IBTOECT ;OAK/ELZ- ENHANCED CLAIMS TRACKING REPORTS ;7/15/2005 ;;2.0;INTEGRATED BILLING;**317**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; UNREV ; Main entry for the Un-reviewed Claims for Coders Report ; N IBBEG,IBEND ; D DATE^IBCONS4 Q:'$D(IBBEG)!('$D(IBEND)) Q:$$DEV("QUNREV","IB - Unreviewed Claims for Coders Report") ; QUNREV ; tasman entry U IO N IBOE,IBX,IBCT0,IBCT2,IBPNAM,IBSSN,IBOE0,IBY,IBR,IBP,IBL,IBCPT,IBMOD,IBA,IBONE,IBC,DIR,X,Y,DTOUT,DUOUT,DIRUT,DIROUT K ^TMP("IBTOECT",$J) S IBP=0,$P(IBL,"-",IOM)="" ; ; create sort by Outpatient Encounter then by patient name (no x-ref supports this) S IBOE=$$FMADD^XLFDT($P(IBBEG,"."),-1)+.99 F S IBOE=$O(^IBT(356,"D",IBOE)) Q:'IBOE!(IBOE>(IBEND_".9999")) S IBX=0 F S IBX=$O(^IBT(356,"D",IBOE,IBX)) Q:'IBX D . S IBCT0=$G(^IBT(356,IBX,0)),IBCT2=$G(^(2)) . I $P(IBCT0,"^",4),$P(IBCT0,"^",24),'$P(IBCT0,"^",19),'$P(IBCT2,"^",3),$P(IBCT0,"^",2) S ^TMP("IBTOECT",$J,IBOE,$P(^DPT($P(IBCT0,"^",2),0),"^"),IBX)="" ; ; S IBOE=0 F S IBOE=$O(^TMP("IBTOECT",$J,IBOE)) Q:'IBOE!($D(DIRUT)) S IBPNAM="" F S IBPNAM=$O(^TMP("IBTOECT",$J,IBOE,IBPNAM)) Q:IBPNAM=""!($D(DIRUT)) S IBX=0 F S IBX=$O(^TMP("IBTOECT",$J,IBOE,IBPNAM,IBX)) Q:'IBX!($D(DIRUT)) D . S IBCT0=$G(^IBT(356,IBX,0)) Q:'IBCT0 . S IBSSN=$P($G(^DPT(+$P(IBCT0,"^",2),0)),"^",9) . S IBOE0=$G(^SCE(+$P(IBCT0,"^",4),0)) . S IBY=$$INSUR^IBBAPI($P(IBOE0,"^",2),+IBOE0,"RB",.IBR,"1,11,16") . S IBCPT=0,IBONE=0 . ; . I 'IBP!($Y+3>IOSL) D . . I $E(IOST,1,2)="C-",IBP'=0 S DIR(0)="E" D ^DIR I $D(DIRUT) Q . . S IBP=IBP+1 . . W @IOF,!,"Unreviewed Claims for Coders Report from ",$$FMTE^XLFDT(IBBEG)," to ",$$FMTE^XLFDT(IBEND),?100,$$FMTE^XLFDT(DT),?115,"Page: ",IBP . . W !,"Patient Name",?27,"SSN",?39,"Visit Date",?58,"Location",?80,"CPTs",?87,"Mod",?91,"Insurance",?113,"Exp Date",?125,"Bill",!,IBL . Q:$D(DIRUT) . W:$X ! W $E(IBPNAM,1,25),?27,IBSSN,?39,$$FMTE^XLFDT(+IBOE0,2),?58,$E($P($G(^SC(+$P(IBOE0,"^",4),0)),"^"),1,20) . S:$P(IBCT0,"^",3) IBCPT=$$GETIENS^PXAAVCPT($P(IBCT0,"^",3),.IBCPT) . S (IBC,IBCPT)=0 F S IBCPT=$O(IBCPT(IBCPT)) Q:'IBCPT D . . S IBC=IBC+1,IBONE=1 . . S IBA(IBC)=$$CPT^PXAAVCPT(IBCPT) . . D:$P(IBCT0,"^",3) CPTMODIF^PXAAVCPT($P(IBCT0,"^",3),.IBMOD) . . S IBMOD=0 F S IBMOD=$O(IBMOD(1,IBMOD)) Q:'IBMOD D . . . S:'IBONE IBC=IBC+1 . . . S $P(IBA(IBC),"^",2)=$G(IBMOD(1,+IBMOD,0)) . . . S IBONE=0 . F IBC=1:1 Q:'$D(IBA(IBC))&('$D(IBR("IBBAPI","INSUR",IBC))) D . . W:$G(IBA(IBC)) ?80,$P($$CPT^ICPTCOD(+$G(IBA(IBC)),+IBOE0),"^",2) . . W:$P($G(IBA(IBC)),"^",2) ?87,$P($$MOD^ICPTMOD(+$P($G(IBA(IBC)),"^",2),"I",+IBOE0),"^",2) . . W ?91,$E($P($G(IBR("IBBAPI","INSUR",IBC,1)),"^",2),1,20) . . W:$G(IBR("IBBAPI","INSUR",IBC,11)) ?113,$$FMTE^XLFDT($G(IBR("IBBAPI","INSUR",IBC,11)),2) . . W ?125,$P($G(IBR("IBBAPI","INSUR",IBC,16)),"^",2),! . K IBA ; ; K ^TMP("IBTOECT",$J) D ^%ZISC S:$D(ZTQUEUED) ZTREQ="@" Q ; ENR ; entered/not reviewed report ; N IBBEG,IBEND ; D DATE^IBCONS4 Q:'$D(IBBEG)!('$D(IBEND)) Q:$$DEV("QENR","IB - Entered/Not Reviewed Bills Report") ; QENR ; tasked entry ; N IBDT,IB0,IBR,IBPNAM,IBX,DFN,IBP,IBL,IBPNAMS,IBCP,IBC,DIR,X,Y,DTOUT,DUOUT,DIRUT,DIROUT,IBA U IO K ^TMP("IBTOECT",$J) ; ;set up some variables S IBR=$S($O(^DGCR(399.3,"B","REIMBURSABLE INS.",0)):$O(^DGCR(399.3,"B","REIMBURSABLE INS.",0)),1:8) S IBP=0,$P(IBL,"-",IOM)="",IBPNAMS="" ; ; find the bills that match criteria and sort in ^tmp S IBDT=$$FMADD^XLFDT($P(IBBEG,"."),-1)+.99 F S IBDT=$O(^DGCR(399,"D",IBDT)) Q:'IBDT!(IBDT>(IBEND_".9999")) S IBX=0 F S IBX=$O(^DGCR(399,"D",IBDT,IBX)) Q:'IBX S IB0=^DGCR(399,IBX,0) D . I $P(IB0,"^",7)=IBR,$P(IB0,"^",5)=3,$P(IB0,"^",13)=1 S ^TMP("IBTOECT",$J,$P(^DPT($P(IB0,"^",2),0),"^"),IBDT,IBX)="" ; S IBPNAM="" F S IBPNAM=$O(^TMP("IBTOECT",$J,IBPNAM)) Q:IBPNAM=""!($D(DIRUT)) S IBDT=0 F S IBDT=$O(^TMP("IBTOECT",$J,IBPNAM,IBDT)) Q:'IBDT!($D(DIRUT)) S IBX=0 F S IBX=$O(^TMP("IBTOECT",$J,IBPNAM,IBDT,IBX)) Q:'IBX!($D(DIRUT)) D . S IB0=$G(^DGCR(399,IBX,0)),DFN=$P(IB0,"^",2) Q:'DFN . D DEM^VADPT,ELIG^VADPT . I 'IBP!($Y+5>IOSL) D . . I $E(IOST,1,2)="C-",IBP'=0 S DIR(0)="E" D ^DIR I $D(DIRUT) Q . . S IBP=IBP+1 . . W @IOF,!,"Entered/Not Reviewed Bills Report from ",$$FMTE^XLFDT(IBBEG)," to ",$$FMTE^XLFDT(IBEND),?100,$$FMTE^XLFDT(DT),?115,"Page: ",IBP . . W !,"Bill #",?12,"Primary Insurance",?34,"Clinic",?44,"Date",?56,"Proc",?63,"Provider",?85,"RNB",?107,"Billable Findings",!,IBL . Q:$D(DIRUT) . W:IBPNAMS'=IBPNAM !,"Name: ",$E(VADM(1),1,25),?33,"Sex: ",$P(VADM(5),"^"),?42,"SSN: ",$P(VADM(2),"^",2),?61,"Age: ",VADM(4),?70,"MT Status: ",$P(VAEL(9),"^",2) . S IBPNAMS=IBPNAM . W:$X ! W $P(IB0,"^"),?12,$E($P($G(^DIC(36,+^DGCR(399,IBX,"M"),0)),"^"),1,20) . ; IBA format: 399 sub CP ien ^ RNB (ien) (only one) ^ billable findings description (ien) . S (IBCP,IBC)=0 F S IBCP=$O(^DGCR(399,IBX,"CP",IBCP)) Q:'IBCP S IBC=IBC+1,IBA(IBC)=IBCP . S IBCT=$O(^IBT(356,"E",IBX,0)),$P(IBA(1),"^",2)=$P($G(^IBT(356,+IBCT,0)),"^",19) . S (IBCP,IBC)=0 F S IBCP=$O(^IBT(356,+IBCT,3,IBCP)) Q:'IBCP S IBC=IBC+1,$P(IBA(IBC),"^",3)=$G(^IBT(356,IBCT,3,IBCP,0)) . F IBC=1:1 Q:'$D(IBA(IBC)) D . . S IBCP=$G(^DGCR(399,IBX,"CP",+IBA(IBC),0)) . . W ?34,$E($P($G(^SC(+$P(IBCP,"^",7),0)),"^"),1,7) . . W ?44,$$FMTE^XLFDT($P(IBCP,"^",2),2) . . W ?56,$$EXTERNAL^DILFD(399.0304,.01,,$P(IBCP,"^")) . . W ?63,$E($P($G(^VA(200,+$P(IBCP,"^",18),0)),"^"),1,20) . . W ?85,$E($P($G(^IBE(356.8,+$P(IBA(IBC),"^",2),0)),"^"),1,20) . . W ?107,$E($P($G(^IBT(356.85,+$P(IBA(IBC),"^",3),0)),"^"),1,20),! . K IBA ; K ^TMP("IBTOECT",$J) D ^%ZISC S:$D(ZTQUEUED) ZTREQ="@" ; Q ; DEV(ZTRTN,ZTDESC) ; -- ask device N ZTSAVE,IBRTN,%ZIS,POP,ZTSK ; W !!,"*** Margin width of this output is 132 ***" W !,"*** This output should be queued ***" ; S %ZIS="QM" D ^%ZIS I POP Q 1 I $D(IO("Q")) D Q 1 .S ZTRTN=ZTRTN_"^IBTOECT",ZTSAVE("IB*")="" .D ^%ZTLOAD,HOME^%ZIS W "Task #",ZTSK K IO("Q") Q 0