[613] | 1 | IBCSC6 ;ALB/MJB - MCCR SCREEN 6 (INPT. BILLING INFO) ;27 MAY 88 10:19
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| 2 | ;;2.0;INTEGRATED BILLING;**52,80,109,106,51,137,343**;21-MAR-94;Build 16
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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 | ;MAP TO DGCRSC6
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| 6 | ;
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| 7 | EN I $P(^DGCR(399,IBIFN,0),"^",5)>2 G EN^IBCSC7
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| 8 | I $D(DGRVRCAL) D ^IBCU6 K DGRVRCAL
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| 9 | D ^IBCSCU S IBSR=6,IBSR1="",IBV1="0000000" S:IBV IBV1="1111111" F I="U","U1",0,"U2","U3" S IB(I)=$S($D(^DGCR(399,IBIFN,I)):^(I),1:"")
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| 10 | D H^IBCSCU
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| 11 | S IBBT=$P(IB(0),U,24)_$P(IB(0),U,5)_$P(IB(0),U,26)
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| 12 | S IBBT1=$P(IB(0),U,24)_$P($G(^DGCR(399.1,+$P(IB(0),U,25),0)),U,2)_$P(IB(0),U,26)
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| 13 | D 4^IBCVA1,5^IBCVA1
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| 14 | ;
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| 15 | 1 S Z=1,IBW=1 X IBWW W " Bill Type : ",$S('$D(IBBT1):IBU,IBBT1="":IBU,1:IBBT1)
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| 16 | W $J("",14),"Loc. of Care: ",$E($G(IBBTP1),1,30) K IBBTP1
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| 17 | W !?4,"Covered Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,2)'="":$P(IB("U2"),U,2),1:IBU)
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| 18 | W ?35,"Bill Classif: ",$E($G(IBBTP2),1,30) K IBBTP2
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| 19 | W !?4,"Non-Cov Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,3)'="":$P(IB("U2"),U,3),1:IBU)
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| 20 | W ?38,"Timeframe: ",$S($D(IBBTP3):$E(IBBTP3,1,30),1:"") K IBBTP3
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| 21 | W !?4,"Charge Type : ",$S($P(IB(0),U,27)=1:"INSTITUTIONAL",$P(IB(0),U,27)=2:"PROFESSIONAL",1:IBU)
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| 22 | W ?39,"Division: ",$E($P($G(^DG(40.8,+$P(IB(0),U,22),0)),U,1),1,30)
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| 23 | ; PRXM/KJH - Add Taxonomy code to display for patch 343.
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| 24 | W !?34,"Div. Taxonomy: "
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| 25 | S IBZ=$$GET1^DIQ(8932.1,+$P(IB("U3"),U,2),"X12 CODE") W $S(IBZ'="":IBZ,1:IBU)
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| 26 | S IBZ=$$GET1^DIQ(8932.1,+$P(IB("U3"),U,2),"SPECIALTY CODE") W $S(IBZ'="":" ("_IBZ_")",1:"")
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| 27 | W !?4,"Form Type : ",$P($G(^IBE(353,+$P(IB(0),U,19),0)),U,1)
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| 28 | W ?34,"Co-Insur Days: ",$S($P(IB("U2"),U,7)="":$S($$MCRONBIL^IBEFUNC(IBIFN):IBU,1:IBUN),1:$P(IB("U2"),U,7))
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| 29 | ;
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| 30 | ;W !?4,"Provider # : ",$S(IB("U2")="":IBU,$P(IB("U2"),U,2)'="":$P(IB("U2"),U,2),1:IBU)
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| 31 | ;
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| 32 | ROI S Z=2,IBW=1 X IBWW
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| 33 | W " Sensitive? : ",$S(IB("U")="":IBU,$P(IB("U"),U,5)="":IBU,$P(IB("U"),U,5)=1:"YES",1:"NO")
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| 34 | W ?46,"Assignment: ",$S(IB("U")="":IBU,$P(IB("U"),U,6)="":IBU,$P(IB("U"),U,6)["n":"NO",$P(IB("U"),U,6)["N":"NO",$P(IB("U"),U,6)=0:"NO",1:"YES")
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| 35 | I $P(IB("U"),U,5)=1 W !?4,"R.O.I. Form : ",$S($P(IB("U"),U,7)=1:"COMPLETED",$P(IB("U"),U,7)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
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| 36 | S IBOA="01^02^03^04^05^06^" F I=1:1:5 Q:'$D(IBOCN(I)) I IBOA[IBOCN(I)_"^" S IBOX=1
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| 37 | W:$D(IBOX) !,?4,"Pow of Atty : ",$S($P(IB("U"),U,3)=1:"COMPLETED",$P(IB("U"),U,3)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
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| 38 | ;
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| 39 | 3 S Z=3,IBW=1 X IBWW D FROMTO
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| 40 | ;
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| 41 | BED S Z=4,IBW=1 X IBWW
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| 42 | W " Bedsection : ",$S(IB("U")="":IBU,$P(IB("U"),U,11)'="":$P(^DGCR(399.1,$P(IB("U"),U,11),0),U,1),1:IBU)
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| 43 | ;S IBI=1,D1=0,IBLS=$S($D(DGNEWLOS):0,IB("U")="":0,$P(IB("U"),U,15)'="":$P(IB("U"),U,15),1:0) K DGNEWLOS
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| 44 | ;I 'IBLS S D0=DFN,(D1,DGPMIFN)=$O(^DGPM("AMV1",$P(IBIP,U,2),DFN,0)),X2=$P(IB("U"),"^"),X1=$P(IB("U"),"^",2) D ^%DTC S IBLS(1)=X
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| 45 | ;I 'IBLS K X D:DGPMIFN ^DGPMLOS S IBLS=$S($D(X):$P(X,U,5),1:IBLS(1)),IBLS=$S(IBLS(1)<IBLS:IBLS(1),1:IBLS) S:'IBLS IBLS=1 S (DA,Y)=IBIFN,DIE="^DGCR(399,",DR="165///"_IBLS D ^DIE K DR
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| 46 | W !?4,"LOS : ",IBLS
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| 47 | ;
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| 48 | I $P($G(^DPT(DFN,.3)),"^")="Y" D SC I IBSCM>0 W !?4,"PTF record indicates ",IBSCM," of ",IBM," movements are for Service Connected Care."
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| 49 | ;
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| 50 | REV S Z=5,IBREVC=0,IBW=1 X IBWW W " Rev. Code : " F I=1:1:8 Q:'$D(IBREVC(I)) D:$S(IBREVC<7:1,1:$P(IBREVC(I),U,9)="") REV^IBCSC61 S IBREVC=IBREVC+1 Q:IBREVC>7
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| 51 | I $G(IBREVC)>9 W !,?4,"Too many Revenue Codes to display, enter '5' to list"
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| 52 | BILL D OFFSET^IBCSC61
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| 53 | I $G(IBUCH),$$FT^IBCEF(IBIFN)=3 S X=IBUCH,X2="2$" D COMMA^%DTC W !,?39,"Non-Cov: ",X
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| 54 | ;
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| 55 | RS S Z=6,IBW=1 X IBWW W " Rate Sched : (re-calculate charges)"
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| 56 | ;
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| 57 | PRPAY S Z=7,IBW=1 X IBWW
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| 58 | S IB("M1")=$G(^DGCR(399,IBIFN,"M1")),X3=0,IBI="Prior Payments:" F X=0,1,2 D
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| 59 | . S X1=$P(IB("U2"),U,(X+4)),X2=$P(IB("M1"),U,(5+X)) I X1="",X2="" Q
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| 60 | . S IBI=IBI_$J("",(17-$L(IBI)))_$S(X=0:"Primary",X=1:"Secondary",X=2:"Tertiary",1:"")
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| 61 | . S IBI=IBI_$J("",(28-$L(IBI)))_$S(X1'="":$J(X1,11,2),1:IBU)
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| 62 | . S IBI=IBI_$J("",(50-$L(IBI)))_"Bill #: "_$S(+X2:$P($G(^DGCR(399,+X2,0)),U,1),1:IBU)
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| 63 | . W:'X3 " " W:X3 !,?4 W IBI S X3=1,IBI=""
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| 64 | I 'X3 W " Prior Claims: ",IBU
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| 65 | ;
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| 66 | G ^IBCSCP
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| 67 | Q
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| 68 | ;
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| 69 | FROMTO ; - Print From and To dates of bill
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| 70 | W " Bill From : " S Y=$P(IB("U"),"^") D D^DIQ W $S($L(Y):Y,1:IBU)
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| 71 | W ?49,"Bill To: " S Y=$P(IB("U"),"^",2) D D^DIQ W $S($L(Y):Y,1:IBU)
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| 72 | Q
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| 73 | ;
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| 74 | SC ; -if patient is sc, are movements for sc care
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| 75 | S PTF=$P(IB(0),"^",8)
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| 76 | ;
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| 77 | SC1 ;
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| 78 | ; -input ptf
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| 79 | ;
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| 80 | ; -output IBm = number of movements
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| 81 | ; IBscm = number of SC movements
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| 82 | S (IBM,IBSCM,M)=0
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| 83 | I $S('PTF:1,'$D(^DGPT(PTF,0)):1,1:0) Q
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| 84 | F S M=$O(^DGPT(PTF,"M",M)) Q:'M S IBM=IBM+1 I $P($G(^DGPT(PTF,"M",M,0)),"^",18)=1 S IBSCM=IBSCM+1
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| 85 | Q
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| 86 | ;IBCSC6
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