[613] | 1 | IBTUTL4 ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ; 21-JUN-93
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| 2 | ;;2.0;INTEGRATED BILLING;**60,91**;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 | AEA(IBTRC,X) ; -- dd input call for authorize entire admission (field 1.08)
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| 6 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 7 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",7) D NOTOK("Deny Entire Admission already answered 'YES'.") G AEAQ
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| 8 | D ARRAY^IBTUTL3(IBTRC)
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| 9 | I $G(ARRAY(0)) D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0))))
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| 10 | I $G(ARRAY),ARRAY'=IBTRC D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0))))
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| 11 | AEAQ Q IBOK
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| 12 | ;
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| 13 | DEA(IBTRC,X) ; -- dd input call for deny entry admission (field 1.07)
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| 14 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 15 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",8) D NOTOK("Authorize Entire Admission already answered 'YES'.") G DEAQ
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| 16 | D ARRAY^IBTUTL3(IBTRC)
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| 17 | I $G(ARRAY(0)),+ARRAY(0)'=IBTRC D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0))))
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| 18 | I $G(ARRAY) D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0))))
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| 19 | DEAQ Q IBOK
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| 20 | ;
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| 21 | AFDT(IBTRC,X) ; -- dd input call for check to approved from date (field .12)
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| 22 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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| 23 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 24 | ;
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| 25 | D CHK I 'IBOK G AFDTQ
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| 26 | ;
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| 27 | I $P(^IBT(356.2,+IBTRC,0),U,13),X>$P(^(0),"^",13) D NOTOK("Care Authorized From Date must be before the Care Authorized To Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G AFDTQ
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| 28 | ;
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| 29 | D CHK2 I '$D(ARRAY) G AFDTQ
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| 30 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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| 31 | AFDTQ Q IBOK
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| 32 | ;
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| 33 | ATDT(IBTRC,X) ; -- dd input call for check to approved to date (field .13)
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| 34 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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| 35 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 36 | D CHK G:'IBOK ATDTQ
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| 37 | ;
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| 38 | I $P(^IBT(356.2,+IBTRC,0),U,12),X<$P(^(0),"^",12) D NOTOK("Care Authorized To Date must not be before the Care Authorized From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G ATDTQ
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| 39 | ;
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| 40 | D CHK2 I '$D(ARRAY) G ATDTQ
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| 41 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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| 42 | ATDTQ Q IBOK
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| 43 | ;
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| 44 | DFDT(IBTRC,X) ; -- dd input call for check to denied from date (field .15)
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| 45 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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| 46 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 47 | D CHK G:'IBOK DFDTQ
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| 48 | ;
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| 49 | I $P(^IBT(356.2,+IBTRC,0),U,16),X>$P(^(0),"^",16) D NOTOK("Care Denied From Date must be before the Care Denied To Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DFDTQ
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| 50 | ;
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| 51 | D CHK2 I '$D(ARRAY) G DFDTQ
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| 52 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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| 53 | DFDTQ Q IBOK
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| 54 | ;
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| 55 | DTDT(IBTRC,X) ; -- dd input call for check to denied to date (field .16)
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| 56 | ; -- returns 1 if date okay, 0 if not, let input transform kill x
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| 57 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1
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| 58 | D CHK G:'IBOK DTDTQ
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| 59 | ;
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| 60 | I $P(^IBT(356.2,+IBTRC,0),U,15),X<$P(^(0),"^",15) D NOTOK("Date must not be before the Care Denied From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DTDTQ
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| 61 | ;
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| 62 | D CHK2 I '$D(ARRAY) G DTDTQ
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| 63 | S M=0 F S M=$O(ARRAY(M)) Q:'M S N=0 F S N=$O(ARRAY(M,N)) Q:'N I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.")
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| 64 | DTDTQ Q IBOK
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| 65 | ;
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| 66 | CHK ; -- generic check functions
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| 67 | I '$G(X)!('$G(IBTRC))!($G(^IBT(356.2,+$G(IBTRC),0))="") S IBOK=0 Q
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| 68 | S IBTRND=$G(^IBT(356,+$P($G(^IBT(356.2,+IBTRC,0)),"^",2),0))
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| 69 | ;
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| 70 | I X<($P(IBTRND,"^",6)\1) D NOTOK("Date can't be before admission or visit date ("_$$FMTE^XLFDT($P(IBTRND,"^",6))_")!") Q
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| 71 | ;
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| 72 | S Y=$$DISCH(+$P(IBTRND,"^",5)) I Y,X>Y D NOTOK("Date can not be after Discharge Date ("_$$FMTE^XLFDT(Y)_")!") Q
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| 73 | Q
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| 74 | ;
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| 75 | CHK2 ; -- if pass first set of check do these
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| 76 | D ARRAY^IBTUTL3(IBTRC)
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| 77 | I $G(ARRAY) D NOTOK("Whole Admission has already been Authorized, can not add partial dates!")
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| 78 | I $G(ARRAY(0)) D NOTOK("Whole Admission has already been Denied, can not add partial dates!")
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| 79 | Q
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| 80 | ;
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| 81 | NOTOK(MESS) ; -- process not okays
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| 82 | S IBOK=0
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| 83 | I '$D(ZTQUEUED),$G(MESS)'="" W !,MESS,!
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| 84 | Q
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| 85 | ;
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| 86 | DISCH(DGPM) ; -- find discharge date for an admission
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| 87 | ;
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| 88 | N X S X=""
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| 89 | I '$G(^DGPM(+$G(DGPM),0)) G DISCHQ
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| 90 | S X=+$G(^DGPM(+$P($G(^DGPM(DGPM,0)),"^",17),0))
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| 91 | DISCHQ Q X
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| 92 | ;
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| 93 | ;
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| 94 | ASK(IBTRN,IBW) ; Prompt for Provider or Diagnosis from PCE
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| 95 | ; Input: IBTRN -- Pointer to Claims Tracking entry in #356
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| 96 | ; IBW -- 1 - Provider | 2 - Diagnosis
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| 97 | ;
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| 98 | N DFN,IBVSIT,IBTRND,IBPKG,IBOEDATA,IBRESULT,IBCLIN,IBERROR
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| 99 | S IBERROR=""
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| 100 | I '$G(IBTRN) S IBERROR="No Claims Tracking entry has been provided!" G ASKQ
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| 101 | I "^1^2^"'[("^"_$G(IBW)_"^") S IBERROR="The prompt type was not specified!" G ASKQ
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| 102 | ;
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| 103 | S IBPKG=$O(^DIC(9.4,"C","IB",0))
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| 104 | I 'IBPKG S IBERROR="Cannot determine the Package file entry for IB!" G ASKQ
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| 105 | ;
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| 106 | S IBTRND=$G(^IBT(356,IBTRN,0)),IBOEDATA=$$SCE^IBSDU(+$P(IBTRND,"^",4))
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| 107 | S IBVSIT=$P(IBTRND,"^",3),IBCLIN=$P(IBOEDATA,"^",4),DFN=$P(IBTRND,"^",2)
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| 108 | I 'IBVSIT S IBVSIT=$P(IBOEDATA,"^",5)
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| 109 | I 'IBVSIT S IBERROR="Cannot determine the Visit file entry!" G ASKQ
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| 110 | I 'IBCLIN S IBERROR="Cannot determine the Clinic location of the visit!" G ASKQ
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| 111 | ;
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| 112 | S IBRESULT=$$INTV^PXAPI($S(IBW=1:"PRV",1:"POV"),IBPKG,"IB DATA",IBVSIT,IBCLIN,DFN)
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| 113 | ;
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| 114 | ASKQ I IBERROR]"" W !!,IBERROR,! S DIR(0)="E" D ^DIR K DIR
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| 115 | Q
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