[613] | 1 | IBCSC4 ;ALB/MJB - MCCR SCREEN 4 (INPT. EOC) ;27 MAY 88 10:17
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| 2 | ;;2.0;INTEGRATED BILLING;**52,51,210,245,155,287,349**;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 | ;MAP TO DGCRSC4
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| 6 | ;
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| 7 | EN I $P(^DGCR(399,IBIFN,0),"^",5)>2 G EN^IBCSC5
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| 8 | I $D(IBASKCOD) K IBASKCOD D CODMUL^IBCU7 I $$BILLCPT^IBCRU4(IBIFN) D ASK^IBCU7A(IBIFN) S DGRVRCAL=1
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| 9 | I $D(DGRVRCAL) D ^IBCU6 K DGRVRCAL
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| 10 | L ^DGCR(399,IBIFN):1
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| 11 | D ^IBCSCU S IBSR=4,IBSR1="",IBV1="0000000"_$S($$FT^IBCEF(IBIFN)'=2:0,1:1),IBUC="UNSPECIFIED CODE"
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| 12 | S:IBV IBV1="11111111"
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| 13 | D H^IBCSCU F I=1:1:4 S Y="Q"_I_"^IBCVA" D @Y
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| 14 | D INP
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| 15 | S IBBT=$P(IB(0),"^",4)_$P(IB(0),"^",5)_$P(IB(0),"^",6)
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| 16 | D:DGPT(0)]"" DX^IBCSC4A D OCC^IBCVA1
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| 17 | I '$P(DGPT(0),U,6) W !?26,$S('DGPT(0):"No PTF record for this ADMISSION",1:"PTF record status: OPEN")
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| 18 | S J=$P(IB("U"),U,20),J=$S(J=99:"",J="":"",J=0:"",$L(J)=1:".0"_J,1:"."_J)
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| 19 | S Z=1 X IBWW W " Admission : " S I=$S($P(DGPT(0),U,2)]"":$P(DGPT(0),U,2),1:$P(IBIP,U,2)_J) S:$P(I,".",2)=""&I $P(I,".",2)="2400"
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| 20 | S Y=$$FMTE^XLFDT(I,"1P")
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| 21 | W Y,?49,"Accident Hour: ",$S($P(IB("U"),U,10)=99:IBU,$P(IB("U"),U,10)'="":$P(IB("U"),U,10),1:IBU)
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| 22 | W !?4,"Source : " S I=$P(^DD(399,159,0),U,3),I=$P($P(I,";",($P(IB("U"),U,9))),":",2) W I
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| 23 | W ?58,"Type: ",$S($P(IB("U"),U,8)=3:"ELECTIVE",$P(IB("U"),U,8)=1:"EMERGENCY",$P(IB("U"),U,8)=2:"URGENT",1:IBU)
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| 24 | D OT
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| 25 | S Z=2 X IBWW
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| 26 | W " Discharge : " S Y=$S($P(IBIP,U,6)>0:$P(IBIP,U,6),1:"") X ^DD("DD") W $S(Y]"":Y,1:IBU)
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| 27 | W !?4,"Status : ",$S($P(IB("U"),U,12)]""&($D(^DGCR(399.1,(+$P(IB("U"),"^",12)),0))):$P(^(0),"^",1),1:IBU)
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| 28 | N IBPOARR,IBDATE
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| 29 | D SET^IBCSC4D(IBIFN,"",.IBPOARR)
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| 30 | S IBDATE=$$BDATE^IBACSV(+$G(IBIFN)) ; The EVENT DATE of the bill
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| 31 | S Z=3,IBW=1 X IBWW W " Prin. Diag.: " S Y=$$DX(0,IBDATE) W $S(Y'="":$P(Y,U,4)_" - "_$P(Y,U,2),$$DXREQ(IBIFN):IBU,1:IBUN)
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| 32 | F I=1:1:4 S Y=$$DX(+Y,IBDATE) Q:Y="" W !?4,"Other Diag.: ",$P(Y,U,4)_" - "_$P(Y,U,2)
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| 33 | I +Y S Y=$$DX(+Y,IBDATE) I +Y W !?4,"***There are more diagnoses associated with this bill.***"
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| 34 | S Z=4,IBW=1,DGPCM=$P(IB(0),U,9) X IBWW W " Cod. Method: ",$S(DGPCM="":IBUN,DGPCM=9:"ICD-9-CM",DGPCM=4:"CPT-4",1:"HCPCS")
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| 35 | D:$D(IBPROC) WRT^IBCSC5
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| 36 | OCC ;
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| 37 | S Z=$S($P(IB(0),U,5)<3:5,1:6)
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| 38 | S IBW=1 X IBWW W " Pros. Items: " S Y=$$PD^IBCSC5 I 'Y W IBUN
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| 39 | S Z=$S($P(IB(0),U,5)<3:6,1:7) X IBWW
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| 40 | W " Occ. Code : " F I=1:1:5 I $D(IBO(I)) W:I>1 !?4,"Occ. Code : ",$E(IBOCN(I),1,27) W:I=1 $E(IBOCN(I),1,27) S Y=IBOCD(I) X ^DD("DD") W ?55,Y S Y=IBOCD2(I) I +Y X ^DD("DD") W " - ",Y
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| 41 | I '$D(IBO) W IBUN
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| 42 | I $D(IBO)=1,IBO="" W IBUN
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| 43 | S Z=$S($P(IB(0),U,5)<3:7,1:8) X IBWW
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| 44 | W " Cond. Code : " F I=1:1:5 I $D(IBCC(I)) W:I>1 !?4,"Cond. Code : ",IBCCN(I) W:I=1 IBCCN(I)
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| 45 | I '$D(IBCC) W IBUN
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| 46 | I $D(IBCC)=1,IBCC="" W IBUN
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| 47 | S Z=$S($P(IB(0),U,5)<3:8,1:9)
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| 48 | X IBWW W " Value Code : " S IBVC=0
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| 49 | I $$FT^IBCEF(IBIFN)'=2 D
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| 50 | . D VC^IBCVA1 I +IBVC S J=1,I=0 F S I=$O(IBVC(I)) Q:'I W:J>1 !,?3," Value Code : " W ?17,$E($P(IBVC(I),U,2),1,40),?58,$P(IBVC(I),U,3) S J=J+1
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| 51 | W:'IBVC IBUN K IBVC
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| 52 | D Q^IBCSC4B G ^IBCSCP
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| 53 | Q
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| 54 | OCC1 W $P(^DGCR(399,IBIFN,"CP",I,0),"^",3)_" - "_$P($$PRCD^IBCEF1($P(^DGCR(399,IBIFN,"CP",I,0),U)),U),?55,"Date: ",Y
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| 55 | Q
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| 56 | ;IBIP= PTF ptr (399,.08) ^ PTF admiss dt (45,2) or Event dt (399,.03)^ accident hour (399,160)
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| 57 | ; ^ source of addmis (399,159) ^ typ of addmiss (399,158)
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| 58 | ; ^ PTF disch dt (45,70) or Non-VA disch dt (399,.16) ^ disch status (399,162)
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| 59 | ; ^ dxls (45,79) ^ disch bedsection (399,161)
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| 60 | INP F I="C","U",0 S IB(I)=$S($D(^DGCR(399,IBIFN,I)):^(I),1:"")
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| 61 | S IBPTF=$P(IB(0),U,8) F I=0,70 S DGPT(I)=$S(IBPTF="":"",$D(^DGPT(IBPTF,I)):^(I),1:"")
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| 62 | F I="C","U",0 S IB(I)=$S($D(^DGCR(399,IBIFN,I)):^(I),1:"")
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| 63 | S IBIP=IBPTF_"^"_$S($P(DGPT(0),"^",2)]"":$P(DGPT(0),"^",2),1:$P(IB(0),"^",3))_"^"_$P(IB("U"),"^",10)_"^"_$P(IB("U"),"^",9)_"^"_$P(IB("U"),"^",8)_"^"_$S(+DGPT(70)>0:+DGPT(70),1:$P(IB(0),"^",16))_"^"
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| 64 | S IBIP=IBIP_$P(IB("U"),"^",12)_"^"_$S($D(DGPT(70)):$P(DGPT(70),"^",10),1:"")_"^"_$P(IB("U"),"^",11)
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| 65 | Q
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| 66 | SET ;S ^DD(399.0304,0,"ID","WRITE")="N X S X=^(0) W "" "",$E($P($G(@(U_$P($P(X,U),"";"",2)_+X_"",0)"")),U,$S($P(X,U,1)[""CPT"":2,1:4)),1,30)"
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| 67 | Q
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| 68 | ;
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| 69 | DX(ORDER,IBDATE) ; Get next diagnosis data
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| 70 | N IBX
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| 71 | S IBX=""
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| 72 | S ORDER=$O(IBPOARR(ORDER))
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| 73 | I ORDER S IBX=ORDER_U_$$ICD9^IBACSV(+IBPOARR(ORDER),$G(IBDATE))
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| 74 | Q IBX
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| 75 | ;
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| 76 | OT ; print Other Care (SNF) multiple
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| 77 | N IBX,IBY,IBN I '$O(^DGCR(399,IBIFN,"OT",0)) W !,?4,"SNF Care : UNSPECIFIED [NOT REQUIRED]"
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| 78 | S IBX=0 F S IBX=$O(^DGCR(399,IBIFN,"OT",IBX)) Q:'IBX D
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| 79 | . S IBY=$G(^DGCR(399,IBIFN,"OT",IBX,0)) Q:'IBY
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| 80 | . S IBN=$P($G(^DGCR(399.1,+IBY,0)),U,1),IBN=$S(IBN["SKILLED":"SNF Care ",IBN["SUB-ACUTE":"Sub-Acute",1:"Unknown ")
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| 81 | . W !,?4,IBN," : ",$$FMTE^XLFDT(+$P(IBY,U,2))," - ",$$FMTE^XLFDT(+$P(IBY,U,3))
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| 82 | Q
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| 83 | ;
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| 84 | DXREQ(IBIFN) ; Is the principle diagnosis code required or not?
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| 85 | ; Function returns true (1) if DX is required for this bill, otherwise 0
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| 86 | NEW REQ,IBFT
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| 87 | S REQ=0,IBFT=$$FT^IBCEF(IBIFN)
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| 88 | I IBFT=2 S REQ=1 G DXREQX ; required for CMS-1500
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| 89 | I IBFT=3,$$WNRBILL^IBEFUNC(IBIFN) S REQ=1 G DXREQX ; UB with Medicare (WNR) current payer
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| 90 | DXREQX ;
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| 91 | Q REQ
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| 92 | ;
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| 93 | ;IBCSC4
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