[613] | 1 | IBCF23A ;ALB/ARH - HCFA 1500 19-90 DATA - Split from IBCF23 ;12-JUN-93
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| 2 | ;;2.0;INTEGRATED BILLING;**51**;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 | B24 ; set individual entries in print array, external format
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| 6 | ; IBAUX = additional data for EDI output
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| 7 | ; IBRXF = array of RX procedures
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| 8 | N IBX,Z,IBD1,IBD2
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| 9 | S IBI=IBI+1,IBPROC=$P(IBSS,U,2),IBD1=$$DATE^IBCF23(IBDT1),IBD2=$S(IBDT1'=IBDT2:$$DATE^IBCF23(IBDT2),1:"")
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| 10 | I '$D(IBXIEN) S IBD1=$E(IBD1,5,8)_$E(IBD1,1,4),IBD2=$E(IBD2,5,8)_$E(IBD2,1,4)
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| 11 | S IBFLD(24,IBI)=IBD1_U_IBD2_U_$P($G(^IBE(353.1,+$P(IBSS,U,6),0)),U)_U_$P($G(^IBE(353.2,+$P(IBSS,U,7),0)),U)
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| 12 | I +IBPROC D
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| 13 | . S IBFLD(24,IBI)=IBFLD(24,IBI)_U_$P($$PRCD^IBCEF1(IBPROC,1),U,2) S:$P(IBPROC,";",2)'["ICPT" IBFLD(24,IBI_"X")=""
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| 14 | I 'IBPROC S IBFLD(24,IBI)=IBFLD(24,IBI)_U_$S('$D(IBXIEN):IBPROC,1:+IBREV),IBFLD(24,IBI_"A")=$P($G(^DGCR(399.2,+IBREV,0)),U,2)
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| 15 | I $D(IBRXF),IBCHARG="" S IBFLD(24,IBI_"A")=$P($G(^DGCR(399.2,+IBREV,0)),U,2)
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| 16 | S IBFLD(24,IBI)=IBFLD(24,IBI)_U_$P(IBSS,U,5)_U_IBCHARG_U_IBUNIT_U_$P(IBSS,U,8)_U_$G(IBPCHG)_U_$G(IBMIN)_U_$G(IBEMG)
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| 17 | I $D(IBSS("L")) S Z=0 F S Z=$O(IBSS("L",Z)) Q:'Z S IBFLD(24,IBI,$P(IBSS("L",Z),U),$P(IBSS("L",Z),U,2))=$G(IBFLD(24,IBI,$P(IBSS("L",Z),U),$P(IBSS("L",Z),U,2)))+1
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| 18 | S:$TR($G(IBAUX),U)'="" IBFLD(24,IBI,"AUX")=$G(IBAUX)
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| 19 | S:$D(IBRXF) IBFLD(24,IBI,"RX")=IBRXF
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| 20 | K IBPROC,IBSS("L")
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| 21 | Q
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| 22 | ;
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| 23 | AUXOK(IBSS,IBSS1) ; Check all other flds are the same to combine procs
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| 24 | ; IBSS = subscript of IBCP to check for dups to combine - pass by ref
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| 25 | ; IBSS(IBSS,"AUX-X",n) = all the previously extracted line items for the
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| 26 | ; same set of basic data, but having different "AUX" data
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| 27 | ; IBSS1 = the "AUX" data of the current IBCP entry
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| 28 | ;
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| 29 | ; Returns entry # in IBSS array if match found, or 0 if no match
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| 30 | ; Set the IBSS "AUX-X" node for no match
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| 31 | N Z,Z0
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| 32 | S Z=0 F S Z=$O(IBSS(IBSS,"AUX-X",Z)) Q:'Z I IBSS1=IBSS(IBSS,"AUX-X",Z) Q
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| 33 | I 'Z S Z0=+$O(IBSS(IBSS,"AUX-X",""),-1)+1,IBSS(IBSS,"AUX-X",Z0)=IBSS1
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| 34 | Q +Z
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| 35 | ;
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| 36 | PRC ; Extract procedure data for HCFA 1500
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| 37 | ; IBRC(IBSS) = #rev codes with same billing criteria (IBSS)
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| 38 | ; IBLINK('CP' ien,'RC' ien) = IBSS including modifiers,rx seq in pc 7,8
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| 39 | ; IBLINK1(IBSS, 'RC' ien) = auto (1)^ 'CP' ien (soft link)
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| 40 | ;
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| 41 | ; proc array w/chrg
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| 42 | N IBPR,IBP
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| 43 | S IBI=0 F S IBI=$O(^DGCR(399,IBIFN,"CP",IBI)) Q:'IBI S IBLN=^(IBI,0),IBAUXLN=$G(^("AUX")) D
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| 44 | . N Z,Z0,Z1,Q1
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| 45 | . S IBPDT=$P(IBLN,U,2)
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| 46 | . S IBSS=$$IBSS(IBI,.IBDXI,IBLN)
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| 47 | . S IBPO=$S($P(IBLN,U,4):+$P(IBLN,U,4),1:IBI+1000) ;Set print order
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| 48 | . S IBCP(IBPO)=IBPDT_"^"_IBSS,IBCP(IBPO,"AUX")=IBAUXLN
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| 49 | . ; Rx
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| 50 | . N IBZ,IBITEM
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| 51 | . S IBZ=$S($P(IBSS,U):$P(IBSS,U),1:"")
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| 52 | . I IBZ'="",$D(IBLINKRX(IBZ,IBI)) D Q:IBCHARG'=""
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| 53 | .. S IBPO1=IBPO
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| 54 | .. S IBITEM=+$O(IBLINKRX(IBZ,IBI,0)),IBRV=$G(IBLINKRX(IBZ,IBI,IBITEM))
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| 55 | .. Q:$S(IBRV="":1,1:'$G(IBRC(IBRV)))
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| 56 | .. S IBCHARG=$P(IBRV,U,6),IBRC(IBRV)=IBRC(IBRV)-1
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| 57 | .. S $P(IBCP(IBPO1),U,9)=IBCHARG,IBCP(IBPO1,"RX")=IBITEM K IBLINKRX(IBZ,IBI,IBITEM)
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| 58 | . ; find chrgs directly linked to proc
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| 59 | . S IBK=0 F S IBK=$O(IBLINK(IBI,IBK)) Q:'IBK S IBRV1=IBLINK(IBI,IBK),IBRV=$P(IBRV1,U,1,6) I +IBRC(IBRV1) D
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| 60 | .. S IBCHARG=$P(IBRV,U,6),IBRC(IBRV1)=IBRC(IBRV1)-1
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| 61 | .. I IBCHARG'="" S $P(IBSS,U,8)=IBCHARG,IBCP(IBPO)=IBPDT_"^"_IBSS,IBPO=IBPO+.1
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| 62 | ;
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| 63 | ; add chrgs associated with a proc (not a direct link)
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| 64 | ; find chrg associated with proc, if any (match proc,div,+/-basc)
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| 65 | K IBP(0)
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| 66 | F IBP=3,2 Q:$D(IBP(0)) S IBPO="" F S IBPO=$O(IBCP(IBPO)) Q:'IBPO I $P(IBCP(IBPO),U,9)="" D
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| 67 | . S IBSS=$P(IBCP(IBPO),U,2,9)
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| 68 | . S IBCHARG="",(IBRV,IBSS)=$P(IBSS,U,1,IBP) F S IBRV=$O(IBRC(IBRV)) Q:$P(IBRV,U,1,IBP)'=IBSS S IBP(0)=0 I +IBRC(IBRV) D Q
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| 69 | .. S IBCHARG=$P(IBRV,U,6),IBRC(IBRV)=IBRC(IBRV)-1
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| 70 | .. I IBRC(IBRV) S Z=0 F S Z=$O(IBCP(IBPO,Z)) Q:'Z S IBRC(IBRV)=IBRC(IBRV)-1
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| 71 | . S $P(IBCP(IBPO),U,9)=IBCHARG
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| 72 | . I IBCHARG'="" S Z=$O(IBLINK1(IBRV,0)) I Z S IBCP(IBPO,"L",Z)=IBLINK1(IBRV,Z) K IBLINK1(IBRV,Z)
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| 73 | ;
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| 74 | ; add chrgs not associated with a proc to first proc with no chrg
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| 75 | ; Aggggh!!! TP
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| 76 | S IBPO="" F S IBPO=$O(IBCP(IBPO)) Q:'IBPO I $P(IBCP(IBPO),U,9)="" D
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| 77 | . S IBCHARG="",IBRV="^" F S IBRV=$O(IBRC(IBRV)) Q:IBRV=""!+IBRV I +IBRC(IBRV) D Q
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| 78 | .. S IBCHARG=$P(IBRV,U,6),IBRC(IBRV)=IBRC(IBRV)-1
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| 79 | .. S Z=$O(IBLINK1(IBRV,0)) I Z S IBCP(IBPO,"L",Z)=IBLINK1(IBRV,Z) K IBLINK1(IBRV,Z)
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| 80 | . S $P(IBCP(IBPO),U,9)=IBCHARG
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| 81 | ;
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| 82 | Q
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| 83 | IBSS(IBI,IBDXI,IBLN) ; Creates index sequence for procedure
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| 84 | N IBPC,IBJ,IBSS
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| 85 | S IBPC=0
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| 86 | F IBJ=1,6,5,0,9,10 S IBPC=IBPC+1 S:IBJ $P(IBSS,U,IBPC,IBPC+1)=($P(IBLN,U,IBJ)_U)
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| 87 | S $P(IBSS,U,7)=($$GETMOD^IBEFUNC(IBIFN,IBI)_U) ;Modifiers
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| 88 | F IBJ=11:1:14 I $P(IBLN,U,IBJ) S $P(IBSS,U,4)=$P(IBSS,U,4)_$S(IBJ>11:",",1:"")_$G(IBDXI(+$P(IBLN,U,IBJ))) ; dx
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| 89 | S $P(IBSS,U,10)=$P(IBLN,U,16),$P(IBSS,U,9)=$P(IBLN,U,19),$P(IBSS,U,11)=+$P(IBLN,U,17)
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| 90 | Q IBSS
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| 91 | ;
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