| [613] | 1 | IBCU64 ;ALB/ARH - AUTOMATED BILLER (INPT CONT) ;8/6/93 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**14,80,130,51,137**;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 | ; DBIA REFERENCE TO ^DGPM, DGPM("AMV1" , "ATID1", "APTF" = DBIA419 | 
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|  | 5 | ; DBIA REFERENCE TO PLASIH^DGUTL2 = DBIA421 | 
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|  | 6 | ; DBIA REFERENCE TO APLD^DGUTL2 = | 
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|  | 7 | ; | 
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|  | 8 | LOS1(IFN,IBDTS) ; returns length of stay for a  bill's date range | 
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|  | 9 | ; If actual leave dates needed, pass IBDTS by reference | 
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|  | 10 | ;  Returns IBDTS(begin leave dt)=end leave dt) | 
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|  | 11 | N X,Y,DFN,IBADM,IBPMCA S (X,IBPMCA)=0,Y=$G(^DGCR(399,+$G(IFN),0)) G:Y="" LOS1Q I $P(Y,U,8)'="" D | 
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|  | 12 | . ; find patient movement, based on admit date and DFN from PTF | 
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|  | 13 | . S DFN=+$P(Y,U,2),IBADM=+$P(Y,U,3) I 'IBADM Q | 
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|  | 14 | . S IBPMCA=$O(^DGPM("AMV1",+IBADM,+DFN,0)) | 
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|  | 15 | S X=$G(^DGCR(399,+IFN,"U")) | 
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|  | 16 | S X=$$LOS($P(X,U,1),$P(X,U,2),$P(Y,U,6),IBPMCA,.IBDTS) | 
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|  | 17 | LOS1Q Q X | 
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|  | 18 | ; | 
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|  | 19 | AD(IBPMCA) ; returns inpatient admit and discharge date, DFN, PTF, Facility Treating Specialty, if one/both don't exist "0^0" | 
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|  | 20 | N X,Y S X="0^0" I '$G(IBPMCA) G ADQ | 
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|  | 21 | S Y=$G(^DGPM(+IBPMCA,0)) ; get patient movement data | 
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|  | 22 | S X=+Y_"^"_+$G(^DGPM(+$P(Y,U,17),0))_"^"_$P(Y,U,3)_"^"_$P(Y,U,16)_"^"_$P(Y,U,9) | 
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|  | 23 | ADQ Q X | 
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|  | 24 | ; | 
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|  | 25 | LOS(IBBDT,IBEDT,BTF,IBPMCA,IBDTS) ; calculate the inpatient length of stay for a given time period | 
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|  | 26 | ;parameters are input variables into DGUTL2, which calculates days absent or on pass | 
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|  | 27 | ;if the pat movment IFN is not available then can't check of absence or pass days | 
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|  | 28 | ;LOS: discharge date is not added except for inpt interim first and continuous where discharge date is added, | 
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|  | 29 | ;    absent or pass days not added, | 
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|  | 30 | ;    admission and discharge on same day has LOS=1, discharge date=admission date+1 also has an LOS=1 | 
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|  | 31 | ; Array returned (if passed by reference) IBDTS=# of leave days | 
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|  | 32 | ;                IBDTS(begin date)=end date for all leave periods | 
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|  | 33 | N X,IBX,IBY,IBDISDT,IBADM,DFN,IBA S IBX=0 I '$G(IBBDT)!'$G(IBEDT) G LOSQ | 
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|  | 34 | I IBBDT=IBEDT!($G(BTF)=2)!($G(BTF)=3) S IBEDT=$$FMADD^XLFDT(IBEDT,1) ; inclusive if interim continuous or first | 
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|  | 35 | S IBX=$$FMDIFF^XLFDT(IBEDT,IBBDT,1) ; difference between begin and end date | 
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|  | 36 | I +$G(IBPMCA) S IBY=$$AD(IBPMCA) I +IBY S IBADM=+IBY\1,IBDISDT=$P(IBY,U,2)\1,DFN=$P(IBY,U,3) D | 
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|  | 37 | . ; maximum date range is the admit thru discharge range | 
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|  | 38 | . S:IBBDT<IBADM IBBDT=IBADM I +IBDISDT&(IBEDT>IBDISDT) S IBEDT=IBDISDT | 
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|  | 39 | . S IBX=$$FMDIFF^XLFDT(IBEDT,IBBDT,1) I (IBBDT\1)=(IBEDT\1) S IBX=1 | 
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|  | 40 | . S IBX=IBX-$$NONCOV(IBBDT,IBEDT,IBPMCA,.IBDTS) ; subtract days absent or on pass | 
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|  | 41 | LOSQ Q $S(IBX>0:IBX,1:0) | 
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|  | 42 | ; | 
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|  | 43 | DUPCHKI(DT1,DT2,PTF,RTG,DISP,IFN) ;Check for duplicate billing of inpt admission - checks for overlapping date range on other | 
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|  | 44 | ;bills with the same rate type and that have not been cancelled | 
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|  | 45 | ;input:   DT1 - beginning of date range to check | 
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|  | 46 | ;         DT2 - ending of date range to check | 
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|  | 47 | ;         PTF - ptr to PTF record | 
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|  | 48 | ;         DISP - true if error message should be printed before exit, if any | 
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|  | 49 | ;         RTG - rate group to check for, if no rate group (0 passed and/or no IFN) then any bill found for | 
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|  | 50 | ;          visit date will cause error message | 
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|  | 51 | ;         IFN - existing bill to check against, if passed will use variables from this bill if they are not passed in | 
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|  | 52 | ;returns: 0 - if another bill was not found for this admission with this date range, patient, and rate type | 
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|  | 53 | ;         (dup IFN)_"^error message" - if duplicate date found, same rate group then IFN of bill | 
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|  | 54 | N IFN2,Y,X,X1 S Y=0,(X,X1)="",IFN=+$G(IFN) I +IFN S X=$G(^DGCR(399,IFN,0)),X1=$G(^DGCR(399,IFN,"U")) | 
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|  | 55 | S RTG=$S($G(RTG)'="":+RTG,1:+$P(X,U,7)),PTF=$S(+$G(PTF):+PTF,1:+$P(X,U,8)) G:'PTF DCIQ | 
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|  | 56 | S DT1=$S(+$G(DT1):+DT1,1:$P(X1,U,1)),DT2=$S(+$G(DT2):+DT2,1:$P(X1,U,2)) G:'DT1!'DT2 DCIQ | 
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|  | 57 | S DT1=DT1\1,DT2=DT2\1 I (DT1>DT2)!('$D(^DGCR(399,"APTF",PTF))) G DCIQ | 
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|  | 58 | S IFN2=0 F  S IFN2=$O(^DGCR(399,"APTF",PTF,IFN2)) Q:'IFN2  I IFN'=IFN2 D  Q:+Y | 
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|  | 59 | . S X1=$G(^DGCR(399,IFN2,0)) I $P(X1,U,13)=7 Q  ; bill cancelled | 
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|  | 60 | . I +RTG,$P(X1,U,7)'=RTG Q  ; different rate group | 
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|  | 61 | . S X=$G(^DGCR(399,IFN2,"U")) I (DT2<+X)!(DT1>+$P(X,U,2)) Q | 
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|  | 62 | . S Y=IFN2_"^A "_$P($G(^DGCR(399.3,+$P(X1,U,7),0)),U,1)_" bill ("_$P(X1,U,1)_") exists overlapping this date range." | 
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|  | 63 | DCIQ I +$G(DISP),+Y W !,?10,$P(Y,U,2) | 
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|  | 64 | Q Y | 
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|  | 65 | ; | 
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|  | 66 | ADM(DFN,IBDT) ; -- send back Admission and Discharge Dates for a patient on IBDT (or now) if any, 0 otherwise | 
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|  | 67 | ;returns 'Adm Dt^Disch Dt^PM ptr^PTF ptr' if patient was admitted at any time during IBDT or before discharge date and time | 
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|  | 68 | N IBNDT,IBINPT,IBADM,IBADT1,IBADT2,IBDIS,IBNOW,%,X,Y S IBNOW=$$NOW^XLFDT | 
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|  | 69 | S IBINPT=0,IBDT=$G(IBDT) G:'$D(^DPT(+$G(DFN),0)) ADME I 'IBDT S IBDT=IBNOW | 
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|  | 70 | S IBNDT=9999999.999999-((IBDT\1)+.99999),IBADT2=IBNOW | 
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|  | 71 | F  S IBNDT=$O(^DGPM("ATID1",DFN,IBNDT)) Q:'IBNDT  D  Q:+IBINPT | 
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|  | 72 | . S IBADM=+$O(^DGPM("ATID1",DFN,IBNDT,0)),IBADT1=$G(^DGPM(+IBADM,0)) Q:IBADT1="" | 
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|  | 73 | . S IBDIS=$P(IBADT1,U,17) I +IBDIS S IBADT2=+$G(^DGPM(+IBDIS,0)),IBDIS=IBADT2 | 
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|  | 74 | . I $P(IBADT2,".",2)="" S $P(IBADT2,".",2)=999999 | 
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|  | 75 | . I (+IBADT1\1)'>(IBDT\1),(IBADT2'<IBDT!((+IBADT1\1)=(+IBDT\1))) S IBINPT=+IBADT1_U_+IBDIS_U_IBADM_U_$P(IBADT1,U,16) | 
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|  | 76 | ADME Q IBINPT | 
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|  | 77 | ; | 
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|  | 78 | PTFADM(PTF) ; given a PTF #, return the Patient Movement Admission entry pointer (405) | 
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|  | 79 | N IBX S IBX="" I +$G(PTF) S IBX=$O(^DGPM("APTF",+PTF,0)) | 
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|  | 80 | Q IBX | 
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|  | 81 | ; | 
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|  | 82 | NONCOV(IBBDT,IBEDT,IBPMCA,IBDTS) ; Determine the total # of non billable | 
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|  | 83 | ;   days in an inpt date range | 
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|  | 84 | ; variables are input to DGUTL2 call | 
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|  | 85 | ; Array IBDTS(movement from date)=movement to date is returned if passed | 
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|  | 86 | ; by reference | 
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|  | 87 | ; | 
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|  | 88 | N Z,IBZ | 
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|  | 89 | S Z=+$$APLD^DGUTL2(IBPMCA,.IBZ,IBBDT,IBEDT,"B") | 
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|  | 90 | I Z>0,$G(IBZ(0))>0 S IBDTS=+IBZ(0) D | 
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|  | 91 | . S Z=0 F  S Z=$O(IBZ(Z)) Q:'Z  S IBDTS(+$P(IBZ(Z),U))=$P(IBZ(Z),U,2) | 
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|  | 92 | Q +$G(IBZ(0)) | 
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|  | 93 | ; | 
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