- 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/IBCBB5.m
r613 r623 1 IBCBB5 ;ALB/BGA - CONT OF MEDICARE EDIT CHECKS ;08/12/98 2 ;;2.0;INTEGRATED BILLING;**51,137,371**;21-MAR-94;Build 57 3 ;;Per VHA Directive 2004-038, this routine should not be modified. 4 ; 5 D F^IBCEF("N-ADMISSION DATE","IBZADMIT",,IBIFN) 6 D F^IBCEF("N-DISCHARGE DATE","IBZDISCH",,IBIFN) 7 ; 8 ; Occurrence Code and Dates 9 ; occ codes can not be duplicates for same dates and must have a date 10 K IBXSAVE,IBXDATA D F^IBCEF("N-OCCURRENCE CODES",,,IBIFN) 11 ; Returns arrays IBXSAVE("OCC",n) AND IBXSAVE("OCCS",n) = 12 ; code^start date^state^end date 13 ; IBOCS=occ codes ;; IBOCSP=occ span codes 14 ; 15 S IBI=0 F S IBI=$O(IBXSAVE("OCCS",IBI)) Q:'IBI D 16 . N IBOCSDT,IBOCSDT1,Z 17 . S IBOCSDT=$P(IBXSAVE("OCCS",IBI),U,2),IBOCSDT1=$P(IBXSAVE("OCCS",IBI),U,3),IBOCCS=$P(IBXSAVE("OCCS",IBI),U) 18 . S IBOCSP(IBOCCS,$O(IBOCSP(IBOCCS,""),-1)+1)=IBXSAVE("OCCS",IBI) 19 . ; Occurrence Code End dates must be > start date and are required for OCCURANCE SPANS 20 . I 'IBOCSDT1 S IBER=IBER_"IB155;" Q 21 . I IBOCSDT1<IBOCSDT S IBER=IBER_"IB150;" Q 22 ; 23 S IBI=0 F S IBI=$O(IBXSAVE("OCC",IBI)) Q:'IBI D 24 . N Z 25 . S IBOCCD=$P(IBXSAVE("OCC",IBI),U) 26 . S IBOCCD(IBOCCD,$O(IBOCCD(IBOCCD,""),-1)+1)=IBXSAVE("OCC",IBI) 27 . I IBOCCD=10 S ^TMP($J,"LMD")=1 28 Q:IBQUIT 29 ; 30 ; For type of admit = 1 or 2, at least one occ code 1-6, 10, or 11 req 31 I $P(IBNDU,U,8)=1!($P(IBNDU,U,8)=2) D 32 . N OK 33 . S OK=0 34 . F Z="01","02","03","04","05","06",10,11 I $D(IBOCCD(Z))!($D(IBOCCD(+Z))) S OK=1 Q 35 . I 'OK S IBQUIT=$$IBER^IBCBB3(.IBER,133) 36 K IBXDATA D F^IBCEF("N-VALUE CODES",,,IBIFN) 37 S IBX=0 38 F S IBX=$O(IBXDATA(IBX)) Q:'IBX D Q:IBQUIT 39 . I '$D(IBVALCD($P(IBXDATA(IBX),U))) S IBVALCD($P(IBXDATA(IBX),U))=$P(IBXDATA(IBX),U,2) 40 . ; value code 01 must have a value>0 41 . I $P(IBXDATA(IBX),U)="01",IBER'["134;",$P(IBXDATA(IBX),U,2)'>0 S IBQUIT=$$IBER^IBCBB3(.IBER,134) Q 42 . ; value code 02 must have a value=0 43 . I $P(IBXDATA(IBX),U)="02",IBER'["135;",+$P(IBXDATA(IBX),U,2)'=0 S IBQUIT=$$IBER^IBCBB3(.IBER,135) Q 44 . ; code^amount^dollar amt flag (1=amt,0=quantity) 45 . I $P(IBXDATA(IBX),U,2)="",IBER'["157;" S IBQUIT=$$IBER^IBCBB3(.IBER,157) Q 46 . I '$$CHK^IBCVC($P(IBXDATA(IBX),U,4),$P(IBXDATA(IBX),U,2)),IBER'["158;" S IBQUIT=$$IBER^IBCBB3(.IBER,158) Q 47 ; 48 Q:IBQUIT 49 ; Must have acc hr if accident is indicated on inpatient bill 50 I $$INPAT^IBCEF(IBIFN,1) D 51 . I $D(IBOCCD("01"))!$D(IBOCCD("02"))!$D(IBOCCD("03"))!$D(IBOCCD("04"))!$D(IBOCCD("05")) D 52 .. I '$D(IBVALCD(45)),'$P($G(^DGCR(399,IBIFN,"U")),U,10) S IBQUIT=$$IBER^IBCBB3(.IBER,156) 53 Q:IBQUIT 54 ; 55 D ^IBCBB6 56 Q 1 IBCBB5 ;ALB/BGA - CONT OF MEDICARE EDIT CHECKS ;08/12/98 2 ;;2.0;INTEGRATED BILLING;**51,137**;21-MAR-94 3 ;;Per VHA Directive 10-93-142, this routine should not be modified 4 ; 5 D F^IBCEF("N-ADMISSION DATE","IBZADMIT",,IBIFN) 6 D F^IBCEF("N-DISCHARGE DATE","IBZDISCH",,IBIFN) 7 ; 8 ; Occurrence Code and Dates 9 ; occ codes can not be duplicates for same dates and must have a date 10 K IBXSAVE,IBXDATA D F^IBCEF("N-OCCURRENCE CODES",,,IBIFN) 11 ; Returns arrays IBXSAVE("OCC",n) AND IBXSAVE("OCCS",n) = 12 ; code^start date^state^end date 13 ; IBOCS=occ codes ;; IBOCSP=occ span codes 14 ; 15 S IBI=0 F S IBI=$O(IBXSAVE("OCCS",IBI)) Q:'IBI D 16 . N IBOCSDT,IBOCSDT1,Z 17 . S IBOCSDT=$P(IBXSAVE("OCCS",IBI),U,2),IBOCSDT1=$P(IBXSAVE("OCCS",IBI),U,4),IBOCCS=$P(IBXSAVE("OCCS",IBI),U) 18 . S IBOCSP(IBOCCS,$O(IBOCSP(IBOCCS,""),-1)+1)=IBXSAVE("OCCS",IBI) 19 ; 20 S IBI=0 F S IBI=$O(IBXSAVE("OCC",IBI)) Q:'IBI D 21 . N Z 22 . S IBOCCD=$P(IBXSAVE("OCC",IBI),U) 23 . S IBOCCD(IBOCCD,$O(IBOCCD(IBOCCD,""),-1)+1)=IBXSAVE("OCC",IBI) 24 . I IBOCCD=10 S ^TMP($J,"LMD")=1 25 Q:IBQUIT 26 ; 27 ; For type of admit = 1 or 2, at least one occ code 1-6, 10, or 11 req 28 I $P(IBNDU,U,8)=1!($P(IBNDU,U,8)=2) D 29 . N OK 30 . S OK=0 31 . F Z="01","02","03","04","05","06",10,11 I $D(IBOCCD(Z))!($D(IBOCCD(+Z))) S OK=1 Q 32 . I 'OK S IBQUIT=$$IBER^IBCBB3(.IBER,133) 33 K IBXDATA D F^IBCEF("N-VALUE CODES",,,IBIFN) 34 S IBX=0 35 F S IBX=$O(IBXDATA(IBX)) Q:'IBX D Q:IBQUIT 36 . ; value code 01 must have a value>0 37 . I $P(IBXDATA(IBX),U)="01",IBER'["134;",$P(IBXDATA(IBX),U,2)'>0 S IBQUIT=$$IBER^IBCBB3(.IBER,134) 38 . Q:IBQUIT 39 . ; value code 02 must have a value=0 40 . I $P(IBXDATA(IBX),U)="02",IBER'["135;",+$P(IBXDATA(IBX),U,2)'=0 S IBQUIT=$$IBER^IBCBB3(.IBER,135) 41 . ; code^amount^dollar amt flag (1=amt,0=quantity) 42 . Q:IBQUIT 43 . I '$D(IBVALCD($P(IBXDATA(IBX),U))) S IBVALCD($P(IBXDATA(IBX),U))=$P(IBXDATA(IBX),U,2) Q 44 ; Must have value code 01 or 02 for TOB 11X, 18X, 21X - default it 45 ;I '$D(IBVALCD("01")),'$D(IBVALCD("02")),$S(IBTOB12="11":1,IBTOB12="18":1,1:IBTOB12="21") S IBQUIT=$$IBER^IBCBB3(.IBER,132) 46 ; 47 Q:IBQUIT 48 ; Must have acc hr if accident is indicated on inpatient bill 49 I $$INPAT^IBCEF(IBIFN,1) D 50 . I $D(IBOCCD("01"))!$D(IBOCCD("02"))!$D(IBOCCD("03"))!$D(IBOCCD("04"))!$D(IBOCCD("05")) D 51 .. I '$D(IBVALCD(45)),'$P($G(^DGCR(399,IBIFN,"U")),U,10) S IBQUIT=$$IBER^IBCBB3(.IBER,156) 52 Q:IBQUIT 53 ; 54 D ^IBCBB6 55 Q
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