFDT,ARR) ; return the billable item (363.3, .04) for a particular Rate Type and Billable Event (399.1) auto added
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83 | ; EFDT may be passed as 'begin dt^end dt' to get CSs active within a date range, like a bill's date range
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84 | ; returns: string of billing items (code;name;quantity) separated by ^ (3;NDC #;3^1;BEDSECTION;1)
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85 | ; for VA Cost, code = 'VA COST' so returns 'VA COST;VA COST;2'
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86 | ; output (if ARR passed by reference): ARR(billable item code, rate sched IFN, charge set IFN)=""
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87 | N IBRS,IBCS,IBRSARR,IBCS0,IBBR0,IBBI,IBFND K ARR S IBFND=""
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88 | ;
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89 | I $G(BE)'="" D RT(+$G(RT),+$G(BT),$G(EFDT),.IBRSARR,$G(BE))
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90 | ;
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91 | S IBRS=0 F S IBRS=$O(IBRSARR(IBRS)) Q:'IBRS D
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92 | . S IBCS=0 F S IBCS=$O(IBRSARR(IBRS,IBCS)) Q:'IBCS I +IBRSARR(IBRS,IBCS) D
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93 | .. S IBCS0=$G(^IBE(363.1,IBCS,0)),IBBR0=$G(^IBE(363.3,+$P(IBCS0,U,2),0))
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94 | .. S IBBI=$P(IBBR0,U,4) I IBBI="",$P(IBBR0,U,5)=2 S IBBI=$P(IBBR0,U,1)
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95 | .. I IBBI'="" S IBFND=IBFND_IBBI_";"_$$EXPAND^IBCRU1(363.3,.04,IBBI)_";"_$P(IBBR0,U,5)_U,ARR(IBBI,IBRS,IBCS)=""
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96 | Q IBFND
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