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Routine: IBCBB5

IBCBB5.m

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  1. IBCBB5 ;ALB/BGA - CONT OF MEDICARE EDIT CHECKS ;08/12/98
  1. ;;2.0;INTEGRATED BILLING;**51,137,371,718**;21-MAR-94;Build 73
  1. ;;Per VHA Directive 2004-038, this routine should not be modified.
  1. ;
  1. D F^IBCEF("N-ADMISSION DATE","IBZADMIT",,IBIFN)
  1. D F^IBCEF("N-DISCHARGE DATE","IBZDISCH",,IBIFN)
  1. ;
  1. ; Occurrence Code and Dates
  1. ; occ codes can not be duplicates for same dates and must have a date
  1. K IBXSAVE,IBXDATA D F^IBCEF("N-OCCURRENCE CODES",,,IBIFN)
  1. ; Returns arrays IBXSAVE("OCC",n) AND IBXSAVE("OCCS",n) =
  1. ; code^start date^state^end date
  1. ; IBOCS=occ codes ;; IBOCSP=occ span codes
  1. ;
  1. S IBI=0 F S IBI=$O(IBXSAVE("OCCS",IBI)) Q:'IBI D
  1. . N IBOCSDT,IBOCSDT1,Z
  1. . S IBOCSDT=$P(IBXSAVE("OCCS",IBI),U,2),IBOCSDT1=$P(IBXSAVE("OCCS",IBI),U,3),IBOCCS=$P(IBXSAVE("OCCS",IBI),U)
  1. . S IBOCSP(IBOCCS,$O(IBOCSP(IBOCCS,""),-1)+1)=IBXSAVE("OCCS",IBI)
  1. . ; Occurrence Code End dates must be > start date and are required for OCCURANCE SPANS
  1. . I 'IBOCSDT1 S IBER=IBER_"IB155;" Q
  1. . I IBOCSDT1<IBOCSDT S IBER=IBER_"IB150;" Q
  1. ;
  1. S IBI=0 F S IBI=$O(IBXSAVE("OCC",IBI)) Q:'IBI D
  1. . N Z
  1. . S IBOCCD=$P(IBXSAVE("OCC",IBI),U)
  1. . S IBOCCD(IBOCCD,$O(IBOCCD(IBOCCD,""),-1)+1)=IBXSAVE("OCC",IBI)
  1. . I IBOCCD=10 S ^TMP($J,"LMD")=1
  1. Q:IBQUIT
  1. ;
  1. ; For type of admit = 1 or 2, at least one occ code 1-6, 10, or 11 req
  1. I $P(IBNDU,U,8)=1!($P(IBNDU,U,8)=2) D
  1. . N OK
  1. . S OK=0
  1. . F Z="01","02","03","04","05","06",10,11 I $D(IBOCCD(Z))!($D(IBOCCD(+Z))) S OK=1 Q
  1. . I 'OK S IBQUIT=$$IBER^IBCBB3(.IBER,133)
  1. K IBXDATA D F^IBCEF("N-VALUE CODES",,,IBIFN)
  1. S IBX=0
  1. N IBVCIEN,IBVCSCREEN,IBVCVALUE ;WCJ;IB718;SQA
  1. F S IBX=$O(IBXDATA(IBX)) Q:'IBX D Q:IBQUIT
  1. . I '$D(IBVALCD($P(IBXDATA(IBX),U))) S IBVALCD($P(IBXDATA(IBX),U))=$P(IBXDATA(IBX),U,2)
  1. . ; value code 01 must have a value>0
  1. . I $P(IBXDATA(IBX),U)="01",IBER'["134;",$P(IBXDATA(IBX),U,2)'>0 S IBQUIT=$$IBER^IBCBB3(.IBER,134) Q
  1. . ; value code 02 must have a value=0
  1. . I $P(IBXDATA(IBX),U)="02",IBER'["135;",+$P(IBXDATA(IBX),U,2)'=0 S IBQUIT=$$IBER^IBCBB3(.IBER,135) Q
  1. . ; code^amount^dollar amt flag (1=amt,0=quantity)
  1. . I $P(IBXDATA(IBX),U,2)="",IBER'["157;" S IBQUIT=$$IBER^IBCBB3(.IBER,157) Q
  1. . I '$$CHK^IBCVC($P(IBXDATA(IBX),U,4),$P(IBXDATA(IBX),U,2)),IBER'["158;" S IBQUIT=$$IBER^IBCBB3(.IBER,158) Q
  1. . ;
  1. . ;TPF;IB*2.0*718;EBILL-1570;11/03/2021
  1. . S IBVCIEN=$P(IBXDATA(IBX),U,4)
  1. . I IBVCIEN S IBVCSCREEN=$G(^DGCR(399.1,IBVCIEN,2))
  1. . I IBVCSCREEN'="" D
  1. .. S IBVCVALUE=$P(IBXDATA(IBX),U,2)
  1. .. K IBVCERR X IBVCSCREEN
  1. .. I $G(IBVCERR) Q
  1. . ;END;TPF;IB*2.0*718;EBILL-1570;11/03/2021
  1. ;
  1. Q:IBQUIT
  1. ; Must have acc hr if accident is indicated on inpatient bill
  1. I $$INPAT^IBCEF(IBIFN,1) D
  1. . I $D(IBOCCD("01"))!$D(IBOCCD("02"))!$D(IBOCCD("03"))!$D(IBOCCD("04"))!$D(IBOCCD("05")) D
  1. .. I '$D(IBVALCD(45)),'$P($G(^DGCR(399,IBIFN,"U")),U,10) S IBQUIT=$$IBER^IBCBB3(.IBER,156)
  1. Q:IBQUIT
  1. ;
  1. D ^IBCBB6
  1. Q