| [613] | 1 | IBTUTL4 ;ALB/AAS - CLAIMS TRACKING UTILITY ROUTINE ; 21-JUN-93 | 
|---|
|  | 2 | ;;2.0;INTEGRATED BILLING;**60,91**;21-MAR-94 | 
|---|
|  | 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified. | 
|---|
|  | 4 | ; | 
|---|
|  | 5 | AEA(IBTRC,X) ; -- dd input call for authorize entire admission (field 1.08) | 
|---|
|  | 6 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 7 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",7) D NOTOK("Deny Entire Admission already answered 'YES'.") G AEAQ | 
|---|
|  | 8 | D ARRAY^IBTUTL3(IBTRC) | 
|---|
|  | 9 | I $G(ARRAY(0)) D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0)))) | 
|---|
|  | 10 | I $G(ARRAY),ARRAY'=IBTRC D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0)))) | 
|---|
|  | 11 | AEAQ Q IBOK | 
|---|
|  | 12 | ; | 
|---|
|  | 13 | DEA(IBTRC,X) ; -- dd input call for deny entry admission (field 1.07) | 
|---|
|  | 14 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 15 | I X,$P($G(^IBT(356.2,+IBTRC,1)),"^",8) D NOTOK("Authorize Entire Admission already answered 'YES'.") G DEAQ | 
|---|
|  | 16 | D ARRAY^IBTUTL3(IBTRC) | 
|---|
|  | 17 | I $G(ARRAY(0)),+ARRAY(0)'=IBTRC D NOTOK("Entired Admission already denied on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY(0),0)))) | 
|---|
|  | 18 | I $G(ARRAY) D NOTOK("Entire Admission has already be authorized on "_$$FMTE^XLFDT(+$G(^IBT(356.2,+ARRAY,0)))) | 
|---|
|  | 19 | DEAQ Q IBOK | 
|---|
|  | 20 | ; | 
|---|
|  | 21 | AFDT(IBTRC,X) ; -- dd input call for check to approved from date (field .12) | 
|---|
|  | 22 | ; -- returns 1 if date okay, 0 if not, let input transform kill x | 
|---|
|  | 23 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 24 | ; | 
|---|
|  | 25 | D CHK I 'IBOK G AFDTQ | 
|---|
|  | 26 | ; | 
|---|
|  | 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 ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G AFDTQ | 
|---|
|  | 28 | ; | 
|---|
|  | 29 | D CHK2 I '$D(ARRAY) G AFDTQ | 
|---|
|  | 30 | S M=0 F  S M=$O(ARRAY(M)) Q:'M  S N=0 F  S N=$O(ARRAY(M,N)) Q:'N  I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.") | 
|---|
|  | 31 | AFDTQ Q IBOK | 
|---|
|  | 32 | ; | 
|---|
|  | 33 | ATDT(IBTRC,X) ; -- dd input call for check to approved to date (field .13) | 
|---|
|  | 34 | ; -- returns 1 if date okay, 0 if not, let input transform kill x | 
|---|
|  | 35 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 36 | D CHK G:'IBOK ATDTQ | 
|---|
|  | 37 | ; | 
|---|
|  | 38 | I $P(^IBT(356.2,+IBTRC,0),U,12),X<$P(^(0),"^",12) D NOTOK("Care Authorized To Date must not be before the Care Authorized From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G ATDTQ | 
|---|
|  | 39 | ; | 
|---|
|  | 40 | D CHK2 I '$D(ARRAY) G ATDTQ | 
|---|
|  | 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.") | 
|---|
|  | 42 | ATDTQ Q IBOK | 
|---|
|  | 43 | ; | 
|---|
|  | 44 | DFDT(IBTRC,X) ; -- dd input call for check to denied from date (field .15) | 
|---|
|  | 45 | ; -- returns 1 if date okay, 0 if not, let input transform kill x | 
|---|
|  | 46 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 47 | D CHK G:'IBOK DFDTQ | 
|---|
|  | 48 | ; | 
|---|
|  | 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 ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DFDTQ | 
|---|
|  | 50 | ; | 
|---|
|  | 51 | D CHK2 I '$D(ARRAY) G DFDTQ | 
|---|
|  | 52 | S M=0 F  S M=$O(ARRAY(M)) Q:'M  S N=0 F  S N=$O(ARRAY(M,N)) Q:'N  I IBTRC'=+ARRAY(M,N),X'<M,X'>N D NOTOK("Date entered is already covered by another entry.") | 
|---|
|  | 53 | DFDTQ Q IBOK | 
|---|
|  | 54 | ; | 
|---|
|  | 55 | DTDT(IBTRC,X) ; -- dd input call for check to denied  to date (field .16) | 
|---|
|  | 56 | ; -- returns 1 if date okay, 0 if not, let input transform kill x | 
|---|
|  | 57 | N ARRAY,IBOK,IBTRN,IBTRND,Y,I,J,M,N S IBOK=1 | 
|---|
|  | 58 | D CHK G:'IBOK DTDTQ | 
|---|
|  | 59 | ; | 
|---|
|  | 60 | I $P(^IBT(356.2,+IBTRC,0),U,15),X<$P(^(0),"^",15) D NOTOK("Date must not be before the Care Denied From Date ("_$$FMTE^XLFDT($P(^IBT(356.2,+IBTRC,0),"^",13))_")!") G DTDTQ | 
|---|
|  | 61 | ; | 
|---|
|  | 62 | D CHK2 I '$D(ARRAY) G DTDTQ | 
|---|
|  | 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.") | 
|---|
|  | 64 | DTDTQ Q IBOK | 
|---|
|  | 65 | ; | 
|---|
|  | 66 | CHK ; -- generic check functions | 
|---|
|  | 67 | I '$G(X)!('$G(IBTRC))!($G(^IBT(356.2,+$G(IBTRC),0))="") S IBOK=0 Q | 
|---|
|  | 68 | S IBTRND=$G(^IBT(356,+$P($G(^IBT(356.2,+IBTRC,0)),"^",2),0)) | 
|---|
|  | 69 | ; | 
|---|
|  | 70 | I X<($P(IBTRND,"^",6)\1) D NOTOK("Date can't be before admission or visit date ("_$$FMTE^XLFDT($P(IBTRND,"^",6))_")!") Q | 
|---|
|  | 71 | ; | 
|---|
|  | 72 | S Y=$$DISCH(+$P(IBTRND,"^",5)) I Y,X>Y D NOTOK("Date can not be after Discharge Date ("_$$FMTE^XLFDT(Y)_")!") Q | 
|---|
|  | 73 | Q | 
|---|
|  | 74 | ; | 
|---|
|  | 75 | CHK2 ; -- if pass first set of check do these | 
|---|
|  | 76 | D ARRAY^IBTUTL3(IBTRC) | 
|---|
|  | 77 | I $G(ARRAY) D NOTOK("Whole Admission has already been Authorized, can not add partial dates!") | 
|---|
|  | 78 | I $G(ARRAY(0)) D NOTOK("Whole Admission has already been Denied, can not add partial dates!") | 
|---|
|  | 79 | Q | 
|---|
|  | 80 | ; | 
|---|
|  | 81 | NOTOK(MESS) ; -- process not okays | 
|---|
|  | 82 | S IBOK=0 | 
|---|
|  | 83 | I '$D(ZTQUEUED),$G(MESS)'="" W !,MESS,! | 
|---|
|  | 84 | Q | 
|---|
|  | 85 | ; | 
|---|
|  | 86 | DISCH(DGPM) ; -- find discharge date for an admission | 
|---|
|  | 87 | ; | 
|---|
|  | 88 | N X S X="" | 
|---|
|  | 89 | I '$G(^DGPM(+$G(DGPM),0)) G DISCHQ | 
|---|
|  | 90 | S X=+$G(^DGPM(+$P($G(^DGPM(DGPM,0)),"^",17),0)) | 
|---|
|  | 91 | DISCHQ Q X | 
|---|
|  | 92 | ; | 
|---|
|  | 93 | ; | 
|---|
|  | 94 | ASK(IBTRN,IBW) ; Prompt for Provider or Diagnosis from PCE | 
|---|
|  | 95 | ;  Input:  IBTRN  --  Pointer to Claims Tracking entry in #356 | 
|---|
|  | 96 | ;            IBW  --  1 - Provider  |  2 - Diagnosis | 
|---|
|  | 97 | ; | 
|---|
|  | 98 | N DFN,IBVSIT,IBTRND,IBPKG,IBOEDATA,IBRESULT,IBCLIN,IBERROR | 
|---|
|  | 99 | S IBERROR="" | 
|---|
|  | 100 | I '$G(IBTRN) S IBERROR="No Claims Tracking entry has been provided!" G ASKQ | 
|---|
|  | 101 | I "^1^2^"'[("^"_$G(IBW)_"^") S IBERROR="The prompt type was not specified!" G ASKQ | 
|---|
|  | 102 | ; | 
|---|
|  | 103 | S IBPKG=$O(^DIC(9.4,"C","IB",0)) | 
|---|
|  | 104 | I 'IBPKG S IBERROR="Cannot determine the Package file entry for IB!" G ASKQ | 
|---|
|  | 105 | ; | 
|---|
|  | 106 | S IBTRND=$G(^IBT(356,IBTRN,0)),IBOEDATA=$$SCE^IBSDU(+$P(IBTRND,"^",4)) | 
|---|
|  | 107 | S IBVSIT=$P(IBTRND,"^",3),IBCLIN=$P(IBOEDATA,"^",4),DFN=$P(IBTRND,"^",2) | 
|---|
|  | 108 | I 'IBVSIT S IBVSIT=$P(IBOEDATA,"^",5) | 
|---|
|  | 109 | I 'IBVSIT S IBERROR="Cannot determine the Visit file entry!" G ASKQ | 
|---|
|  | 110 | I 'IBCLIN S IBERROR="Cannot determine the Clinic location of the visit!" G ASKQ | 
|---|
|  | 111 | ; | 
|---|
|  | 112 | S IBRESULT=$$INTV^PXAPI($S(IBW=1:"PRV",1:"POV"),IBPKG,"IB DATA",IBVSIT,IBCLIN,DFN) | 
|---|
|  | 113 | ; | 
|---|
|  | 114 | ASKQ I IBERROR]"" W !!,IBERROR,! S DIR(0)="E" D ^DIR K DIR | 
|---|
|  | 115 | Q | 
|---|