IB20P603 ;ALB/CXW - IB*2.0*603 COST-BASED & INTER-AGENCY RATE UPDATE;08/29/17
;;2.0;INTEGRATED BILLING;**603**;21-MAR-94;Build 23
;;Per VA Directive 6402, this routine should not be modified.
;
;
; Add CY2017 Cost Based/Interagency Charges to Charge Master 363.2
Q
POST ;
N IBEFFDT,IBA,U S U="^"
D MSG(" IB*2.0*603 Post-Install .....")
S IBEFFDT=3170829 ; effective date of 08/29/2017
D ADDCI(IBEFFDT) ; add Charge Items (363.2) with new rates
D MSG(" IB*2.0*603 Post-Install Complete")
Q
;
ADDCI(IBEFFDT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges
N IBC,IBCHG,IBCNT,IBCNT1,IBCI,IBCS,IBDFLTDT,IBDT,IBFN,IBI,IBLN,IBPE,IBRVCD,IBX,IBXRF,IBZ,DA,DD,DO,DLAYGO,DIC,DIE,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 "_$P(IBLN,U,2)_" with rate "_IBCHG_" to the file, Log a 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(IBC,IBPE) ; returns IEN in 399.1 if Name is found and piece P is true
N IBX,IBY S IBY=""
I $G(IBC)'="" S IBX=0 F S IBX=$O(^DGCR(399.1,"B",IBC,IBX)) Q:'IBX I $P($G(^DGCR(399.1,IBX,0)),U,+$G(IBPE)) S IBY=IBX
Q IBY
;
RVCD(RVCD) ; returns IFN if revenue code is valid and active
N IBX,IBY S IBY=""
I +$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 ; 68 Charge Items (363.2): Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
;;
TORT ;; Cost Based (Tortiously Liable) - All Inclusive
;;
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1814
;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1726
;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^3805
;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^2123
;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^3806
;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^1209
;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^3070
;;PRRTP^TL-INPT (INCLUSIVE)^^^705
;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1849
;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^2489
;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^2285
;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^6388
;;
;; Non-Professional: Nursing/Room/Board 101 & Ancillary 240
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^1221
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^420
;;BLIND REHABILITATION^TL-INPT (NPF)^^101^730
;;BLIND REHABILITATION^TL-INPT (NPF)^^240^857
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^2358
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^992
;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1708
;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^311
;;NEUROLOGY^TL-INPT (NPF)^^101^2244
;;NEUROLOGY^TL-INPT (NPF)^^240^1005
;;NURSING HOME CARE^TL-INPT (NPF)^^101^1007
;;NURSING HOME CARE^TL-INPT (NPF)^^240^164
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^1783
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^938
;;PRRTP^TL-INPT (NPF)^^101^587
;;PRRTP^TL-INPT (NPF)^^240^74
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^1383
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^291
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^1446
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^760
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^1427
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^575
;;SURGICAL CARE^TL-INPT (NPF)^^101^3747
;;SURGICAL CARE^TL-INPT (NPF)^^240^1937
;;
;; Professional Physician
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^173
;;BLIND REHABILITATION^TL-INPT (PF)^^^139
;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^455
;;INTERMEDIATE CARE^TL-INPT (PF)^^^104
;;NEUROLOGY^TL-INPT (PF)^^^557
;;NURSING HOME CARE^TL-INPT (PF)^^^38
;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^349
;;PRRTP^TL-INPT (PF)^^^44
;;PSYCHIATRIC CARE^TL-INPT (PF)^^^175
;;REHABILITATION MEDICINE^TL-INPT (PF)^^^283
;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^283
;;SURGICAL CARE^TL-INPT (PF)^^^704
;;
;; Outpatient Care Other
;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^347
;;OUTPATIENT VISIT^TL-OPT VST^^^347
;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^546
;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^212
;;
IA ;; Interagency
;;
;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1727
;;BLIND REHABILITATION^IA-INPT^^^1646
;;GENERAL MEDICAL CARE^IA-INPT^^^3645
;;INTERMEDIATE CARE^IA-INPT^^^2025
;;NEUROLOGY^IA-INPT^^^3644
;;NURSING HOME CARE^IA-INPT^^^1154
;;POLYTRAUMA INPATIENT^IA-INPT^^^2927
;;PRRTP^IA-INPT^^^671
;;PSYCHIATRIC CARE^IA-INPT^^^1761
;;REHABILITATION MEDICINE^IA-INPT^^^2372
;;SPINAL CORD INJURY CARE^IA-INPT^^^2182
;;SURGICAL CARE^IA-INPT^^^6119
;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^333
;;OUTPATIENT VISIT^IA-OPT VST^^^333
;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^522
;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^201
;;
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIB20P603 6131 printed Apr 09, 2024@21:38:17 Page 2
IB20P603 ;ALB/CXW - IB*2.0*603 COST-BASED & INTER-AGENCY RATE UPDATE;08/29/17
+1 ;;2.0;INTEGRATED BILLING;**603**;21-MAR-94;Build 23
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;
+5 ; Add CY2017 Cost Based/Interagency Charges to Charge Master 363.2
+6 QUIT
POST ;
+1 NEW IBEFFDT,IBA,U
SET U="^"
+2 DO MSG(" IB*2.0*603 Post-Install .....")
+3 ; effective date of 08/29/2017
SET IBEFFDT=3170829
+4 ; add Charge Items (363.2) with new rates
DO ADDCI(IBEFFDT)
+5 DO MSG(" IB*2.0*603 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 IBC,IBCHG,IBCNT,IBCNT1,IBCI,IBCS,IBDFLTDT,IBDT,IBFN,IBI,IBLN,IBPE,IBRVCD,IBX,IBXRF,IBZ,DA,DD,DO,DLAYGO,DIC,DIE,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 "_$PIECE(IBLN,U,2)_" with rate "_IBCHG_" to the file, Log a 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(IBC,IBPE) ; returns IEN in 399.1 if Name is found and piece P is true
+1 NEW IBX,IBY
SET IBY=""
+2 IF $GET(IBC)'=""
SET IBX=0
FOR
SET IBX=$ORDER(^DGCR(399.1,"B",IBC,IBX))
if 'IBX
QUIT
IF $PIECE($GET(^DGCR(399.1,IBX,0)),U,+$GET(IBPE))
SET IBY=IBX
+3 QUIT IBY
+4 ;
RVCD(RVCD) ; returns IFN if revenue code is valid and active
+1 NEW IBX,IBY
SET IBY=""
+2 IF +$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 ; 68 Charge Items (363.2): Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
+1 ;;
TORT ;; Cost Based (Tortiously Liable) - All Inclusive
+1 ;;
+2 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1814
+3 ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1726
+4 ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^3805
+5 ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^2123
+6 ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^3806
+7 ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^1209
+8 ;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^3070
+9 ;;PRRTP^TL-INPT (INCLUSIVE)^^^705
+10 ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1849
+11 ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^2489
+12 ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^2285
+13 ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^6388
+14 ;;
+15 ;; Non-Professional: Nursing/Room/Board 101 & Ancillary 240
+16 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^1221
+17 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^420
+18 ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^730
+19 ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^857
+20 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^2358
+21 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^992
+22 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1708
+23 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^311
+24 ;;NEUROLOGY^TL-INPT (NPF)^^101^2244
+25 ;;NEUROLOGY^TL-INPT (NPF)^^240^1005
+26 ;;NURSING HOME CARE^TL-INPT (NPF)^^101^1007
+27 ;;NURSING HOME CARE^TL-INPT (NPF)^^240^164
+28 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^1783
+29 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^938
+30 ;;PRRTP^TL-INPT (NPF)^^101^587
+31 ;;PRRTP^TL-INPT (NPF)^^240^74
+32 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^1383
+33 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^291
+34 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^1446
+35 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^760
+36 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^1427
+37 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^575
+38 ;;SURGICAL CARE^TL-INPT (NPF)^^101^3747
+39 ;;SURGICAL CARE^TL-INPT (NPF)^^240^1937
+40 ;;
+41 ;; Professional Physician
+42 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^173
+43 ;;BLIND REHABILITATION^TL-INPT (PF)^^^139
+44 ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^455
+45 ;;INTERMEDIATE CARE^TL-INPT (PF)^^^104
+46 ;;NEUROLOGY^TL-INPT (PF)^^^557
+47 ;;NURSING HOME CARE^TL-INPT (PF)^^^38
+48 ;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^349
+49 ;;PRRTP^TL-INPT (PF)^^^44
+50 ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^175
+51 ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^283
+52 ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^283
+53 ;;SURGICAL CARE^TL-INPT (PF)^^^704
+54 ;;
+55 ;; Outpatient Care Other
+56 ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^347
+57 ;;OUTPATIENT VISIT^TL-OPT VST^^^347
+58 ;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^546
+59 ;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^212
+60 ;;
IA ;; Interagency
+1 ;;
+2 ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1727
+3 ;;BLIND REHABILITATION^IA-INPT^^^1646
+4 ;;GENERAL MEDICAL CARE^IA-INPT^^^3645
+5 ;;INTERMEDIATE CARE^IA-INPT^^^2025
+6 ;;NEUROLOGY^IA-INPT^^^3644
+7 ;;NURSING HOME CARE^IA-INPT^^^1154
+8 ;;POLYTRAUMA INPATIENT^IA-INPT^^^2927
+9 ;;PRRTP^IA-INPT^^^671
+10 ;;PSYCHIATRIC CARE^IA-INPT^^^1761
+11 ;;REHABILITATION MEDICINE^IA-INPT^^^2372
+12 ;;SPINAL CORD INJURY CARE^IA-INPT^^^2182
+13 ;;SURGICAL CARE^IA-INPT^^^6119
+14 ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^333
+15 ;;OUTPATIENT VISIT^IA-OPT VST^^^333
+16 ;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^522
+17 ;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^201
+18 ;;
+19 QUIT
