| [613] | 1 | IBCD3 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - CREATE BILL ENTRY) ;9/5/93 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**14,55,52,91,106,125,51,148,160,137,210,245,260**;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 | ;Called by IBCD2,IBACUS2 | 
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|  | 6 | ; | 
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|  | 7 | EN(IBQUERY) ; | 
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|  | 8 | N IBI,IBX,IBY,I,X,X1,X2,IBAC,IBCPY K IBDR,IBDR222 S IBAC=1 | 
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|  | 9 | S X=$P($T(WHERE),";;",2),X2=$P($T(WHERE+1),";;",2) F I=0:0 S I=$O(IB(I)) Q:'I  S X1=$P($E(X,$F(X,I)+1,999),";",1) S:X1="" X1=$P($E(X2,$F(X2,I)+1,999),";",1) I $D(IB(I))=1 S $P(IBDR($P(X1,"^",1)),"^",$P(X1,"^",2))=IB(I) | 
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|  | 10 | F I=0,"C","M","M1","S","U","U1","U2" I $D(IBDR(I)) S ^DGCR(399,IBIFN,I)=IBDR(I) | 
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|  | 11 | S $P(^DGCR(399,0),"^",3)=IBIFN,$P(^(0),"^",4)=$P(^(0),"^",4)+1 | 
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|  | 12 | S DIK="^DGCR(399,",DA=IBIFN D IX1^DIK K DA,DIK ; set cross-references | 
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|  | 13 | ; | 
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|  | 14 | ; Set the attending/rendering provider into provider multiple | 
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|  | 15 | I $G(IB("PRV",.01))'="" D | 
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|  | 16 | . S DIC("DR")="",I=.01 | 
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|  | 17 | . N IBV | 
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|  | 18 | . F  S I=$O(IB("PRV",I)) Q:'I  I IB("PRV",I)'="" S IBV(I)=IB("PRV",I),DIC("DR")=DIC("DR")_$S(DIC("DR")="":"",1:";")_I_"////^S X=IBV("_I_")" | 
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|  | 19 | . S DIC="^DGCR(399,"_IBIFN_",""PRV"",",DIC(0)="L",DLAYGO=399,DA(1)=IBIFN,X=IB("PRV",.01) | 
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|  | 20 | . K DO,DD D FILE^DICN K DO,DD,DLAYGO,DA,DIC | 
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|  | 21 | ; | 
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|  | 22 | ; Set the occurrence span codes for leave/pass days | 
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|  | 23 | I $O(IB("OC",0)) D | 
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|  | 24 | . N I,I1 | 
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|  | 25 | . S I1=0 F  S I1=$O(IB("OC",I1)) Q:'I1  D | 
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|  | 26 | .. S I=0,DIC("DR")="" | 
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|  | 27 | .. F  S I=$O(IB("OC",I1,I)) Q:'I  S DIC("DR")=DIC("DR")_$S(DIC("DR")="":"",1:";")_I_"////"_IB("OC",I1,I) | 
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|  | 28 | .. S DIC="^DGCR(399,"_IBIFN_",""OC"",",DIC(0)="L",DLAYGO=399,DA(1)=IBIFN,DIC("P")=$$GETSPEC^IBEFUNC(399,41),X=IB("OC") | 
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|  | 29 | .. K DO,DD D FILE^DICN K DO,DD,DLAYGO,DA,DIC | 
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|  | 30 | ; | 
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|  | 31 | ; file rx refills, default CPT and Dx if defined | 
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|  | 32 | I $D(IB(362.4))>2 D  G END | 
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|  | 33 | . N IBZ | 
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|  | 34 | . S IBRX=0 F  S IBRX=$O(IB(362.4,IBRX)) Q:'IBRX  S IBY="" F  S IBY=$O(IB(362.4,IBRX,IBY)) Q:IBY=""  D | 
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|  | 35 | .. S IBX=IB(362.4,IBRX,IBY) Q:IBX="" | 
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|  | 36 | .. S IBZ=$$ADD^IBCSC5A($P(IBX,U),IBIFN,$P(IBX,U,4),$P(IBX,U,2),+IBRX,$P(IBX,U,3)_U_$P(IBX,U,5)_U_$P(IBX,U,6)) | 
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|  | 37 | ; | 
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|  | 38 | ;file outpatient visit dates and find/store outpatient procedures and dx | 
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|  | 39 | ;NOTE: If IBQUERY is defined at this point, it will be used to perform | 
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|  | 40 | ;       the scan for outpatient procedures | 
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|  | 41 | I '$$INPAT^IBCEF(IBIFN) D  G END | 
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|  | 42 | . I $D(IB(43))>2 D | 
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|  | 43 | .. S ^DGCR(399,IBIFN,"OP",0)="^399.043DA^" S IBX=0 F  S IBX=$O(IB(43,IBX)) Q:'IBX  D | 
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|  | 44 | ... S DIC="^DGCR(399,"_IBIFN_",""OP"",",DIC(0)="L",DA(1)=IBIFN,(DINUM,X)=IBX,DLAYGO=399.043 K DD,DO D FILE^DICN K DIC,DA,DINUM,DO,DD,DLAYGO | 
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|  | 45 | . ; | 
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|  | 46 | . D VST^IBCCPT(.IBQUERY) I $D(^UTILITY($J,"CPT-CNT")) D | 
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|  | 47 | .. N IBPRX | 
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|  | 48 | .. S DIC("P")=$$GETSPEC^IBEFUNC(399,304) | 
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|  | 49 | .. S IBY=0 F  S IBY=$O(^UTILITY($J,"CPT-CNT",IBY)) Q:'IBY  S IBX=^(IBY) I '$P(IBX,U,6) D | 
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|  | 50 | ... S IBPRX(+$P(IBX,U,8))="" | 
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|  | 51 | ... S DIC="^DGCR(399,"_IBIFN_",""CP"",",DIC(0)="L",DA(1)=IBIFN,X=+IBX_";ICPT(",DLAYGO=399 K DD,DO D FILE^DICN K DO,DD,DLAYGO Q:Y'>0 | 
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|  | 52 | ... ; | 
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|  | 53 | ... S IBCPY=+Y | 
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|  | 54 | ... ; | 
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|  | 55 | ... ; add dx to 362.3 for associations if they exist | 
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|  | 56 | ... I $G(^UTILITY($J,"CPT-CNT",IBY,"DX")) D ADDDX^IBCCPT1(IBIFN,IBCPY,^("DX"),.IBDR) I $L($G(IBDR)) S IBDR=IBDR_";" | 
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|  | 57 | ... ; | 
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|  | 58 | ... ; | 
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|  | 59 | ... S DR=$G(IBDR)_"1////"_$P(IBX,U,2)_$S(+$P(IBX,U,8):";18////"_+$P(IBX,U,8),1:"") K IBDR | 
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|  | 60 | ... S DR=DR_$S(+$P(IBX,U,9):";6////"_+$P(IBX,U,9),1:"")_$S(+$P(IBX,U,5):";5////"_+$P(IBX,U,5),1:"") | 
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|  | 61 | ... S DR=DR_$S(+$P(IBX,U,11):";20////"_+$P(IBX,U,11),1:"") | 
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|  | 62 | ... S DIE=DIC,DA=+IBCPY D ^DIE K DIE,DIC,DA,DINUM,DO,DD | 
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|  | 63 | ... I $P(IBX,U,10) D ADDMOD^IBCCPT(IBIFN,IBCPY,$P(IBX,U,10)) ;Modifiers | 
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|  | 64 | .. I $O(IBPRX(""))=$O(IBPRX(""),-1),$O(IBPRX(0)) D | 
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|  | 65 | ... ;If only 1 provider - make it the rendering | 
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|  | 66 | ... S IB("PRV",.02)=+$O(IBPRX(0))_";VA(200,",IB("PRV",.01)=3 | 
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|  | 67 | . K DGCNT,V,IBOPV1,IBOPV2,I,DGDIV,I1,DGNOD,DGCPTS,I7,I2,DGCPT,^UTILITY($J,"CPT-CNT") | 
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|  | 68 | . ; | 
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|  | 69 | . D OPTDX^IBCSC4D(DFN,IB(151),IB(152),.IBDX) I +IBDX D  K IBDX | 
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|  | 70 | .. S IBY=0 F  S IBY=$O(IBDX(IBY)) Q:IBY=""  S IBX=IBDX(IBY) I '$P(IBX,U,5) D | 
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|  | 71 | ... I '$D(^DGCR(399,"AOPV",DFN,(+$P(IBX,U,4)\1),IBIFN)) Q | 
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|  | 72 | ... S DIC("DR")=".02////"_IBIFN,DIC="^IBA(362.3,",DIC(0)="L",X=+IBX,DLAYGO=362.3 K DD,DO D FILE^DICN | 
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|  | 73 | ... K DIE,DIC,DA,DLAYGO,DO,DD | 
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|  | 74 | ; | 
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|  | 75 | ;store inpatient diagnosis and procedures, default admit dx to first dx found | 
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|  | 76 | I $$INPAT^IBCEF(IBIFN) D  G END | 
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|  | 77 | . I $G(^TMP("IBDX",$J))=IB(.08) D  K ^TMP("IBDX",$J) | 
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|  | 78 | .. N IBXDEF S IBXDEF=0 | 
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|  | 79 | .. S (IBI,IBX)="" F  S IBX=$O(^TMP("IBDX",$J,IBX)) Q:'IBX  S IBY=0 F  S IBY=$O(^TMP("IBDX",$J,IBX,IBY)) Q:'IBY  D | 
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|  | 80 | ... S IBZ=^TMP("IBDX",$J,IBX,IBY) Q:($$ICD9^IBACSV(+IBZ)="")  S IBI=IBI+1 | 
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|  | 81 | ... S DIC("DR")=".02////"_IBIFN_";.03////"_IBI,DIC="^IBA(362.3,",DIC(0)="L",X=+IBZ,DLAYGO=362.3 K DD,DO D FILE^DICN | 
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|  | 82 | ... K DIE,DIC,DA,DLAYGO,DO,DD | 
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|  | 83 | ... I Y>0,'IBXDEF S IBXDEF=1,DR="215////"_+IBZ,DIE="^DGCR(399,",DA=IBIFN D ^DIE | 
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|  | 84 | . ; | 
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|  | 85 | . D IPRC^IBCD4(+IB(.08),IB(151),IB(152)) I $D(^TMP("IBIPRC",$J)) D  K ^TMP("IBIPRC",$J) | 
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|  | 86 | .. S ^DGCR(399,IBIFN,"CP",0)="^399.0304AVI^" | 
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|  | 87 | .. S IBX=0 F  S IBX=$O(^TMP("IBIPRC",$J,IBX)) Q:'IBX  D | 
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|  | 88 | ... S IBY=^TMP("IBIPRC",$J,IBX) F IBI=1:1 S IBZ=$P(IBY,U,IBI) Q:'IBZ  D | 
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|  | 89 | .... S DIC="^DGCR(399,"_IBIFN_",""CP"",",DIC(0)="L",DA(1)=IBIFN,X=+IBZ_";ICD0(",DLAYGO=399.0304 K DD,DO D FILE^DICN | 
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|  | 90 | .... I Y>0 S DIE=DIC,DA=+Y,DR="1////"_(IBX\1) D ^DIE K DIE,DIC,DA,DLAYGO,DO,DD | 
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|  | 91 | ; | 
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|  | 92 | END S IBX="1^Billing Record #"_$P(^DGCR(399,+IBIFN,0),"^",1)_" established for "_$P($G(^DPT(IBDFN,0)),U,1) | 
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|  | 93 | ; | 
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|  | 94 | S IBAUTO=1,DGPTUPDT="" I '$G(IBCHTRN) D PROC^IBCU7A(IBIFN) D ^IBCU6 ; auto calculate/store revenue codes | 
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|  | 95 | ; | 
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|  | 96 | Q K %,%DT,IBDR,X1,X2,X3,X4,Y,DGDIRA,DGDIRB,DGDIR0,DIR,DGRVRCAL,DIC,DA,DR,DINUM,DGPTUPDT,DGXRF1,IBCHK,IBINDT,IBIDS,DLAYGO | 
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|  | 97 | Q | 
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|  | 98 | ; | 
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|  | 99 | WHERE ;;.01^0^1;.02^0^2;.03^0^3;.04^0^4;.05^0^5;.06^0^6;.07^0^7;.08^0^8;.09^0^9;.11^0^11;.17^0^17;.16^0^16;.18^0^18;.19^0^19;.2^0^20;.22^0^22;.27^0^27;112^M^12;151^U^1;152^U^2;155^U^5;101^M^1;158^U^8;159^U^9;160^U^10;161^U^11;162^U^12; | 
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|  | 100 | ;;217^U2^3;221^U2^7; | 
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