IB20P786 ;ALB/DMR - RNB UPDATES FOR 2024 ;01/23/2024
;;2.0;INTEGRATED BILLING;**786**;21-MAR-94;Build 6
;;Per VA Directive 6402, this routine should not be modified.
;
; This routine is used as a post-init in a KIDS build to
; update the CLAIMS TRACKING NON-BILLABLE REASONS file (#356.8).
Q
POST ;
; Update RNB for 2024 in file #356.8
; Start of Install
N IBZ,U S U="^"
D BMSG(" IB*2.0*786 Post-Install starting .....")
D RNB
D BMSG(" IB*2.0*786 Post-Install is complete.")
Q
;
RNB ; RNB in fields #.01/piece 1, #.02/piece 2, #.03/piece 3, #.04/piece 4, #.05/piece 5
N IBA,IBB,IBC,IBCNT,IBCNTA,IBCNTR,IBCNTD,IBD,IBE,IBF,IBI,IBX,IBY,IBX3,DA,DLAYGO,DIC,DIE,DINUM,DR,X,Y
S IBCNTA=0
D BMSG(" >> Adding Reason Not Billable (RNB)")
F IBI=1:1 S IBX=$P($T(NRNB+IBI),";;",2) Q:IBX="Q" D
. S IBA=$P(IBX,U),IBB=$P(IBX,U,2),IBC=$P(IBX,U,3),IBD=$P(IBX,U,4)
. S IBY=" "_IBA_" "_IBB
. S IBE=IBB_U_IBC_U_IBD_U_IBA
. S IBF=+$O(^IBE(356.8,"B",IBB,0))
. I IBF D Q:'IBF
.. S IBX3=$G(^IBE(356.8,IBF,0)),DA=IBF,IBMS="updated"
.. I $P(IBX3,U,1,4)=IBE S IBF=0 D MSG(IBY_" not re-added") Q
. I 'IBF D Q:Y<1
.. F IBF=100:1 S IBX3=$G(^IBE(356.8,IBF,0)) I IBX3="" S DINUM=IBF Q
.. S DLAYGO=356.8,DIC="^IBE(356.8,",DIC(0)="L",X=IBB D FILE^DICN
.. I Y<1 D MSG(" >> ERROR when adding "_IBY_" to the #356.8 file, log a ticket!") Q
.. S DA=+Y,IBMS=""
. S DIE="^IBE(356.8,",DR=".02///"_IBC_";.03///"_IBD_";.04///"_IBA D ^DIE
. S IBCNTA=IBCNTA+1 D MSG(IBY_$S(IBMS'="":" "_IBMS,1:""))
;
D BMSG(" >> Inactivating Reason Not Billable (RNB)")
S IBCNTD=0
F IBI=1:1 S IBX=$P($T(IRNB+IBI),";;",2) Q:IBX="Q" D
. S IBA=$P(IBX,U),IBB=$P(IBX,U,2)
. S IBC=" "_IBA_" "_IBB
. S IBD=+$O(^IBE(356.8,"B",IBB,0))
. I 'IBD D MSG(IBC_" not found") Q
. S IBE=$G(^IBE(356.8,IBD,0)) Q:IBE=""
. I $P(IBE,U,5) D MSG(IBC_" not re-inactivated") Q
. S DA=IBD,DIE="^IBE(356.8,",DR=".05///1" D ^DIE
. S IBCNTD=IBCNTD+1 D MSG(IBC)
;
D BMSG(" >> Reactivating Reason Not Billable (RNB)")
S IBCNTR=0
F IBI=1:1 S IBX=$P($T(RARNB+IBI),";;",2) Q:IBX="Q" D
. S IBA=$P(IBX,U),IBB=$P(IBX,U,2)
. S IBC=" "_IBA_" "_IBB
. S IBD=+$O(^IBE(356.8,"B",IBB,0))
. I 'IBD D MSG(IBC_" not found") Q
. S IBE=$G(^IBE(356.8,IBD,0)) Q:IBE=""
. I '$P(IBE,U,5) D MSG(IBC_" not reactivated") Q
. S DA=IBD,DIE="^IBE(356.8,",DR=".05///@" D ^DIE
. S IBCNTR=IBCNTR+1 D MSG(IBC)
S IBCNT=IBCNTR+IBCNTA+IBCNTD
D MSG("Total "_IBCNT_" code"_$S(IBCNT'=1:"s",1:"")_" updated in CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file")
Q
;
BMSG(IBZ) ;
D BMES^XPDUTL(IBZ)
Q
;
MSG(IBZ) ;
D MES^XPDUTL(IBZ)
Q
;
NRNB ; RNB code^name^ecme flag^ecme paper flag (2)
;;RX28^MISSING NDC^0^0
;;B99^RX BILLED PAPER CLAIM^0^0
;;VA12^PACT ACT 103^1^0
;;B11^DOD PROVIDER TX DOD PT AT VA^0^0
;;Q
IRNB ; RNB code^name (2)
;;BL10^BILLING LIMITATIONS
;;CV30^NO COVERAGE
;;999^OTHER
;;Q
RARNB ; RNB code^name (15)
;;MC13^72 HOUR RULE
;;MC20^APPT CANCELLED/PT NOT SEEN
;;BL01^CHARGES SPLIT
;;CV12^CUSTODIAL/RESIDENTIAL CARE
;;MC10^DUPLICATE ENCOUNTER
;;MC08^GLOBAL SURGERY
;;CV03^HMO POLICY
;;RX08^INVALID MULTIPLES PER DAY SUPP
;;DC01^NO DOCUMENTATION
;;DC02^NO TX PROVIDED/ADVICE ONLY
;;MC22^NON-BILLABLE DME/PROSTHETIC
;;MC14^RESIDENT SUPERVISION NOT MET
;;RX15^RX DISCOUNT CARD
;;RX14^RX MEDICARE PART D
;;MC21^SEEN BY PROVIDER ON SAME DAY
;;BL08^COMBINED CHARGES
;;MC02^REFUSES TO SIGN RELEASE (ROI)
;;MC04^RESEARCH VISIT
;;Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIB20P786 3522 printed Oct 16, 2024@18:05:41 Page 2
IB20P786 ;ALB/DMR - RNB UPDATES FOR 2024 ;01/23/2024
+1 ;;2.0;INTEGRATED BILLING;**786**;21-MAR-94;Build 6
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; This routine is used as a post-init in a KIDS build to
+5 ; update the CLAIMS TRACKING NON-BILLABLE REASONS file (#356.8).
+6 QUIT
POST ;
+1 ; Update RNB for 2024 in file #356.8
+2 ; Start of Install
+3 NEW IBZ,U
SET U="^"
+4 DO BMSG(" IB*2.0*786 Post-Install starting .....")
+5 DO RNB
+6 DO BMSG(" IB*2.0*786 Post-Install is complete.")
+7 QUIT
+8 ;
RNB ; RNB in fields #.01/piece 1, #.02/piece 2, #.03/piece 3, #.04/piece 4, #.05/piece 5
+1 NEW IBA,IBB,IBC,IBCNT,IBCNTA,IBCNTR,IBCNTD,IBD,IBE,IBF,IBI,IBX,IBY,IBX3,DA,DLAYGO,DIC,DIE,DINUM,DR,X,Y
+2 SET IBCNTA=0
+3 DO BMSG(" >> Adding Reason Not Billable (RNB)")
+4 FOR IBI=1:1
SET IBX=$PIECE($TEXT(NRNB+IBI),";;",2)
if IBX="Q"
QUIT
Begin DoDot:1
+5 SET IBA=$PIECE(IBX,U)
SET IBB=$PIECE(IBX,U,2)
SET IBC=$PIECE(IBX,U,3)
SET IBD=$PIECE(IBX,U,4)
+6 SET IBY=" "_IBA_" "_IBB
+7 SET IBE=IBB_U_IBC_U_IBD_U_IBA
+8 SET IBF=+$ORDER(^IBE(356.8,"B",IBB,0))
+9 IF IBF
Begin DoDot:2
+10 SET IBX3=$GET(^IBE(356.8,IBF,0))
SET DA=IBF
SET IBMS="updated"
+11 IF $PIECE(IBX3,U,1,4)=IBE
SET IBF=0
DO MSG(IBY_" not re-added")
QUIT
End DoDot:2
if 'IBF
QUIT
+12 IF 'IBF
Begin DoDot:2
+13 FOR IBF=100:1
SET IBX3=$GET(^IBE(356.8,IBF,0))
IF IBX3=""
SET DINUM=IBF
QUIT
+14 SET DLAYGO=356.8
SET DIC="^IBE(356.8,"
SET DIC(0)="L"
SET X=IBB
DO FILE^DICN
+15 IF Y<1
DO MSG(" >> ERROR when adding "_IBY_" to the #356.8 file, log a ticket!")
QUIT
+16 SET DA=+Y
SET IBMS=""
End DoDot:2
if Y<1
QUIT
+17 SET DIE="^IBE(356.8,"
SET DR=".02///"_IBC_";.03///"_IBD_";.04///"_IBA
DO ^DIE
+18 SET IBCNTA=IBCNTA+1
DO MSG(IBY_$SELECT(IBMS'="":" "_IBMS,1:""))
End DoDot:1
+19 ;
+20 DO BMSG(" >> Inactivating Reason Not Billable (RNB)")
+21 SET IBCNTD=0
+22 FOR IBI=1:1
SET IBX=$PIECE($TEXT(IRNB+IBI),";;",2)
if IBX="Q"
QUIT
Begin DoDot:1
+23 SET IBA=$PIECE(IBX,U)
SET IBB=$PIECE(IBX,U,2)
+24 SET IBC=" "_IBA_" "_IBB
+25 SET IBD=+$ORDER(^IBE(356.8,"B",IBB,0))
+26 IF 'IBD
DO MSG(IBC_" not found")
QUIT
+27 SET IBE=$GET(^IBE(356.8,IBD,0))
if IBE=""
QUIT
+28 IF $PIECE(IBE,U,5)
DO MSG(IBC_" not re-inactivated")
QUIT
+29 SET DA=IBD
SET DIE="^IBE(356.8,"
SET DR=".05///1"
DO ^DIE
+30 SET IBCNTD=IBCNTD+1
DO MSG(IBC)
End DoDot:1
+31 ;
+32 DO BMSG(" >> Reactivating Reason Not Billable (RNB)")
+33 SET IBCNTR=0
+34 FOR IBI=1:1
SET IBX=$PIECE($TEXT(RARNB+IBI),";;",2)
if IBX="Q"
QUIT
Begin DoDot:1
+35 SET IBA=$PIECE(IBX,U)
SET IBB=$PIECE(IBX,U,2)
+36 SET IBC=" "_IBA_" "_IBB
+37 SET IBD=+$ORDER(^IBE(356.8,"B",IBB,0))
+38 IF 'IBD
DO MSG(IBC_" not found")
QUIT
+39 SET IBE=$GET(^IBE(356.8,IBD,0))
if IBE=""
QUIT
+40 IF '$PIECE(IBE,U,5)
DO MSG(IBC_" not reactivated")
QUIT
+41 SET DA=IBD
SET DIE="^IBE(356.8,"
SET DR=".05///@"
DO ^DIE
+42 SET IBCNTR=IBCNTR+1
DO MSG(IBC)
End DoDot:1
+43 SET IBCNT=IBCNTR+IBCNTA+IBCNTD
+44 DO MSG("Total "_IBCNT_" code"_$SELECT(IBCNT'=1:"s",1:"")_" updated in CLAIMS TRACKING NON-BILLABLE REASONS (#356.8) file")
+45 QUIT
+46 ;
BMSG(IBZ) ;
+1 DO BMES^XPDUTL(IBZ)
+2 QUIT
+3 ;
MSG(IBZ) ;
+1 DO MES^XPDUTL(IBZ)
+2 QUIT
+3 ;
NRNB ; RNB code^name^ecme flag^ecme paper flag (2)
+1 ;;RX28^MISSING NDC^0^0
+2 ;;B99^RX BILLED PAPER CLAIM^0^0
+3 ;;VA12^PACT ACT 103^1^0
+4 ;;B11^DOD PROVIDER TX DOD PT AT VA^0^0
+5 ;;Q
IRNB ; RNB code^name (2)
+1 ;;BL10^BILLING LIMITATIONS
+2 ;;CV30^NO COVERAGE
+3 ;;999^OTHER
+4 ;;Q
RARNB ; RNB code^name (15)
+1 ;;MC13^72 HOUR RULE
+2 ;;MC20^APPT CANCELLED/PT NOT SEEN
+3 ;;BL01^CHARGES SPLIT
+4 ;;CV12^CUSTODIAL/RESIDENTIAL CARE
+5 ;;MC10^DUPLICATE ENCOUNTER
+6 ;;MC08^GLOBAL SURGERY
+7 ;;CV03^HMO POLICY
+8 ;;RX08^INVALID MULTIPLES PER DAY SUPP
+9 ;;DC01^NO DOCUMENTATION
+10 ;;DC02^NO TX PROVIDED/ADVICE ONLY
+11 ;;MC22^NON-BILLABLE DME/PROSTHETIC
+12 ;;MC14^RESIDENT SUPERVISION NOT MET
+13 ;;RX15^RX DISCOUNT CARD
+14 ;;RX14^RX MEDICARE PART D
+15 ;;MC21^SEEN BY PROVIDER ON SAME DAY
+16 ;;BL08^COMBINED CHARGES
+17 ;;MC02^REFUSES TO SIGN RELEASE (ROI)
+18 ;;MC04^RESEARCH VISIT
+19 ;;Q
