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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