| [613] | 1 | IBAUTL1 ;ALB/AAS - IB UTILITY ROUTINE FOR MEDICARE RATES ; 30-AUG-91
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| 2 | ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | ;
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| 5 | RATE ; - Calculates the Medicare rate for a CPT code.
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| 6 | ; - Input X = visit date ^ division ^ ifn of cpt code
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| 7 | ; - Output Y = charge
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| 8 | ;
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| 9 | S IBX=X N X S X=IBX
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| 10 | S IBRG=$O(^IBE(350.4,"AIVDT",+$P(X,"^",3),-($P(X,"^")+1))) I IBRG S IBRG=$O(^(+IBRG,0)) ;determine current ib action type for code
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| 11 | I $S('IBRG:1,'$D(^IBE(350.4,+IBRG,0)):1,'$P(^(0),"^",3):1,1:0) S Y=-1 G RATEQ
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| 12 | S IBRG=+$P(^IBE(350.4,IBRG,0),"^",3)
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| 13 | S DA=$O(^IBE(350.2,"AIVDT",IBRG,-($P(X,"^")+1))) I DA S DA=$O(^(+DA,0)) ; determine current ib action charge for rate group
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| 14 | I $S('DA:1,'$D(^IBE(350.2,DA,10)):1,1:0) S Y=-1 G RATEQ
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| 15 | X ^IBE(350.2,DA,10)
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| 16 | RATEQ K IBRG,IBX
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| 17 | Q
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| 18 | ;
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| 19 | VAR ; -Called by entries in 350.2 to get variables
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| 20 | ; -input x=visit date^division ifn
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| 21 | ; da=internal number from 350.2
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| 22 | ; -output y=wage%^non-wage%^locality multiplier
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| 23 | ;
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| 24 | S IBLOC=$O(^IBE(350.5,"AIVDT",+$P(X,"^",2),-($P(X,"^")+1))) I IBLOC S IBLOC=$O(^(+IBLOC,0))
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| 25 | I $S('IBLOC:1,'$D(^IBE(350.5,+IBLOC,0)):1,'$P(^(0),"^",7):1,1:0) S Y=-1 G VARQ
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| 26 | S Y=$P(^IBE(350.5,IBLOC,0),"^",5,7)
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| 27 | VARQ K IBLOC,IBWAG Q
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| 28 | ;
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| 29 | TEST S DA=14,X=DT_"^1^10141" D RATE ;X ^IBE(350.2,DA,10) W X," ",Y
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