| 1 | IBTUTL3 ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ; 21-JUN-93
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| 2 | ;;Version 2.0 ; INTEGRATED BILLING ;**32**; 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 | ADDC(IBTRCDT,IBTRN) ; -- add new entry to reviews file, ibt(356.1
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| 6 | ; -- Input IBTRVDT := Review date (in internal fileman format)
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| 7 | ; IBTRN := pointer to tracking module
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| 8 | ;
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| 9 | N %DT,DD,DO,DIC,DR,DIE,DLAYGO
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| 10 | S DIC="^IBT(356.2,",DIC(0)="L",DLAYGO=356.2
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| 11 | S DIC("DR")=".19////1;.02////"_$G(IBTRN)
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| 12 | S X=IBTRCDT D FILE^DICN
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| 13 | S IBTRC=+Y,IBNEW=1
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| 14 | ADDCQ Q
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| 15 | ;
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| 16 | COM(IBTRCDT,IBTRN,IBX,IBTRV) ; -- add initial communication entry
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| 17 | ; -- Input IBTRCDT := Communication date (in internal fileman format)
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| 18 | ; IBTRN := pointer to tracking module
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| 19 | ; IBX := code for type of contact (if null, will compute)
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| 20 | ; IBTRV := pointer to initial review (if it exists)
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| 21 | ;
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| 22 | N X,Y,DA,DR,DIE,DIC,IBXIFN,IBNXRV
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| 23 | D ADDC(IBTRCDT,$G(IBTRN))
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| 24 | ;
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| 25 | I $G(IBX) S IBXIFN=$O(^IBE(356.11,"ACODE",+IBX,0))
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| 26 | I '$G(IBXIFN) S IBXIFN=$O(^IBE(356.11,"B",$$TYPE^IBTRC(+$G(IBTRC)),0))
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| 27 | ;
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| 28 | S DA=IBTRC,DIE="^IBT(356.2,"
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| 29 | S IBNXRV=DT
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| 30 | I IBTRCDT>$$FMADD^XLFDT(DT,7) S IBNXRV=$$FMADD^XLFDT(IBTRCDT,-7)
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| 31 | L +^IBT(356.2,+IBTRC):10 I '$T G COMQ
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| 32 | S DR=".03////"_$G(IBTRV)_";.04////"_IBXIFN_";.05////"_DFN_";.24////"_IBNXRV_";1.01///NOW;1.02////"_DUZ
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| 33 | D ^DIE K DA,DR,DIE
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| 34 | L -^IBT(356.2,+IBTRC)
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| 35 | COMQ Q
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| 36 | ;
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| 37 | DAY(X,X1,IBTRN) ; -- compute number of days approved for tracking id
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| 38 | ; -- if same date, difference = 1
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| 39 | ; -- input x = beginning date (required)
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| 40 | ; x1 = ending date (required)
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| 41 | ; ibtrn = (optional) if defined will compute max days for episode
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| 42 | ; and will not count discharge date
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| 43 | N DIFF,IBCDT,IBBET,IBEND,IBMAX S DIFF=0
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| 44 | I $E(X,1,7)'?7N G DAYQ
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| 45 | I 'X1 S DIFF=1 G DAYQ
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| 46 | I $E(X1,1,7)'?7N G DAYQ
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| 47 | I X,$E(X,1,7)=$E(X1,1,7) S DIFF=1 G DAYQ
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| 48 | I $G(IBTRN),$P($G(^IBT(356,+IBTRN,0)),"^",5) D
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| 49 | .S IBCDT=$$CDT^IBTODD1(IBTRN)
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| 50 | .; patch 32 changed I 'IBEND
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| 51 | .S IBBEG=+IBCDT,IBEND=+$P(IBCDT,"^",2)\1 I 'IBEND S IBEND=DT
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| 52 | .S IBMAX=$$FMDIFF^XLFDT(IBEND,IBBEG)
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| 53 | .;I X1>IBEND S X1=IBEND
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| 54 | .;I X<IBBEG S X=IBBEG
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| 55 | S DIFF=$$FMDIFF^XLFDT(X1,X) I $G(IBCDT),$G(IBTRN) I $S('$P(IBCDT,"^",2):1,X1<($P(IBCDT,"^",2)\1):1,1:0) S DIFF=DIFF+1 ;add one if not include discharge date
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| 56 | I $G(IBMAX),$P($G(IBCDT),"^",2),DIFF>IBMAX S DIFF=IBMAX
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| 57 | DAYQ Q DIFF
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| 58 | ;
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| 59 | SCP(DFN) ; -- is patient sc, and percent
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| 60 | N VAEL D ELIG^VADPT
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| 61 | I '$G(VAEL(3)) S Y="NO"
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| 62 | I $G(VAEL(3)) S Y=$P(VAEL(3),"^",2)_"%"
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| 63 | Q Y
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| 64 | ;
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| 65 | OTB(DFN) ; -- did patient ever have other type of bill
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| 66 | N I,J,Y S Y=""
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| 67 | I '$O(^IBT(356,"ASPC",DFN,0)) G OTBQ
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| 68 | S I=""
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| 69 | F S I=$O(^IBT(356,"ASPC",DFN,I)) Q:'I D ;S J="" F S J=$O(^IBT(356,"ASPC",DFN,I,J)) Q:'J
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| 70 | .S:Y'="" Y=Y_", "
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| 71 | .S Y=$S(I=1:"TORT",I=2:"OWCP",I=3:"WORK COMP.",1:"OTHER")
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| 72 | .; -- later add ability to find bills, dates, etc
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| 73 | OTBQ Q Y
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| 74 | ;
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| 75 | MSG(DFN) ; -- set message for display in lower bar
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| 76 | N Y,IBSCP,IBOTB S Y=""
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| 77 | S IBSCP=$$SCP(DFN),IBOTB=$$OTB(DFN)
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| 78 | S Y="Service Connected: "_IBSCP
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| 79 | I IBOTB'="" S Y=Y_" Previous Spec. Bills: "_IBOTB
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| 80 | MSGQ Q Y
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| 81 | ;
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| 82 | ARRAY(IBTRC) ; -- see if other reviews have dates
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| 83 | ;
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| 84 | I '$G(IBTRC) G ARRAYQ
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| 85 | N I,IBTRN K ARRAY
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| 86 | S IBTRN=$P($G(^IBT(356.2,+IBTRC,0)),"^",2) G:'IBTRN ARRAYQ
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| 87 | S IBCNS=$P($G(^IBT(356.2,+IBTRC,0)),"^",8)
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| 88 | S I=0 F S I=$O(^IBT(356.2,"C",IBTRN,I)) Q:'I D
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| 89 | .Q:$P(^IBT(356.2,+I,0),"^",8)'=IBCNS ; must be same ins. co.
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| 90 | .I $P($G(^IBT(356.2,+I,1)),"^",8) S ARRAY=I Q ; whole admission authorized
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| 91 | .I $P($G(^IBT(356.2,+I,1)),"^",7) S ARRAY(0)=I Q ;whole admission denied
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| 92 | .I $P($G(^IBT(356.2,+I,0)),"^",12) S ARRAY(+$P(^IBT(356.2,+I,0),"^",12),+$P(^IBT(356.2,+I,0),"^",13))=I_"^"_1
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| 93 | .I $P($G(^IBT(356.2,+I,0)),"^",15) S ARRAY(+$P(^IBT(356.2,+I,0),"^",15),+$P(^IBT(356.2,+I,0),"^",16))=I_"^"_2
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| 94 | ARRAYQ Q
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| 95 | ;
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| 96 | HELP(IBTRC) ; -- dd help for dates authorized and denied.
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| 97 | ;
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| 98 | N ARRAY,IBCNS D ARRAY(IBTRC)
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| 99 | D WRITE
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| 100 | Q
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| 101 | ;
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| 102 | WRITE ; -- write extended help
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| 103 | ;
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| 104 | Q:$D(ZTQUEUED)
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| 105 | N M,N,X W !
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| 106 | I '$D(ARRAY) W !,"No Authorized or Denied Days on file for this Visit!",!! Q
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| 107 | ;
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| 108 | W !,"For Insurance Company ",$P($G(^DIC(36,+IBCNS,0)),"^"),": "
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| 109 | I $G(ARRAY) W !,"Care Authorized for entire Admission on ",$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0))),"."
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| 110 | I $G(ARRAY(0)) W !,"Care Denied for entire Admission on ",$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0))),"."
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| 111 | ;
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| 112 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N="" F S N=$O(ARRAY(M,N)) Q:N="" D
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| 113 | .W !,"Care ",$S($P(ARRAY(M,N),"^",2)=1:"Authorized",1:"Denied ")," from ",$$FMTE^XLFDT(M)," to ",$S('N:"Unspecified",1:$$FMTE^XLFDT(N))
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| 114 | .W ?57," on ",$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(M,N),0))),"."
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| 115 | W ! Q
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