[613] | 1 | IBJDI7 ;ALB/CPM - OUTPATIENT WORKLOAD REPORT ; 19-DEC-96
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| 2 | ;;2.0;INTEGRATED BILLING;**69,91,98,100,118,133,339**;21-MAR-94;Build 2
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| 3 | ;
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| 4 | EN ; - Option entry point.
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| 5 | ;
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| 6 | W !!,"This report provides a measure of the number and types of"
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| 7 | W !,"Outpatient Services that are provided in the Medical Center.",!
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| 8 | ;
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| 9 | DATE D DATE^IBOUTL I IBBDT=""!(IBEDT="") G ENQ
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| 10 | ;
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| 11 | ; - Sort by division?
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| 12 | S DIR(0)="Y",DIR("B")="NO"
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| 13 | S DIR("A")="Do you wish to sort this report by division"
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| 14 | S DIR("?")="^D DHLP^IBJDI7" W !
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| 15 | D ^DIR S IBSORT=+Y I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ
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| 16 | K DIR,DIROUT,DTOUT,DUOUT,DIRUT
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| 17 | ;
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| 18 | ; - Select division(s).
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| 19 | I IBSORT D PSDR^IBODIV G:Y<0 ENQ
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| 20 | ;
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| 21 | W !!,"This report only requires an 80 column printer."
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| 22 | ;
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| 23 | W !!,"Note: This report may take a while to run."
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| 24 | W !?6,"You should queue this report to run after normal business hours.",!
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| 25 | ;
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| 26 | ; - Select a device.
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| 27 | S %ZIS="QM" D ^%ZIS G:POP ENQ
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| 28 | I $D(IO("Q")) D G ENQ
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| 29 | .S ZTRTN="DQ^IBJDI7",ZTDESC="IB - OUTPATIENT WORKLOAD REPORT"
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| 30 | .F I="IBBDT","IBEDT","IBSORT","VAUTD","VAUTD(" S ZTSAVE(I)=""
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| 31 | .D ^%ZTLOAD
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| 32 | .W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
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| 33 | .K ZTSK,IO("Q") D HOME^%ZIS
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| 34 | ;
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| 35 | U IO
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| 36 | ;
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| 37 | DQ ; - Tasked entry point.
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| 38 | ;
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| 39 | I $G(IBXTRACT) D E^IBJDE(7,1) ; Change extract status.
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| 40 | ;
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| 41 | N IBQUERY K IB
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| 42 | S IBC="TOT^NSC^SC^SCS^SCN",IBQ=0
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| 43 | I IBSORT D
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| 44 | .S I=0 F S I=$S(VAUTD:$O(^DG(40.8,I)),1:$O(VAUTD(I))) Q:'I D
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| 45 | ..S J=$P(^DG(40.8,I,0),U),IB(J,"GTOT")=0
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| 46 | ..F K=1:1:5 S IB(J,$P(IBC,U,K)_"-A")=0 S:K<4 IB(J,$P(IBC,U,K)_"-I")=0
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| 47 | S IB("ZZALL","GTOT")=0
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| 48 | F I=1:1:5 D
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| 49 | .S IB("ZZALL",$P(IBC,U,I)_"-A")=0 S:I<4 IB("ZZALL",$P(IBC,U,I)_"-I")=0
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| 50 | ;
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| 51 | ; - Find outpatient encounters within the user-specified date range.
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| 52 | D OUTPT^IBJDI21("",IBBDT,IBEDT,"S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)","Outpatient Workload Report",.IBQ,"",.IBQUERY)
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| 53 | D CLOSE^IBSDU(.IBQUERY)
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| 54 | ;
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| 55 | I IBQ G ENQ
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| 56 | ;
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| 57 | I $G(IBXTRACT) D E^IBJDE(7,0) G ENQ ; Extract summary data.
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| 58 | ;
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| 59 | ; - Print the report.
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| 60 | S (IBPAG,IBQ)=0 D NOW^%DTC S IBRUN=$$DAT2^IBOUTL(%)
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| 61 | S IBDIV="" F S IBDIV=$O(IB(IBDIV)) Q:IBDIV="" D SUM Q:IBQ
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| 62 | ;
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| 63 | ENQ I $D(ZTQUEUED) S ZTREQ="@" G ENQ1
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| 64 | ;
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| 65 | D ^%ZISC
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| 66 | ENQ1 K IB,IBC,IBH,IBQ,IBBDT,IBEDT,IBD,IBDIV,IBOE,IBOED,IBPAG,IBRUN,IBSORT
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| 67 | K IBPER,IBINS,IBSC,%,%ZIS,DFN,POP,I,J,K,X,Y,VA,VAEL,VAERR,VAUTD
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| 68 | K ZTDESC,ZTRTN,ZTSAVE
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| 69 | Q
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| 70 | ;
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| 71 | ENC(IBOE,IBOED) ; - Extract encounter - must be called from DQ above.
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| 72 | I $$TESTP^IBJDI1(+$P(IBOED,U,2)) G ENCQ ; Test patient.
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| 73 | ;
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| 74 | I IBSORT D G:'$D(IB(IBDIV,"TOT-A")) ENCQ
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| 75 | .S IBDIV=+$P(IBOED,U,11)
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| 76 | .S IBDIV=$P($G(^DG(40.8,$S('IBDIV:+$$PRIM^VASITE(),1:IBDIV),0)),U)
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| 77 | ;
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| 78 | S IBINS=$$INS(IBOE,IBOED) ; Check if insured encounter.
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| 79 | ;
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| 80 | ; - Set main totals.
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| 81 | S IB("ZZALL","GTOT")=IB("ZZALL","GTOT")+1
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| 82 | S IB("ZZALL","TOT-A")=IB("ZZALL","TOT-A")+1
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| 83 | I IBINS S IB("ZZALL","TOT-I")=IB("ZZALL","TOT-I")+1
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| 84 | I IBSORT D
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| 85 | .S IB(IBDIV,"GTOT")=IB(IBDIV,"GTOT")+1
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| 86 | .S IB(IBDIV,"TOT-A")=IB(IBDIV,"TOT-A")+1
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| 87 | .I IBINS S IB(IBDIV,"TOT-I")=IB(IBDIV,"TOT-I")+1
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| 88 | ;
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| 89 | ; - Set NSC totals.
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| 90 | S DFN=+$P(IBOED,U,2) D ELIG^VADPT S IBSC=+VAEL(3)
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| 91 | I 'IBSC D G ENCQ
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| 92 | .S IB("ZZALL","NSC-A")=IB("ZZALL","NSC-A")+1
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| 93 | .I IBINS S IB("ZZALL","NSC-I")=IB("ZZALL","NSC-I")+1
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| 94 | .I IBSORT D
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| 95 | ..S IB(IBDIV,"NSC-A")=IB(IBDIV,"NSC-A")+1
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| 96 | ..I IBINS S IB(IBDIV,"NSC-I")=IB(IBDIV,"NSC-I")+1
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| 97 | ;
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| 98 | ; - Set SC totals.
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| 99 | S IB("ZZALL","SC-A")=IB("ZZALL","SC-A")+1
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| 100 | I IBINS S IB("ZZALL","SC-I")=IB("ZZALL","SC-I")+1
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| 101 | I IBSORT D
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| 102 | .S IB(IBDIV,"SC-A")=IB(IBDIV,"SC-A")+1
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| 103 | .I IBINS S IB(IBDIV,"SC-I")=IB(IBDIV,"SC-I")+1
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| 104 | ;
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| 105 | ; - If care related to an SC condition, set SCS totals.
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| 106 | I $$SC(IBOE) D G ENCQ
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| 107 | .S IB("ZZALL","SCS-A")=IB("ZZALL","SCS-A")+1
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| 108 | .I IBSORT S IB(IBDIV,"SCS-A")=IB(IBDIV,"SCS-A")+1
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| 109 | ;
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| 110 | ; - Set SCN totals.
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| 111 | S IB("ZZALL","SCN-A")=IB("ZZALL","SCN-A")+1
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| 112 | I IBSORT S IB(IBDIV,"SCN-A")=IB(IBDIV,"SCN-A")+1
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| 113 | ;
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| 114 | ENCQ Q
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| 115 | ;
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| 116 | SUM ; - Print the summary report.
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| 117 | F X="-A","-I" D Q:IBQ
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| 118 | .I X["A" W @IOF,*13
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| 119 | .I X["I",$E(IOST,1,2)="C-" W @IOF,*13
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| 120 | .E W:X["I" !!
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| 121 | .;
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| 122 | .; - Print summary header.
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| 123 | .W !!?$S(X["A":17,1:12),"OUTPATIENT ENCOUNTER WORKLOAD - "
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| 124 | .W $S(X["A":"ALL ENCOUNTERS",1:"INSURED ENCOUNTERS ONLY")
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| 125 | .S IBH="SUMMARY REPORT FOR "_$S(IBDIV="ZZALL":"ALL DIVISIONS",1:IBDIV)
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| 126 | .S IBC=(80-$L(IBH)/2)\1 W !?IBC,IBH
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| 127 | .W !!?$S(X["A":15,1:11),"For ",$S(X["I":"Insured ",1:""),"Outpatient Encounters from ",$$DAT1^IBOUTL(IBBDT)," - ",$$DAT1^IBOUTL(IBEDT)
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| 128 | .I $E(IOST,1,2)="C-" W !!?24,"Run Date: ",IBRUN
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| 129 | .S IBC=$S(X["A":"17^46",1:"12^55") W !?+IBC,$$DASH($P(IBC,U,2)),!!
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| 130 | .;
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| 131 | .; - Print summary statistics.
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| 132 | .S IBPER(1)=$J($S('IB(IBDIV,"TOT"_X):0,1:IB(IBDIV,"NSC"_X)/IB(IBDIV,"TOT"_X)*100),0,2),IBPER(2)=$J($S('IB(IBDIV,"TOT"_X):0,1:100-IBPER(1)),0,2)
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| 133 | .W ?$S(X["A":27,1:21),"Number of Outpatient Encounters:",?$S(X["A":60,1:54),$J(IB(IBDIV,"TOT"_X),7)
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| 134 | .W !?$S(X["A":21,1:15),"Number of Encounters for NSC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"NSC"_X),7)," (",IBPER(1),"%)"
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| 135 | .W !?$S(X["A":22,1:16),"Number of Encounters for SC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"SC"_X),7)," (",IBPER(2),"%)"
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| 136 | .I X["A" D
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| 137 | ..S IBPER(3)=$J($S('IB(IBDIV,"SC-A"):0,1:IB(IBDIV,"SCS-A")/IB(IBDIV,"SC-A")*100),0,2),IBPER(4)=$J($S('IB(IBDIV,"SC-A"):0,1:100-IBPER(3)),0,2)
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| 138 | ..W !?4,"Number of Service Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCS-A"),7)," (",IBPER(3),"%)"
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| 139 | ..W !?3,"Number of Non-Svc. Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCN-A"),7)," (",IBPER(4),"%)"
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| 140 | .E D
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| 141 | ..S IBPER(5)=$J($S('IB(IBDIV,"GTOT"):0,1:IB(IBDIV,"TOT-I")/IB(IBDIV,"GTOT")*100),0,2)
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| 142 | ..W !!?5,"Percentage of Insured Outpatient Encounters for ",$S(IBDIV="ZZALL":"All Divisions",1:"This Division"),": ",IBPER(5),"%"
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| 143 | .D PAUSE
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| 144 | Q
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| 145 | ;
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| 146 | DASH(X) ; - Return a dashed line.
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| 147 | Q $TR($J("",X)," ","=")
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| 148 | ;
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| 149 | PAUSE ; - Page break.
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| 150 | I $E(IOST,1,2)'="C-" Q
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| 151 | N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
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| 152 | F IBX=$Y:1:(IOSL-3) W !
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| 153 | S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
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| 154 | Q
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| 155 | ;
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| 156 | INS(IBOE,IBOED) ; - Is this an insured encounter?
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| 157 | ; Input: IBOE = IEN of outpatient encounter in file #409.68
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| 158 | ; IBOED = Outpatient encounter in file #409.68
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| 159 | ; Output: 1 = Insured encounter
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| 160 | ; 0 = Not an insured encounter
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| 161 | ;
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| 162 | N DFN,IBCK,IBPB,VA,VAEL,VAERR,X0
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| 163 | S DFN=+$P(IBOED,U,2)
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| 164 | I $G(^DPT(DFN,"VET"))'="Y" G INSQ ; Patient not a veteran.
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| 165 | I '$$INSURED^IBCNS1(DFN,+IBOED\1) G INSQ ; Patient not insured.
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| 166 | ;
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| 167 | ; - Check if encounter was made non-billable in Claims Tracking.
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| 168 | I $P($G(^IBT(356,+$O(^IBT(356,"ASCE",IBOE,0)),0)),U,19) G INSQ
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| 169 | ;
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| 170 | ; - Check encounter for non-billable appt. type (1), non-count
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| 171 | ; clinic (2), non-billable clinic (3,12), admission by 11:59pm of
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| 172 | ; encounter date (5), non-billable stop code (7,8), non-billable
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| 173 | ; disposition (10), and parent encounter (11). If IBPB equals one
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| 174 | ; of these numbers, Y will be set to 0 (Not an insured encounter).
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| 175 | F X0=1,2,3,5,7,8,10,11,12 S IBCK(X0)=""
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| 176 | S X0=$$BILLCK^IBAMTEDU(IBOE,IBOED,.IBCK,.IBPB)
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| 177 | I $G(IBPB) G INSQ
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| 178 | ;
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| 179 | I $$ENCL^IBAMTS2(IBOE)[1 G INSQ ; Care is related to AO/IR/SWA/SC/MST/HNC/CV/SHAD.
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| 180 | ;
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| 181 | S Y=1 Q Y
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| 182 | INSQ S Y=0 Q Y
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| 183 | ;
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| 184 | SC(OE) ; - Is the encounter related to the veteran's SC condition?
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| 185 | ; Input: OE = IEN of outpatient encounter in file #409.68
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| 186 | ; Output: SC = 1 (Encounter related to SC condition)
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| 187 | ; 0 (Encounter NOT related to SC condition)
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| 188 | ;
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| 189 | N CL,CLD,SC
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| 190 | S (CL,SC)=0 F S CL=$O(^SDD(409.42,"OE",+$G(OE),CL)) Q:'CL D Q:SC
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| 191 | .S CLD=$G(^SDD(409.42,CL,0)) I +CLD=3,$P(CLD,U,3) S SC=1
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| 192 | Q SC
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| 193 | ;
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| 194 | DHLP ; - Display 'Sort by division' help.
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| 195 | W !,"Enter RETURN to summarize all outpt. encounters without regard to"
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| 196 | W !,"division, or 'Yes' to select those divisions for which a separate"
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| 197 | W !,"summary report should be created."
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| 198 | Q
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