| 1 | IBYPPM ;ALB/CXW,TJH - IB*2*333 POST INIT: ADD TORT/INTERAGENCY RATES NOV 2005 ; 11/23/05
 | 
|---|
| 2 |  ;;2.0;INTEGRATED BILLING;**333**;21-MAR-94
 | 
|---|
| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
 | 
|---|
| 4 |  ; 
 | 
|---|
| 5 |  ;
 | 
|---|
| 6 |  ; Add OCT 2005 Tort and Interagency Charges to the Charge Master, 61 Charge Items
 | 
|---|
| 7 |  Q
 | 
|---|
| 8 | POST ;
 | 
|---|
| 9 |  N IBA,IBEFFDT
 | 
|---|
| 10 |  S IBA(1)="",IBA(2)="    IB*2*333 Post-Install .....",IBA(3)="" D MES^XPDUTL(.IBA) K IBA
 | 
|---|
| 11 |  S IBEFFDT=3051103 ;            effective date of Tort Nov 03, 2005
 | 
|---|
| 12 |  D ADDCI(IBEFFDT) ;     add new Tort Liable and Interagency charges or and Reasonable Charges
 | 
|---|
| 13 |  ;
 | 
|---|
| 14 |  S IBA(1)="",IBA(2)="    IB*2*333 Post-Install Complete",IBA(3)="" D MES^XPDUTL(.IBA) K IBA
 | 
|---|
| 15 |  Q
 | 
|---|
| 16 |  ;
 | 
|---|
| 17 | ADDCI(EFFDAT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges
 | 
|---|
| 18 |  N IBA,IBCNT,IBCNT1,IBI,IBLN,IBFN,IBCS,IBXRF,IBCI,IBRVCD,IBCHG,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,IBX,IBZ,IBDFLTDT,IBDT S (IBCNT,IBCNT1)=0
 | 
|---|
| 19 |  ;
 | 
|---|
| 20 |  S IBDFLTDT=+$G(EFFDAT) I 'IBDFLTDT D MSG("** Error: No Date, No Charges Added") G CIQ
 | 
|---|
| 21 |  ;
 | 
|---|
| 22 |  F IBI=1:1 S IBLN=$P($T(CIF+IBI),";;",2) Q:+IBLN!(IBLN="")  I $E(IBLN)?1A D SETCI
 | 
|---|
| 23 |  ;
 | 
|---|
| 24 |  I +IBCNT1 D MSG(IBCNT1_" Duplicate Charge Items already exist, not re-added")
 | 
|---|
| 25 |  ;
 | 
|---|
| 26 | CIQ S IBA(1)="      >> "_IBCNT_" Tort/Interagency Charge Items added (363.2)" D MES^XPDUTL(.IBA) K IBA
 | 
|---|
| 27 |  Q
 | 
|---|
| 28 |  ;
 | 
|---|
| 29 | SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
 | 
|---|
| 30 |  ;
 | 
|---|
| 31 |  S IBCS=$P(IBLN,U,2),IBCS=+$O(^IBE(363.1,"B",IBCS,0)) I 'IBCS D MSG("** Error: CS "_$P(IBLN,U,2)_" undefined") Q
 | 
|---|
| 32 |  S IBCI=+$$MCCRUTL($P(IBLN,U,1),5) I 'IBCI D MSG("** Error: BS "_$P(IBLN,U,1)_" undefined") Q
 | 
|---|
| 33 |  S IBDT=IBDFLTDT I +$P(IBLN,U,3) S IBDT=+$P(IBLN,U,3)
 | 
|---|
| 34 |  S IBRVCD=$$RVCD($P(IBLN,U,4))
 | 
|---|
| 35 |  S IBCHG=+$P(IBLN,U,5)
 | 
|---|
| 36 |  S IBXRF="AIVDTS"_IBCS
 | 
|---|
| 37 |  ;
 | 
|---|
| 38 |  S IBX=0 F  S IBX=$O(^IBA(363.2,IBXRF,IBCI,-IBDT,IBX)) Q:'IBX  S IBZ=$G(^IBA(363.2,IBX,0)) I $P(IBZ,U,6)=IBRVCD D
 | 
|---|
| 39 |  . S IBCI=0,IBCNT1=IBCNT1+1 I +$P(IBZ,U,5)'=IBCHG D MSG("** Error: Item exists, wrong charge: "_IBLN)
 | 
|---|
| 40 |  Q:'IBCI
 | 
|---|
| 41 |  ;
 | 
|---|
| 42 |  K DD,DO S DLAYGO=363.2,DIC="^IBA(363.2,",DIC(0)="L",X=IBCI_";DGCR(399.1," D FILE^DICN K DIC I Y<1 K X,Y Q
 | 
|---|
| 43 |  S IBFN=+Y,IBCNT=IBCNT+1
 | 
|---|
| 44 |  ;
 | 
|---|
| 45 |  S DR=".02////"_IBCS_";.03////"_IBDT_";.05////"_IBCHG I +IBRVCD S DR=DR_";.06////"_IBRVCD
 | 
|---|
| 46 |  S DIE="^IBA(363.2,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y
 | 
|---|
| 47 |  Q
 | 
|---|
| 48 |  ;
 | 
|---|
| 49 |  ;
 | 
|---|
| 50 | MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
 | 
|---|
| 51 |  N IBX,IBY S IBY=""
 | 
|---|
| 52 |  I $G(X)'="" S IBX=0 F  S IBX=$O(^DGCR(399.1,"B",X,IBX)) Q:'IBX  I $P($G(^DGCR(399.1,IBX,0)),U,+$G(P)) S IBY=IBX
 | 
|---|
| 53 |  Q IBY
 | 
|---|
| 54 |  ;
 | 
|---|
| 55 | RVCD(RVCD) ; returns IFN if revenue code is valid and active
 | 
|---|
| 56 |  N IBX,IBY S IBY=""
 | 
|---|
| 57 |  I +$G(RVCD) S IBX=$G(^DGCR(399.2,+RVCD,0)) I +$P(IBX,U,3) S IBY=+RVCD
 | 
|---|
| 58 |  Q IBY
 | 
|---|
| 59 |  ;
 | 
|---|
| 60 | MSG(X) ;
 | 
|---|
| 61 |  N IBX S IBX=$O(IBA(999999),-1) S:'IBX IBX=1 S IBX=IBX+1
 | 
|---|
| 62 |  S IBA(IBX)="         "_$G(X)
 | 
|---|
| 63 |  Q
 | 
|---|
| 64 |  ;
 | 
|---|
| 65 |  ;
 | 
|---|
| 66 | CIF ; Charge Items (363.2):  Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
 | 
|---|
| 67 |  ;;     
 | 
|---|
| 68 | TORT ;; 2005 Tortiously Liable All Inclusive
 | 
|---|
| 69 |  ;;        
 | 
|---|
| 70 |  ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1952
 | 
|---|
| 71 |  ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1178
 | 
|---|
| 72 |  ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^2037
 | 
|---|
| 73 |  ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^1324
 | 
|---|
| 74 |  ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^2633
 | 
|---|
| 75 |  ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^504
 | 
|---|
| 76 |  ;;PRRTP^TL-INPT (INCLUSIVE)^^^293
 | 
|---|
| 77 |  ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1211
 | 
|---|
| 78 |  ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^1670
 | 
|---|
| 79 |  ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^1383
 | 
|---|
| 80 |  ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^4117
 | 
|---|
| 81 |  ;;             
 | 
|---|
| 82 |  ;; Tortiously Liable Non-Professional
 | 
|---|
| 83 |  ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^1314
 | 
|---|
| 84 |  ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^452
 | 
|---|
| 85 |  ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^498
 | 
|---|
| 86 |  ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^585
 | 
|---|
| 87 |  ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^1262
 | 
|---|
| 88 |  ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^531
 | 
|---|
| 89 |  ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1065
 | 
|---|
| 90 |  ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^194
 | 
|---|
| 91 |  ;;NEUROLOGY^TL-INPT (NPF)^^101^1553
 | 
|---|
| 92 |  ;;NEUROLOGY^TL-INPT (NPF)^^240^695
 | 
|---|
| 93 |  ;;NURSING HOME CARE^TL-INPT (NPF)^^101^420
 | 
|---|
| 94 |  ;;NURSING HOME CARE^TL-INPT (NPF)^^240^68
 | 
|---|
| 95 |  ;;PRRTP^TL-INPT (NPF)^^101^244
 | 
|---|
| 96 |  ;;PRRTP^TL-INPT (NPF)^^240^31
 | 
|---|
| 97 |  ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^906
 | 
|---|
| 98 |  ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^191
 | 
|---|
| 99 |  ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^970
 | 
|---|
| 100 |  ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^510
 | 
|---|
| 101 |  ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^864
 | 
|---|
| 102 |  ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^348
 | 
|---|
| 103 |  ;;SURGICAL CARE^TL-INPT (NPF)^^101^2414
 | 
|---|
| 104 |  ;;SURGICAL CARE^TL-INPT (NPF)^^240^1249
 | 
|---|
| 105 |  ;;              
 | 
|---|
| 106 |  ;; Tortiously Liable Professional
 | 
|---|
| 107 |  ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^186
 | 
|---|
| 108 |  ;;BLIND REHABILITATION^TL-INPT (PF)^^^95
 | 
|---|
| 109 |  ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^244
 | 
|---|
| 110 |  ;;INTERMEDIATE CARE^TL-INPT (PF)^^^65
 | 
|---|
| 111 |  ;;NEUROLOGY^TL-INPT (PF)^^^385
 | 
|---|
| 112 |  ;;NURSING HOME CARE^TL-INPT (PF)^^^16
 | 
|---|
| 113 |  ;;PRRTP^TL-INPT (PF)^^^18
 | 
|---|
| 114 |  ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^114
 | 
|---|
| 115 |  ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^190
 | 
|---|
| 116 |  ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^171
 | 
|---|
| 117 |  ;;SURGICAL CARE^TL-INPT (PF)^^^454
 | 
|---|
| 118 |  ;;                    
 | 
|---|
| 119 |  ;; Tortiously Liable Other
 | 
|---|
| 120 |  ;;OUTPATIENT VISIT^TL-OPT VST^^^298
 | 
|---|
| 121 |  ;;PRESCRIPTION^TL-RX FILL^^^51
 | 
|---|
| 122 |  ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^202
 | 
|---|
| 123 |  ;;          
 | 
|---|
| 124 |  ;;         
 | 
|---|
| 125 | IA ;; 2005 Interagency
 | 
|---|
| 126 |  ;;            
 | 
|---|
| 127 |  ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1832
 | 
|---|
| 128 |  ;;BLIND REHABILITATION^IA-INPT^^^1112
 | 
|---|
| 129 |  ;;GENERAL MEDICAL CARE^IA-INPT^^^1914
 | 
|---|
| 130 |  ;;INTERMEDIATE CARE^IA-INPT^^^1241
 | 
|---|
| 131 |  ;;NEUROLOGY^IA-INPT^^^2465
 | 
|---|
| 132 |  ;;NURSING HOME CARE^IA-INPT^^^470
 | 
|---|
| 133 |  ;;PRRTP^IA-INPT^^^273
 | 
|---|
| 134 |  ;;PSYCHIATRIC CARE^IA-INPT^^^1132
 | 
|---|
| 135 |  ;;REHABILITATION MEDICINE^IA-INPT^^^1564
 | 
|---|
| 136 |  ;;SPINAL CORD INJURY CARE^IA-INPT^^^1292
 | 
|---|
| 137 |  ;;SURGICAL CARE^IA-INPT^^^3894
 | 
|---|
| 138 |  ;;            
 | 
|---|
| 139 |  ;;OUTPATIENT VISIT^IA-OPT VST^^^284
 | 
|---|
| 140 |  ;;PRESCRIPTION^IA-RX FILL^^^51
 | 
|---|
| 141 |  ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^188
 | 
|---|
| 142 |  ;;
 | 
|---|
| 143 |  Q
 | 
|---|