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

IBTRCD ;ALB/AAS - CLAIMS TRACKING - EXPAND CONTACTS SCREEN ; 02-JUL-1993
 ;;2.0;INTEGRATED BILLING;**210**;21-MAR-94
 ;;Per VHA Directive 10-93-142, this routine should not be modified.
 ;
% ;
EN ; -- main entry point for IBT EXPAND/EDIT COMMUNICATIONS
 I '$D(DT) D DT^DICRW
 K XQORS,VALMEVL,IBTRC,IBTRD,IBTRV,IBTRN,DFN
 I '$G(IBTRC) G EN^IBTRC
 D EN^VALM("IBT EXPAND/EDIT COMMUNICATIONS")
 Q
 ;
HDR ; -- header code
 D PID^VADPT
 S VALMHDR(1)="Expanded Insurance Reviews for: "_$$PT^IBTUTL1(DFN)_"   ROI: "_$$EXPAND^IBTRE(356,.31,$P($G(^IBT(356,+$G(IBTRN),0)),"^",31))
 S VALMHDR(2)="                           for: "_$$EXPAND^IBTRE(356,.18,$P(IBTRND,"^",18))_" on "_$$DAT1^IBOUTL($P(IBTRND,"^",6),"2P")
 Q
 ;
INIT ; -- init variables and list array
 N IBTRCD,IBTRCD1
 K VALMQUIT
 S VALMCNT=0,VALMBG=1
 D BLD,HDR
 Q
 ;
BLD ; -- build display
 K ^TMP("IBTRCD",$J),^TMP("IBTRCDDX",$J)
 D KILL^VALM10()
 S IBTRCD=$G(^IBT(356.2,IBTRC,0)),IBTRCD1=$G(^IBT(356.2,IBTRC,1))
 S IBTRND=$G(^IBT(356,IBTRN,0))
 F I=1:1:27 D BLANK^IBTRED(.I)
 S VALMCNT=27
 D ACTION,EN^IBTRCD0
 Q
 ;
 ;
ACTION ; -- Ins. Action infomation display
 N OFFSET,START,TCODE,IBACTION,IBLCNT
 S START=1,OFFSET=45,IBLCNT=0
 D SET^IBCNSP(START,OFFSET," Action Information ",IORVON,IORVOFF)
 D SET^IBCNSP(START+1,OFFSET,"   Type Contact: "_$$EXPAND^IBTRE(356.2,.04,$P(IBTRCD,"^",4)))
 S TCODE=$$TCODE^IBTRC(IBTRC) I TCODE D @TCODE
 Q
10 ; -- pre-cert contact
15 ; -- admission review
20 ; -- urgent/emergent ins. contact
30 ; -- continued stay contact
 S IBLCNT=2
 D SET^IBCNSP(START+IBLCNT,OFFSET,"         Action: "_$$EXPAND^IBTRE(356.2,.11,$P(IBTRCD,"^",11)))
 S IBACTION=$P($G(^IBE(356.7,+$P(IBTRCD,"^",11),0)),"^",3)
 S IBACTION=IBACTION+100 D @IBACTION
 S IBLCNT=IBLCNT+1
 Q
 ;
40 ; -- Discharge contact
100 ; -- No type of action
 Q
50 ; -- outpatient treatment
 S IBLCNT=2
 D SET^IBCNSP(START+IBLCNT,OFFSET," Opt Treatment: "_$$EXPAND^IBTRE(356.2,.26,$P(IBTRCD,"^",26)))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"         Action: "_$$EXPAND^IBTRE(356.2,.11,$P(IBTRCD,"^",11)))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"   Auth. Number: "_$P(IBTRCD,"^",28))
 ;D SET^IBCNSP(START+IBLCNT,OFFSET,"Treatment Auth: "_$$EXPAND^IBTRE(356.2,.27,$P(IBTRCD,"^",27)))
 Q
60 ; -- Appeal
65 ; -- Nth appeal
 D SET^IBCNSP(START+2,OFFSET,"    Appeal Type: "_$$EXPAND^IBTRE(356.2,.23,$P(IBTRCD,"^",23)))
 D SET^IBCNSP(START+3,OFFSET,"    Case Status: "_$$EXPAND^IBTRE(356.2,.1,$P(IBTRCD,"^",10)))
 D SET^IBCNSP(START+4,OFFSET,"No Days Pending: "_$$EXPAND^IBTRE(356.2,.25,$P(IBTRCD,"^",25)))
 D SET^IBCNSP(START+5,OFFSET,"  Final Outcome: "_$$EXPAND^IBTRE(356.2,.29,$P(IBTRCD,"^",29)))
 Q
70 ; -- Patient
80 ; -- Other
85 ; -- Insurance verification
 Q
 ;
110 ; -- approval actions
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"Authorized From: "_$S($P(IBTRCD1,"^",8):"ENTIRE VISIT",1:$$DAT1^IBOUTL($P(IBTRCD,"^",12))))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"  Authorized To: "_$S($P(IBTRCD1,"^",8):"ENTIRE VISIT",1:$$DAT1^IBOUTL($P(IBTRCD,"^",13))))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"Authorized Diag: "_$$DIAG^IBTRE6($P(IBTRCD,"^",14),1,$$TRNDATE^IBACSV($G(IBTRN))))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"   Auth. Number: "_$P(IBTRCD,"^",28))
 Q
120 ; -- denial actions
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"    Denied From: "_$S($P(IBTRCD1,"^",7):"ENTIRE VISIT",1:$$DAT1^IBOUTL($P(IBTRCD,"^",15))))
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"      Denied To: "_$S($P(IBTRCD1,"^",7):"ENTIRE VISIT",1:$$DAT1^IBOUTL($P(IBTRCD,"^",16))))
 S IBI=0 F  S IBI=$O(^IBT(356.2,IBTRC,12,IBI)) Q:'IBI!(IBLCNT>6)  D
 .S IBLCNT=IBLCNT+1
 .D SET^IBCNSP(START+IBLCNT,OFFSET," Denial Reasons: "_$$EXPAND^IBTRE(356.212,.01,+$G(^IBT(356.2,IBTRC,12,IBI,0))))
 Q
130 ; -- penalty
 S IBI=0 F  S IBI=$O(^IBT(356.2,IBTRC,13,IBI)) Q:'IBI!(IBLCNT>6)  D
 .S IBLCNT=IBLCNT+1
 .D SET^IBCNSP(START+IBLCNT,OFFSET,"        Penalty: "_$$EXPAND^IBTRE(356.213,.01,+$G(^IBT(356.2,IBTRC,13,IBI,0))))
 Q
140 ; -- case pending
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"   Case Pending: "_$$EXPAND^IBTRE(356.2,.2,$P(IBTRCD,"^",20)))
 Q
150 ; -- no coverage
 S IBLCNT=IBLCNT+1
 D SET^IBCNSP(START+IBLCNT,OFFSET,"    No Coverage: "_$$EXPAND^IBTRE(356.2,.21,$P(IBTRCD,"^",21)))
 Q
 ;
 ;
HELP ; -- help code
 S X="?" D DISP^XQORM1 W !!
 Q
 ;
EXIT ; -- exit code
 K VALMQUIT,IBTRC,IBTRCD,IBTRCD1
 K ^TMP("IBTRCD",$J),^TMP("IBTRCDDX",$J)
 D CLEAN^VALM10,FULL^VALM1
 Q