[613] | 1 | IBOMTE1 ;ALB/CPM-ESTIMATE MEANS TEST CHARGES (PRINT);17-DEC-91
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| 2 | ;;2.0;INTEGRATED BILLING;**153,183**;21-MAR-94
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| 3 | ;
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| 4 | ;***
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| 5 | ;S XRTL=$ZU(0),XRTN="IBOMTE1-2" D T0^%ZOSV ;start rt clock
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| 6 | ; Set up report header.
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| 7 | S IBLINE="",$P(IBLINE,"-",IOM+1)="",(IBPAG,IBQUIT)=0
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| 8 | S DFN=IBDFN,IBPT=$$PT^IBEFUNC(DFN) D HDR
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| 9 | ;
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| 10 | ; Check to see if patient will be Means Test billable upon admission.
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| 11 | S IBLASTC=$$BILST^DGMTUB(DFN)
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| 12 | I IBBDT>DT&(IBLASTC<DT)!(IBBDT'>DT&(IBLASTC<IBBDT)) D
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| 13 | . I 'IBLASTC W "** Please note that this patient has never been Means Test billable. **",! Q
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| 14 | . W "Please note that this patient ",$S(IBBDT'<DT:"will not be",1:"was not")," MT billable on the admission date."
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| 15 | . W !,"Last date as MT billable: ",$$DAT1^IBOUTL(IBLASTC),!
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| 16 | ;
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| 17 | ; Check to see if the patient has an active billing clock
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| 18 | ; from which to base the charges. Print active clock data.
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| 19 | D CLOCK^IBAUTL3
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| 20 | I IBCLDA D
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| 21 | . S X1=IBBDT,X2=IBCLDT D ^%DTC S IBCLCT=X I X>365 S IBCLDA=0 Q
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| 22 | . W "** THIS PATIENT HAS AN ACTIVE BILLING CLOCK **",!?6,"Clock date: ",$$DAT1^IBOUTL(IBCLDT)," Days of inpatient care within clock: ",$J(+IBCLDAY,2)
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| 23 | . W !?6,"Copayments made for current 90 days of inpatient care: ",$J("$"_$J(IBCLDOL,0,2),7),!
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| 24 | I 'IBCLDA S IBCLDT=IBBDT,(IBCLCT,IBCLDAY,IBCLDOL)=0 D DED^IBAUTL3
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| 25 | I IBGMT S IBMED=$$REDUCE^IBAGMT(IBMED) ;GMT Deductible adjustment
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| 26 | ;
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| 27 | ; Build necessary processing variables.
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| 28 | S (IBCHGT,IBTOT)=0 K IBA
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| 29 | S X1=IBEDT,X2=IBBDT D ^%DTC S IBLOS=$S(IBEDT=IBBDT&('IBEVDA):1,1:X)
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| 30 | S X=IBBDT D H^%DTC S IBBDH=%H,IBFCTR=IBBDH-1
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| 31 | S X=IBEDT D H^%DTC S IBEDH=%H-1
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| 32 | S IBNH=$P($G(^DGCR(399.1,IBBS,0)),"^")["NURSING"
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| 33 | ;
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| 34 | ; If continuous patient, just calculate the per diem.
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| 35 | I $$CONT^IBAUTL5(DFN)>IBEDT D COHDR^IBOMTE2,NOCOP W ?3,"(PATIENT IS CONTINUOUS SINCE 7/1/86)",! G PER
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| 36 | ;
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| 37 | ; Process each day in the admission for co-payments.
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| 38 | D ^IBOMTE2 G:IBQUIT END
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| 39 | ;
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| 40 | PER ; Calculate the total per diem charge and print total.
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| 41 | I $Y>(IOSL-7) D PAUSE^IBOUTL G:IBQUIT END D HDR
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| 42 | W !,"PER DIEM CHARGES for ",$S(IBNH:"NURSING HOME",1:"HOSPITAL")," CARE",!,IBLINE
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| 43 | S IBDIEM=$$DIEM^IBAUTL5,X=IBEDT I IBBDT'=IBEDT S %H=IBEDH D YMD^%DTC S IBEDT=X
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| 44 | I IBEDT<IBDIEM D NOPD G TOT
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| 45 | I IBDIEM>IBBDT S X1=IBEDT,(X2,IBBDT)=IBDIEM D ^%DTC S IBLOS=X+1
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| 46 | I IBLOS<1 D NOPD G TOT
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| 47 | S IBRATE=$S(IBNH:5,1:10)
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| 48 | I IBGMT>0 S IBRATE=$$REDUCE^IBAGMT(IBRATE) ;GMT Adjustment of Rate
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| 49 | S IBCHG=IBLOS*IBRATE
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| 50 | S IBTOT=IBTOT+IBCHG
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| 51 | W !,$$DAT1^IBOUTL(IBBDT),?12,$$DAT1^IBOUTL(IBEDT),?26,IBLOS," day",$E("s",IBLOS>1)," @ $",$J(IBRATE,"",2),"/day" W:IBGMT " (GMT rate)"
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| 52 | S X=IBCHG,X2="2$",X3=12 D COMMA^%DTC W ?61,X
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| 53 | ;
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| 54 | TOT W !?62,"----------",!
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| 55 | W ?$S(IBGMT>1:23,1:35),"Total Estimated Charges" W:IBGMT>1 " (GMT Rates)" W ":" S X=IBTOT,X2="2$",X3=12 D COMMA^%DTC W ?61,X
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| 56 | D PAUSE^IBOUTL
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| 57 | ;
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| 58 | END ; Close device and quit
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| 59 | ;***
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| 60 | ;I $D(XRT0) S:'$D(XRTN) XRTN="IBOMTE1" D T1^%ZOSV ;stop rt clock
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| 61 | Q:$D(ZTQUEUED)
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| 62 | K %H,IBJ,IBDIEM,IBCLDOL,IBTOT,IBH,IBLOS,IBNH,IBFCTR,IBBDH,IBEDH,IBLASTC,IBMED,IBCLDA,IBCLDT,IBCLCT,IBCLDAY,IBQUIT,IBCHG,IBCHGT,IBPAG,IBLINE,IBMAX,IBDT,IBATYP,IBDESC,IBI,IBCHARG,IBPT,IBGMT,IBRATE
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| 63 | D ^%ZISC Q
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| 64 | ;
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| 65 | ;
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| 66 | HDR ; Print header.
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| 67 | S IBPAG=IBPAG+1,IBH="Estimated "_$S(IBGMT:"GMT",1:"Means Test")_" Inpatient Charges for "_$P(IBPT,"^")_" "_$P(IBPT,"^",3)_$S(IBPAG>1:" (Con't.)",1:"")
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| 68 | I $E(IOST,1,2)["C-"!(IBPAG>1) W @IOF
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| 69 | W !?IOM-$L(IBH)\2,IBH,!!
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| 70 | I IBEVDA W "Please note that this patient is a current inpatient.",!
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| 71 | I IBGMT W "The patient has GMT Copayment Status.",!
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| 72 | W "Charges will be estimated from ",$$DAT1^IBOUTL(IBBDT)," through ",$$DAT1^IBOUTL(IBEDT),"."
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| 73 | I IBBDT=IBEDT,'IBEVDA W " (ONE-DAY ADMISSION)"
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| 74 | W ! Q
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| 75 | ;
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| 76 | NOCOP ; Print 'No Copay' message.
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| 77 | W !,"** NO COPAYMENT CHARGES WILL BE APPLIED **",?67,"$0.00",! Q
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| 78 | ;
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| 79 | NOPD ; Print 'No Per Diem' message.
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| 80 | W !,"** NO PER DIEM CHARGES WILL BE APPLIED **",?67,"$0.00" Q
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