- Timestamp:
- Dec 4, 2009, 12:11:15 AM (14 years ago)
- File:
-
- 1 edited
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WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCBB11.m
r613 r623 1 IBCBB11 ;ALB/AAS - CONTINUATION OF EDIT CHECK ROUTINE ;12 Jun 2006 3:45 PM 2 ;;2.0;INTEGRATED BILLING;**51,343,363,371,395,392,401**;21-MAR-94;Build 5 3 ;;Per VHA Directive 2004-038, this routine should not be modified. 4 ; 5 WARN(IBDISP) ; Set warning in global 6 ; DISP = warning text to display 7 ; 8 N Z 9 S Z=+$O(^TMP($J,"BILL-WARN",""),-1) 10 I Z=0 S ^TMP($J,"BILL-WARN",1)=$J("",5)_"**Warnings**:",Z=1 11 S Z=Z+1,^TMP($J,"BILL-WARN",Z)=$J("",5)_IBDISP 12 Q 13 ; 14 MULTDIV(IBIFN,IBND0) ; Check for multiple divisions on a bill ien IBIFN 15 ; IBND0 = 0-node of bill 16 ; 17 ; Function returns 1 if more than 1 division found on bill 18 N Z,Z0,Z1,MULT 19 S MULT=0,Z1=$P(IBND0,U,22) 20 I Z1 D 21 . S Z=0 F S Z=$O(^DGCR(399,IBIFN,"RC",Z)) Q:'Z S Z0=$P(^(Z,0),U,7) I Z0,Z0'=Z1 S MULT=1 Q 22 . S Z=0 F S Z=$O(^DGCR(399,IBIFN,"CP",Z)) Q:'Z S Z0=$P(^(Z,0),U,6) I Z0,Z0'=Z1 S MULT=2 Q 23 I 'Z1 S MULT=3 24 Q MULT 25 ; 26 ;; PREGNANCY DX CODES: V22**-V24**, V27**-V28**, 630**-677** 27 ;; FLU SHOTS PROCEDURE CODES: 90724, G0008, 90732, G0009 28 ; 29 ; Check for required NPIs 30 NPICHK ; 31 N IBNPIS,IBNONPI,IBNPIREQ,Z 32 S IBNPIREQ=$$NPIREQ^IBCEP81(DT) ; Check if NPI is required 33 ; Check providers 34 S IBNPIS=$$PROVNPI^IBCEF73A(IBIFN,.IBNONPI) 35 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D 36 . I IBNPIREQ S IBER=IBER_"IB"_(140+$P(IBNONPI,U,Z))_";" Q ; If required, set error 37 . D WARN("NPI for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNONPI,U,Z))_" provider has no value") ; Else, set warning 38 ; Check organizations 39 S IBNONPI="" 40 S IBNPIS=$$ORGNPI^IBCEF73A(IBIFN,.IBNONPI) 41 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D 42 . ; Turn IB161, IB162 to a warning 43 . I IBNPIREQ,$P(IBNONPI,U,Z)=3 S IBER=IBER_"IB163;" Q 44 . ; PRXM/KJH - Changed descriptions. 45 . D WARN("NPI for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNONPI,U,Z))_" has no value") ; Else, set warning 46 Q 47 ; 48 ; Check for required taxonomies 49 TAXCHK ; 50 N IBTAXS,IBNOTAX,IBTAXREQ,Z 51 S IBTAXREQ=$$TAXREQ^IBCEP81(DT) ; Check if taxonomy is required 52 ; Check providers 53 S IBTAXS=$$PROVTAX^IBCEF73A(IBIFN,.IBNOTAX) 54 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D 55 . ; Only Referring, Rendering and Attending are currently sent to the payer 56 . I IBTAXREQ,"134"[$P(IBNOTAX,U,Z) S IBER=IBER_"IB"_(250+$P(IBNOTAX,U,Z))_";" Q ; If required, set error 57 . D WARN("Taxonomy for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNOTAX,U,Z))_" provider has no value") ; Else, set warning 58 ; Check organizations 59 S IBNOTAX="" 60 S IBTAXS=$$ORGTAX^IBCEF73A(IBIFN,.IBNOTAX) 61 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D 62 . ; Turn IB165, IB166 to a warning 63 . I IBTAXREQ,$P(IBNOTAX,U,Z)=3 S IBER=IBER_"IB167;" Q 64 . ; PRXM/KJH - Changed descriptions. 65 . D WARN("Taxonomy for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNOTAX,U,Z))_" has no value") ; Else, set warning 66 Q 67 ; 68 VALNDC(IBIFN,IBDFN) ; IB*2*363 - validate NDC# between PRESCRIPTION file (#52) 69 ; and IB BILL/CLAIMS PRESCRIPTION REFILL file (#362.4) 70 ; input - IBIFN = internal entry number of the billing record in the BILL/CLAIMS file (#399) 71 ; IBDFN = internal entry number of patient record in the PATIENT file (#2) 72 N IBX,IBRXCOL 73 ; call program that determines if NDC differences exist 74 D VALNDC^IBEFUNC3(IBIFN,IBDFN,.IBRXCOL) 75 Q:'$D(IBRXCOL) 76 ; at least one RX on the IB record has an NDC discrepancy 77 S IBX=0 F S IBX=$O(IBRXCOL(IBX)) Q:'IBX D WARN("NDC# on Bill does not equal the NDC# on Rx "_IBRXCOL(IBX)) 78 Q 79 ; 80 PRIIDCHK ; Check for required Pimarary ID (SSN/EIN) 81 ; If the provider is on the claim, he must have one 82 ; 83 N IBI,IBZ 84 I $$TXMT^IBCEF4(IBIFN) D 85 . D F^IBCEF("N-ALL ATT/REND PROV SSN/EI","IBZ",,IBIFN) 86 . S IBI="" F S IBI=$O(^DGCR(399,IBIFN,"PRV","B",IBI)) Q:IBI="" D 87 .. I $P(IBZ,U,IBI)="" S IBER=IBER_$S(IBI=1:"IB151;",IBI=2:"IB152;",IBI=3!(IBI=4):"IB321;",IBI=5:"IB153;",IBI=9:"IB154;",1:"") 88 Q 89 ; 90 RXNPI(IBIFN) ; check for multiple pharmacy npi's on the same bill 91 N IBORG,IBRXNPI,IBX,IBY 92 S IBORG=$$RXSITE^IBCEF73A(IBIFN,.IBORG) 93 S IBX=0 F S IBX=$O(IBORG(IBX)) Q:'IBX S IBY=0 F S IBY=$O(IBORG(IBX,IBY)) Q:'IBY S IBRXNPI(+IBORG(IBX,IBY))="" 94 S (IBX,IBY)=0 F S IBX=$O(IBRXNPI(IBX)) Q:'IBX S IBY=IBY+1 95 I IBY>1 D WARN("Bill has prescriptions resulting from "_IBY_" different NPI locations") 96 Q 1 IBCBB11 ;ALB/AAS - CONTINUATION OF EDIT CHECK ROUTINE ;12 Jun 2006 3:45 PM 2 ;;2.0;INTEGRATED BILLING;**51,343,363**;21-MAR-94;Build 35 3 ;;Per VHA Directive 2004-038, this routine should not be modified. 4 ; 5 WARN(IBDISP) ; Set warning in global 6 ; DISP = warning text to display 7 ; 8 N Z 9 S Z=+$O(^TMP($J,"BILL-WARN",""),-1) 10 I Z=0 S ^TMP($J,"BILL-WARN",1)=$J("",5)_"**Warnings**:",Z=1 11 S Z=Z+1,^TMP($J,"BILL-WARN",Z)=$J("",5)_IBDISP 12 Q 13 ; 14 MULTDIV(IBIFN,IBND0) ; Check for multiple divisions on a bill ien IBIFN 15 ; IBND0 = 0-node of bill 16 ; 17 ; Function returns 1 if more than 1 division found on bill 18 N Z,Z0,Z1,MULT 19 S MULT=0,Z1=$P(IBND0,U,22) 20 I Z1 D 21 . S Z=0 F S Z=$O(^DGCR(399,IBIFN,"RC",Z)) Q:'Z S Z0=$P(^(Z,0),U,7) I Z0,Z0'=Z1 S MULT=1 Q 22 . S Z=0 F S Z=$O(^DGCR(399,IBIFN,"CP",Z)) Q:'Z S Z0=$P(^(Z,0),U,6) I Z0,Z0'=Z1 S MULT=2 Q 23 I 'Z1 S MULT=3 24 Q MULT 25 ; 26 ;; PREGNANCY DX CODES: V22**-V24**, V27**-V28**, 630**-677** 27 ;; FLU SHOTS PROCEDURE CODES: 90724, G0008, 90732, G0009 28 ; 29 ; Check for required NPIs 30 NPICHK ; 31 N IBNPIS,IBNONPI,IBNPIREQ,Z 32 S IBNPIREQ=$$NPIREQ^IBCEP81(DT) ; Check if NPI is required 33 ; Check providers 34 S IBNPIS=$$PROVNPI^IBCEF73A(IBIFN,.IBNONPI) 35 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D 36 . I IBNPIREQ S IBER=IBER_"IB"_(140+$P(IBNONPI,U,Z))_";" Q ; If required, set error 37 . D WARN("NPI for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNONPI,U,Z))_" provider has no value") ; Else, set warning 38 ; Check organizations 39 S IBNONPI="" 40 S IBNPIS=$$ORGNPI^IBCEF73A(IBIFN,.IBNONPI) 41 I $L(IBNONPI) F Z=1:1:$L(IBNONPI,U) D 42 . I IBNPIREQ S IBER=IBER_"IB"_(160+$P(IBNONPI,U,Z))_";" Q ; If required, set error 43 . ; PRXM/KJH - Changed descriptions. 44 . D WARN("NPI for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNONPI,U,Z))_" has no value") ; Else, set warning 45 Q 46 ; 47 ; Check for required taxonomies 48 TAXCHK ; 49 N IBTAXS,IBNOTAX,IBTAXREQ,Z 50 S IBTAXREQ=$$TAXREQ^IBCEP81(DT) ; Check if taxonomy is required 51 ; Check providers 52 S IBTAXS=$$PROVTAX^IBCEF73A(IBIFN,.IBNOTAX) 53 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D 54 . I IBTAXREQ S IBER=IBER_"IB"_(250+$P(IBNOTAX,U,Z))_";" Q ; If required, set error 55 . D WARN("Taxonomy for the "_$P("referring^operating^rendering^attending^supervising^^^^other",U,$P(IBNOTAX,U,Z))_" provider has no value") ; Else, set warning 56 ; Check organizations 57 S IBNOTAX="" 58 S IBTAXS=$$ORGTAX^IBCEF73A(IBIFN,.IBNOTAX) 59 I $L(IBNOTAX) F Z=1:1:$L(IBNOTAX,U) D 60 . I IBTAXREQ S IBER=IBER_"IB"_(164+$P(IBNOTAX,U,Z))_";" Q ; If required, set error 61 . ; PRXM/KJH - Changed descriptions. 62 . D WARN("Taxonomy for the "_$P("Division^Non-VA Service Facility^Billing Provider",U,$P(IBNOTAX,U,Z))_" has no value") ; Else, set warning 63 Q 64 ; 65 VALNDC(IBIFN,IBDFN) ; IB*2*363 - validate NDC# between PRESCRIPTION file (#52) 66 ; and IB BILL/CLAIMS PRESCRIPTION REFILL file (#362.4) 67 ; input - IBIFN = internal entry number of the billing record in the BILL/CLAIMS file (#399) 68 ; IBDFN = internal entry number of patient record in the PATIENT file (#2) 69 N IBX,IBRXCOL 70 ; call program that determines if NDC differences exist 71 D VALNDC^IBEFUNC3(IBIFN,IBDFN,.IBRXCOL) 72 Q:'$D(IBRXCOL) 73 ; at least one RX on the IB record has an NDC discrepancy 74 S IBX=0 F S IBX=$O(IBRXCOL(IBX)) Q:'IBX D WARN("NDC# on Bill does not equal the NDC# on Rx "_IBRXCOL(IBX)) 75 Q
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