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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