| 1 | IBCBB5 ;ALB/BGA - CONT OF MEDICARE EDIT CHECKS ;08/12/98
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| 2 |  ;;2.0;INTEGRATED BILLING;**51,137**;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 |  D F^IBCEF("N-ADMISSION DATE","IBZADMIT",,IBIFN)
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| 6 |  D F^IBCEF("N-DISCHARGE DATE","IBZDISCH",,IBIFN)
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| 7 |  ;
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| 8 |  ; Occurrence Code and Dates
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| 9 |  ;   occ codes can not be duplicates for same dates and must have a date
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| 10 |  K IBXSAVE,IBXDATA D F^IBCEF("N-OCCURRENCE CODES",,,IBIFN)
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| 11 |  ; Returns arrays IBXSAVE("OCC",n) AND IBXSAVE("OCCS",n) =
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| 12 |  ;       code^start date^state^end date
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| 13 |  ; IBOCS=occ codes ;; IBOCSP=occ span codes
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| 14 |  ;
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| 15 |  S IBI=0 F  S IBI=$O(IBXSAVE("OCCS",IBI)) Q:'IBI  D
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| 16 |  . N IBOCSDT,IBOCSDT1,Z
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| 17 |  . S IBOCSDT=$P(IBXSAVE("OCCS",IBI),U,2),IBOCSDT1=$P(IBXSAVE("OCCS",IBI),U,4),IBOCCS=$P(IBXSAVE("OCCS",IBI),U)
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| 18 |  . S IBOCSP(IBOCCS,$O(IBOCSP(IBOCCS,""),-1)+1)=IBXSAVE("OCCS",IBI)
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| 19 |  ;
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| 20 |  S IBI=0 F  S IBI=$O(IBXSAVE("OCC",IBI)) Q:'IBI  D
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| 21 |  . N Z
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| 22 |  . S IBOCCD=$P(IBXSAVE("OCC",IBI),U)
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| 23 |  . S IBOCCD(IBOCCD,$O(IBOCCD(IBOCCD,""),-1)+1)=IBXSAVE("OCC",IBI)
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| 24 |  . I IBOCCD=10 S ^TMP($J,"LMD")=1
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| 25 |  Q:IBQUIT
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| 26 |  ;
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| 27 |  ; For type of admit = 1 or 2, at least one occ code 1-6, 10, or 11 req
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| 28 |  I $P(IBNDU,U,8)=1!($P(IBNDU,U,8)=2) D
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| 29 |  . N OK
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| 30 |  . S OK=0
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| 31 |  . F Z="01","02","03","04","05","06",10,11 I $D(IBOCCD(Z))!($D(IBOCCD(+Z))) S OK=1 Q
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| 32 |  . I 'OK S IBQUIT=$$IBER^IBCBB3(.IBER,133)
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| 33 |  K IBXDATA D F^IBCEF("N-VALUE CODES",,,IBIFN)
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| 34 |  S IBX=0
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| 35 |  F  S IBX=$O(IBXDATA(IBX)) Q:'IBX  D  Q:IBQUIT
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| 36 |  . ; value code 01 must have a value>0
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| 37 |  . I $P(IBXDATA(IBX),U)="01",IBER'["134;",$P(IBXDATA(IBX),U,2)'>0 S IBQUIT=$$IBER^IBCBB3(.IBER,134)
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| 38 |  . Q:IBQUIT
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| 39 |  . ; value code 02 must have a value=0
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| 40 |  . I $P(IBXDATA(IBX),U)="02",IBER'["135;",+$P(IBXDATA(IBX),U,2)'=0 S IBQUIT=$$IBER^IBCBB3(.IBER,135)
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| 41 |  . ; code^amount^dollar amt flag (1=amt,0=quantity)
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| 42 |  . Q:IBQUIT
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| 43 |  . I '$D(IBVALCD($P(IBXDATA(IBX),U))) S IBVALCD($P(IBXDATA(IBX),U))=$P(IBXDATA(IBX),U,2) Q
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| 44 |  ; Must have value code 01 or 02 for TOB 11X, 18X, 21X - default it
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| 45 |  ;I '$D(IBVALCD("01")),'$D(IBVALCD("02")),$S(IBTOB12="11":1,IBTOB12="18":1,1:IBTOB12="21") S IBQUIT=$$IBER^IBCBB3(.IBER,132)
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| 46 |  ;
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| 47 |  Q:IBQUIT
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| 48 |  ; Must have acc hr if accident is indicated on inpatient bill
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| 49 |  I $$INPAT^IBCEF(IBIFN,1) D
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| 50 |  . I $D(IBOCCD("01"))!$D(IBOCCD("02"))!$D(IBOCCD("03"))!$D(IBOCCD("04"))!$D(IBOCCD("05")) D
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| 51 |  .. I '$D(IBVALCD(45)),'$P($G(^DGCR(399,IBIFN,"U")),U,10) S IBQUIT=$$IBER^IBCBB3(.IBER,156)
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| 52 |  Q:IBQUIT
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| 53 |  ;
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| 54 |  D ^IBCBB6
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| 55 |  Q
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