FBAACO2 ;AISC/GRR - PAYMENT PROCESS FOR DUPLICATE ;12/19/2014
;;3.5;FEE BASIS;**4,55,61,77,116,122,133,108,135,139,123,157,158**;JAN 30, 1995;Build 94
;;Per VA Directive 6402, this routine should not be modified.
;
;FB*3.5*157 Modify file 162, Diagnosis (field 28) stuff from '///' to '////'
; since needed file 80 dx IEN is already passed back from DX
; lookup.
;
RD S DIR(0)="Y",DIR("A")="Want this payment stored as a Medical Denial",DIR("B")="YES",DIR("?")="Enter 'Yes' to store payment entry as a denial and send a Suspension letter. Enter 'No' to have nothing happen." D ^DIR K DIR Q:$D(DIRUT)!('Y)
S FBDEN=1 Q
FILE ;files sp multiple entry
K DR S TP="" I $G(FBDEN) S FBAMTPD=0
; FB*3.5*123 - set IPAC fields .05 and .055 on the next line
S DR="49///^S X=$G(FBCSID);50///^S X=$G(FBFPPSC);81///^S X=$G(FBUCI135);.05////^S X=$G(FBIA);.055///^S X=$G(FBDODINV);I $G(FBDEN) S Y=1;48;47//1;S FBUNITS=X;S:$G(FBFPPSC)="""" Y=""@11"";S FBX=$$FPPSL^FBUTL5();S:FBX=-1 Y=0;51///^S X=FBX;@11"
; fb*3.5*116 do not enable different interest indicator values at line item level; interest indicator set at invoice level
;FB*3.5*158 store payment methodology using fee schedule code
S DR(1,162.03,1)="34///^S X=$G(FBAAMM);D POS^FBAACO1;S:'$G(FBHCFA(30)) Y=0;1;S J=X;I $G(FBDEN) S Y=2;D FEE^FBAACO0;44////^S X=FBFSAMT;45///^S X=FBFSUSD;2///^S X=FBAMTPD;S K=X;82///^S X=$$PYMTH^FBAAUTL(FBFSUSD)"
S DR(1,162.03,2)="S FBX=$$ADJ^FBUTL2(J-K,.FBADJ,5,,,,.FBRRMK,1);S:FBX=0 Y=0;6////^S X=DUZ"
S DR(1,162.03,3)="7////^S X=FBAABE;8////^S X=BO;13///^S X=FBAAID;14///^S X=FBAAIN;33///^S X=FBAAVID;I $G(FBDEN) S FBTST=1"
I '$G(FBDEN) D
. ; FB*3.5*139-JLG/JAS-ICD10 REMEDIATION - Made modifications to DR strings for ICD-10, added FBDXCHK1 and FBDXCHK2 for this
.N FBCSVSTR S FBCSVSTR="I X]"""" S:$$INPICD9^FBCSV1(X,"""",$G(FBAADT)) Y=""@30"";"
.N FBDXCHK1 S FBDXCHK1=";@20;S XX1=-1 S XX1=$$FBDXCHK^FBAACO2(FBAADT) S:XX1<0 Y=""@20"";28////^S X=XX1;S Y=""@6"";" ;FB*3.5*157
.N FBDXCHK2 S FBDXCHK2=";@25;S XX1=-1 S XX1=$$FBDXCHK^FBAACO2(FBAADT) S:XX1<0 Y=""@25"";28////^S X=XX1;S Y=""@35"";@30;" ;FB*3.5*157
.S DR(1,162.03,4)="S:$$EXTPV^FBAAUTL5(FBPOV)=""01"" Y=""@1"";S:FB7078]""""!($D(FB583)) Y=30"_FBDXCHK1_"@6;30////^S X=FBHCFA(30);"
.S DR(1,162.03,5)="31;32R;S Y=15;@1"_FBDXCHK2_FBCSVSTR_"@35;30////^S X=FBHCFA(30);31;15///^S X=FBPT;"
. ;end 139
.S DR(1,162.03,6)="16////^S X=FBPOV;17///^S X=FBTT;18///^S X=FBAAPTC;23////^S X=FBTYPE;26////^S X=FBPSA;S:$D(FBV583) Y=""@2"";27////^S X=FB7078;S Y=""@99"";@2;27////^S X=FBV583;@99;S FBTST=1;54////^S X=FBCNTRP"
.S DR(1,162.03,7)="73;74;75;58;59;60;61;62;63;64;65;66;67;76;77;78;79;68;69" ;FB*3.5*122 Line Item Provider information ;FB*3.5*133 Provider Information
S DIE="^FBAAC("_DFN_",1,"_FBV_",1,"_FBSDI_",1,"
S DA(3)=DFN,DA(2)=FBV,DA(1)=FBSDI,DA=FBAACPI
D LOCK^FBUCUTL("^FBAAC("_DFN_",1,"_FBV_",1,"_FBSDI_",1,",FBAACPI,1)
D
. N ICDVDT S ICDVDT=$G(FBAADT) D ^DIE
I '$D(DTOUT),$G(FBTST) D
. D FILEADJ^FBAAFA(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBADJ)
. D FILERR^FBAAFR(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBRRMK)
. K FBADJ,FBRRMK ;must kill so codes don't persist into next procedure/line
L -^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI)
I $D(DTOUT) D KILL Q
I '$G(FBTST),$G(DA) S DIR(0)="YA",DIR("A")="Entering an '^' will delete "_$S($G(FBDEN):"denial",1:"payment")_". Are you sure you want to delete? ",DIR("B")="No" D ^DIR K DIR G FILE:'$D(DIRUT)&('Y) D KILL Q
K FBTST,FBDEN,DIE,DR,DA,FBX
I $D(FBDL) S FBAAOUT=1 Q
Q
;
FBDXCHK(FBAADT) ;DEM;139 Call to ASF if ICD-10.
;
; This call checks if the payment diagnosis date to
; determine if diagnosis code is ICD-9 or ICD-10.
; If ICD-9, then call ICD-9 code enhanced for inactive code checks.
; Else, call Advanced Search Functionality (ASF).
; If user enters "^" to exit, then quit and send calling
; routine 999 for exit.
;
; If no ICD-10 data found, then send calling routine -1
; to indicate no data found.
; If data found, then stuff diagnosis into ICD DIAGNOSIS
; field, and quit and send the calling routine 10 for ICD-10 code.
;
; Input:
; FBAADT = Date of Interest for FB payments.
;
; Output:
; FB9 = ICD-9 diagnosis
; FB99 = User entered "^" to exit payment edit.
; -1 = No ICD-10 data found
; FB10 = ICD-10 diagnosis
;
N ICDSYS,IMPDATE,XX1
S ICDSYS=10,IMPDATE=$$IMPDATE^LEXU("10D")
S:FBAADT<IMPDATE ICDSYS=9
S XX1=-1
I ICDSYS=9 S XX1=$$ASKICD9^FBAACO2(FBAADT) Q XX1 ;ICD-9
S XX1=$$ASKICD10^FBAACO2(FBAADT) Q XX1 ;ICD-10 IEN CODE
;
; retrieves existing value in db if exists and prompts user for ICD-9 primary diagnosis
ASKICD9(INDT,FBFREQ) ;FB*3.5*139-JAS-ICD10 REMEDIATION
N DPRMPT,FBDX
S EDATE=INDT ; edate is the date of interest for ICD10 diagnosis code lookup
I $G(FBFREQ)="" S FBFREQ="N" ; force field to be required flag
N FBDXIEN
S DPRMPT="PRIMARY DIAGNOSIS"
S FBDXIEN=$P($G(^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI,0)),U,23) ; retrieve existing DX ien
;S:FBDXIEN>0 DPRMPT=DPRMPT_": "_$$ICD9^FBCSV1(FBDXIEN,EDATE)_"// " ;obtain current diagnosis and set as default
S FBDX=-1 S FBDX=$$ENICD9^FBICD9(EDATE,DPRMPT,"Y","","Y",FBDXIEN)
I FBDXIEN>0,FBDX=-1 S FBDX=FBDXIEN W $$ICD9^FBCSV1(FBDXIEN,EDATE) ; return default value if spaces entered
K EDATE,INDT
S FBDX=+FBDX
Q FBDX
;
; retrieves existing value in db if exists and prompts user for ICD-10 primary diagnosis
ASKICD10(INDT,FBFREQ) ;FB*3.5*139-JLG-ICD10 REMEDIATION
N DP,DPRMPT,FBDCDA,FBDX
S EDATE=INDT ; edate is the date of interest for ICD10 diagnosis code lookup
I $G(FBFREQ)="" S FBFREQ="N" ; force field to be required flag
S DP=162.03 ; file number used to check if diagnosis field is required
S FBDCDA=DA ; DA equals FBAACPI
N FBDXIEN
S DPRMPT="PRIMARY DIAGNOSIS"
S FBDXIEN=$P($G(^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI,0)),U,23) ; retrieve existing DX ien
S:FBDXIEN>0 DPRMPT=DPRMPT_": "_$$ICD9^FBCSV1(FBDXIEN,EDATE)_"// " ;obtain current diagnosis and set as default
S FBDX=-1 S FBDX=$$ASKICD10^FBASF(DPRMPT,"","","",FBFREQ) ; returns -1 or ien of icd10 diagnosis code
I FBDXIEN>0,FBDX=-1 S FBDX=FBDXIEN W $$ICD9^FBCSV1(FBDXIEN,EDATE) ; return default value if spaces entered
K EDATE,INDT
Q FBDX
;
KILL S DIK=DIE D ^DIK K DIE,DIK I '$G(FBCNP) D Q^FBAACO S FBAAOUT=1
W !,"Deleted" Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HFBAACO2 6377 printed Dec 13, 2024@01:55:10 Page 2
FBAACO2 ;AISC/GRR - PAYMENT PROCESS FOR DUPLICATE ;12/19/2014
+1 ;;3.5;FEE BASIS;**4,55,61,77,116,122,133,108,135,139,123,157,158**;JAN 30, 1995;Build 94
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;FB*3.5*157 Modify file 162, Diagnosis (field 28) stuff from '///' to '////'
+5 ; since needed file 80 dx IEN is already passed back from DX
+6 ; lookup.
+7 ;
RD SET DIR(0)="Y"
SET DIR("A")="Want this payment stored as a Medical Denial"
SET DIR("B")="YES"
SET DIR("?")="Enter 'Yes' to store payment entry as a denial and send a Suspension letter. Enter 'No' to have nothing happen."
DO ^DIR
KILL DIR
if $DATA(DIRUT)!('Y)
QUIT
+1 SET FBDEN=1
QUIT
FILE ;files sp multiple entry
+1 KILL DR
SET TP=""
IF $GET(FBDEN)
SET FBAMTPD=0
+2 ; FB*3.5*123 - set IPAC fields .05 and .055 on the next line
+3 SET DR="49///^S X=$G(FBCSID);50///^S X=$G(FBFPPSC);81///^S X=$G(FBUCI135);.05////^S X=$G(FBIA);.055///^S X=$G(FBDODINV);I $G(FBDEN) S Y=1;48;47//1;S FBUNITS=X;S:$G(FBFPPSC)="""" Y=""@11"";S FBX=$$FPPSL^FBUTL5();S:FBX=-1 Y=0;51///^S X=FBX;@11"
+4 ; fb*3.5*116 do not enable different interest indicator values at line item level; interest indicator set at invoice level
+5 ;FB*3.5*158 store payment methodology using fee schedule code
+6 SET DR(1,162.03,1)="34///^S X=$G(FBAAMM);D POS^FBAACO1;S:'$G(FBHCFA(30)) Y=0;1;S J=X;I $G(FBDEN) S Y=2;D FEE^FBAACO0;44////^S X=FBFSAMT;45///^S X=FBFSUSD;2///^S X=FBAMTPD;S K=X;82///^S X=$$PYMTH^FBAAUTL(FBFSUSD)"
+7 SET DR(1,162.03,2)="S FBX=$$ADJ^FBUTL2(J-K,.FBADJ,5,,,,.FBRRMK,1);S:FBX=0 Y=0;6////^S X=DUZ"
+8 SET DR(1,162.03,3)="7////^S X=FBAABE;8////^S X=BO;13///^S X=FBAAID;14///^S X=FBAAIN;33///^S X=FBAAVID;I $G(FBDEN) S FBTST=1"
+9 IF '$GET(FBDEN)
Begin DoDot:1
+10 ; FB*3.5*139-JLG/JAS-ICD10 REMEDIATION - Made modifications to DR strings for ICD-10, added FBDXCHK1 and FBDXCHK2 for this
+11 NEW FBCSVSTR
SET FBCSVSTR="I X]"""" S:$$INPICD9^FBCSV1(X,"""",$G(FBAADT)) Y=""@30"";"
+12 ;FB*3.5*157
NEW FBDXCHK1
SET FBDXCHK1=";@20;S XX1=-1 S XX1=$$FBDXCHK^FBAACO2(FBAADT) S:XX1<0 Y=""@20"";28////^S X=XX1;S Y=""@6"";"
+13 ;FB*3.5*157
NEW FBDXCHK2
SET FBDXCHK2=";@25;S XX1=-1 S XX1=$$FBDXCHK^FBAACO2(FBAADT) S:XX1<0 Y=""@25"";28////^S X=XX1;S Y=""@35"";@30;"
+14 SET DR(1,162.03,4)="S:$$EXTPV^FBAAUTL5(FBPOV)=""01"" Y=""@1"";S:FB7078]""""!($D(FB583)) Y=30"_FBDXCHK1_"@6;30////^S X=FBHCFA(30);"
+15 SET DR(1,162.03,5)="31;32R;S Y=15;@1"_FBDXCHK2_FBCSVSTR_"@35;30////^S X=FBHCFA(30);31;15///^S X=FBPT;"
+16 ;end 139
+17 SET DR(1,162.03,6)="16////^S X=FBPOV;17///^S X=FBTT;18///^S X=FBAAPTC;23////^S X=FBTYPE;26////^S X=FBPSA;S:$D(FBV583) Y=""@2"";27////^S X=FB7078;S Y=""@99"";@2;27////^S X=FBV583;@99;S FBTST=1;54////^S X=FBCNTRP"
+18 ;FB*3.5*122 Line Item Provider information ;FB*3.5*133 Provider Information
SET DR(1,162.03,7)="73;74;75;58;59;60;61;62;63;64;65;66;67;76;77;78;79;68;69"
End DoDot:1
+19 SET DIE="^FBAAC("_DFN_",1,"_FBV_",1,"_FBSDI_",1,"
+20 SET DA(3)=DFN
SET DA(2)=FBV
SET DA(1)=FBSDI
SET DA=FBAACPI
+21 DO LOCK^FBUCUTL("^FBAAC("_DFN_",1,"_FBV_",1,"_FBSDI_",1,",FBAACPI,1)
+22 Begin DoDot:1
+23 NEW ICDVDT
SET ICDVDT=$GET(FBAADT)
DO ^DIE
End DoDot:1
+24 IF '$DATA(DTOUT)
IF $GET(FBTST)
Begin DoDot:1
+25 DO FILEADJ^FBAAFA(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBADJ)
+26 DO FILERR^FBAAFR(FBAACPI_","_FBSDI_","_FBV_","_DFN_",",.FBRRMK)
+27 ;must kill so codes don't persist into next procedure/line
KILL FBADJ,FBRRMK
End DoDot:1
+28 LOCK -^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI)
+29 IF $DATA(DTOUT)
DO KILL
QUIT
+30 IF '$GET(FBTST)
IF $GET(DA)
SET DIR(0)="YA"
SET DIR("A")="Entering an '^' will delete "_$SELECT($GET(FBDEN):"denial",1:"payment")_". Are you sure you want to delete? "
SET DIR("B")="No"
DO ^DIR
KILL DIR
if '$DATA(DIRUT)&('Y)
GOTO FILE
DO KILL
QUIT
+31 KILL FBTST,FBDEN,DIE,DR,DA,FBX
+32 IF $DATA(FBDL)
SET FBAAOUT=1
QUIT
+33 QUIT
+34 ;
FBDXCHK(FBAADT) ;DEM;139 Call to ASF if ICD-10.
+1 ;
+2 ; This call checks if the payment diagnosis date to
+3 ; determine if diagnosis code is ICD-9 or ICD-10.
+4 ; If ICD-9, then call ICD-9 code enhanced for inactive code checks.
+5 ; Else, call Advanced Search Functionality (ASF).
+6 ; If user enters "^" to exit, then quit and send calling
+7 ; routine 999 for exit.
+8 ;
+9 ; If no ICD-10 data found, then send calling routine -1
+10 ; to indicate no data found.
+11 ; If data found, then stuff diagnosis into ICD DIAGNOSIS
+12 ; field, and quit and send the calling routine 10 for ICD-10 code.
+13 ;
+14 ; Input:
+15 ; FBAADT = Date of Interest for FB payments.
+16 ;
+17 ; Output:
+18 ; FB9 = ICD-9 diagnosis
+19 ; FB99 = User entered "^" to exit payment edit.
+20 ; -1 = No ICD-10 data found
+21 ; FB10 = ICD-10 diagnosis
+22 ;
+23 NEW ICDSYS,IMPDATE,XX1
+24 SET ICDSYS=10
SET IMPDATE=$$IMPDATE^LEXU("10D")
+25 if FBAADT<IMPDATE
SET ICDSYS=9
+26 SET XX1=-1
+27 ;ICD-9
IF ICDSYS=9
SET XX1=$$ASKICD9^FBAACO2(FBAADT)
QUIT XX1
+28 ;ICD-10 IEN CODE
SET XX1=$$ASKICD10^FBAACO2(FBAADT)
QUIT XX1
+29 ;
+30 ; retrieves existing value in db if exists and prompts user for ICD-9 primary diagnosis
ASKICD9(INDT,FBFREQ) ;FB*3.5*139-JAS-ICD10 REMEDIATION
+1 NEW DPRMPT,FBDX
+2 ; edate is the date of interest for ICD10 diagnosis code lookup
SET EDATE=INDT
+3 ; force field to be required flag
IF $GET(FBFREQ)=""
SET FBFREQ="N"
+4 NEW FBDXIEN
+5 SET DPRMPT="PRIMARY DIAGNOSIS"
+6 ; retrieve existing DX ien
SET FBDXIEN=$PIECE($GET(^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI,0)),U,23)
+7 ;S:FBDXIEN>0 DPRMPT=DPRMPT_": "_$$ICD9^FBCSV1(FBDXIEN,EDATE)_"// " ;obtain current diagnosis and set as default
+8 SET FBDX=-1
SET FBDX=$$ENICD9^FBICD9(EDATE,DPRMPT,"Y","","Y",FBDXIEN)
+9 ; return default value if spaces entered
IF FBDXIEN>0
IF FBDX=-1
SET FBDX=FBDXIEN
WRITE $$ICD9^FBCSV1(FBDXIEN,EDATE)
+10 KILL EDATE,INDT
+11 SET FBDX=+FBDX
+12 QUIT FBDX
+13 ;
+14 ; retrieves existing value in db if exists and prompts user for ICD-10 primary diagnosis
ASKICD10(INDT,FBFREQ) ;FB*3.5*139-JLG-ICD10 REMEDIATION
+1 NEW DP,DPRMPT,FBDCDA,FBDX
+2 ; edate is the date of interest for ICD10 diagnosis code lookup
SET EDATE=INDT
+3 ; force field to be required flag
IF $GET(FBFREQ)=""
SET FBFREQ="N"
+4 ; file number used to check if diagnosis field is required
SET DP=162.03
+5 ; DA equals FBAACPI
SET FBDCDA=DA
+6 NEW FBDXIEN
+7 SET DPRMPT="PRIMARY DIAGNOSIS"
+8 ; retrieve existing DX ien
SET FBDXIEN=$PIECE($GET(^FBAAC(DFN,1,FBV,1,FBSDI,1,FBAACPI,0)),U,23)
+9 ;obtain current diagnosis and set as default
if FBDXIEN>0
SET DPRMPT=DPRMPT_": "_$$ICD9^FBCSV1(FBDXIEN,EDATE)_"// "
+10 ; returns -1 or ien of icd10 diagnosis code
SET FBDX=-1
SET FBDX=$$ASKICD10^FBASF(DPRMPT,"","","",FBFREQ)
+11 ; return default value if spaces entered
IF FBDXIEN>0
IF FBDX=-1
SET FBDX=FBDXIEN
WRITE $$ICD9^FBCSV1(FBDXIEN,EDATE)
+12 KILL EDATE,INDT
+13 QUIT FBDX
+14 ;
KILL SET DIK=DIE
DO ^DIK
KILL DIE,DIK
IF '$GET(FBCNP)
DO Q^FBAACO
SET FBAAOUT=1
+1 WRITE !,"Deleted"
QUIT
