| [613] | 1 | IBCAMS ;ALB/AAS - DETERMINE AMIS SEGMENT FOR REIMBURSABLE INS BILLS ; 10-SEP-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 | ;MAP TO DGCRAMS
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| 6 | ;
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| 7 | AMIS ; - calculate AMIS segment for insurance bills.
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| 8 | ; 249 = NSC - outpatient
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| 9 | ; 292 = SC - inpatient
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| 10 | ; 293 = SC - outpatient
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| 11 | ; 297 = NSC - inpatient
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| 12 | ; - input
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| 13 | ; x = internal number of entry in 399
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| 14 | ;
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| 15 | ; - output
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| 16 | ; y = amis segment number or -1 if can't determine
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| 17 | ;
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| 18 | % S Y=-1
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| 19 | I '$D(^DGCR(399,+X,0)) G AMISQ
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| 20 | S IBX=^DGCR(399,+X,0)
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| 21 | N DFN
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| 22 | ;
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| 23 | ; - make sure is RI bill
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| 24 | ;S R=$P(IBX,"^",7),R=$S('$D(^DGCR(399.3,+R,0)):0,1:$P(^(0),"^",6)) G:'R AMISQ S R=$S('$D(^PRCA(430.2,+R,0)):0,1:$P(^(0),"^",7)) G:R'=21 AMISQ
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| 25 | G:+$$CAT^PRCAFN(X)'=21 AMISQ
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| 26 | ;
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| 27 | S IBI=$P(IBX,"^",5),IBI=$S('IBI:0,IBI>2:2,IBI<3:1,1:0) G:'IBI AMISQ ; 0=err, 1=inpatient, 2=outpatient
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| 28 | ;
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| 29 | N X
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| 30 | S IBSC=$P(IBX,"^",18),DFN=$P(IBX,"^",2) I IBSC="" D ELIG^VADPT S IBSC=+VAEL(3)
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| 31 | ;
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| 32 | ; - compute amis segment
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| 33 | S:+IBSC Y=$S(IBI=1:292,IBI=2:293,1:-1) ;sc amis segments
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| 34 | S:'IBSC Y=$S(IBI=1:297,IBI=2:249,1:-1) ;nsc amis segments
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| 35 | ;
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| 36 | AMISQ K IBSC,IBX,IBI,VAEL,VAERR
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| 37 | Q
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