Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: IB20P800

IB20P800.m

Go to the documentation of this file.
  1. IB20P800 ;MNTVBB/DMR - IB*2.0*800 COST BASED & INTER AGENCY RATE UPDATE ; 08/29/2024@13:38
  1. ;;2.0;INTEGRATED BILLING;**800**;21-MAR-94;Build 3
  1. ;;Per VA Directive 6402, this routine should not be modified.
  1. ;
  1. ;
  1. ; Add FY25 Cost Based/Interagency Charges to Charge Master 363.2
  1. Q
  1. POST ;
  1. ; Backup 363.2 Charge Item File
  1. N IB800FILES
  1. S IB800FILE=""
  1. S IB800FILES="363.2"
  1. S IBCNT=0
  1. F IBCNT=1:1:$L(IB800FILES,"^") D
  1. . S IB800FILE=$P(IB800FILES,"^",IBCNT)
  1. . D GLBBKUP
  1. . Q
  1. ; Begin Update
  1. N IBEFFDT,IBA,U S U="^"
  1. D MSG(" IB*2.0*800 Post-Install .....")
  1. S IBEFFDT=3241001 ; effective date of 10/01/2024
  1. D ADDCI(IBEFFDT) ; add Charge Items (363.2) with new rates
  1. D MSG(" IB*2.0*800 Post-Install Complete")
  1. Q
  1. ;
  1. ADDCI(IBEFFDT) ; pass in the effective date to add charge items with new charges
  1. N IBCNT,IBCNT1,IBDFLTDT,IBI,IBLN
  1. D MSG("")
  1. S (IBCNT,IBCNT1)=0,IBDFLTDT=+$G(IBEFFDT)
  1. I 'IBDFLTDT D MSG("** Error: No Effective Date, No Charges Added") G CIQ
  1. ;
  1. F IBI=1:1 S IBLN=$P($T(CIF+IBI),";;",2) Q:+IBLN!(IBLN="") I $E(IBLN)?1A D SETCI
  1. ;
  1. I +IBCNT1 D MSG(" >> "_IBCNT1_" Duplicate Charge Items already exist, not re-added")
  1. ;
  1. CIQ D MSG(" >> "_IBCNT_" Cost Based/Interagency Charge Items added to CHARGE ITEM file (#363.2)")
  1. D MSG("")
  1. Q
  1. ;
  1. SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)
  1. ;
  1. N IBCHG,IBCI,IBCS,IBDT,IBFN,IBPE,IBRVCD,IBX,IBXRF,IBZ,DA,DD,DO,DLAYGO,DIC,DIE,DR,X,Y
  1. S IBCS=$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
  1. S IBCI=+$$MCCRUTL($P(IBLN,U,1),5) I 'IBCI D MSG("** Error: Bed Section "_$P(IBLN,U,1)_" undefined") Q
  1. S IBDT=IBDFLTDT I +$P(IBLN,U,3) S IBDT=+$P(IBLN,U,3)
  1. S IBRVCD=$$RVCD($P(IBLN,U,4))
  1. S IBCHG=+$P(IBLN,U,5)
  1. S IBXRF="AIVDTS"_IBCS
  1. ;
  1. 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 $P(IBZ,U,6)=IBRVCD D
  1. . S IBCI=0,IBCNT1=IBCNT1+1 I +$P(IBZ,U,5)'=IBCHG D MSG("** Error: Item exists, wrong charge: "_IBLN)
  1. Q:'IBCI
  1. ;
  1. S DLAYGO=363.2,DIC="^IBA(363.2,",DIC(0)="L",X=IBCI_";DGCR(399.1," D FILE^DICN
  1. 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
  1. S IBFN=+Y,IBCNT=IBCNT+1
  1. ;
  1. S DR=".02///"_IBCS_";.03///"_IBDT_";.05///"_IBCHG I +IBRVCD S DR=DR_";.06///"_IBRVCD
  1. S DIE="^IBA(363.2,",DA=+IBFN D ^DIE
  1. Q
  1. ;
  1. ;
  1. MCCRUTL(IBC,IBPE) ; returns IEN in 399.1 if Name is found and piece P is true
  1. N IBX,IBY S IBY=""
  1. 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,+$G(IBPE)) S IBY=IBX
  1. Q IBY
  1. ;
  1. RVCD(RVCD) ; returns IFN if revenue code is valid and active
  1. N IBX,IBY S IBY=""
  1. I +$G(RVCD) S IBX=$G(^DGCR(399.2,+RVCD,0)) I +$P(IBX,U,3) S IBY=+RVCD
  1. Q IBY
  1. ;
  1. MSG(IBA) ;
  1. D MES^XPDUTL(IBA)
  1. Q
  1. GLBBKUP ; XTMP Backup of file(s)
  1. S IBBKUPNDE="IB*2*800-FY25 CBIAR Update (#363.2)"
  1. S ^XTMP("IB20P800",0)=$$FMADD^XLFDT(DT,120)_"^"_DT_"^"_IBBKUPNDE
  1. M ^XTMP("IB20P800",IB800FILE,$H)=^IBA(IB800FILE)
  1. Q
  1. ;
  1. CIF ; 68 Charge Items (363.2): Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge
  1. ;;
  1. TORT ;; Cost Based (Tortiously Liable) - All Inclusive
  1. ;;
  1. ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^4369
  1. ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^4337
  1. ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^6844
  1. ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^4908
  1. ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^6556
  1. ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^2931
  1. ;;POLYTRAUMA INPATIENT^TL-INPT (INCLUSIVE)^^^5858
  1. ;;PRRTP^TL-INPT (INCLUSIVE)^^^525
  1. ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^4797
  1. ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^5068
  1. ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^5672
  1. ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^11789
  1. ;;
  1. ;; Non-Professional: Nursing/Room/Board 101 & Ancillary 240
  1. ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^2941
  1. ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^1011
  1. ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^1833
  1. ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^2155
  1. ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^4241
  1. ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^1784
  1. ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^3947
  1. ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^720
  1. ;;NEUROLOGY^TL-INPT (NPF)^^101^3865
  1. ;;NEUROLOGY^TL-INPT (NPF)^^240^1731
  1. ;;NURSING HOME CARE^TL-INPT (NPF)^^101^2443
  1. ;;NURSING HOME CARE^TL-INPT (NPF)^^240^397
  1. ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^101^3403
  1. ;;POLYTRAUMA INPATIENT^TL-INPT (NPF)^^240^1790
  1. ;;PRRTP^TL-INPT (NPF)^^101^437
  1. ;;PRRTP^TL-INPT (NPF)^^240^55
  1. ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^3589
  1. ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^755
  1. ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^2944
  1. ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^1548
  1. ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^3541
  1. ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^1428
  1. ;;SURGICAL CARE^TL-INPT (NPF)^^101^6914
  1. ;;SURGICAL CARE^TL-INPT (NPF)^^240^3576
  1. ;;
  1. ;; Professional Physician
  1. ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^417
  1. ;;BLIND REHABILITATION^TL-INPT (PF)^^^349
  1. ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^819
  1. ;;INTERMEDIATE CARE^TL-INPT (PF)^^^241
  1. ;;NEUROLOGY^TL-INPT (PF)^^^960
  1. ;;NURSING HOME CARE^TL-INPT (PF)^^^91
  1. ;;POLYTRAUMA INPATIENT^TL-INPT (PF)^^^665
  1. ;;PRRTP^TL-INPT (PF)^^^33
  1. ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^453
  1. ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^576
  1. ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^703
  1. ;;SURGICAL CARE^TL-INPT (PF)^^^1299
  1. ;;
  1. ;; Outpatient Care Other
  1. ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^630
  1. ;;OUTPATIENT VISIT^TL-OPT VST^^^630
  1. ;;POLYTRAUMA OUTPATIENT VISIT^TL-OPT VST POLYTRAUMA^^^924
  1. ;;PM&RS OUTPATIENT VISIT^TL-OPT VST PM&RS^^^423
  1. ;;
  1. IA ;; Interagency
  1. ;;
  1. ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^4076
  1. ;;BLIND REHABILITATION^IA-INPT^^^4057
  1. ;;GENERAL MEDICAL CARE^IA-INPT^^^6434
  1. ;;INTERMEDIATE CARE^IA-INPT^^^4615
  1. ;;NEUROLOGY^IA-INPT^^^6157
  1. ;;NURSING HOME CARE^IA-INPT^^^2745
  1. ;;POLYTRAUMA INPATIENT^IA-INPT^^^5497
  1. ;;PRRTP^IA-INPT^^^494
  1. ;;PSYCHIATRIC CARE^IA-INPT^^^4483
  1. ;;REHABILITATION MEDICINE^IA-INPT^^^4747
  1. ;;SPINAL CORD INJURY CARE^IA-INPT^^^5309
  1. ;;SURGICAL CARE^IA-INPT^^^11092
  1. ;;
  1. ;; Outpatient Care Other
  1. ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^593
  1. ;;OUTPATIENT VISIT^IA-OPT VST^^^593
  1. ;;POLYTRAUMA OUTPATIENT VISIT^IA-OPT VST POLYTRAUMA^^^864
  1. ;;PM&RS OUTPATIENT VISIT^IA-OPT VST PM&RS^^^393
  1. ;;
  1. Q