| 1 | IBEBR ;ALB/AAS - Add/Edit IB ACTION CHARGE FILE; 3-MAR-92 | 
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| 2 | ;;Version 2.0 ; INTEGRATED BILLING ;**34,52**; 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 | % ; entry point | 
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| 6 | D HOME^%ZIS W @IOF | 
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| 7 | EN W !!,?28,"Enter/Edit Billing Rates",!! | 
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| 8 | S IBX="MAIN" D CHOOSE I $D(DIRUT)!('Y) G END | 
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| 9 | I Y>0,Y<7 D @Y | 
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| 10 | G EN | 
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| 11 | Q | 
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| 12 | 1 ;enter edit revenue code rates | 
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| 13 | ;D EN1^IBCBR | 
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| 14 | ;D ENR^IBEMTO ; bill MT OPT charges awaiting the new copay rate | 
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| 15 | ;D END | 
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| 16 | W !!,"  ******* This option is no longer active.",!,?10,"Please use the Enter/Edit Charge Master option.",! | 
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| 17 | Q | 
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| 18 | ; | 
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| 19 | 2 ;enter per diem rate | 
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| 20 | S IBX="PERDIEM" D CHOOSE Q:$D(DIRUT) | 
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| 21 | D EFFDT,END | 
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| 22 | G 2 | 
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| 23 | ; | 
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| 24 | 3 ;enter medicare deductable | 
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| 25 | S IBX="MEDIC",IBPD="MEDICARE DEDUCTIBLE" ;D CHOOSE Q:$D(DIRUT) | 
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| 26 | D EFFDT,END Q:$G(Y)<1 | 
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| 27 | G 3 | 
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| 28 | ; | 
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| 29 | 4 ;enter hcfa amb. surg. rates | 
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| 30 | S IBX="HCFA" D CHOOSE Q:$D(DIRUT) | 
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| 31 | D EFFDT,END | 
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| 32 | G 4 | 
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| 33 | ; | 
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| 34 | 5 ;enter rx copay rates | 
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| 35 | S IBX="COPAY" D CHOOSE Q:$D(DIRUT) | 
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| 36 | D EFFDT,END | 
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| 37 | G 5 | 
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| 38 | ; | 
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| 39 | 6 ;enter champva subsistence rates | 
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| 40 | S IBX="CHMPVA" D CHOOSE Q:$D(DIRUT) | 
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| 41 | D EFFDT,END | 
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| 42 | G 6 | 
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| 43 | ; | 
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| 44 | CHOOSE S IBSEL=$P($T(@IBX),";;",2,99),IB="" | 
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| 45 | F I=1:1 Q:$P($T(@IBX+I),";;",2,99)=""  S IB=IB_I_":"_$P($P($T(@IBX+I),";;",2,99),"^",$S($P($P($T(@IBX+1),";;",2,99),"^",5)="":1,1:5))_";" | 
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| 46 | W !!,"CHOOSE FROM:" | 
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| 47 | F I=1:1 S X=$P(IB,";",I) Q:'X  W !?4,+X,?20,$P(X,":",2) | 
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| 48 | S DIR("?")="^D 1^IBEBRH",DIR("??")="^D 2^IBEBRH" | 
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| 49 | W !! S DIR(0)="SOA^"_IB,DIR("A")="Select "_IBSEL_": " D ^DIR K DIR I $D(DIRUT) G CHOOSEQ | 
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| 50 | S IBP=$P($T(@IBX+Y),";;",2,99) S IBPD=$P(IBP,"^",1) F I=2:1 Q:$P(IBP,"^",I)=""  S IBPD(I)=$P(IBP,"^",I) | 
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| 51 | CHOOSEQ Q | 
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| 52 | ; | 
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| 53 | EFFDT S %DT="EX" | 
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| 54 | R !!,"   Select Effective Date: ",X:DTIME Q:X=""  D:X["?" 3^IBEBRH I X=" ",$D(IBEFDT) S X=IBEFDT | 
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| 55 | D ^%DT K %DT G:X["?" EFFDT Q:Y<1  S IBEFDT=+Y | 
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| 56 | D FILE G EFFDT | 
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| 57 | Q | 
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| 58 | ; | 
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| 59 | FILE ;  -add new entries in 350.2 and edit | 
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| 60 | S DLAYGO=350.2,X=IBPD,DIC="^IBE(350.2,",DIC(0)="ELMQ",DIC("S")="I $P(^(0),U,2)=IBEFDT",DIC("DR")=".02///"_IBEFDT D ^DIC K DIC G:+Y<0 FILEQ | 
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| 61 | ; | 
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| 62 | ;  -if a new entry | 
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| 63 | S IBNEW=$P(Y,"^",3) | 
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| 64 | K DR S DR="" S IBORIG=$O(^IBE(350.2,"B",IBPD,0)) I IBNEW S DR=".02///"_IBEFDT_";.03///"_$P($G(^IBE(350.2,+IBORIG,0)),"^",3)_";" | 
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| 65 | ; | 
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| 66 | S DIE="^IBE(350.2,",DA=+Y,DR=DR_".04;.06;.05;" D ^DIE K DIE | 
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| 67 | ; | 
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| 68 | ;  -delete if no charge or not inactive | 
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| 69 | S X=$G(^IBE(350.2,DA,0)) I '$P(X,"^",4)&('$P(X,"^",5)) W !!,*7,"Deleting - no charge, not inactive" S DIK="^IBE(350.2," D ^DIK Q | 
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| 70 | ; | 
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| 71 | ;  -set computed logic for new entry if needed | 
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| 72 | S IB10=$G(^IBE(350.2,+IBORIG,10)) I IB10]"" S ^IBE(350.2,DA,10)=IB10 | 
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| 73 | ; | 
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| 74 | ;  -logic for rx3-rx6 | 
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| 75 | S IB=0,IB0=$G(^IBE(350.2,DA,0)) F  S IB=$O(IBPD(IB)) Q:'IB  D | 
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| 76 | . S IBORIG=$O(^IBE(350.2,"B",IBPD(IB),0)),IBATYP=+$P($G(^IBE(350.2,+IBORIG,0)),"^",3) | 
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| 77 | . I 'IBNEW S DA=$O(^IBE(350.2,"AIVDT",IBATYP,-IBEFDT,0)) Q:'DA | 
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| 78 | . I IBNEW S X=IBPD(IB),DIC="^IBE(350.2,",DIC(0)="L" K DD,DO D FILE^DICN Q:Y<0  S DA=+Y | 
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| 79 | . S DIE="^IBE(350.2,",DR=".02////"_IBEFDT_";.03////"_IBATYP_";.04////"_$P(IB0,"^",4)_";.05////"_$S($P(IB0,"^",5)]"":$P(IB0,"^",5),1:"@")_";.06////"_$S($P(IB0,"^",6)]"":$P(IB0,"^",6),1:"@") D ^DIE | 
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| 80 | ; | 
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| 81 | FILEQ K IB10,DIC,DIE,DR,DA,IBNEW,IBORIG,DIK Q | 
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| 82 | ; | 
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| 83 | END ;Kill vars | 
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| 84 | K I,X,Y,IBNOD,IBPD,DIR,DIC,DIE,DIK,DA,DR,DA,IB10,IBORIG,IB,IB0,IBP,IBEFDT,IBSEL,IBX,IBRUN | 
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| 85 | Q | 
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| 86 | ; | 
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| 87 | ;; | 
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| 88 | COPAY ;;Co-pay Type | 
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| 89 | NSC ;;RX1^RX3^RX4^^NSC RX CO-PAY (RX1) | 
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| 90 | SC ;;RX2^RX5^RX6^^SC RX CO-PAY (RX2) | 
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| 91 | ;; | 
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| 92 | PERDIEM ;;Per Diem | 
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| 93 | ;;INPT PER DIEM | 
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| 94 | ;;NHCU PER DIEM | 
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| 95 | ;; | 
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| 96 | HCFA ;;HCFA Amb. Surg. Rate | 
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| 97 | ;;MEDICARE 1^^^^AMB SURG RATE 1 | 
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| 98 | ;;MEDICARE 2^^^^AMB SURG RATE 2 | 
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| 99 | ;;MEDICARE 3^^^^AMB SURG RATE 3 | 
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| 100 | ;;MEDICARE 4^^^^AMB SURG RATE 4 | 
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| 101 | ;;MEDICARE 5^^^^AMB SURG RATE 5 | 
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| 102 | ;;MEDICARE 6^^^^AMB SURG RATE 6 | 
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| 103 | ;;MEDICARE 7^^^^AMB SURG RATE 7 | 
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| 104 | ;;MEDICARE 8^^^^AMB SURG RATE 8 | 
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| 105 | ;;MEDICARE 9^^^^AMB SURG RATE 9 | 
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| 106 | ;; | 
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| 107 | CHMPVA ;;CHAMPVA Rate Type | 
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| 108 | ;;CHAMPVA PER DIEM | 
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| 109 | ;;CHAMPVA SUBSISTENCE LIMIT | 
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| 110 | ;; | 
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| 111 | MEDIC ;;Medicare Deductible | 
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| 112 | ;;MEDICARE DEDUCTIBLE | 
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| 113 | ;; | 
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| 114 | MAIN ;;Billing Rate Type | 
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| 115 | ;;REVENUE CODE RATES | 
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| 116 | ;;PER DIEM RATES | 
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| 117 | ;;MEDICARE DEDUCTIBLE | 
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| 118 | ;;HCFA AMB. SURG. RATES | 
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| 119 | ;;RX CO-PAYMENT | 
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| 120 | ;;CHAMPVA SUBSISTENCE RATES | 
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