IB20P666 ;ALB/CXW - UPDATE RX ADMINISTRATIVE FEE FOR CY 2020;11/12/2019
;;2.0;INTEGRATED BILLING;**666**;21-MAR-94;Build 5
;;Per VA Directive 6402, this routine should not be modified.
Q
POST ;
; Update pharmacy administrative fee for CY 2020 in Rate Schedule file 363
N IBA,U S U="^"
D MSG("IB*2.0*666 Post-Install starts.....")
D TRXAF
D MSG("IB*2.0*666 Post-Install is complete.")
Q
;
TRXAF ; Rate Schedule
N IBCT,IBI,IBT,IBX,IBRS,IBRSIN,IBRATY,IBEFFDT,IBADFE,IBDISP,IBADJUST
D MSG("")
D MSG(" >>>Effect. JAN 01, 2020 of RX Rate Schedule Adjustment for the Rate Type:"),MSG("")
S IBADFE="",IBEFFDT="3200101",IBCT=0
F IBX=1:1 S IBT=$P($T(RSF+IBX),";;",2) Q:IBT="Q" D
. S IBRATY=$P(IBT,U)
. S IBRSIN=$O(^DGCR(399.3,"B",IBRATY,0))
. I 'IBRSIN D MSG(" "_IBRATY_" not defined in the Rate Type file (#399.3), not added") Q
. ; latest entry
. S IBRSIN=$O(^DGCR(399.3,"B",IBRATY,99999),-1)
. I $P($G(^DGCR(399.3,+IBRSIN,0)),U,3) D MSG(" "_IBRATY_" inactivated in the Rate Type file (#399.3), not added") Q
. I $$RSEXIST(IBEFFDT,IBRSIN) D MSG(" "_IBRATY_" already exists") Q
. S IBDISP=$P(IBT,U,2)
. S IBADJUST=$P(IBT,U,3)
. ; inactivate rx entry for cy 2019 and add new rx entry for cy 2020
. D ENT^IB3PSOU(IBRATY,IBEFFDT,IBADFE,IBDISP,IBADJUST)
. ; double check
. I '$$RSEXIST(IBEFFDT,IBRSIN) D MSG(" "_IBRATY_" not added") Q
. S IBCT=IBCT+1 D MSG(" "_IBRATY_" added")
D MSG("")
D MSG(" Total "_IBCT_$S(IBCT>1:" entries",1:" entry")_" added to the Rate Schedule file (#363)")
D MSG("")
Q
;
RSEXIST(IBEFFDT,IBRSIN) ; return RS IFN if Rate Schedule exists for Effective Date
N IBX,IBRSFN,IBRS0 S IBX=0
S IBRSFN=0 F S IBRSFN=$O(^IBE(363,IBRSFN)) Q:'IBRSFN D I IBX Q
. S IBRS0=$G(^IBE(363,IBRSFN,0))
. I $P(IBRS0,U,2)=IBRSIN,$P(IBRS0,U,5)=IBEFFDT S IBX=IBRSFN
Q IBX
;
MSG(IBA) ;
D MES^XPDUTL(IBA)
Q
;
RSF ; 26 Rate types^dispensing fee^adjustment
;;CC MTF REIMB INS^18.38^S X=X+18.38
;;CC NO-FAULT AUTO^18.38^S X=X+18.38
;;CC REIMB INS^18.38^S X=X+18.38
;;CC TORT FEASOR^18.38^S X=X+18.38
;;CC WORKERS' COMP^18.38^S X=X+18.38
;;CCN NO-FAULT AUTO^18.38^S X=X+18.38
;;CCN REIMB INS^18.38^S X=X+18.38
;;CCN TORT FEASOR^18.38^S X=X+18.38
;;CCN WORKERS' COMP^18.38^S X=X+18.38
;;CHOICE NO-FAULT AUTO^18.38^S X=X+18.38
;;CHOICE REIMB INS^18.38^S X=X+18.38
;;CHOICE TORT FEASOR^18.38^S X=X+18.38
;;CHOICE WORKERS' COMP^18.38^S X=X+18.38
;;DENTAL REIMB. INS.^18.38^S X=X+18.38
;;HUMANITARIAN^18.38^S X=X+18.38
;;HUMANITARIAN REIMB. INS.^18.38^S X=X+18.38
;;INELIGIBLE^18.38^S X=X+18.38
;;INTERAGENCY^18.38^S X=X+18.38
;;INELIGIBLE REIMB. INS.^18.38^S X=X+18.38
;;NO FAULT INS.^18.38^S X=X+18.38
;;REIMBURSABLE INS.^18.38^S X=X+18.38
;;TORT FEASOR^18.38^S X=X+18.38
;;WORKERS' COMP.^18.38^S X=X+18.38
;;TRICARE^15.45^S X=X+15.45
;;TRICARE PHARMACY^15.45^S X=X+15.45
;;TRICARE REIMB. INS.^15.45^S X=X+15.45
;;Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIB20P666 2984 printed Apr 09, 2024@21:12:13 Page 2
IB20P666 ;ALB/CXW - UPDATE RX ADMINISTRATIVE FEE FOR CY 2020;11/12/2019
+1 ;;2.0;INTEGRATED BILLING;**666**;21-MAR-94;Build 5
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 QUIT
POST ;
+1 ; Update pharmacy administrative fee for CY 2020 in Rate Schedule file 363
+2 NEW IBA,U
SET U="^"
+3 DO MSG("IB*2.0*666 Post-Install starts.....")
+4 DO TRXAF
+5 DO MSG("IB*2.0*666 Post-Install is complete.")
+6 QUIT
+7 ;
TRXAF ; Rate Schedule
+1 NEW IBCT,IBI,IBT,IBX,IBRS,IBRSIN,IBRATY,IBEFFDT,IBADFE,IBDISP,IBADJUST
+2 DO MSG("")
+3 DO MSG(" >>>Effect. JAN 01, 2020 of RX Rate Schedule Adjustment for the Rate Type:")
DO MSG("")
+4 SET IBADFE=""
SET IBEFFDT="3200101"
SET IBCT=0
+5 FOR IBX=1:1
SET IBT=$PIECE($TEXT(RSF+IBX),";;",2)
if IBT="Q"
QUIT
Begin DoDot:1
+6 SET IBRATY=$PIECE(IBT,U)
+7 SET IBRSIN=$ORDER(^DGCR(399.3,"B",IBRATY,0))
+8 IF 'IBRSIN
DO MSG(" "_IBRATY_" not defined in the Rate Type file (#399.3), not added")
QUIT
+9 ; latest entry
+10 SET IBRSIN=$ORDER(^DGCR(399.3,"B",IBRATY,99999),-1)
+11 IF $PIECE($GET(^DGCR(399.3,+IBRSIN,0)),U,3)
DO MSG(" "_IBRATY_" inactivated in the Rate Type file (#399.3), not added")
QUIT
+12 IF $$RSEXIST(IBEFFDT,IBRSIN)
DO MSG(" "_IBRATY_" already exists")
QUIT
+13 SET IBDISP=$PIECE(IBT,U,2)
+14 SET IBADJUST=$PIECE(IBT,U,3)
+15 ; inactivate rx entry for cy 2019 and add new rx entry for cy 2020
+16 DO ENT^IB3PSOU(IBRATY,IBEFFDT,IBADFE,IBDISP,IBADJUST)
+17 ; double check
+18 IF '$$RSEXIST(IBEFFDT,IBRSIN)
DO MSG(" "_IBRATY_" not added")
QUIT
+19 SET IBCT=IBCT+1
DO MSG(" "_IBRATY_" added")
End DoDot:1
+20 DO MSG("")
+21 DO MSG(" Total "_IBCT_$SELECT(IBCT>1:" entries",1:" entry")_" added to the Rate Schedule file (#363)")
+22 DO MSG("")
+23 QUIT
+24 ;
RSEXIST(IBEFFDT,IBRSIN) ; return RS IFN if Rate Schedule exists for Effective Date
+1 NEW IBX,IBRSFN,IBRS0
SET IBX=0
+2 SET IBRSFN=0
FOR
SET IBRSFN=$ORDER(^IBE(363,IBRSFN))
if 'IBRSFN
QUIT
Begin DoDot:1
+3 SET IBRS0=$GET(^IBE(363,IBRSFN,0))
+4 IF $PIECE(IBRS0,U,2)=IBRSIN
IF $PIECE(IBRS0,U,5)=IBEFFDT
SET IBX=IBRSFN
End DoDot:1
IF IBX
QUIT
+5 QUIT IBX
+6 ;
MSG(IBA) ;
+1 DO MES^XPDUTL(IBA)
+2 QUIT
+3 ;
RSF ; 26 Rate types^dispensing fee^adjustment
+1 ;;CC MTF REIMB INS^18.38^S X=X+18.38
+2 ;;CC NO-FAULT AUTO^18.38^S X=X+18.38
+3 ;;CC REIMB INS^18.38^S X=X+18.38
+4 ;;CC TORT FEASOR^18.38^S X=X+18.38
+5 ;;CC WORKERS' COMP^18.38^S X=X+18.38
+6 ;;CCN NO-FAULT AUTO^18.38^S X=X+18.38
+7 ;;CCN REIMB INS^18.38^S X=X+18.38
+8 ;;CCN TORT FEASOR^18.38^S X=X+18.38
+9 ;;CCN WORKERS' COMP^18.38^S X=X+18.38
+10 ;;CHOICE NO-FAULT AUTO^18.38^S X=X+18.38
+11 ;;CHOICE REIMB INS^18.38^S X=X+18.38
+12 ;;CHOICE TORT FEASOR^18.38^S X=X+18.38
+13 ;;CHOICE WORKERS' COMP^18.38^S X=X+18.38
+14 ;;DENTAL REIMB. INS.^18.38^S X=X+18.38
+15 ;;HUMANITARIAN^18.38^S X=X+18.38
+16 ;;HUMANITARIAN REIMB. INS.^18.38^S X=X+18.38
+17 ;;INELIGIBLE^18.38^S X=X+18.38
+18 ;;INTERAGENCY^18.38^S X=X+18.38
+19 ;;INELIGIBLE REIMB. INS.^18.38^S X=X+18.38
+20 ;;NO FAULT INS.^18.38^S X=X+18.38
+21 ;;REIMBURSABLE INS.^18.38^S X=X+18.38
+22 ;;TORT FEASOR^18.38^S X=X+18.38
+23 ;;WORKERS' COMP.^18.38^S X=X+18.38
+24 ;;TRICARE^15.45^S X=X+15.45
+25 ;;TRICARE PHARMACY^15.45^S X=X+15.45
+26 ;;TRICARE REIMB. INS.^15.45^S X=X+15.45
+27 ;;Q
+28 ;
