| 1 | FBPCR67 ;AISC/DMK,TET-CH/CNH POTENTIAL COST RECOVERY SORT ;07/01/2006
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| 2 |  ;;3.5;FEE BASIS;**4,48,55,69,98**;JAN 30, 1995;Build 54
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | EN ;entry point for sort
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| 5 |  S (FBCATC,FBINS,FBPSF)=0
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| 6 | SORT ;sort by date finalized, ien
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| 7 |  N FBY2,FBCDAYS,FBCSID,FBX,FBADJLR,FBADJLA,FBRRMKL
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| 8 |  S FBM=FBBDATE-.1 F  S FBM=$O(^FBAAI("AD",FBM)) Q:'FBM!(FBM>FBEDATE)  S FBI=0 F  S FBI=$O(^FBAAI("AD",FBM,FBI)) Q:FBI'>0  S FBIN=$G(^FBAAI(FBI,0)) I FBIN]""&($G(^FBAAI(FBI,"FBREJ"))']"") D  S (FBCATC,FBINS,FBPSF)=0
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| 9 |  .S (DFN,J)=+$P(FBIN,U,4) D VET^FBPCR
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| 10 |  .D SET Q:FBPI'[+$P(FBIN,U,12)!('FBPSV&('$D(FBPSV(FBPSF))))  I FBCATC!FBINS D SETTMP
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| 11 | KILL ;kill variables set in this routine and in FPAY2, sort/set sections
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| 12 |  K A1,A2,A3,D,D2,DFN,FBAACPTC,FBBN,FBCATC,FBCNT,FBCP,FBDOB,FBDT,FBDT1,FBDX,FBDX1,FBI,FBIN,FBINS,FBIX,FBJ,FBM,FBOB,FBPAT,FBPDX,FBPROC,FBPROC1,FBPSF,FBSC,FBTA,FBVEN,FBVENID,FBVP,I,J,K,L,M,Y
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| 13 |  K FBVNAME,FBVID,FBPNAME,FBPID
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| 14 |  K FBY2,FBCDAYS,FBCSID,FBX,FBADJLR,FBADJLA,FBRRMKL
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| 15 |  D KILL^FBPCR2
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| 16 |  Q
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| 17 | SET ;set variables
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| 18 |  ;I $G(FBPROG)]"",'FBPROG,'$D(FBPROG(+$P(FBIN,U,12))) Q
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| 19 |  S FBY2=$G(^FBAAI(FBI,2))
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| 20 |  F FBJ=1,2,3,4,6,7,8,9,11,13,14 S FBIN(FBJ)=$P(FBIN,"^",FBJ)
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| 21 |  Q:FBPI'[+$P(FBIN,U,12)  S FBPSF=+$P(FBIN,U,20)
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| 22 |  Q:'FBPSV&('$D(FBPSV(FBPSF)))
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| 23 |  D
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| 24 |  . N FBCATC2
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| 25 |  . S FBCATC=$$CATC^FBPCR(DFN,+$P(FBIN,U,6),+$P(FBIN,U,18))
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| 26 |  . Q:FBCATC=2
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| 27 |  . S FBCATC2=$$CATC^FBPCR(DFN,+$P(FBIN,U,7),+$P(FBIN,U,18))
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| 28 |  . I FBCATC2=0 Q
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| 29 |  . I FBCATC=0!(FBCATC=1) S FBCATC=FBCATC2 Q
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| 30 |  . S:FBCATC2=2 FBCATC=2
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| 31 |  ;,FBINS=$S($O(^FBAAA("AIC",FBIN(4),+$O(^FBAAA("AIC",FBIN(4),-FBIN(6))),0))="Y":1,1:0)
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| 32 |  S FBINS=$S($$INSCK^FBPCR3(FBIN(6),FBIN(4),+$P(FBIN,U,12))=1:$$INSURED^FBPCR4(DFN,+$P(FBIN,U,6),+$P(FBIN,U,7)),1:0)
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| 33 |  Q:'FBCATC&'FBINS
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| 34 |  S FBIN(5)=$P(FBIN,U,5)
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| 35 |  S FBIEN=FBIN(3),FBVNAME=$G(^FBAAV(FBIN(3),0)) Q:FBVNAME']""  S FBVID=$P(FBVNAME,U,2)_"/"_$S($P($G(^FBAAV(FBIEN,3)),U,2)]"":$P($G(^FBAAV(FBIEN,3)),U,2),1:"**********"),FBVNAME=$E($P(FBVNAME,U),1,23)
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| 36 |  S FBIN(2)=$$DATX^FBAAUTL(FBIN(2)),FBVEN=FBVNAME_";"_FBVID,FBPAT=FBPNAME_";"_DFN
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| 37 |  S FBIN(6)=$$DATX^FBAAUTL(FBIN(6)),FBIN(7)=$$DATX^FBAAUTL(FBIN(7))
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| 38 |  Q
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| 39 | SETTMP ;sort data by primary service facility, patient, fee program, vendor, date
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| 40 |  Q:$$FILTER^FBPCR4()=0
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| 41 |  S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI)=FBIN(2)_U_$J(FBIN(8),8,2)_U_$J(FBIN(9),8,2)_U_FBIN(11)_U_$J(FBIN(1),8)_U_FBIN(6)_U_FBIN(7)_U_$P(FBIN,U,12)_U_FBCATC_U_FBINS_U_FBIN(13)_U_FBIN(14)
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| 42 |  S FBCDAYS=$P(FBY2,U,10) ; covered days
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| 43 |  S FBCSID=$P(FBY2,U,11) ; patient control number
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| 44 |  S FBX=$$ADJLRA^FBCHFA(FBI_",")
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| 45 |  S FBADJLR=$P(FBX,U) ;adjustment reason
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| 46 |  S FBADJLA=$P(FBX,U,2) ;adjustment amount
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| 47 |  S FBRRMKL=$$RRL^FBCHFR(FBI_",") ;remittance remarks
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| 48 |  S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBINV")=FBCDAYS_"^"_FBCSID_"^"_FBADJLR_"^"_FBADJLA_"^"_FBRRMKL
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| 49 |  S FBDX=$G(^FBAAI(FBI,"DX")) I FBDX]"" S FBDX1="" F I=1:1:5 S:$P(FBDX,U,I) FBDX1=FBDX1_$$ICD9^FBCSV1($P(FBDX,U,I),+$P($G(FBIN),U,6))_U
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| 50 |  I FBDX]"" S FBDX1=$P(FBDX1,U,1,($L(FBDX1,U)-1)),^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"DX")=FBDX1
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| 51 |  S FBPROC=$G(^FBAAI(FBI,"PROC")) I FBPROC]"" S FBPROC1="" F I=1:1:5 S:$P(FBPROC,U,I) FBPROC1=FBPROC1_$$ICD0^FBCSV1($P(FBPROC,U,I),+$P($G(FBIN),U,6))_U
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| 52 |  I FBPROC]"" S FBPROC1=$P(FBPROC1,U,1,($L(FBPROC1,U)-1)),^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"PROC")=FBPROC1
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| 53 |  ;*** removed conditional to get ancillary payments processed
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| 54 |  ;D ANC:$D(^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI))
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| 55 |  D ANC
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| 56 |  Q
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| 57 | ANC ;ancillary payments
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| 58 |  N J,K,L,M,Y,FBDT1,FBVID I FBPI=67 N FBPI S FBPI=+$P(FBIN,U,12)
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| 59 |  S J=DFN,FBCNT=0 I J,+FBIN(5),$D(^FBAAC("AM",FBIN(5),J)) D
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| 60 |  .F K=0:0 S K=$O(^FBAAC("AM",FBIN(5),J,K)) Q:'K  S L=0 F  S L=$O(^FBAAC("AM",FBIN(5),J,K,L)) Q:'L  D
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| 61 |  ..S FBDT1=$P($G(^FBAAC(J,1,K,1,L,0)),U) I FBDT1]"" S FBDT1=$$DATX^FBAAUTL(FBDT1)
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| 62 |  ..S M=0 F  S M=$O(^FBAAC("AM",FBIN(5),J,K,L,M)) Q:'M  S Y=$G(^FBAAC(J,1,K,1,L,1,M,0)) I Y]"" D
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| 63 |  ...D EN1^FBPCR2 Q:'$D(FBAACPTC)  S FBCNT=FBCNT+1
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| 64 |  ...Q:$$FILTER^FBPCR4()=0
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| 65 |  ...S ^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI,"A",FBCNT)=FBDT1_U_FBAACPTC_FBCP_$S($G(FBMODLE)]"":"-"_FBMODLE,1:"")_U_A1_U_A2_U_FBBN_U_FBIN_U_D2_U_FBSC_U_FBPDX_U_FBOB_U_FBVNAME_U_FBVID_U_FBPI_U_FBCATC_U_FBINS
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| 66 |  ...S ^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI,"A",FBCNT,"FBADJ")=TAMT_U_FBUNITS_U_FBADJLR_U_FBADJLA_U_FBRRMKL_U_FBCSID
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| 67 |  Q
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