| 1 | IBCBB11 ;ALB/AAS - CONTINUATION OF EDIT CHECK ROUTINE ;12 Jun 2006  3:45 PM
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| 2 |  ;;2.0;INTEGRATED BILLING;**51,343,363**;21-MAR-94;Build 35
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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 | WARN(IBDISP) ; Set warning in global
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| 6 |  ; DISP = warning text to display
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| 7 |  ;
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| 8 |  N Z
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| 9 |  S Z=+$O(^TMP($J,"BILL-WARN",""),-1)
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| 10 |  I Z=0 S ^TMP($J,"BILL-WARN",1)=$J("",5)_"**Warnings**:",Z=1
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| 11 |  S Z=Z+1,^TMP($J,"BILL-WARN",Z)=$J("",5)_IBDISP
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| 12 |  Q
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| 13 |  ;
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| 14 | MULTDIV(IBIFN,IBND0) ; Check for multiple divisions on a bill ien IBIFN
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| 15 |  ; IBND0 = 0-node of bill
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| 16 |  ;
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| 17 |  ;  Function returns 1 if more than 1 division found on bill
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| 18 |  N Z,Z0,Z1,MULT
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| 19 |  S MULT=0,Z1=$P(IBND0,U,22)
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| 20 |  I Z1 D
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| 21 |  . S Z=0 F  S Z=$O(^DGCR(399,IBIFN,"RC",Z)) Q:'Z  S Z0=$P(^(Z,0),U,7) I Z0,Z0'=Z1 S MULT=1 Q
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| 22 |  . S Z=0 F  S Z=$O(^DGCR(399,IBIFN,"CP",Z)) Q:'Z  S Z0=$P(^(Z,0),U,6) I Z0,Z0'=Z1 S MULT=2 Q
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| 23 |  I 'Z1 S MULT=3
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| 24 |  Q MULT
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| 25 |  ;
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| 26 |  ;; PREGNANCY DX CODES: V22**-V24**, V27**-V28**, 630**-677**
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| 27 |  ;; FLU SHOTS PROCEDURE CODES: 90724, G0008, 90732, G0009
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| 28 |  ;
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| 29 |  ; Check for required NPIs
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| 30 | NPICHK ;
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| 31 |  N IBNPIS,IBNONPI,IBNPIREQ,Z
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| 32 |  S IBNPIREQ=$$NPIREQ^IBCEP81(DT)  ; Check if NPI is required
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| 33 |  ; Check providers
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| 34 |  S IBNPIS=$$PROVNPI^IBCEF73A(IBIFN,.IBNONPI)
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| 35 |  I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D
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| 36 |  . I IBNPIREQ S IBER=IBER_"IB"_(140+$P(IBNONPI,U,Z))_";" Q  ; If required, set error
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| 37 |  . D WARN("NPI for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNONPI,U,Z))_" provider has no value")  ; Else, set warning
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| 38 |  ; Check organizations
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| 39 |  S IBNONPI=""
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| 40 |  S IBNPIS=$$ORGNPI^IBCEF73A(IBIFN,.IBNONPI)
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| 41 |  I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D
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| 42 |  . I IBNPIREQ S IBER=IBER_"IB"_(160+$P(IBNONPI,U,Z))_";" Q  ; If required, set error
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| 43 |  . ; PRXM/KJH - Changed descriptions.
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| 44 |  . D WARN("NPI for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNONPI,U,Z))_" has no value")  ; Else, set warning
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| 45 |  Q
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| 46 |  ;
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| 47 |  ; Check for required taxonomies
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| 48 | TAXCHK ;
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| 49 |  N IBTAXS,IBNOTAX,IBTAXREQ,Z
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| 50 |  S IBTAXREQ=$$TAXREQ^IBCEP81(DT)  ; Check if taxonomy is required
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| 51 |  ; Check providers
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| 52 |  S IBTAXS=$$PROVTAX^IBCEF73A(IBIFN,.IBNOTAX)
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| 53 |  I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D
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| 54 |  . I IBTAXREQ S IBER=IBER_"IB"_(250+$P(IBNOTAX,U,Z))_";" Q  ; If required, set error
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| 55 |  . D WARN("Taxonomy for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNOTAX,U,Z))_" provider has no value")  ; Else, set warning
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| 56 |  ; Check organizations
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| 57 |  S IBNOTAX=""
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| 58 |  S IBTAXS=$$ORGTAX^IBCEF73A(IBIFN,.IBNOTAX)
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| 59 |  I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D
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| 60 |  . I IBTAXREQ S IBER=IBER_"IB"_(164+$P(IBNOTAX,U,Z))_";" Q  ; If required, set error
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| 61 |  . ; PRXM/KJH - Changed descriptions.
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| 62 |  . D WARN("Taxonomy for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNOTAX,U,Z))_" has no value")  ; Else, set warning
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| 63 |  Q
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| 64 |  ;
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| 65 | VALNDC(IBIFN,IBDFN) ; IB*2*363 - validate NDC# between PRESCRIPTION file (#52) 
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| 66 |  ; and IB BILL/CLAIMS PRESCRIPTION REFILL file (#362.4)
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| 67 |  ; input - IBIFN = internal entry number of the billing record in the BILL/CLAIMS file (#399)
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| 68 |  ;         IBDFN = internal entry number of patient record in the PATIENT file (#2)
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| 69 |  N IBX,IBRXCOL
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| 70 |  ; call program that determines if NDC differences exist
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| 71 |  D VALNDC^IBEFUNC3(IBIFN,IBDFN,.IBRXCOL)
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| 72 |  Q:'$D(IBRXCOL)
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| 73 |  ; at least one RX on the IB record has an NDC discrepancy 
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| 74 |  S IBX=0 F  S IBX=$O(IBRXCOL(IBX)) Q:'IBX  D WARN("NDC# on Bill does not equal the NDC# on Rx "_IBRXCOL(IBX))
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| 75 |  Q
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