IB20P738 ;MNTVBB/DMR - IB*2.0*738 COST BASED & INTER AGENCY RATE UPDATE ; 07/27/2022@13:38
;;2.0;INTEGRATED BILLING;**738**;21-MAR-94;Build 5
;;Per VA Directive 6402, this routine should not be modified.
;
;
; Add FY23 Cost Based/Interagency Charges to Charge Master 363.2
Q
POST ;
N IBEFFDT,IBA,U S U="^"
D MSG(" IB*2.0*738 Post-Install .....")
S IBEFFDT=3221001 ; effective date of 10/01/2022
D ADDCI(IBEFFDT) ; add Charge Items (363.2) with new rates
D MSG(" IB*2.0*738 Post-Install Complete")
Q
;
ADDCI(IBEFFDT) ; pass in the effective date to add charge items with new charges
N IBCNT,IBCNT1,IBDFLTDT,IBI,IBLN
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 $E(IBLN)?1A D SETCI
;
I +IBCNT1 D MSG(" >> "_IBCNT1_" Duplicate Charge Items already exist, not re-added")
;
CIQ D MSG(" >> "_IBCNT_" Cost Based/Interagency Charge Items added to CHARGE ITEM file (#363.2)")
D MSG("")
Q
;
SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
;
N IBCHG,IBCI,IBCS,IBDT,IBFN,IBPE,IBRVCD,IBX,IBXRF,IBZ,DA,DD,DO,DLAYGO,DIC,DIE,DR,X,Y
S IBCS=$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
;
S DLAYGO=363.2,DIC="^IBA(363.2,",DIC(0)="L",X=IBCI_";DGCR(399.1," D FILE^DICN
I Y<1 D MSG("** Error: when adding the charge item "_$P(IBLN,U,2)_" with rate "_IBCHG_" to the file, Log a ticket!") 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
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)^^^3631
;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^4249
;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^5724
;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^3906
;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^4969
;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^2314
;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^4765
;;PRRTP^TL-INPT (INCLUSIVE)^^^521
;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^3575
;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^4254
;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^4396
;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^9923
;;
;; Non-Professional: Nursing/Room/Board 101 & Ancillary 240
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^2445
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^840
;;BLIND REHABILITATION^TL-INPT (NPF)^^101^1796
;;BLIND REHABILITATION^TL-INPT (NPF)^^240^2111
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^3547
;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^1492
;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^3141
;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^573
;;NEUROLOGY^TL-INPT (NPF)^^101^2930
;;NEUROLOGY^TL-INPT (NPF)^^240^1312
;;NURSING HOME CARE^TL-INPT (NPF)^^101^1929
;;NURSING HOME CARE^TL-INPT (NPF)^^240^313
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^2768
;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^1456
;;PRRTP^TL-INPT (NPF)^^101^433
;;PRRTP^TL-INPT (NPF)^^240^55
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^2675
;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^563
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^2471
;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^1300
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^2745
;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^1106
;;SURGICAL CARE^TL-INPT (NPF)^^101^5819
;;SURGICAL CARE^TL-INPT (NPF)^^240^3010
;;
;; Professional Physician
;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^346
;;BLIND REHABILITATION^TL-INPT (PF)^^^342
;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^685
;;INTERMEDIATE CARE^TL-INPT (PF)^^^192
;;NEUROLOGY^TL-INPT (PF)^^^727
;;NURSING HOME CARE^TL-INPT (PF)^^^72
;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^541
;;PRRTP^TL-INPT (PF)^^^33
;;PSYCHIATRIC CARE^TL-INPT (PF)^^^337
;;REHABILITATION MEDICINE^TL-INPT (PF)^^^483
;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^545
;;SURGICAL CARE^TL-INPT (PF)^^^1094
;;
;; Outpatient Care Other
;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^453
;;OUTPATIENT VISIT^TL-OPT VST^^^453
;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^673
;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^366
;;
IA ;; Interagency
;;
;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^3565
;;BLIND REHABILITATION^IA-INPT^^^4171
;;GENERAL MEDICAL CARE^IA-INPT^^^5630
;;INTERMEDIATE CARE^IA-INPT^^^3841
;;NEUROLOGY^IA-INPT^^^4885
;;NURSING HOME CARE^IA-INPT^^^2273
;;POLYTRAUMA INPATIENT^IA-INPT^^^4673
;;PRRTP^IA-INPT^^^512
;;PSYCHIATRIC CARE^IA-INPT^^^3510
;;REHABILITATION MEDICINE^IA-INPT^^^4179
;;SPINAL CORD INJURY CARE^IA-INPT^^^4318
;;SURGICAL CARE^IA-INPT^^^9761
;;
;; Outpatient Care Other
;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^446
;;OUTPATIENT VISIT^IA-OPT VST^^^446
;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^663
;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^359
;;
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIB20P738 6114 printed Apr 09, 2024@21:06:04 Page 2
IB20P738 ;MNTVBB/DMR - IB*2.0*738 COST BASED & INTER AGENCY RATE UPDATE ; 07/27/2022@13:38
+1 ;;2.0;INTEGRATED BILLING;**738**;21-MAR-94;Build 5
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;
+5 ; Add FY23 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*738 Post-Install .....")
+3 ; effective date of 10/01/2022
SET IBEFFDT=3221001
+4 ; add Charge Items (363.2) with new rates
DO ADDCI(IBEFFDT)
+5 DO MSG(" IB*2.0*738 Post-Install Complete")
+6 QUIT
+7 ;
ADDCI(IBEFFDT) ; pass in the effective date to add charge items with new charges
+1 NEW IBCNT,IBCNT1,IBDFLTDT,IBI,IBLN
+2 DO MSG("")
+3 SET (IBCNT,IBCNT1)=0
SET IBDFLTDT=+$GET(IBEFFDT)
+4 IF 'IBDFLTDT
DO MSG("** Error: No Effective Date, No Charges Added")
GOTO CIQ
+5 ;
+6 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(CIF+IBI),";;",2)
if +IBLN!(IBLN="")
QUIT
IF $EXTRACT(IBLN)?1A
DO SETCI
+7 ;
+8 IF +IBCNT1
DO MSG(" >> "_IBCNT1_" Duplicate Charge Items already exist, not re-added")
+9 ;
CIQ DO MSG(" >> "_IBCNT_" Cost Based/Interagency Charge Items added to CHARGE ITEM file (#363.2)")
+1 DO MSG("")
+2 QUIT
+3 ;
SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
+1 ;
+2 NEW IBCHG,IBCI,IBCS,IBDT,IBFN,IBPE,IBRVCD,IBX,IBXRF,IBZ,DA,DD,DO,DLAYGO,DIC,DIE,DR,X,Y
+3 SET IBCS=$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
+4 SET IBCI=+$$MCCRUTL($PIECE(IBLN,U,1),5)
IF 'IBCI
DO MSG("** Error: Bed Section "_$PIECE(IBLN,U,1)_" undefined")
QUIT
+5 SET IBDT=IBDFLTDT
IF +$PIECE(IBLN,U,3)
SET IBDT=+$PIECE(IBLN,U,3)
+6 SET IBRVCD=$$RVCD($PIECE(IBLN,U,4))
+7 SET IBCHG=+$PIECE(IBLN,U,5)
+8 SET IBXRF="AIVDTS"_IBCS
+9 ;
+10 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 $PIECE(IBZ,U,6)=IBRVCD
Begin DoDot:1
+11 SET IBCI=0
SET IBCNT1=IBCNT1+1
IF +$PIECE(IBZ,U,5)'=IBCHG
DO MSG("** Error: Item exists, wrong charge: "_IBLN)
End DoDot:1
+12 if 'IBCI
QUIT
+13 ;
+14 SET DLAYGO=363.2
SET DIC="^IBA(363.2,"
SET DIC(0)="L"
SET X=IBCI_";DGCR(399.1,"
DO FILE^DICN
+15 IF Y<1
DO MSG("** Error: when adding the charge item "_$PIECE(IBLN,U,2)_" with rate "_IBCHG_" to the file, Log a ticket!")
QUIT
+16 SET IBFN=+Y
SET IBCNT=IBCNT+1
+17 ;
+18 SET DR=".02///"_IBCS_";.03///"_IBDT_";.05///"_IBCHG
IF +IBRVCD
SET DR=DR_";.06///"_IBRVCD
+19 SET DIE="^IBA(363.2,"
SET DA=+IBFN
DO ^DIE
+20 QUIT
+21 ;
+22 ;
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)^^^3631
+3 ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^4249
+4 ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^5724
+5 ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^3906
+6 ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^4969
+7 ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^2314
+8 ;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^4765
+9 ;;PRRTP^TL-INPT (INCLUSIVE)^^^521
+10 ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^3575
+11 ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^4254
+12 ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^4396
+13 ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^9923
+14 ;;
+15 ;; Non-Professional: Nursing/Room/Board 101 & Ancillary 240
+16 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^2445
+17 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^840
+18 ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^1796
+19 ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^2111
+20 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^3547
+21 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^1492
+22 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^3141
+23 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^573
+24 ;;NEUROLOGY^TL-INPT (NPF)^^101^2930
+25 ;;NEUROLOGY^TL-INPT (NPF)^^240^1312
+26 ;;NURSING HOME CARE^TL-INPT (NPF)^^101^1929
+27 ;;NURSING HOME CARE^TL-INPT (NPF)^^240^313
+28 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^2768
+29 ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^1456
+30 ;;PRRTP^TL-INPT (NPF)^^101^433
+31 ;;PRRTP^TL-INPT (NPF)^^240^55
+32 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^2675
+33 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^563
+34 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^2471
+35 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^1300
+36 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^2745
+37 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^1106
+38 ;;SURGICAL CARE^TL-INPT (NPF)^^101^5819
+39 ;;SURGICAL CARE^TL-INPT (NPF)^^240^3010
+40 ;;
+41 ;; Professional Physician
+42 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^346
+43 ;;BLIND REHABILITATION^TL-INPT (PF)^^^342
+44 ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^685
+45 ;;INTERMEDIATE CARE^TL-INPT (PF)^^^192
+46 ;;NEUROLOGY^TL-INPT (PF)^^^727
+47 ;;NURSING HOME CARE^TL-INPT (PF)^^^72
+48 ;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^541
+49 ;;PRRTP^TL-INPT (PF)^^^33
+50 ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^337
+51 ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^483
+52 ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^545
+53 ;;SURGICAL CARE^TL-INPT (PF)^^^1094
+54 ;;
+55 ;; Outpatient Care Other
+56 ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^453
+57 ;;OUTPATIENT VISIT^TL-OPT VST^^^453
+58 ;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^673
+59 ;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^366
+60 ;;
IA ;; Interagency
+1 ;;
+2 ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^3565
+3 ;;BLIND REHABILITATION^IA-INPT^^^4171
+4 ;;GENERAL MEDICAL CARE^IA-INPT^^^5630
+5 ;;INTERMEDIATE CARE^IA-INPT^^^3841
+6 ;;NEUROLOGY^IA-INPT^^^4885
+7 ;;NURSING HOME CARE^IA-INPT^^^2273
+8 ;;POLYTRAUMA INPATIENT^IA-INPT^^^4673
+9 ;;PRRTP^IA-INPT^^^512
+10 ;;PSYCHIATRIC CARE^IA-INPT^^^3510
+11 ;;REHABILITATION MEDICINE^IA-INPT^^^4179
+12 ;;SPINAL CORD INJURY CARE^IA-INPT^^^4318
+13 ;;SURGICAL CARE^IA-INPT^^^9761
+14 ;;
+15 ;; Outpatient Care Other
+16 ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^446
+17 ;;OUTPATIENT VISIT^IA-OPT VST^^^446
+18 ;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^663
+19 ;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^359
+20 ;;
+21 QUIT
