[613] | 1 | IBAMTD ;ALB/CPM - MOVEMENT EVENT DRIVER INTERFACE ;21-OCT-91
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| 2 | V ;;2.0;INTEGRATED BILLING;**45,52,93,115,132,153,164,156,234,312,339**;21-MAR-94;Build 2
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | I $G(DGPMA)="",$G(DGPMP)="" Q
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| 6 | ;
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| 7 | EN ; Process events from the Movement Event Driver.
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| 8 | ;
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| 9 | ;S XRTL=$ZU(0),XRTN="IBAMTD-1" D T0^%ZOSV ;start rt clock
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| 10 | ;
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| 11 | Q:+$$SWSTAT^IBBAPI() ;IB*2.0*312
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| 12 | ;
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| 13 | ; -- add admissions to claims tracking
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| 14 | D INP^IBTRKR
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| 15 | ;
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| 16 | ; -- update Transfer Pricing
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| 17 | D ^IBATEI
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| 18 | ;
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| 19 | ; -- check for Long Term Care
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| 20 | N IBALTC D EN^IBAECI Q:IBALTC
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| 21 | ;
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| 22 | ; - process billing for CHAMPVA patients
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| 23 | I $$CVA^IBAUTL5(DFN) D PROC^IBACVA G END
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| 24 | ;
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| 25 | ; - unflag continuous patients
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| 26 | S IBASIH=$$ASIH^IBAUTL5(DGPMA)
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| 27 | I DGPMP="",($P(DGPMA,"^",2)=3!(IBASIH)),$O(^IBE(351.1,"B",DFN,0)),$D(^IBE(351.1,+$O(^(0)),0)),'$P(^(0),"^",2) D UNFLAG^IBAMTD1
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| 28 | ;
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| 29 | ; - update case record on discharge for special inpatient episodes
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| 30 | S IBA=$P($S(DGPMA="":DGPMP,1:DGPMA),"^",14)
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| 31 | I $O(^IBE(351.2,"AC",IBA,0)),DGPMP="",($P(DGPMA,"^",2)=3!(IBASIH)) D DIS^IBAMTI(IBA) G END
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| 32 | ;
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| 33 | ; - quit if patient was last Means Test copay patient before adm. date
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| 34 | S IBLC=$$BILST^DGMTUB(DFN) G:'IBLC END I DGPMA="",$P(DGPMP,"^",2)=1,IBLC<$P(+DGPMP,".") G END
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| 35 | D ORIG^IBAMTC I IBLC<$P(IBADMDT,".") G END
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| 36 | ;
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| 37 | ; - if editing or deleting a movement, send bulletin; delete
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| 38 | ; case record in #351.2 for deleted admissions
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| 39 | I DGPMP]"" S IBJOB=3 D G END
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| 40 | .D ^IBAMTBU
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| 41 | .I DGPMA="",$P(DGPMP,"^",2)=1,$O(^IBE(351.2,"AC",IBA,0)) S DA=$O(^(0)),DIK="^IBE(351.2," D ^DIK K DA,DIK
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| 42 | ;
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| 43 | ; - add a case record for admission of special (ao/ir/swa/mst/hnc/shad/cv) inpatients
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| 44 | I $P(DGPMA,"^",2)=1 D G END
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| 45 | .N IBCLSF D CL^IBACV(DFN,IBADMDT,"",.IBCLSF)
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| 46 | .S IBCLSF=$O(IBCLSF(0)) I IBCLSF,(IBCLSF<5) D ADM^IBAMTI(DFN,IBA,IBCLSF) Q
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| 47 | .I $P($$GETSTAT^DGMSTAPI(DFN,IBADMDT),U,2)="Y" S IBCLSF=5,IBCLSF(5)="" D ADM^IBAMTI(DFN,IBA,IBCLSF) Q
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| 48 | .I IBCLSF=6 D ADM^IBAMTI(DFN,IBA,IBCLSF) ; hnc
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| 49 | .I IBCLSF=8 D ADM^IBAMTI(DFN,IBA,IBCLSF) ; shad
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| 50 | .I IBCLSF=7 D ADM^IBAMTI(DFN,IBA,IBCLSF) ; CV has the lowest priority
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| 51 | ;
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| 52 | ; - if adding a retro-active transfer or spec. transfer, send bulletin
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| 53 | I ($P(DGPMA,"^",2)=2!($P(DGPMA,"^",2)=6)),+DGPMA<DT S IBJOB=6 D ^IBAMTBU
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| 54 | ;
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| 55 | ; - process discharges and ASIH movements only
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| 56 | I $P(DGPMA,"^",2)'=3,'IBASIH G END
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| 57 | ;
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| 58 | W:'$G(DGQUIET) !,"Billing Means Test charges...."
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| 59 | S (IBY,Y)=1,IBEVOLD=0,IBJOB=2,IBWHER=1,IBDISDT=+DGPMA\1,IBAFY=$$FY^IBOUTL(DT)
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| 60 | D SITE^IBAUTL I Y<1 S IBY=Y G END1
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| 61 | D SERV^IBAUTL2 G:IBY<1 END1
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| 62 | S IBWHER=24 D CLOCK^IBAUTL3 G:IBY<1 END1
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| 63 | ;
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| 64 | ; - Create an Outpat Copay for discharge with Observation Speciality
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| 65 | I $$MVT^DGPMOBS(IBA) D OBS^IBECEAU5 G:IBY<1 END1 G END
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| 66 | ;
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| 67 | ; - handle the variations on the basis of the event record
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| 68 | D EVFIND^IBAUTL3 ; sets IBEVDA to IEN of event record, or to 0 if none
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| 69 | S IBWHER=25 D @$S(IBEVDA:"EVT",1:"NOEVT")
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| 70 | ;
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| 71 | ; - kill variables and close
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| 72 | END1 I IBY<1 S IBDUZ=DUZ D ^IBAERR1 K IBDUZ
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| 73 | W:'$G(DGQUIET) "completed."
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| 74 | END D KILL1^IBAMTC
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| 75 | ;
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| 76 | ;I $D(XRT0) S:'$D(XRTN) XRTN="IBAMTD" D T1^%ZOSV ;stop rt clock
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| 77 | ;
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| 78 | Q
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| 79 | ;
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| 80 | EVT ; Billable admission event on record.
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| 81 | ; I +$$MVT^DGPMOBS(IBA) S IBDT=IBDISDT D OE^IBAMTBU1,CLOSE1 G EVTQ
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| 82 | I IBEVCAL'<IBDISDT S IBY="-1^IB033" G EVTQ
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| 83 | I IBEVCAL S X1=IBEVCAL,X2=1 D C^%DTC S IBBDT=%H I X=IBDISDT S IBDT=IBEVCAL D PASS^IBAUTL5,CLOSE1:IBY>0 G EVTQ
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| 84 | I 'IBEVCAL S X=IBEVDT D H^%DTC S IBBDT=%H
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| 85 | S X=IBDISDT D H^%DTC S IBEDT=%H-1
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| 86 | I IBCLDA S %H=IBBDT D YMD^%DTC S IBDT=X D COUNT
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| 87 | D ^IBAUTL4,CLOSE:IBY>0
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| 88 | EVTQ Q
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| 89 | ;
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| 90 | NOEVT ; No billable event on record since admission date.
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| 91 | ; I +$$MVT^DGPMOBS(IBA) W:'$G(DGQUIET) " patient not billed (adm. for O&E)... " G NOEVTQ ; admitted for Observation & Examination
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| 92 | S (IBCUR,VAIP("D"))=+$G(^DGPM(IBA,0)) D IN5^VADPT S IBBS=$$SECT^IBAUTL5(+VAIP(8))
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| 93 | I 'IBASIH,'IBBS G NOEVTQ ; not in billable bedsection
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| 94 | I 'IBASIH,IBCUR\1=IBDISDT S IBDT=IBDISDT D:IBBS ^IBAMTD1 G NOEVTQ
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| 95 | S X=IBADMDT\1 D H^%DTC S IBBDT=%H
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| 96 | I IBASIH S VAIP("D")=IBADMDT,IBSAVBS=IBBS D IN5^VADPT S IBBS=$$SECT^IBAUTL5(+VAIP(8)) I 'IBBS S X=IBCUR D H^%DTC S IBBDT=%H I IBCUR\1=IBDISDT S IBDT=IBDISDT,IBBS=IBSAVBS D:IBBS ^IBAMTD1 G NOEVTQ
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| 97 | D LAST^IBAUTL5
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| 98 | S X=IBDISDT D H^%DTC S IBEDT=%H-1
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| 99 | I IBCLDA S %H=IBBDT D YMD^%DTC S IBDT=X D COUNT
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| 100 | D ^IBAUTL4,CLOSE:IBY>0
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| 101 | NOEVTQ Q
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| 102 | ;
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| 103 | COUNT ; Find number of days on clock. Input: IBDT
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| 104 | S X1=IBDT,X2=IBCLDT D ^%DTC S IBCLCT=X Q
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| 105 | ;
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| 106 | CLOSE ; Close out charges, events; update clocks (at discharge: tag CLOSE1)
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| 107 | I $G(IBCHPDA) S IBNOS=IBCHPDA D FILER^IBAUTL5 G:IBY<1 CLOSEQ
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| 108 | I $G(IBCHCDA) S IBNOS=IBCHCDA D FILER^IBAUTL5 G:IBY<1 CLOSEQ
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| 109 | I IBCLDA D CLUPD^IBAUTL3
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| 110 | CLOSE1 I IBEVDA,$D(IBDT) S IBEVCLD=IBDT D EVCLOSE^IBAUTL3
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| 111 | CLOSEQ Q
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