[613] | 1 | IBCEF31 ;ALB/ESG - FORMATTER SPECIFIC BILL FLD FUNCTIONS - CONT ;14-NOV-03
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| 2 | ;;2.0;INTEGRATED BILLING;**155,296,349**;21-MAR-94;Build 46
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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 | Q
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| 6 | ;
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| 7 | ALLTYP(IBIFN) ; returns codes to translate to ALL ins types on a bill
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| 8 | ; IBIFN = ien of bill
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| 9 | N IBX,Z
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| 10 | F Z=1:1:3 S $P(IBX,U,Z)=$$INSTYP(IBIFN,Z)
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| 11 | ; IBX = primary code^secondary code^tertiary code
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| 12 | Q IBX
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| 13 | ;
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| 14 | INSTYP(IBIFN,SEQ) ; Returns insurance type code for an ins on a bill
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| 15 | ; IBIFN = ien of bill
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| 16 | ; SEQ = sequence (1,2,3) of insurance wanted - prim, second, tert
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| 17 | ; Default is current insurance co
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| 18 | ;
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| 19 | N IBA,Z
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| 20 | ;
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| 21 | I '$G(SEQ) S SEQ=$$COBN^IBCEF(IBIFN)
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| 22 | S Z=+$G(^DGCR(399,IBIFN,"I"_SEQ))
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| 23 | ;Codes 1:HMO;2:COMMERCIAL;3:MEDICARE;4:MEDICAID;5:GROUP POLICY;9:OTHER
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| 24 | I Z D
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| 25 | . S IBA=$P($G(^DIC(36,Z,3)),U,9)
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| 26 | . I $$MCRWNR^IBEFUNC(Z) S IBA=3 ; force Medicare (WNR) definition to be correct
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| 27 | . I IBA="" S IBA=5 ;Default is group policy - 5 if blank
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| 28 | ;
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| 29 | Q $G(IBA)
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| 30 | ;
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| 31 | POLTYP(IBIFN,IBSEQ) ; Returns ins electronic policy type code for one
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| 32 | ; ins policy on a bill
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| 33 | ; IBIFN = ien of bill
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| 34 | ; IBSEQ = sequence (1,2,3) of ins policy wanted - prim, second, tert
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| 35 | ; Default is current insurance co
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| 36 | ;
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| 37 | N IBPLAN,IBPLTYP
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| 38 | ;
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| 39 | I '$G(IBSEQ) S IBSEQ=+$$COBN^IBCEF(IBIFN)
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| 40 | S IBPLAN=$G(^IBA(355.3,+$P($G(^DGCR(399,IBIFN,"I"_IBSEQ)),U,18),0))
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| 41 | S IBPLTYP=$P(IBPLAN,U,15)
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| 42 | ;
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| 43 | ; esg - 06/30/05 - IB*2.0*296 - Force Medicare (WNR) to be correct
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| 44 | I $$WNRBILL^IBEFUNC(IBIFN,IBSEQ),$$FT^IBCEF(IBIFN)=2 S IBPLTYP="MB" ; CMS-1500 ----> Medicare Part B
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| 45 | I $$WNRBILL^IBEFUNC(IBIFN,IBSEQ),$$FT^IBCEF(IBIFN)=3 S IBPLTYP="MA" ; UB-04 -------> Medicare Part A
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| 46 | ;
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| 47 | I IBPLTYP="" S IBPLTYP="CI" ;Default is commercial - 'CI'
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| 48 | I IBPLTYP="MX" D
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| 49 | . I $P(IBPLAN,U,14)'="","AB"[$P(IBPLAN,U,14) S IBPLTYP="M"_$P(IBPLAN,U,14) Q
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| 50 | . S IBPLTYP="CI"
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| 51 | Q $G(IBPLTYP)
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| 52 | ;
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| 53 | ALLPTYP(IBIFN) ; returns insurance policy type codes for ALL ins on a bill
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| 54 | ; IBIFN = ien of bill
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| 55 | N IBX,Z S IBX=""
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| 56 | F Z=1:1:3 I $D(^DGCR(399,IBIFN,"I"_Z)) S $P(IBX,U,Z)=$$POLTYP(IBIFN,Z)
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| 57 | ; IBX = primary code^secondary code^tertiary code
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| 58 | Q IBX
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| 59 | ;
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| 60 | PGDX(DXCNT,IBX0,IBXDA,IBXLN,IBXCOL,IBXSIZE,IBXSAVE) ; Subroutine - Checks for Diagnosis Codes (Dx) beyond
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| 61 | ; the first four, that relate to the current Dx position passed in DXCNT.
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| 62 | ; This subroutine stores the Diagnosis Codes in output global using display parameters (IBXLN,IBXCOL)
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| 63 | ; If DXCNT is 1, check for Dx's 5,9,...etc & display on pages 2,3,...etc
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| 64 | ; If DXCNT is 2, check for Dx's 6,10,...etc & display on pages 2,3,...etc
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| 65 | ; If DXCNT is 3, check for Dx's 7,11,...etc & display on pages 2,3,...etc
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| 66 | ; If DXCNT is 4, check for Dx's 8,12,...etc & display on pages 2,3,...etc
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| 67 | ;
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| 68 | ; Input: DXCNT= position of current Dx (from 1 to 4)
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| 69 | ; IBX0= zero-level of file 364.7 of current Dx
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| 70 | ; IBXDA= ien# of file 364.6 of current Dx
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| 71 | ; IBXLN IBXCOL= line# & Column# of current Dx
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| 72 | ; IBXSIZE= size counter
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| 73 | ; IBXSAVE("DX")= local array with all Dx's on current bill
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| 74 | ;
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| 75 | N JUMP,IBPG,VAL
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| 76 | F JUMP=DXCNT+4:4 Q:'$D(IBXSAVE("DX",JUMP)) D ;
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| 77 | . ;calculate page number where Dx number JUMP will print
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| 78 | . S IBPG=JUMP\4+(JUMP#4>0)
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| 79 | . S VAL=$P($G(^ICD9(+IBXSAVE("DX",JUMP),0)),U) ; resolve Dx pointer
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| 80 | . S VAL=$$FORMAT^IBCEF3(VAL,$G(IBX0),$G(IBXDA)) ;format Dx value
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| 81 | . D SETGBL^IBCEFG(IBPG,IBXLN,IBXCOL,VAL,.IBXSIZE) ;store in output global
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| 82 | Q ;PGDX
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| 83 | ;
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