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Routine: FBPCR67

FBPCR67.m

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  1. FBPCR67 ;AISC/DMK,TET-CH/CNH POTENTIAL COST RECOVERY SORT ;7/5/2013
  1. ;;3.5;FEE BASIS;**4,48,55,69,98,122,108,148,163**;JAN 30, 1995;Build 21
  1. ;Per VA Directive 6402, this routine should not be modified.
  1. ;
  1. EN ;entry point for sort
  1. S (FBCATC,FBINS,FBPSF)=0
  1. SORT ;sort by date finalized, ien
  1. N FBY2,FBY5,FBCDAYS,FBCSID,FBX,FBADJLR,FBADJLA,FBRRMKL
  1. S FBM=FBBDATE-.1 F S FBM=$O(^FBAAI("AD",FBM)) Q:'FBM!(FBM>FBEDATE) S FBI=0 F S FBI=$O(^FBAAI("AD",FBM,FBI)) Q:FBI'>0 S FBIN=$G(^FBAAI(FBI,0)) I FBIN]""&($G(^FBAAI(FBI,"FBREJ"))']"") D S (FBCATC,FBINS,FBPSF)=0
  1. .S (DFN,J)=+$P(FBIN,U,4) D VET^FBPCR
  1. .D SET Q:FBPI'[+$P(FBIN,U,12)!('FBPSV&('$D(FBPSV(FBPSF)))) I FBCATC!FBINS D SETTMP
  1. KILL ;kill variables set in this routine and in FPAY2, sort/set sections
  1. K A1,A2,A3,D,D2,DFN,FBAACPTC,FBBN,FBCATC,FBCNT,FBCP,FBDOB,FBDT,FBDT1,FBDX,FBDX1,FBI,FBIN,FBINS,FBIX,FBJ,FBM,FBOB,FBPAT,FBPDX,FBPROC,FBPROC1,FBPSF,FBSC,FBTA,FBVEN,FBVENID,FBVP,I,J,K,L,M,Y,FBPOA,FBPROA,FBADMTDX
  1. K FBVNAME,FBVID,FBPNAME,FBPID
  1. K FBY2,FBY4,FBCDAYS,FBCSID,FBX,FBADJLR,FBADJLA,FBRRMKL ; FB*3.5*122
  1. D KILL^FBPCR2
  1. Q
  1. SET ;set variables
  1. S FBY2=$G(^FBAAI(FBI,2)),FBY4=$G(^FBAAI(FBI,4)),$P(FBY4,U,20)=$P($G(^FBAAI(FBI,5)),U,1,4) ; FB*3.5*122
  1. S FBY5=$G(^FBAAI(FBI,5))
  1. F FBJ=1,2,3,4,6,7,8,9,11,13,14 S FBIN(FBJ)=$P(FBIN,"^",FBJ)
  1. Q:FBPI'[+$P(FBIN,U,12) S FBPSF=+$P(FBIN,U,20)
  1. Q:'FBPSV&('$D(FBPSV(FBPSF)))
  1. S ^TMP($J,"FB",FBPSF)=$G(^FBAAI(FBI,5)) ; FB*3.5*122
  1. D
  1. . N FBCATC2
  1. . S FBCATC=$$CATC^FBPCR(DFN,+$P(FBIN,U,6),+$P(FBIN,U,18))
  1. . Q:FBCATC=2
  1. . S FBCATC2=$$CATC^FBPCR(DFN,+$P(FBIN,U,7),+$P(FBIN,U,18))
  1. . I FBCATC2=0 Q
  1. . I FBCATC=0!(FBCATC=1) S FBCATC=FBCATC2 Q
  1. . S:FBCATC2=2 FBCATC=2
  1. ;,FBINS=$S($O(^FBAAA("AIC",FBIN(4),+$O(^FBAAA("AIC",FBIN(4),-FBIN(6))),0))="Y":1,1:0)
  1. S FBINS=$S($$INSCK^FBPCR3(FBIN(6),FBIN(4),+$P(FBIN,U,12))=1:$$INSURED^FBPCR4(DFN,+$P(FBIN,U,6),+$P(FBIN,U,7)),1:0)
  1. Q:'FBCATC&'FBINS
  1. S FBIN(5)=$P(FBIN,U,5)
  1. S FBIEN=FBIN(3),FBVNAME=$G(^FBAAV(FBIN(3),0)) Q:FBVNAME']"" S FBVID=$P(FBVNAME,U,2)_"/"_$S($P($G(^FBAAV(FBIEN,3)),U,2)]"":$P($G(^FBAAV(FBIEN,3)),U,2),1:"**********"),FBVNAME=$E($P(FBVNAME,U),1,23)
  1. S FBIN(2)=$$DATX^FBAAUTL(FBIN(2)),FBVEN=FBVNAME_";"_FBVID,FBPAT=FBPNAME_";"_DFN
  1. S FBIN(6)=$$DATX^FBAAUTL(FBIN(6)),FBIN(7)=$$DATX^FBAAUTL(FBIN(7))
  1. Q
  1. SETTMP ;sort data by primary service facility, patient, fee program, vendor, date
  1. N FBBILL,FBINAU,FBSKIP ;FB*3.5*163
  1. S FBSKIP=0,(FBBILL,FBINAU)="" ;FB*3.5*163
  1. Q:$$FILTER^FBPCR4()=0
  1. D CHKBILL^IBFBUTIL(FBIN) ;FB*3.5*163
  1. I $G(FBSKIP),$G(FBNPB) Q ;Quit if running for not previously billed and bill IEN exists on File #360 FB*3.5*163
  1. S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI)=FBIN(2)_U_$J(FBIN(8),8,2)_U_$J(FBIN(9),8,2)_U_FBIN(11)_U_$J(FBIN(1),8)_U_FBIN(6)_U_FBIN(7)_U_$P(FBIN,U,12)_U_FBCATC_U_FBINS_U_FBIN(13)_U_FBIN(14)
  1. S FBCDAYS=$P(FBY2,U,10) ; covered days
  1. S FBCSID=$P(FBY2,U,11) ; patient control number
  1. S FBX=$$ADJLRA^FBCHFA(FBI_",")
  1. S FBADJLR=$P(FBX,U) ;adjustment reason
  1. S FBADJLA=$P(FBX,U,2) ;adjustment amount
  1. S FBRRMKL=$$RRL^FBCHFR(FBI_",") ;remittance remarks
  1. S FBADMTDX=$$ICD9^FBCSV1($P(FBY5,"^",9)) ; admitting diagnosis
  1. S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBINV")=FBCDAYS_"^"_FBCSID_"^"_FBADJLR_"^"_FBADJLA_"^"_FBRRMKL_"^"_FBADMTDX
  1. ;S FBDX=$G(^FBAAI(FBI,"DX")) I FBDX]"" S FBDX1="" F I=1:1:5 S:$P(FBDX,U,I) FBDX1=FBDX1_$$ICD9^FBCSV1($P(FBDX,U,I),+$P($G(FBIN),U,6))_U
  1. S FBDX=$G(^FBAAI(FBI,"DX"))
  1. S FBPOA=$G(^FBAAI(FBI,"POA"))
  1. I FBDX]"" S FBDX1="" F I=1:1:25 D
  1. . N FBPOA1
  1. . Q:$P(FBDX,U,I)=""
  1. . S FBPOA1=$P(FBPOA,U,I)
  1. . S FBDX1=FBDX1_$$ICD9^FBCSV1($P(FBDX,U,I),+$P($G(FBIN),U,6))_"/"
  1. . S FBDX1=FBDX1_$S(FBPOA1:$P($G(^FB(161.94,FBPOA1,0)),"^"),1:"")_U
  1. . Q
  1. I FBDX]"" S FBDX1=$P(FBDX1,U,1,($L(FBDX1,U)-1)),^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"DX")=FBDX1
  1. S FBPROC=$G(^FBAAI(FBI,"PROC")) I FBPROC]"" S FBPROC1="" F I=1:1:25 S:$P(FBPROC,U,I) FBPROC1=FBPROC1_$$ICD0^FBCSV1($P(FBPROC,U,I),+$P($G(FBIN),U,6))_U
  1. I FBPROC]"" S FBPROC1=$P(FBPROC1,U,1,($L(FBPROC1,U)-1)),^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"PROC")=FBPROC1
  1. ;*** removed conditional to get ancillary payments processed
  1. ;D ANC:$D(^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI))
  1. D ANC
  1. K FB5010
  1. ;get line item rendering provider data
  1. I FBPROC]"" S I=0 F S I=$O(^FBAAI(FBI,"RPROV",I)) Q:'I D
  1. . N X
  1. . S X=$G(^FBAAI(FBI,"RPROV",I,0))
  1. . I $P(X,U) S FB5010($P(X,U))=X
  1. I $D(FB5010) M ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"RPROV")=FB5010 K FB5010
  1. I $TR(FBY4,U)]"" S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBY4")=FBY4 ; FB*3.5*122
  1. I FBBILL S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBBILL")=FBBILL ; FB*3.5*163 Bill Number
  1. I FBINAU S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBINAU")=FBINAU ; FB*3.5*163 Insurance Auth
  1. I $G(FBAUTH)'="" S ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"FBAUTH")=$G(FBADX1)_U_$G(FBADX2)_U_$G(FBADX3)_U_$G(FBAICD)_U_$G(FBAREF)_U_$G(FBARNPI)_U_$G(FBAVND)_U_$G(FBAVNPI)_U_$G(FBAVTAX) ; FB*3.5*163
  1. ;I FBPROC]"" K FB5010 F I=1:1:25 S:$P(FBPROC,U,I) FB5010(I)=$G(^FBAAI(FBI,"RPROV",I,0)) ; FB*3.5*122
  1. ;I FBPROC]"" K FB5010 F I=1:1:25 S:$P(FBPROC,U,I) FB5010($P($G(^FBAAI(FBI,"RPROV",I,0)),U,1))=$G(^FBAAI(FBI,"RPROV",I,0))
  1. ;I FBPROC]"" M ^TMP($J,"FB",FBPSF,FBPAT,+$P(FBIN,U,12),FBVEN,FBM,FBI,"RPROV")=FB5010 K FB5010 ; FB*3.5*122
  1. Q
  1. ANC ;ancillary payments
  1. ;Patch FB*3.5*148 saves off any previous values and then cleans up variable FBAACPTC
  1. N J,K,L,M,Y,FBDT1,FBVID,FBAACPTC I FBPI=67 N FBPI S FBPI=+$P(FBIN,U,12)
  1. S J=DFN,FBCNT=0 I J,+FBIN(5),$D(^FBAAC("AM",FBIN(5),J)) D
  1. .F K=0:0 S K=$O(^FBAAC("AM",FBIN(5),J,K)) Q:'K S L=0 F S L=$O(^FBAAC("AM",FBIN(5),J,K,L)) Q:'L D
  1. ..S FBDT1=$P($G(^FBAAC(J,1,K,1,L,0)),U) I FBDT1]"" S FBDT1=$$DATX^FBAAUTL(FBDT1)
  1. ..S M=0 F S M=$O(^FBAAC("AM",FBIN(5),J,K,L,M)) Q:'M S Y=$G(^FBAAC(J,1,K,1,L,1,M,0)) I Y]"" D
  1. ...K FBAACPTC
  1. ...D EN1^FBPCR2 Q:'$D(FBAACPTC) S FBCNT=FBCNT+1
  1. ...Q:$$FILTER^FBPCR4()=0
  1. ...S ^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI,"A",FBCNT)=FBDT1_U_FBAACPTC_FBCP_$S($G(FBMODLE)]"":"-"_FBMODLE,1:"")_U_A1_U_A2_U_FBBN_U_FBIN_U_D2_U_FBSC_U_FBPDX_U_FBOB_U_FBVNAME_U_FBVID_U_FBPI_U_FBCATC_U_FBINS
  1. ...S ^TMP($J,"FB",FBPSF,FBPAT,FBPI,FBVEN,FBM,FBI,"A",FBCNT,"FBADJ")=TAMT_U_FBUNITS_U_FBADJLR_U_FBADJLA_U_FBRRMKL_U_FBCSID
  1. Q