| 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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