| 1 | IBTRV2 ;ALB/AAS - CLAIMS TRACKING -  REVIEW ACTIONS ;19-JUL-93
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| 2 |  ;;2.0;INTEGRATED BILLING ;**60,210,266**;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 | % G EN^IBTRV
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| 6 |  ;
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| 7 | DA(IBTRN) ; -- Add Diagnosis
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| 8 |  ; -- bld = non-zero means not from main tracking  entry.
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| 9 |  ;
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| 10 |  N IBETYP
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| 11 |  D FULL^VALM1
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| 12 |  I IBETYP=2 D
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| 13 |  .I $P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,2)
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| 14 |  .I '$P(IBTRND,"^",4) W !!,"Can not add diagnosis to outpatient visits prior to Check-out.",! D PAUSE^VALM1
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| 15 |  I IBETYP=1 D EN^IBTRE3(IBTRN)
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| 16 |  I '$G(BLD) D DRG,BLD^IBTRV
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| 17 |  S VALMBCK="R"
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| 18 |  Q
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| 19 |  ;
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| 20 | PROC(IBTRN,IBETYP,BLD) ; -- Add Procedures
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| 21 |  ; -- bld = non-zero means not from main tracking  entry.
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| 22 |  ;
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| 23 |  I '$G(BLD) D FULL^VALM1
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| 24 |  I IBETYP=2 W !!,"Outpatient Procedures should be entered using Add/Edit action in",!,"Appointment Management.",! D PAUSE^VALM1
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| 25 |  I IBETYP=1 D EN^IBTRE4(IBTRN)
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| 26 |  I '$G(BLD) D BLD^IBTRV
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| 27 |  S VALMBCK="R"
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| 28 |  Q
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| 29 | PROV(IBTRN,IBETYP,BLD) ; -- Add Procedures
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| 30 |  ; -- bld = non-zero means not from main tracking  entry.
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| 31 |  ;
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| 32 |  I '$G(BLD) D FULL^VALM1
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| 33 |  I IBETYP=1 D EN^IBTRE5(IBTRN)
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| 34 |  I IBETYP=2,$P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,1)
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| 35 |  I IBETYP=3 W !!,"Provider information for Prescriptions comes from the pharmacy package silly.",! D PAUSE^VALM1
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| 36 |  I IBETYP=4 W !!,"Provider information for Prosthetics comes from the prothetics package silly.",! D PAUSE^VALM1
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| 37 |  I '$G(BLD) D BLD^IBTRV
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| 38 |  S VALMBCK="R"
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| 39 |  Q
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| 40 |  ;
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| 41 | DRG(IBTRN) ; -- entry point to compute drg
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| 42 |  ;    generally called from ad or pr above caller does own rebuild
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| 43 |  N DIR,DA,DR,DIC,DIE,IBALOS,IBDRG,IBTRVD,DGPMCA,DX
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| 44 |  S DGPMCA=$P(^IBT(356,IBTRN,0),"^",5) Q:'DGPMCA
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| 45 |  ;
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| 46 |  ; -- can't compute drg if no primary(dxls) diagnosis
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| 47 |  S DX=$O(^IBT(356.9,"ATP",DGPMCA,1,0)) Q:'DX
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| 48 |  D DISPDRG(DGPMCA)
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| 49 |  ;
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| 50 |  S DIR("?")="Answer 'Yes' to compute and store a new interim drg, answer 'No' to quit."
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| 51 |  S DIR("A")="Ready to compute New Interim DRG",DIR("B")="NO",DIR(0)="Y" D ^DIR K DIR
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| 52 |  I Y=1 D
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| 53 |  .S IBDRG=$$COMDRG(IBTRN) Q:+IBDRG<1
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| 54 |  .W !!,"DRG computes to: ",IBDRG,"  -  ",$$DRGTD^IBACSV(IBDRG,$$TRNDATE^IBACSV(IBTRN))
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| 55 |  .;
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| 56 |  .S IBDA=$O(^IBT(356.93,"AMVD",DGPMCA,DT,0))
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| 57 |  .I +IBDA<1 D
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| 58 |  ..K DD,DO
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| 59 |  ..S X=IBDRG
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| 60 |  ..S DIC="^IBT(356.93,",DIC(0)="L",DLAYGO=356.93
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| 61 |  ..S DIC("DR")=".02////"_DGPMCA_";.03////"_DT
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| 62 |  ..D FILE^DICN K DIC S IBDA=+Y
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| 63 |  .I +IBDA<1 Q
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| 64 |  .;
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| 65 |  .L +^IBT(356.93,IBDA):5 I '$T D LOCKED^IBTRCD1 Q
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| 66 |  .S DIE="^IBT(356.93,",DA=IBDA
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| 67 |  .S DR=".01////^S X=IBDRG;.01;S IBALOS=$$ALOS^IBTRV2(IBDRG,DT);.04//^S X=IBALOS;.05//^S X=$$DAYREM^IBTRV2(DGPMCA,IBALOS)"
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| 68 |  .D ^DIE W !
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| 69 |  .L -^IBT(356.93,+IBDA)
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| 70 |  Q
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| 71 |  ;
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| 72 | DAYREM(DGPM,LOS) ; -- Compute days remaining
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| 73 |  N IBX,DIFF S IBX=LOS
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| 74 |  S DIFF=$$FMDIFF^XLFDT(DT,+$G(^DGPM(DGPM,0))) S:DIFF<0 DIFF=-DIFF
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| 75 |  S IBX=LOS-DIFF
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| 76 |  I IBX<0 S IBX=0
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| 77 |  Q IBX\1
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| 78 |  ;
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| 79 | ALOS(X,Y) ; -- compute alos for drg for year
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| 80 |  ;    input x = pointer to drg file
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| 81 |  ;          y = date
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| 82 |  N IBDT,J
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| 83 |  S IBDT=0 F  S IBDT=$O(^IBE(356.5,"ADR",X,IBDT)) Q:'IBDT!(IBDT>Y)  D
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| 84 |  .S J=$O(^IBE(356.5,"ADR",X,IBDT,0))
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| 85 |  Q $P($G(^IBE(356.5,+$G(J),0)),"^",3)
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| 86 |  ;
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| 87 | COMDRG(IBTRN) ; -- compute drg from tracking file
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| 88 |  ;*********************************************************
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| 89 |  ; -- needed variable
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| 90 |  ;    SEX     = m or f
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| 91 |  ;    AGE     = whole number 0-120
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| 92 |  ;    ICDEXP  = patient died during this episode
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| 93 |  ;    ICDTRS  = patient transfered to acute care facility
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| 94 |  ;    ICDDMS  = patient had irregular discharge
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| 95 |  ;    ICDDX(  = diagnosis codes
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| 96 |  ;    ICDPRC( = procedure codes
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| 97 |  ;*********************************************************
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| 98 |  N SEX,ICDEXP,ICDTRS,ICDDMS,ICDDX,ICDPRC,DX,PR,I,J,IBCNT,ICDMDC,ICDDRG,ICDDATE
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| 99 |  S ICDDRG="",(ICDEXP,ICDTRS,ICDDMS,IBCNT)=0,DFN=$P(^IBT(356,IBTRN,0),"^",2)
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| 100 |  ;
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| 101 |  S SEX=$P($G(^DPT(DFN,0)),U,2)
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| 102 |  S AGE=$$FMDIFF^XLFDT(DT,$P($G(^DPT(DFN,0)),U,3))\365.25
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| 103 |  S DGPMA=$P(^IBT(356,IBTRN,0),"^",5) G:'DGPMA COMDRGQ
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| 104 |  ;
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| 105 |  S IBCNT=1,DX=0
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| 106 |  S ICDDX(1)=+$G(^IBT(356.9,+$O(^IBT(356.9,"ATP",DGPMA,+$O(^IBT(356.9,"ATP",DGPMA,0)),0)),0))
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| 107 |  F  S DX=$O(^IBT(356.9,"C",DGPMA,DX)) Q:'DX  S X=$G(^IBT(356.9,DX,0)) I $P(X,"^",4)=2 S IBCNT=IBCNT+1,ICDDX(IBCNT)=+X
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| 108 |  ;
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| 109 |  S IBCNT=0,J=""
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| 110 |  F  S J=$O(^IBT(356.91,"APP",DGPMA,J)) Q:'J  S PR="" F  S PR=$O(^IBT(356.91,"APP",DGPMA,J,PR)) Q:'PR  S IBCNT=IBCNT+1,ICDPRC(IBCNT)=+$G(^IBT(356.91,PR,0))
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| 111 |  ;
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| 112 |  I $D(ICDDX(1)) S ICDDATE=$$TRNDATE^IBACSV(IBTRN) D ^ICDDRG
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| 113 | COMDRGQ Q ICDDRG
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| 114 |  ;
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| 115 | DISPDRG(DGPMCA) ; -- Display drg's
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| 116 |  N I,J,IBDRG
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| 117 |  W !!,"Current Interim DRGs on File:"
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| 118 |  S I=0,IBCNT=0 F  S I=$O(^IBT(356.93,"AMVD",DGPMCA,I)) Q:'I  S J=0 F  S J=$O(^IBT(356.93,"AMVD",DGPMCA,I,J)) Q:'J  D
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| 119 |  .S IBDRG=$G(^IBT(356.93,J,0))
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| 120 |  .W !?5,$$DAT1^IBOUTL($P(IBDRG,"^",3)),?16,+IBDRG," - ",$$DRGTD^IBACSV(+IBDRG,$P(IBDRG,"^",3))
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| 121 |  .S IBCNT=IBCNT+1
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| 122 |  I IBCNT<1 W !?5,"None on file."
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| 123 |  W !
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| 124 |  Q
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