| [613] | 1 | IBECEA33 ;ALB/CPM-Cancel/Edit/Add... More Add Utilities ; 23-APR-93
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| 2 | ;;2.0;INTEGRATED BILLING;**57,52,132,153,167,176,188**;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 | NOCL ; Find the correct clock from the 'bill from' date.
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| 6 | N IBCLST,IBALR S IBALR=0
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| 7 | I IBCLDA S IBALR=1 W !!,"The Bill From date is prior to the start of the active clock..."
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| 8 | D CLSTR^IBECEAU1(DFN,IBFR)
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| 9 | I 'IBCLDA D G NOCLQ
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| 10 | .I IBALR W !!,"This patient has no clock which would cover this date. You should use the",!,"Clock Maintenance option to adjust this patient's clocks before proceeding." S IBY=-1 Q
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| 11 | .W !!,"Please note that I cannot find an active or closed clock for this patient",!,"on this date.",!
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| 12 | D CLDATA^IBAUTL3,DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G NOCLQ
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| 13 | I IBXA=2,$P($G(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU",IBCLDAY>90 S IBMED=IBMED/2
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| 14 | I IBXA=1,IBCLDAY>90,$G(IBADJMED)'=1 S:$G(IBADJMED)=2 IBMED=IBMED/2 I '$G(IBADJMED) D MED^IBECEA34 G:IBY<0 NOCLQ
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| 15 | S IBLIM=$S($P(IBCLST,"^",10):$P(IBCLST,"^",10),1:$$FMADD^XLFDT(IBCLDT,364))
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| 16 | W !!?5,"This charge will be billed under the following closed clock:"
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| 17 | W !!?6,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY
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| 18 | W !?5,"Closed Date: ",$$DAT1^IBOUTL($P(IBCLST,"^",10))," ",$$INPT^IBECEAU(IBCLDAY)," 90 Days: $",+IBCLDOL
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| 19 | I IBXA=2,IBCLDOL'<IBMED S IBY=-1 W !!?5,"This patient has been billed the full copayment under this billing clock!",!?5,"You cannot add another copay charge starting on this date."
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| 20 | NOCLQ Q
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| 21 | ;
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| 22 | OPT ; Check for a C&P exam and determine the outpatient copay rate.
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| 23 | I $$CNP^IBECEAU(DFN,IBFR) D I IBY<0 G OPTQ
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| 24 | .N DIR,DIRUT,DUOUT,DTOUT,Y
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| 25 | .W !!,"This patient had a Compensation & Pension exam on this date."
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| 26 | .S DIR(0)="Y",DIR("A")="Do you still want to add a charge"
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| 27 | .S DIR("?")="Enter 'Y' to continue to add the charge, or 'N' or '^' to quit"
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| 28 | .D ^DIR S:'Y IBY=-1
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| 29 | ;
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| 30 | N IBDT,IBX,IBBS,IBTYPE
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| 31 | S (IBDT,IBTO)=IBFR,IBX="O",(IBTYPE,IBUNIT)=1,IBEVDA="*"
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| 32 | D:$G(IBATYP)=74 CHRG^IBECEAU5 D:$G(IBATYP)'=74 TYPE^IBAUTL2
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| 33 | D CTBB^IBECEAU3:IBY>0
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| 34 | OPTQ Q
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| 35 | ;
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| 36 | CHTYP ; Ask for the Charge Type
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| 37 | S DIC="^IBE(350.1,",DIC(0)="AEMQZ",D="E",DIC("S")="I $P(^(0),U)'[""MEDICARE"",$P(^(0),U)'[""CHAMPVA SUB""",DIC("A")="Select CHARGE TYPE: "
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| 38 | D IX^DIC K DIC S IBATYP=+Y I Y<0 S IBY=-1 W !!,"No CHARGE TYPE entered - transaction cannot be completed." G CHTYPQ
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| 39 | ;
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| 40 | ; - perform charge type edits
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| 41 | S IBSEQNO=$P(Y(0),"^",5),IBXA=$P(Y(0),"^",11),IBNH=$S(IBXA=1:2,IBXA=9&(Y(0)["FEE"):2,1:$P(Y(0),"^",8)["NHCU")
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| 42 | I 'IBSEQNO S IBY="-1^IB023" G CHTYPQ
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| 43 | I IBXA=7 G CHTYPQ
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| 44 | I IBXA=6 G:IBCVAEL CHTYPQ W !!,"This patient does not have a Primary Eligibility of CHAMPVA.",! G CHTYP
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| 45 | I 'IBCATC,IBXA'=5,IBXA'=8,IBXA'=9 W !!,"This patient has never been Means Test billable...",!,"You may only select a Pharmacy copay charge type.",! G CHTYP
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| 46 | I +IBEXSTAT,IBXA=5 W !!,"Patient is Exempt from Medication Copayment",!,$P(IBEXSTAT,"^",4),! G CHTYP
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| 47 | I IBLTCST=0,IBXA>7,IBXA<10 W !!,"This patient has no LTC (1010EC) information on file.",!,"You cannot select a LTC charge type.",! G CHTYP
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| 48 | I +IBLTCST=1,IBXA>7,IBXA<10 W !!,"This patient is Exempt from LTC Charges.",! G CHTYP
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| 49 | S:IBXA=2 IBBS=$O(^DGCR(399.1,"AC",IBATYP,0))
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| 50 | I IBXA=3 D
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| 51 | .N DIR,DIRUT,DTOUT,DUOUT,DIROUT,TYPE
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| 52 | .S TYPE=$S(Y(0,0)["NHCU PER DIEM":"N",1:"H")
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| 53 | .S DIR(0)="Y",DIR("A")=" Is this charge for a "_$S(TYPE="N":"CNH",1:"Contract Hospital")_" admission",DIR("B")="NO"
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| 54 | .S DIR("?")="Enter '<CR>' if the charge is for a VA "_$S(TYPE="N":"NHCU",1:"Hospital")_" admission, 'Y' for a "_$S(TYPE="N":"CNH",1:"Contract Hospital")_" admission, or '^' to quit."
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| 55 | .W ! D ^DIR I $D(DIRUT)!$D(DUOUT) S IBY=-1 Q
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| 56 | .I Y S IBNH=2
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| 57 | I IBXA>7,IBXA<10,IBNH'=2 S IBNH=3
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| 58 | CHTYPQ Q
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| 59 | ;
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| 60 | CLMSG ; Check the Medicare Deductible and Billing Clock
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| 61 | I 'IBMED S IBCLDT=IBFR D DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G CLMSGQ
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| 62 | I "^1^2^"[("^"_IBXA_"^"),IBCLDA,IBFR'<IBCLDT,IBCLDOL'<IBMED S IBY=-1 D
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| 63 | .W !!?5,*7,"This patient has already been billed the Medicare Deductible ($",IBMED,")"
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| 64 | .W !?5,"for his current 90 days of care. If you know this not to be the case,"
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| 65 | .W !?5,"please adjust the billing clock before proceeding."
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| 66 | CLMSGQ Q
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