[613] | 1 | IBTRVD1 ;ALB/AAS - CLAIMS TRACKING REVIEW EDIT ; 06-JUL-93
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| 2 | ;;Version 2.0 ; INTEGRATED BILLING ;**1,10**; 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 ^IBTRV
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| 6 | ;
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| 7 | QE ; -- Review Criteria edit
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| 8 | N IBXX,VALMY,DA,DR,DIC,DIE
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| 9 | D QE1^IBTRV1
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| 10 | D BLD^IBTRVD
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| 11 | S VALMBCK="R"
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| 12 | Q
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| 13 | ;
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| 14 | NX(IBTMPNM,BLD) ; -- edit next template
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| 15 | N IBXX,VALMY,IBTRC
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| 16 | D EN^VALM(IBTMPNM)
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| 17 | I '$D(IBFASTXT),'$G(BLD) D BLD^IBTRVD
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| 18 | S VALMBCK="R"
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| 19 | Q
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| 20 | ;
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| 21 | EDIT(DR,BLD) ; -- edit entry point for claims tracking reviews
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| 22 | ; -- Input IBTEMP = template name or dr string
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| 23 | ; BLD = any non-zero value if calling routine is doing own
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| 24 | ; rebuild
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| 25 | ;
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| 26 | N IBDIF,DA,DIC,DIE,DIR,X,Y
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| 27 | D FULL^VALM1 W !
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| 28 | L +^IBT(356.1,+IBTRV):5 I '$T D LOCKED^IBTRCD1 G EDITQ
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| 29 | D SAVE
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| 30 | S DIE="^IBT(356.1,",DA=IBTRV
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| 31 | D ^DIE K DA,DR,DIC,DIE
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| 32 | D COMP
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| 33 | I '$D(IBCON) D CON K IBCON
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| 34 | I IBDIF=1 D UPDATE,BLD^IBTRVD:'$G(BLD)
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| 35 | L -^IBT(356.1,+IBTRN)
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| 36 | EDITQ K ^TMP($J,"IBT")
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| 37 | S VALMBCK="R"
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| 38 | Q
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| 39 | ;
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| 40 | SAVE ; -- Save the global before editing
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| 41 | K ^TMP($J,"IBT")
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| 42 | S ^TMP($J,"IBT",356.1,IBTRV,0)=$G(^IBT(356.1,IBTRV,0))
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| 43 | S ^TMP($J,"IBT",356.1,IBTRV,1)=$G(^IBT(356.1,IBTRV,1))
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| 44 | S ^TMP($J,"IBT",356.1,IBTRV,11,0)=$G(^IBT(356.1,IBTRV,11,0))
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| 45 | Q
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| 46 | ;
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| 47 | COMP ; -- Compare before editing with globals
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| 48 | S IBDIF=0
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| 49 | I $G(^IBT(356.1,IBTRV,0))'=$G(^TMP($J,"IBT",356.1,IBTRV,0)) S IBDIF=1 Q
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| 50 | I $G(^IBT(356.1,IBTRV,1))'=$G(^TMP($J,"IBT",356.1,IBTRV,1)) S IBDIF=1 Q
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| 51 | I $G(^IBT(356.1,IBTRV,11,0))'=$G(^TMP($J,"IBT",356.1,IBTRV,11,0)) S IBDIF=1 Q
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| 52 | Q
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| 53 | ;
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| 54 | UPDATE ; -- enter date and user if editing has taken place
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| 55 | ; entry locked by edit, locks not needed here
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| 56 | S DIE="^IBT(356.1,",DA=IBTRV
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| 57 | S DR="1.03///NOW;1.04////"_DUZ
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| 58 | D ^DIE K DA,DR,DIC,DIE
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| 59 | Q
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| 60 | ;
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| 61 | CON ; -- consistency checker for hospital reviews
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| 62 | Q:$G(^IBT(356.1,IBTRV,0))=""
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| 63 | N I,J,X,Y,DA,DR,DIC,DIE,IBI,IBTRTP,IBDEL
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| 64 | S IBCON=1
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| 65 | S IBTRTP=$P($G(^IBE(356.11,+$P($G(^IBT(356.1,IBTRV,0)),"^",22),0)),"^",2)
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| 66 | ; -- if admission review
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| 67 | I IBTRTP=15 D
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| 68 | .S X=$G(^IBT(356.1,IBTRV,0))
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| 69 | .I '$P(X,"^",4),'$P(X,"^",5),'$P(X,"^",6),'$O(^IBT(356.1,IBTRV,12,0)) W !!,*7,"Warning: Admission Criteria does NOT appear to be met but Reason for",!,"Non Acute Admission Missing." D EDIT("12",1)
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| 70 | .I $P(X,"^",4),($P(X,"^",5)),($P(X,"^",6)),$O(^IBT(356.1,IBTRV,12,0)) W !!,*7,"Warning: Admission Criteria appears to be met but has Reason for ",!,"Non Acute Admission." D EDIT("12",1)
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| 71 | .Q
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| 72 | ; -- if cont. stay review
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| 73 | I IBTRTP=30 D
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| 74 | .S X=$G(^IBT(356.1,IBTRV,0))
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| 75 | .I '$P(X,"^",4),'$P(X,"^",5),$P(X,"^",12),'$O(^IBT(356.1,IBTRV,13,0)) W !!,*7,"Warning: Acute Care Criteria does NOT appear to be met but Reason for",!,"Non Acute Days Missing." D EDIT(13,1)
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| 76 | .I $P(X,"^",4),($P(X,"^",5)),$O(^IBT(356.1,IBTRV,13,0)) W !!,*7,"Warning: Acute Care Criteria appears to be met but has Reason for ",!,"Non Acute Days." D EDIT(13,1)
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| 77 | .Q
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| 78 | ; -- check Next Review Dates
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| 79 | S IBI=0 F S IBI=$O(^IBT(356.1,"C",IBTRN,IBI)) Q:'IBI I IBI'=IBTRV D
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| 80 | .I $P($G(^IBT(356.1,IBI,0)),"^",20) S IBI(IBI)=""
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| 81 | .Q
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| 82 | I $O(IBI(0)) D ASKDEL I IBDEL D
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| 83 | .I $P(^IBT(356.1,IBTRV,0),U,20) D
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| 84 | ..W !," There are other reviews for this admission with a next review date"
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| 85 | ..W !," specified. Generally, only the last review for an admission should"
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| 86 | ..W !," have a next review date. Please check the reviews for this case and"
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| 87 | ..W !," delete all unnecessary 'next review dates'."
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| 88 | ..H 3 Q
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| 89 | .I $O(IBI(+$O(IBI(0)))) D
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| 90 | .;S IBI=0 F S IBI=$O(IBI(IBI)) Q:'IBI S DA=IBI,DR=".2///@",DIE="^IBT(356.1," D ^DIE
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| 91 | .;W !,"Next Review Dates have all been deleted, except for this review"
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| 92 | .Q
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| 93 | Q
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| 94 | ;
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| 95 | ASKDEL ; -- ask if okay to delete next review dates
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| 96 | S IBDEL=1
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| 97 | Q
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| 98 | ;
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| 99 | IA(IBTRV,BLD) ; -- Insurance action
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| 100 | ; -- add/edit communications in bkgrnd for a review
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| 101 | ; quick edit a communications entry.
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| 102 | ;
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| 103 | I '$G(BLD) D BLD^IBTRVD
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| 104 | S VALMBCK="R"
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| 105 | Q
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