IB20P539 ;ALB/CXW - IB*2*539 POST INIT: COST-BASED/INTERAGENCY RATE ; 11/18/2014
;;2.0;INTEGRATED BILLING;**539**;21-MAR-94;Build 17
;;Per VA Directive 6402, this routine should not be modified.
;
;
; Add FY2015 Cost Based and Interagency Charges to the Charge Master
Q
POST ;
N IBEFFDT,IBA,U S U="^"
D MSG(" IB*2.0*539 Post-Install .....")
S IBEFFDT=3141104 ; effective date of 11/04/2014
D ADDCI(IBEFFDT) ; add Charge Items (363.2) with new 66 rates
D MSG(" IB*2*539 Post-Install Complete")
Q
;
ADDCI(IBEFFDT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges
N IBCHG,IBCNT,IBCNT1,IBCI,IBCS,IBDFLTDT,IBDT,IBFN,IBI,IBLN,IBRVCD,IBX,IBXRF,IBZ,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
;
D MSG("")
S (IBCNT,IBCNT1)=0,IBDFLTDT=+$G(IBEFFDT)
I 'IBDFLTDT D MSG("** Error: No Effective Date, No Charges Added") G CIQ
;
F IBI=1:1 S IBLN=$P($T(CIF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D SETCI
;
I +IBCNT1 D MSG(IBCNT1_" Duplicate Charge Items already exist, not re-added")
;
CIQ D MSG(" >> "_IBCNT_" Cost Based/Interagency Charge Items added (363.2).")
D MSG("")
Q
;
SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
;
S IBCS=$P(IBLN,U,2),IBCS=+$O(^IBE(363.1,"B",IBCS,0)) I 'IBCS D MSG("** Error: Charge Set "_$P(IBLN,U,2)_" undefined") Q
S IBCI=+$$MCCRUTL($P(IBLN,U,1),5) I 'IBCI D MSG("** Error: Bed Section "_$P(IBLN,U,1)_" undefined") Q
S IBDT=IBDFLTDT I +$P(IBLN,U,3) S IBDT=+$P(IBLN,U,3)
S IBRVCD=$$RVCD($P(IBLN,U,4))
S IBCHG=+$P(IBLN,U,5)
S IBXRF="AIVDTS"_IBCS
;
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 $P(IBZ,U,6)=IBRVCD D
. S IBCI=0,IBCNT1=IBCNT1+1 I +$P(IBZ,U,5)'=IBCHG D MSG("** Error: Item exists, wrong charge: "_IBLN)
Q:'IBCI
;
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 D MSG("** Error: when adding the charge item "_IBCS_" with rate "_IBCHG_" to the file, Log a Remedy ticket!") K X,Y Q
S IBFN=+Y,IBCNT=IBCNT+1
;
S DR=".02///"_IBCS_";.03///"_IBDT_";.05///"_IBCHG I +IBRVCD S DR=DR_";.06///"_IBRVCD
S DIE="^IBA(363.2,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y
Q
;
;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
N IBX,IBY S IBY=""
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,+$G(P)) S IBY=IBX
Q IBY
;
RVCD(RVCD) ; returns IFN if revenue code is valid and active
N IBX,IBY S IBY=""
I +$G(RVCD) S IBX=$G(^DGCR(399.2,+RVCD,0)) I +$P(IBX,U,3) S IBY=+RVCD
Q IBY
;
MSG(IBA) ;
D MES^XPDUTL(IBA)
Q
;
CIF ; 66 Charge Items (363.2): Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
;;
TORT ;; Tortiously Liable All Inclusive
;;
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1363
;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1641
;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^3313
;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^2249
;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^3152
;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^1082
;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^3217
;;PRRTP^TL-INPT (INCLUSIVE)^^^650
;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1611
;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^2480
;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^2201
;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^5165
;;
;; Tortiously Liable Non-Professional
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^918
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^315
;;BLIND REHABILITATION^TL-INPT (NPF)^^101^694
;;BLIND REHABILITATION^TL-INPT (NPF)^^240^815
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^2053
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^863
;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1808
;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^330
;;NEUROLOGY^TL-INPT (NPF)^^101^1859
;;NEUROLOGY^TL-INPT (NPF)^^240^832
;;NURSING HOME CARE^TL-INPT (NPF)^^101^902
;;NURSING HOME CARE^TL-INPT (NPF)^^240^146
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^1869
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^983
;;PRRTP^TL-INPT (NPF)^^101^541
;;PRRTP^TL-INPT (NPF)^^240^68
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^1205
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^254
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^1440
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^758
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^1374
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^554
;;SURGICAL CARE^TL-INPT (NPF)^^101^3029
;;SURGICAL CARE^TL-INPT (NPF)^^240^1567
;;
;; Tortiously Liable Professional
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^130
;;BLIND REHABILITATION^TL-INPT (PF)^^^132
;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^397
;;INTERMEDIATE CARE^TL-INPT (PF)^^^111
;;NEUROLOGY^TL-INPT (PF)^^^461
;;NURSING HOME CARE^TL-INPT (PF)^^^34
;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^365
;;PRRTP^TL-INPT (PF)^^^41
;;PSYCHIATRIC CARE^TL-INPT (PF)^^^152
;;REHABILITATION MEDICINE^TL-INPT (PF)^^^282
;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^273
;;SURGICAL CARE^TL-INPT (PF)^^^569
;;
;; Tortiously Liable Other
;;OUTPATIENT VISIT^TL-OPT VST^^^236
;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^443
;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^586
;;
;;
IA ;; Interagency
;;
;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1294
;;BLIND REHABILITATION^IA-INPT^^^1557
;;GENERAL MEDICAL CARE^IA-INPT^^^3142
;;INTERMEDIATE CARE^IA-INPT^^^2135
;;NEUROLOGY^IA-INPT^^^2993
;;NURSING HOME CARE^IA-INPT^^^1025
;;POLYTRAUMA INPATIENT^IA-INPT^^^3058
;;PRRTP^IA-INPT^^^616
;;PSYCHIATRIC CARE^IA-INPT^^^1527
;;REHABILITATION MEDICINE^IA-INPT^^^2353
;;SPINAL CORD INJURY CARE^IA-INPT^^^2089
;;SURGICAL CARE^IA-INPT^^^4899
;;
;;OUTPATIENT VISIT^IA-OPT VST^^^222
;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^419
;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^561
;;
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIB20P539 6028 printed Nov 22, 2024@17:13:41 Page 2
IB20P539 ;ALB/CXW - IB*2*539 POST INIT: COST-BASED/INTERAGENCY RATE ; 11/18/2014
+1 ;;2.0;INTEGRATED BILLING;**539**;21-MAR-94;Build 17
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;
+5 ; Add FY2015 Cost Based and Interagency Charges to the Charge Master
+6 QUIT
POST ;
+1 NEW IBEFFDT,IBA,U
SET U="^"
+2 DO MSG(" IB*2.0*539 Post-Install .....")
+3 ; effective date of 11/04/2014
SET IBEFFDT=3141104
+4 ; add Charge Items (363.2) with new 66 rates
DO ADDCI(IBEFFDT)
+5 DO MSG(" IB*2*539 Post-Install Complete")
+6 QUIT
+7 ;
ADDCI(IBEFFDT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges
+1 NEW IBCHG,IBCNT,IBCNT1,IBCI,IBCS,IBDFLTDT,IBDT,IBFN,IBI,IBLN,IBRVCD,IBX,IBXRF,IBZ,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y
+2 ;
+3 DO MSG("")
+4 SET (IBCNT,IBCNT1)=0
SET IBDFLTDT=+$GET(IBEFFDT)
+5 IF 'IBDFLTDT
DO MSG("** Error: No Effective Date, No Charges Added")
GOTO CIQ
+6 ;
+7 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(CIF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
DO SETCI
+8 ;
+9 IF +IBCNT1
DO MSG(IBCNT1_" Duplicate Charge Items already exist, not re-added")
+10 ;
CIQ DO MSG(" >> "_IBCNT_" Cost Based/Interagency Charge Items added (363.2).")
+1 DO MSG("")
+2 QUIT
+3 ;
SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
+1 ;
+2 SET IBCS=$PIECE(IBLN,U,2)
SET IBCS=+$ORDER(^IBE(363.1,"B",IBCS,0))
IF 'IBCS
DO MSG("** Error: Charge Set "_$PIECE(IBLN,U,2)_" undefined")
QUIT
+3 SET IBCI=+$$MCCRUTL($PIECE(IBLN,U,1),5)
IF 'IBCI
DO MSG("** Error: Bed Section "_$PIECE(IBLN,U,1)_" undefined")
QUIT
+4 SET IBDT=IBDFLTDT
IF +$PIECE(IBLN,U,3)
SET IBDT=+$PIECE(IBLN,U,3)
+5 SET IBRVCD=$$RVCD($PIECE(IBLN,U,4))
+6 SET IBCHG=+$PIECE(IBLN,U,5)
+7 SET IBXRF="AIVDTS"_IBCS
+8 ;
+9 SET IBX=0
FOR
SET IBX=$ORDER(^IBA(363.2,IBXRF,IBCI,-IBDT,IBX))
if 'IBX
QUIT
SET IBZ=$GET(^IBA(363.2,IBX,0))
IF $PIECE(IBZ,U,6)=IBRVCD
Begin DoDot:1
+10 SET IBCI=0
SET IBCNT1=IBCNT1+1
IF +$PIECE(IBZ,U,5)'=IBCHG
DO MSG("** Error: Item exists, wrong charge: "_IBLN)
End DoDot:1
+11 if 'IBCI
QUIT
+12 ;
+13 KILL DD,DO
SET DLAYGO=363.2
SET DIC="^IBA(363.2,"
SET DIC(0)="L"
SET X=IBCI_";DGCR(399.1,"
DO FILE^DICN
KILL DIC
+14 IF Y<1
DO MSG("** Error: when adding the charge item "_IBCS_" with rate "_IBCHG_" to the file, Log a Remedy ticket!")
KILL X,Y
QUIT
+15 SET IBFN=+Y
SET IBCNT=IBCNT+1
+16 ;
+17 SET DR=".02///"_IBCS_";.03///"_IBDT_";.05///"_IBCHG
IF +IBRVCD
SET DR=DR_";.06///"_IBRVCD
+18 SET DIE="^IBA(363.2,"
SET DA=+IBFN
DO ^DIE
KILL DIE,DA,DR,X,Y
+19 QUIT
+20 ;
+21 ;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
+1 NEW IBX,IBY
SET IBY=""
+2 IF $GET(X)'=""
SET IBX=0
FOR
SET IBX=$ORDER(^DGCR(399.1,"B",X,IBX))
if 'IBX
QUIT
IF $PIECE($GET(^DGCR(399.1,IBX,0)),U,+$GET(P))
SET IBY=IBX
+3 QUIT IBY
+4 ;
RVCD(RVCD) ; returns IFN if revenue code is valid and active
+1 NEW IBX,IBY
SET IBY=""
+2 IF +$GET(RVCD)
SET IBX=$GET(^DGCR(399.2,+RVCD,0))
IF +$PIECE(IBX,U,3)
SET IBY=+RVCD
+3 QUIT IBY
+4 ;
MSG(IBA) ;
+1 DO MES^XPDUTL(IBA)
+2 QUIT
+3 ;
CIF ; 66 Charge Items (363.2): Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
+1 ;;
TORT ;; Tortiously Liable All Inclusive
+1 ;;
+2 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1363
+3 ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1641
+4 ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^3313
+5 ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^2249
+6 ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^3152
+7 ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^1082
+8 ;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^3217
+9 ;;PRRTP^TL-INPT (INCLUSIVE)^^^650
+10 ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1611
+11 ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^2480
+12 ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^2201
+13 ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^5165
+14 ;;
+15 ;; Tortiously Liable Non-Professional
+16 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^918
+17 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^315
+18 ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^694
+19 ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^815
+20 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^2053
+21 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^863
+22 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1808
+23 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^330
+24 ;;NEUROLOGY^TL-INPT (NPF)^^101^1859
+25 ;;NEUROLOGY^TL-INPT (NPF)^^240^832
+26 ;;NURSING HOME CARE^TL-INPT (NPF)^^101^902
+27 ;;NURSING HOME CARE^TL-INPT (NPF)^^240^146
+28 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^1869
+29 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^983
+30 ;;PRRTP^TL-INPT (NPF)^^101^541
+31 ;;PRRTP^TL-INPT (NPF)^^240^68
+32 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^1205
+33 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^254
+34 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^1440
+35 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^758
+36 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^1374
+37 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^554
+38 ;;SURGICAL CARE^TL-INPT (NPF)^^101^3029
+39 ;;SURGICAL CARE^TL-INPT (NPF)^^240^1567
+40 ;;
+41 ;; Tortiously Liable Professional
+42 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^130
+43 ;;BLIND REHABILITATION^TL-INPT (PF)^^^132
+44 ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^397
+45 ;;INTERMEDIATE CARE^TL-INPT (PF)^^^111
+46 ;;NEUROLOGY^TL-INPT (PF)^^^461
+47 ;;NURSING HOME CARE^TL-INPT (PF)^^^34
+48 ;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^365
+49 ;;PRRTP^TL-INPT (PF)^^^41
+50 ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^152
+51 ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^282
+52 ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^273
+53 ;;SURGICAL CARE^TL-INPT (PF)^^^569
+54 ;;
+55 ;; Tortiously Liable Other
+56 ;;OUTPATIENT VISIT^TL-OPT VST^^^236
+57 ;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^443
+58 ;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^586
+59 ;;
+60 ;;
IA ;; Interagency
+1 ;;
+2 ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1294
+3 ;;BLIND REHABILITATION^IA-INPT^^^1557
+4 ;;GENERAL MEDICAL CARE^IA-INPT^^^3142
+5 ;;INTERMEDIATE CARE^IA-INPT^^^2135
+6 ;;NEUROLOGY^IA-INPT^^^2993
+7 ;;NURSING HOME CARE^IA-INPT^^^1025
+8 ;;POLYTRAUMA INPATIENT^IA-INPT^^^3058
+9 ;;PRRTP^IA-INPT^^^616
+10 ;;PSYCHIATRIC CARE^IA-INPT^^^1527
+11 ;;REHABILITATION MEDICINE^IA-INPT^^^2353
+12 ;;SPINAL CORD INJURY CARE^IA-INPT^^^2089
+13 ;;SURGICAL CARE^IA-INPT^^^4899
+14 ;;
+15 ;;OUTPATIENT VISIT^IA-OPT VST^^^222
+16 ;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^419
+17 ;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^561
+18 ;;
+19 QUIT
