| [613] | 1 | IBAMTS2 ;ALB/CPM - PROCESS UPDATED OUTPATIENT ENCOUNTERS ; 25-AUG-93
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| 2 | ;;2.0;INTEGRATED BILLING;**52,91,117,132,153,156,167,247,339**;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 | UPD ; Perform encounter update actions.
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| 6 | N IBCBK,IBFILTER,IBVAL
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| 7 | ;
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| 8 | ; - was check out deleted?
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| 9 | I IBAST'=2,IBBST=2 S IBCRES=$S(IBAST=8:5,1:1)
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| 10 | ;
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| 11 | ; - see if checked out appt classifications were changed
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| 12 | I IBAST=2,IBBST=2 D CLSF^IBAMTS1(1,.IBCLSF) S IBACT=$$CLUPD() G:'IBACT UPDQ D I IBACT'=1 G UPDQ
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| 13 | .I IBACT=1 S IBCRES=2 Q
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| 14 | .I IBACT=2 N IBCLSF D NEW^IBAMTS1
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| 15 | ;
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| 16 | ; - cancel charge if there is a cancellation reason, and the billed
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| 17 | ; - charge was for the appointment that is no longer billable
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| 18 | I '$G(IBCRES) G UPDQ
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| 19 | I '$$LINK(IBOE,$S(IBEVT:IBEVT,1:IBEV0),IBBILLED) G UPDQ
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| 20 | D CANC G:IBY<0 UPDQ
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| 21 | ;
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| 22 | ; - look for other billable visits if Means Test billable
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| 23 | I '$$BIL^DGMTUB(DFN,IBDT) G UPDQ
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| 24 | S IBBILLED=0
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| 25 | ;
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| 26 | S IBVAL("DFN")=DFN,IBVAL("BDT")=IBDAT-.1,IBVAL("EDT")=IBDAT_.99
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| 27 | S IBFILTER=""
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| 28 | ; Skip encounter just cancelled,
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| 29 | ; consider only parent encounters, appts checked out
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| 30 | S IBCBK="I Y'=IBOE,'$P(Y0,U,6),$P(Y0,U,12)=2 D BEDIT^IBAMTS2(Y,Y0) S:IBBILLED SDSTOP=1"
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| 31 | D SCAN^IBSDU("PATIENT/DATE",.IBVAL,IBFILTER,IBCBK,1) K ^TMP("DIERR",$J)
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| 32 | ;
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| 33 | UPDQ K IBCLSF,IBACT,IBC,IBOEN,IBEVT
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| 34 | Q
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| 35 | ;
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| 36 | BEDIT(IBOEN,IBEVT) ; - perform batch edit
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| 37 | I $P(IBEVT,U,10)=1 S UNBILLED=1 Q ; C&P exam -- stop looking
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| 38 | S IBORG=+$P(IBEVT,U,8),IBAPTY=+$P(IBEVT,U,10)
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| 39 | I IBORG=3 S IBDISP=+$$DISND^IBSDU(IBOEN,IBEVT,7) Q:'IBDISP
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| 40 | Q:'$$CHKS^IBAMTS1
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| 41 | ;
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| 42 | ; - check classifications
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| 43 | S IBCLSF=$$ENCL(IBOEN)
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| 44 | I IBCLSF[1 Q ; care was related to ao/ir/swa/sc/mst/hnc/cv/shad
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| 45 | S IBSL="409.68:"_IBOEN ; set softlink
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| 46 | ;
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| 47 | ; - ready to bill another encounter
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| 48 | D BLD^IBAMTS1 S IBBILLED=1
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| 49 | Q
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| 50 | ;
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| 51 | CRES ; List of cancellation reasons
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| 52 | ;;CHECK OUT DELETED
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| 53 | ;;CLASSIFICATION CHANGED
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| 54 | ;;MT OP APPT NO-SHOW
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| 55 | ;;MT OP APPT CANCELLED
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| 56 | ;;RECD INPATIENT CARE
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| 57 | ;;BILLED AT HIGHER TIER RATE
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| 58 | ;
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| 59 | LINK(IBOE,IBEVT,IBN) ; Was the billed charge for the current appointment?
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| 60 | ; Input: IBOE -- Pointer to outpatient encounter in file #409.68
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| 61 | ; IBEVT -- Zeroth node of encounter in file #409.68
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| 62 | ; IBN -- Pointer to charge in file #350
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| 63 | ; Output: 0 -- Charge was not for current appointment
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| 64 | ; 1 -- Charge was for current appointment
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| 65 | N IBSL,Y
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| 66 | I '$G(IBOE)!'$G(IBEVT)!'$G(IBN) G LINKQ
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| 67 | S IBSL=$P($G(^IB(IBN,0)),"^",4)
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| 68 | I +IBSL=44 S Y=$P(IBSL,";",1,2)=("44:"_$P(IBEVT,"^",4)_";S:"_+IBEVT) G LINKQ
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| 69 | I +IBSL=409.68 S Y=IBSL=("409.68:"_IBOE)
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| 70 | LINKQ Q +$G(Y)
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| 71 | ;
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| 72 | CLUPD() ; Examine changes in the classification.
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| 73 | ; Output: 0 -- no changes
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| 74 | ; 1 -- changes require charges to be cancelled
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| 75 | ; 2 -- changes require appt to be billed
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| 76 | ; 3 -- [ec/swa] cancel charge, create deferred charge
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| 77 | ; 4 -- [ec/swa] pass deferred charge, disposition case
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| 78 | N I,Y S Y=0
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| 79 | I IBCLSF("BEFORE")=IBCLSF("AFTER") G CLUPDQ
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| 80 | F I=1,2,3,4,5,6,7,8 I '$P(IBCLSF("BEFORE"),U,I),$P(IBCLSF("AFTER"),U,I) S Y=$S(I=4:3,1:1) G CLUPDQ
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| 81 | F I=1,2,3,4,5,6,7,8 I $P(IBCLSF("BEFORE"),U,I),'$P(IBCLSF("AFTER"),U,I) S Y=$S(I=4:4,1:2) Q
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| 82 | CLUPDQ Q Y
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| 83 | ;
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| 84 | CANC ; Determine cancellation reason and cancel charge
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| 85 | ; Input variables: IBCRES -- Code for reason to be determined
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| 86 | ; IBBILLED -- Charge to be cancelled
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| 87 | S IBCRES=$P($T(CRES+IBCRES),";;",2),IBCRES=+$O(^IBE(350.3,"B",IBCRES,0))
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| 88 | D CANCH^IBECEAU4(IBBILLED,IBCRES)
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| 89 | Q
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| 90 | ;
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| 91 | ENCL(IBOE) ; Return classification results for an encounter.
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| 92 | ; Input: IBOE -- Pointer to outpatient encounter in file #409.68
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| 93 | ; Output: ao^ir^sc^swa^mst^hnc^cv^shad, where, for each piece,
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| 94 | ; 1 - care was related to condition, and
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| 95 | ; 0 (or null) - care not related to condition
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| 96 | N CL,CLD,X,Y S Y=""
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| 97 | S CL=0 F S CL=$O(^SDD(409.42,"OE",+$G(IBOE),CL)) Q:'CL S CLD=$G(^SDD(409.42,CL,0)) I CLD S $P(Y,U,+CLD)=+$P(CLD,U,3)
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| 98 | Q Y
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