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Routine: IBAUTL2

IBAUTL2.m

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  1. IBAUTL2 ;ALB/CPM-MEANS TEST BILLING UTILITIES ;30-AUG-91
  1. ;;2.0;INTEGRATED BILLING;**52,153,167,187,183**;21-MAR-94
  1. ;;Per VHA Directive 10-93-142, this routine should not be modified.
  1. ;
  1. CHFIND ; Find open charge for a billable event
  1. ; Input: IBEVDA, IBX (C=copay/P=per diem)
  1. ; Output: IBCH*DA=0/ien of charge also IBCH* if IBCH*DA>0
  1. N J,X S J=0
  1. F S J=$O(^IB("ACT",IBEVDA,J)) Q:'J S X=$G(^IB(J,0)) I X]"",(($P(X,"^",8)["CO-PAY"&(IBX="C"))!($P(X,"^",8)["PER DIEM"&(IBX="P"))) Q:$P(X,"^",5)=1
  1. S:J IBCHTOTL=$P(X,"^",7),IBCHFR=$P(X,"^",14),IBCHTO=$P(X,"^",15)
  1. S @("IBCH"_IBX_"DA")=+J Q
  1. ;
  1. CHADD ; Add a new IB Action in #350
  1. D ADD^IBAUTL I Y<1 S IBY=Y G CHADDQ
  1. S $P(^IB(IBN,0),"^",2,16)=DFN_"^"_IBATYP_"^"_IBSL_"^1^1^"_IBCHG_"^"_IBDESC_"^"_IBN_"^^^^"_IBFAC_"^"_IBDT_"^"_IBDT_"^"_IBEVDA
  1. I $G(IBGMTR) S $P(^IB(IBN,0),"^",21)=1 ; GMT RELATED field #.21
  1. D NOW^%DTC S $P(^IB(IBN,1),"^")=DUZ,$P(^(1),"^",3,4)=DUZ_"^"_%
  1. S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA
  1. ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",DFN,IBN)=""
  1. CHADDQ Q
  1. ;
  1. CHUPD ; Update an IB Action charge
  1. ; Input: IBCHTOTL, IBCHFR, IBDT, IBX(P/C), IBN, IBCHG, DUZ, IBGMTR(opt)
  1. N TOT,UNIT S UNIT=1
  1. I IBX="P" S X1=IBDT,X2=IBCHFR D ^%DTC S UNIT=X+1,TOT=UNIT*IBCHG
  1. I IBX="C" S TOT=IBCHTOTL+IBCHG
  1. D NOW^%DTC S $P(^IB(IBN,0),"^",6,7)=UNIT_"^"_TOT,$P(^(0),"^",15)=IBDT,$P(^(1),"^",3,4)=DUZ_"^"_%
  1. I $G(IBGMTR) S $P(^IB(IBN,0),"^",21)=1 ; GMT RELATED field #.21
  1. S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA
  1. ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",+$G(DFN),IBN)=""
  1. Q
  1. ;
  1. SERV ; Find the service pointer for MAS.
  1. S IBSERV=$P($G(^IBE(350.9,1,1)),"^",14) I '$D(^DIC(49,+IBSERV,0)) S IBY="-1^IB003"
  1. Q
  1. ;
  1. TYPE ; Find the IB action type and rate for per diem and OPT co-payment charges.
  1. ; Input: IBDT, IBBS (if IBX=P), IBX (O=opt copay/P=per diem)
  1. ; IBTYPE (only if outpatient, specify Basic or Specialty)
  1. ; Output: IBATYP, IBCHG, IBDESC, IBRTED
  1. N J,IBOLDBS S IBCHG=0,IBDESC=""
  1. I IBX="O" D
  1. .S IBBS=$$ITPTR^IBCRU2(9,$S(IBTYPE=2:"SPECIALTY CARE",1:"BASIC CARE"))
  1. .S IBCS=$$CSN^IBCRU3("TL-MT OPT COPAY")
  1. .S IBOLDBS=$$MCCRUTL^IBCRU1("OUTPATIENT VISIT",5)
  1. .D COPAY
  1. ;
  1. I IBX="P" S IBATYP=+$P($G(^DGCR(399.1,IBBS,0)),"^",8) I IBATYP D COST X:$D(^IBE(350.1,IBATYP,20)) ^(20)
  1. I 'IBATYP S IBY="-1^IB008" G TYPEQ
  1. I 'IBCHG S IBY="-1^IB029"
  1. TYPEQ Q
  1. ;
  1. COST ; - find per diem charge. Input: IBATYP, IBDT Output: IBCHG
  1. N X S X=$O(^IBE(350.2,"AIVDT",IBATYP,-(IBDT+.1))),X=$O(^(+X,0)) I $D(^IBE(350.2,+X,0)) S X=$P(^(0),"^",4)
  1. S IBCHG=+X Q
  1. ;
  1. COPAY ; Find the Inpatient/NHCU daily copay rate and IB action type
  1. ; Input: IBBS, IBDT, IBCS (for the opt copay only)
  1. ; Output: IBATYP, IBCHG, IBDESC, IBRTED
  1. ;
  1. S (IBATYP,IBCHG)=0,IBDESC=""
  1. S IBATYP=$P($G(^DGCR(399.1,$S($D(IBOLDBS):IBOLDBS,1:IBBS),0)),"^",7) I 'IBATYP S IBY="-1^IB008" G COPAYQ
  1. I $D(^IBE(350.1,+IBATYP,20)) X ^(20)
  1. ;
  1. ; - charge set is not defined as input for inpatient rates
  1. I '$G(IBCS) S IBCS=$$CSN^IBCRU3("TL-INPT (INCLUSIVE)")
  1. S IBCHG=$$ITCHG^IBCRCI(IBCS,IBBS,IBDT)
  1. S IBRTED=$P(IBCHG,"^",2),IBCHG=+IBCHG
  1. ;
  1. I 'IBCHG S IBY="-1^IB030"
  1. COPAYQ K IBCS
  1. Q