| [613] | 1 | IBTRE ;ALB/AAS - CLAIMS TRACKING EDITOR ;27-JUN-1993 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**122,51,276**;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 | % ; -- main entry point for IBT CLAIMS TRACKING EDIT | 
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|  | 6 | EN ; | 
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|  | 7 | I '$D(DT) D DT^DICRW | 
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|  | 8 | K XQORS,VALMEVL,DFN,IBTRN,IBTRV,IBTRC,IBTRD,IBCNS,IBCDFN,IBFASTXT,VA,VAERR,VA200,IBCNT,IBI,IBTBDT,IBTEDT,IBUR,VAIN,VAEL | 
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|  | 9 | D EN^VALM("IBT CLAIMS TRACKING EDITOR") | 
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|  | 10 | ENQ K IBFASTXT,IBSCP,IBOTB,XQORS,VALMEVL,DFN,IBTRN,IBTRV,IBTRC,IBTRD,IBCNS,IBCDFN,VA,VAERR,VA200,IBCNT,IBI,IBTBDT,IBTEDT,IBUR,IBTRPRF,VAEL,VAIN,PRECERT,IBAMNT,IBDGCR,IBDGCRU1,IBETYP,IBETYPD,IBLCNT,IBTEXT,IBTRND,X,Y,Z,IBTMPNM | 
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|  | 11 | K IBAPEAL,IBCDFN,IBCNT,IBDEN,IBDENIAL,IBDENIAL,IBPARNT,IBPEN,IBPENAL,IBTCOD,IBTRDD,IBTRSV,IBTYPE,VAINDT,VA,VALMBCK,OFFSET,I1,I3,IBNEW,IBDENT,IBOE,Z1,T,SDCNT | 
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|  | 12 | Q | 
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|  | 13 | ; | 
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|  | 14 | HDR ; -- header code | 
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|  | 15 | D PID^VADPT | 
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|  | 16 | S VALMHDR(1)="Claims Tracking Entries for: "_$E($P($G(^DPT(DFN,0)),"^"),1,20)_" "_$E($G(^(0)),1)_VA("BID") | 
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|  | 17 | S VALMHDR(2)="    for Visits beginning on: "_$$DAT1^IBOUTL(IBTBDT)_" to "_$$DAT1^IBOUTL(IBTEDT) | 
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|  | 18 | Q | 
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|  | 19 | ; | 
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|  | 20 | INIT ; -- init variables and list array | 
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|  | 21 | S U="^",VALMCNT=0,VALMBG=1 | 
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|  | 22 | K ^TMP("IBTRE",$J),^TMP("IBTREDX",$J) | 
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|  | 23 | K I,X,XQORNOD,DA,DR,DIE,DNM,DQ,IBTEDT,IBTBDT | 
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|  | 24 | D PAT^IBCNSM I $D(VALMQUIT) G INITQ | 
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|  | 25 | S IBTBDT=$$FMADD^XLFDT(DT,-365) ; default start date 1 year in past | 
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|  | 26 | S IBTEDT=$$FMADD^XLFDT(DT,14) ;default end date is 7 days in future. | 
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|  | 27 | D BLD | 
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|  | 28 | INITQ Q | 
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|  | 29 | ; | 
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|  | 30 | BLD ; -- Build list of tracking entries | 
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|  | 31 | K ^TMP("IBTRE",$J),^TMP("IBTREDX",$J) | 
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|  | 32 | N IBII,J,IBTRN,IBTRND,IBTRND1,VAIN,IBCUR,IBSAV,IBSCP | 
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|  | 33 | S IBCNT=0,VALMCNT=0 | 
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|  | 34 | I '$G(IBTRPRF) S IBTRPRF=123 | 
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|  | 35 | I IBTRPRF<10 S X=$S(IBTRPRF=1:"IBTRE  HR MENU",IBTRPRF=2:"IBTRE  IR MENU",IBTRPRF=3:"IBTRE  BI MENU",1:"IBTRE  MENU") D PROT^IBTRPR(X) | 
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|  | 36 | S VALMSG=$$MSG^IBTUTL3(DFN) | 
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|  | 37 | K VAINDT S VA200="" D INP^VADPT I VAIN(1) D | 
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|  | 38 | .S IBTRN=$O(^IBT(356,"AD",+VAIN(1),0)),IBCUR="*" | 
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|  | 39 | .D:IBTRN 1 | 
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|  | 40 | .S IBSAV=IBTRN | 
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|  | 41 | .S VALMSG=$G(VALMSG)_"    *=Current Admission " | 
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|  | 42 | .K VAIN,VA200,VAINDT | 
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|  | 43 | .Q | 
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|  | 44 | ; | 
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|  | 45 | S IBCUR="",IBI=-(IBTEDT+.24) | 
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|  | 46 | F  S IBI=$O(^IBT(356,"APTDT",DFN,IBI)) Q:IBI=""!(IBI>(-IBTBDT+.0001))  S IBTRN=0 F  S IBTRN=$O(^IBT(356,"APTDT",DFN,IBI,IBTRN)) Q:'IBTRN  D 1 | 
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|  | 47 | BLDQ Q | 
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|  | 48 | ; | 
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|  | 49 | 1 ; -- build the entry | 
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|  | 50 | Q:$G(IBSAV)=IBTRN | 
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|  | 51 | W "." | 
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|  | 52 | S IBTRND=$G(^IBT(356,IBTRN,0)),IBTRND1=$G(^(1)) ; tracking data | 
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|  | 53 | Q:+$P(IBTRND,"^",20)<1  ; quit if inactive | 
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|  | 54 | S IBCNT=IBCNT+1 | 
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|  | 55 | S X="" | 
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|  | 56 | S X=$$SETFLD^VALM1(IBCNT,X,"NUMBER") | 
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|  | 57 | S X=$$SETFLD^VALM1(IBCUR_$P($G(^IBE(356.6,+$P(IBTRND,"^",18),0)),"^",2),X,"TYPE") | 
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|  | 58 | S X=$$SETFLD^VALM1($$DAT1^IBOUTL($P(IBTRND,"^",6),2),X,"DATE") | 
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|  | 59 | S X=$$SETFLD^VALM1($$EXPAND(356,.24,$P(IBTRND,"^",24)),X,"INSUR") | 
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|  | 60 | S IBUR="" S:$P(IBTRND,"^",25) IBUR="R" S:$P(IBTRND,"^",26) IBUR=IBUR_"S" S:$P(IBTRND,"^",27) IBUR=IBUR_"L" | 
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|  | 61 | S X=$$SETFLD^VALM1(IBUR,X,"UR") | 
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|  | 62 | S X=$$SETFLD^VALM1($S(+$P(IBTRND,"^",19):"NO",1:"YES"_$$ECME(+$P(IBTRND,"^",11),1)),X,"BILLABLE") | 
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|  | 63 | S X=$$SETFLD^VALM1($$EXPAND(356,.31,$P(IBTRND,"^",31)),X,"ROI") | 
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|  | 64 | S X=$$SETFLD^VALM1($$ADMDIAG^IBTRE6(IBTRN),X,"DIAGNOSIS") | 
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|  | 65 | S X=$$SETFLD^VALM1($S($P(IBTRND,"^",7)=3:"YES",1:"NO"),X,"URGENT") | 
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|  | 66 | S X=$$SETFLD^VALM1($$DAY(IBTRN),X,"DAYS") | 
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|  | 67 | S X=$$SETFLD^VALM1($P($G(^DGCR(399,+$P(IBTRND,"^",11),0)),U),X,"INITIAL") | 
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|  | 68 | S X=$$SETFLD^VALM1($$PRECRT^IBTRC1(IBTRN),X,"PRECERT") | 
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|  | 69 | S X=$$SETFLD^VALM1($E($$EXPAND(356,.12,$P(IBTRND,"^",12)),1,14),X,"SPECIAL") | 
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|  | 70 | I $G(VAIN(4)) S X=$$SETFLD^VALM1($P(VAIN(4),"^",2),X,"WARD") | 
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|  | 71 | D SET(X) | 
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|  | 72 | BQ Q | 
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|  | 73 | ; | 
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|  | 74 | HELP ; -- help code | 
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|  | 75 | S X="?" D DISP^XQORM1 W !! | 
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|  | 76 | Q | 
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|  | 77 | ; | 
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|  | 78 | EXIT ; -- exit code | 
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|  | 79 | K ^TMP("IBTRE",$J),^TMP("IBTREDX",$J) | 
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|  | 80 | K DFN | 
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|  | 81 | D FULL^VALM1,CLEAN^VALM10 | 
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|  | 82 | Q | 
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|  | 83 | ; | 
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|  | 84 | SET(X) ; -- set arrays | 
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|  | 85 | S VALMCNT=VALMCNT+1 | 
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|  | 86 | S ^TMP("IBTRE",$J,VALMCNT,0)=X | 
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|  | 87 | S ^TMP("IBTRE",$J,"IDX",VALMCNT,IBCNT)="" | 
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|  | 88 | S ^TMP("IBTREDX",$J,IBCNT)=VALMCNT_"^"_IBTRN | 
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|  | 89 | Q | 
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|  | 90 | ; | 
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|  | 91 | EXPAND(FILE,FIELD,VALUE) ; -- return special conditions | 
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|  | 92 | N Y | 
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|  | 93 | S Y=VALUE | 
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|  | 94 | I 'FILE!('FIELD)!(VALUE="") G EXPQ | 
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|  | 95 | S Y=$$EXTERNAL^DILFD(FILE,FIELD,,VALUE) | 
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|  | 96 | K ^TMP("DIERR",$J) | 
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|  | 97 | EXPQ Q Y | 
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|  | 98 | ; | 
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|  | 99 | DAY(X) ; -- compute number of days approved for tracking id | 
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|  | 100 | N IBI,IBTRC,IBTRCD,IBDAY,IBCDT,IBMAX | 
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|  | 101 | ; | 
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|  | 102 | S (IBI,IBDAY)=0 F  S IBI=$O(^IBT(356.2,"C",IBTRN,IBI)) Q:'IBI  D  Q:IBDAY="ALL" | 
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|  | 103 | .S IBTRCD=$G(^IBT(356.2,+IBI,0)) | 
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|  | 104 | .I $P(IBTRCD,"^",19)'=10 Q  ;review status must be complete | 
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|  | 105 | .I $P($G(^IBE(356.7,+$P(IBTRCD,"^",11),0)),"^",3)'=10 Q  ;must be an approval | 
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|  | 106 | .I $P($G(^IBT(356.2,+IBI,1)),"^",8) S IBDAY="ALL" Q | 
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|  | 107 | .S IBDAY=IBDAY+$$DAY^IBTUTL3($P(IBTRCD,"^",12),$P(IBTRCD,"^",13),IBTRN) | 
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|  | 108 | I $P(^IBT(356,IBTRN,0),"^",5)  S IBCDT=$$CDT^IBTODD1(IBTRN) I +IBCDT,$P(IBCDT,"^",2) S IBMAX=$$FMDIFF^XLFDT($P(IBCDT,"^",2),+IBCDT) | 
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|  | 109 | I $G(IBMAX),IBDAY>IBMAX S IBDAY=IBMAX | 
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|  | 110 | Q IBDAY | 
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|  | 111 | ; | 
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|  | 112 | ECME(IBBIL,IBNCAN) ;ECME flag | 
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|  | 113 | I 'IBBIL Q "" | 
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|  | 114 | I $P($G(^DGCR(399,IBBIL,"M1")),U,8)="" Q "" | 
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|  | 115 | I $G(IBNCAN),$P($G(^DGCR(399,IBBIL,0)),U,13)=7 Q ""  ; cancelled | 
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|  | 116 | Q "e" | 
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