IBCD3 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - CREATE BILL ENTRY) ;9/5/93
;;2.0;INTEGRATED BILLING;**14,55,52,91,106,125,51,148,160,137,210,245,260,405,384,516,522,592**;21-MAR-94;Build 58
;;Per VA Directive 6402, this routine should not be modified.
;
;Called by IBCD2,IBACUS2
;
EN(IBQUERY) ;
N IBI,IBX,IBY,I,X,X1,X2,IBAC,IBCPY K IBDR,IBDR222 S IBAC=1
S X=$P($T(WHERE),";;",2),X2=$P($T(WHERE+1),";;",2) F I=0:0 S I=$O(IB(I)) Q:'I S X1=$P($E(X,$F(X,I)+1,999),";",1) S:X1="" X1=$P($E(X2,$F(X2,I)+1,999),";",1) I $D(IB(I))=1 S $P(IBDR($P(X1,"^",1)),"^",$P(X1,"^",2))=IB(I)
F I=0,"C","M","M1","S","U","U1","U2" I $D(IBDR(I)) S ^DGCR(399,IBIFN,I)=IBDR(I)
S $P(^DGCR(399,0),"^",3)=IBIFN,$P(^(0),"^",4)=$P(^(0),"^",4)+1
S DIK="^DGCR(399,",DA=IBIFN D IX1^DIK K DA,DIK ; set cross-references
;
; Set the attending/rendering provider into provider multiple
I $G(IB("PRV",.01))'="" D
. S DIC("DR")="",I=.01
. N IBV
. ; Only file if the provider has an NPI. otherwise it's not billable and would have to be removed from the claim later
. I $$GETNPI^IBCEF73A($G(IB("PRV",.02)))]"" F S I=$O(IB("PRV",I)) Q:'I D
.. I IB("PRV",I)="" Q
.. S IBV(I)=IB("PRV",I),DIC("DR")=DIC("DR")_$S(DIC("DR")="":"",1:";")_I_"////^S X=IBV("_I_")"
. S DIC="^DGCR(399,"_IBIFN_",""PRV"",",DIC(0)="L",DLAYGO=399,DA(1)=IBIFN,X=IB("PRV",.01)
. K DO,DD D FILE^DICN K DO,DD,DLAYGO,DA,DIC
;
; Set the occurrence span codes for leave/pass days
I $O(IB("OC",0)) D
. N I,I1
. S I1=0 F S I1=$O(IB("OC",I1)) Q:'I1 D
.. S I=0,DIC("DR")=""
.. F S I=$O(IB("OC",I1,I)) Q:'I S DIC("DR")=DIC("DR")_$S(DIC("DR")="":"",1:";")_I_"////"_IB("OC",I1,I)
.. S DIC="^DGCR(399,"_IBIFN_",""OC"",",DIC(0)="L",DLAYGO=399,DA(1)=IBIFN,DIC("P")=$$GETSPEC^IBEFUNC(399,41),X=IB("OC")
.. K DO,DD D FILE^DICN K DO,DD,DLAYGO,DA,DIC
;
; file rx refills, default CPT and Dx if defined
I $D(IB(362.4))>2 D G END
. N IBZ
. S IBRX=0 F S IBRX=$O(IB(362.4,IBRX)) Q:'IBRX S IBY="" F S IBY=$O(IB(362.4,IBRX,IBY)) Q:IBY="" D
.. S IBX=IB(362.4,IBRX,IBY) Q:IBX=""
.. S IBZ=$$ADD^IBCSC5A($P(IBX,U),IBIFN,$P(IBX,U,4),$P(IBX,U,2),+IBRX,$P(IBX,U,3)_U_$P(IBX,U,5)_U_$P(IBX,U,6),IBY)
;
;file outpatient visit dates and find/store outpatient procedures and dx
;NOTE: If IBQUERY is defined at this point, it will be used to perform
; the scan for outpatient procedures
I '$$INPAT^IBCEF(IBIFN) D G END
. I $D(IB(43))>2 D
.. S ^DGCR(399,IBIFN,"OP",0)="^399.043DA^" S IBX=0 F S IBX=$O(IB(43,IBX)) Q:'IBX D
... S DIC="^DGCR(399,"_IBIFN_",""OP"",",DIC(0)="L",DA(1)=IBIFN,(DINUM,X)=IBX,DLAYGO=399.043 K DD,DO D FILE^DICN K DIC,DA,DINUM,DO,DD,DLAYGO
. ;
. D VST^IBCCPT(.IBQUERY) I $D(^UTILITY($J,"CPT-CNT")) D
.. ;JWS;IB*2.0*592;new of IBUSED
.. N IBPRX,IBUSED
.. S DIC("P")=$$GETSPEC^IBEFUNC(399,304)
.. S IBY=0 F S IBY=$O(^UTILITY($J,"CPT-CNT",IBY)) Q:'IBY S IBX=^(IBY) I '$P(IBX,U,6) D
... ;JWS;IB*2.0*592; added New command for var needed for link to DSS DRM data
... N IBPOS,IBTON,IBSURF,IBTSTAT,IBTNUM,IBPSCDS,IBDENHD
... S IBPRX(+$P(IBX,U,8))=""
... S DIC="^DGCR(399,"_IBIFN_",""CP"",",DIC(0)="L",DA(1)=IBIFN,X=+IBX_";ICPT(",DLAYGO=399 K DD,DO D FILE^DICN K DO,DD,DLAYGO Q:Y'>0
... ;
... S IBCPY=+Y
... ;
... ; add dx to 362.3 for associations if they exist
... I $G(^UTILITY($J,"CPT-CNT",IBY,"DX")) D ADDDX^IBCCPT1(IBIFN,IBCPY,^("DX"),.IBDR) I $L($G(IBDR)) S IBDR=IBDR_";"
... ;
... ;JWS;IB*2.0*592;begin;added Dental data from files 228.1 and 228.2; default POS to 22 for Dental, Type of Service to 35 Dental Care
... I $$FT^IBCEF(IBIFN)=7 D
.... N IBDENH0,STOP,IBDENH,IBVST,TARGET0
.... S IBPOS=$O(^IBE(353.1,"B",22,0)),IBVST=$P($G(IBTRND),"^",3)
.... ;S IBTOS=$O(^IBE(353.2,"B",35,0)) ;4/25/18
.... ;IA# 2051, 6870, 6871
.... ;S IBDENH=$$FIND1^DIC(228.1,,"QX",IBVST,"AV")
.... D FIND^DIC(228.1,,"IX","QXP",IBVST,,"AV",,,"TARGET0")
.... I +$G(TARGET0("DILIST",0)) S IBDENH0=0 F S IBDENH0=$O(TARGET0("DILIST",IBDENH0)) Q:'IBDENH0 D I $G(STOP) Q
..... S IBDENH=$P($G(TARGET0("DILIST",IBDENH0,0)),"^")
..... I IBDENH D
...... N TARGET,TARGET1,IBDENHD0,IBPSCD0,IBPSC,IBPSCD,IBPSC2 S (IBDENHD0,STOP)=0
...... ;IA# 2051, 6870, 6871
...... D FIND^DIC(228.2,,"IX","QXP",IBDENH,,"AG",,,"TARGET")
...... I +$G(TARGET("DILIST",0)) F S IBDENHD0=$O(TARGET("DILIST",IBDENHD0)) Q:'IBDENHD0 D I STOP Q
....... S IBDENHD=$P(TARGET("DILIST",IBDENHD0,0),"^")
....... ;IA# 2056, 6870, 6871
....... S IBPSC=$$GET1^DIQ(228.2,IBDENHD_",",.04)
....... ;;S IBPROV=$$GET1^DIQ(228.2,IBDENHD_",",.03,"I") ;provider linked to dental trans
....... I IBPSC'=$$GET1^DIQ(81,$P(IBX,"^")_",",.01) Q
....... I $D(^DGCR(399,"ADT",IBDENHD)) Q
....... I $D(IBUSED("D",IBDENHD)) Q
....... S IBUSED("D",IBDENHD)=""
....... ;attempt to pull in the Not Otherwise Classified proc description from the Provider Narrative
....... ;IA# 2051
....... D FIND^DIC(9000010.18,,"IX","QXP",IBVST,,"AD",,,"TARGET1")
....... S IBPSCD0=0,IBPSCDS=""
....... ;IA# 2056
....... F S IBPSCD0=$O(TARGET1("DILIST",IBPSCD0)) Q:'IBPSCD0 S IBPSCD=$P(TARGET1("DILIST",IBPSCD0,0),"^") I $$GET1^DIQ(9000010.18,IBPSCD_",",.01)=IBPSC,'$D(IBUSED(IBPSCD)),$$CHECK^IBCCPT(IBPSCD,IBX) D Q
........ S IBUSED(IBPSCD)="",IBPSCDS=$$GET1^DIQ(9000010.18,IBPSCD_",",.04,"E") Q
....... S IBPSC2=$$GET1^DIQ(399.0304,IBCPY_","_IBIFN_",",.01,"I") I $$GET1^DIQ(81,$P(IBPSC2,";")_",",.01)'=IBPSC Q
....... S STOP=1
....... N IBPDT S IBPDT=$$GET1^DIQ(399,IBIFN_",",.03,"I")
....... I '$$NOCPROC^IBCU7("^"_IBPSC2,IBPSC,IBPDT) S IBPSCDS=""
....... ;IA# 2056, 6870, 6871
....... S IBTON=$$GET1^DIQ(228.2,IBDENHD_",",.15)
....... S IBSURF=$$GET1^DIQ(228.2,IBDENHD_",",.16)
....... S IBTSTAT=$$GET1^DIQ(228.2,IBDENHD_",",.09),IBTSTAT=$S(IBTSTAT="cndMissing":"M",1:"")
....... N I1 F I=1:1:5 S X=$E(IBSURF,I) Q:X="" I $F(",M,B,D,I,O,L,F,",","_X_",") S I1=$G(I1)+1,IBSURF(I1)=X
....... Q
...... I '$G(STOP) S IBDENHD=""
...... Q
..... Q
.... I $P(IBX,U,8) K DA,DR,DIC D
..... N IBDATA
..... ; Only file if the provider has an NPI. otherwise it's not billable and would have to be removed from the claim later
..... I $$GETNPI^IBCEF73A($P(IBX,U,8)_";VA(200,")="" Q
..... S DIC(0)="L",DIC="^DGCR(399,"_IBIFN_",""CP"","_IBCPY_",""LNPRV"",",DLAYGO=399.0404
..... S DA(2)=IBIFN,DA(1)=IBCPY,X=3,IBDATA=$P(IBX,U,8)_";VA(200,"
..... S DIC("DR")=".02////^S X=IBDATA"
..... D FILE^DICN K DIC,DO,DD,DA,DR
..... Q
.... Q
... ;JWS;IB*2.0*592;end
... S DR=$G(IBDR)_"1////"_$P(IBX,U,2)_$S(+$P(IBX,U,8):";18////"_+$P(IBX,U,8),1:"") K IBDR
... S DR=DR_$S(+$P(IBX,U,9):";6////"_+$P(IBX,U,9),1:"")_$S(+$P(IBX,U,5):";5////"_+$P(IBX,U,5),1:"")
... S DR=DR_$S(+$P(IBX,U,11):";20////"_+$P(IBX,U,11),1:"")
... ;JWS;IB*2.0*592;add place of service default and NOC Procedure Description
... S DR=DR_$S($G(IBPOS):";8////"_$G(IBPOS),1:"")
... ;S DR=DR_$S($G(IBTOS):";9////"_$G(IBTOS),1:"") ;4/25/18
... I $G(IBPSCDS)'="" S DR=DR_";51////"_IBPSCDS
... S DA(1)=IBIFN,DIE="^DGCR(399,"_IBIFN_",""CP"",",DA=+IBCPY D ^DIE K DIE,DIC,DA,DINUM,DO,DD,DR
... ;JWS;IB*2.0*592;start;Add tooth # and surfaces to procedure line
... ;JWS;IB*2.0*592;allow for tooth # without surface
... I $$FT^IBCEF(IBIFN)=7 D
.... I $G(IBTON)'="" K DA,DR,DIC D
..... S DIC(0)="L",DIC="^DGCR(399,"_IBIFN_",""CP"","_IBCPY_",""DEN1"",",DLAYGO=399.30491
..... S DA(2)=IBIFN,DA(1)=IBCPY
..... S DIC("DR")=".01////"_IBTON_$S($D(IBSURF(1)):";.02////"_$G(IBSURF(1)),1:"")
..... S X=IBTON
..... I $D(IBSURF(2)) S DIC("DR")=DIC("DR")_";.03////"_IBSURF(2)
..... I $D(IBSURF(3)) S DIC("DR")=DIC("DR")_";.04////"_IBSURF(3)
..... I $D(IBSURF(4)) S DIC("DR")=DIC("DR")_";.05////"_IBSURF(4)
..... I $D(IBSURF(5)) S DIC("DR")=DIC("DR")_";.06////"_IBSURF(5)
..... I $G(IBDENHD) S DIC("DR")=DIC("DR")_";.07////"_IBDENHD
..... D FILE^DICN K DIC,DO,DD,DA,DR
..... Q
.... I $G(IBTSTAT)'="",$G(IBTON) D
..... S DIC="^DGCR(399,"_IBIFN_",""DEN1"",",DIC(0)="L",DA(1)=IBIFN,X=IBTON,DLAYGO=399.096 K DD,DO D FILE^DICN K DO,DD,DLAYGO
..... S IBTNUM=+Y
..... S DR=".02////"_IBTSTAT
..... S DIE=DIC,DA=IBTNUM D ^DIE K DIE,DIC,DA,DINUM,DO,DD,DR
.... ;JWS;IB*2.0*592;end
... I $P(IBX,U,10) D ADDMOD^IBCCPT(IBIFN,IBCPY,$P(IBX,U,10)) ;Modifiers
.. I $O(IBPRX(""))=$O(IBPRX(""),-1),$O(IBPRX(0)) D
... ;If only 1 provider - make it the rendering
... S IB("PRV",.02)=+$O(IBPRX(0))_";VA(200,",IB("PRV",.01)=3
. K DGCNT,V,IBOPV1,IBOPV2,I,DGDIV,I1,DGNOD,DGCPTS,I7,I2,DGCPT,^UTILITY($J,"CPT-CNT")
. ;
. D OPTDX^IBCSC4D(DFN,IB(151),IB(152),.IBDX) I +IBDX D K IBDX
.. S IBY=0 F S IBY=$O(IBDX(IBY)) Q:IBY="" S IBX=IBDX(IBY) I '$P(IBX,U,5) D
... I '$D(^DGCR(399,"AOPV",DFN,(+$P(IBX,U,4)\1),IBIFN)) Q
... S DIC("DR")=".02////"_IBIFN,DIC="^IBA(362.3,",DIC(0)="L",X=+IBX,DLAYGO=362.3 K DD,DO D FILE^DICN
... K DIE,DIC,DA,DLAYGO,DO,DD
;
;store inpatient diagnosis and procedures, default admit dx to first dx found
I $$INPAT^IBCEF(IBIFN) D G END
. I $G(^TMP("IBDX",$J))=IB(.08) D K ^TMP("IBDX",$J)
.. N IBXDEF S IBXDEF=0
.. S (IBI,IBX)="" F S IBX=$O(^TMP("IBDX",$J,IBX)) Q:'IBX S IBY=0 F S IBY=$O(^TMP("IBDX",$J,IBX,IBY)) Q:'IBY D
... S IBZ=^TMP("IBDX",$J,IBX,IBY) Q:($$ICD9^IBACSV(+IBZ)="") S IBI=IBI+1
... S DIC("DR")=".02////"_IBIFN_";.03////"_IBI I $P(IBZ,U,3)'="" S DIC("DR")=DIC("DR")_";.04///"_$P(IBZ,U,3)
... S DIC="^IBA(362.3,",DIC(0)="L",X=+IBZ,DLAYGO=362.3 K DD,DO D FILE^DICN K DIE,DIC,DA,DLAYGO,DO,DD
... I Y>0,'IBXDEF S IBXDEF=1,DR="215////"_+IBZ,DIE="^DGCR(399,",DA=IBIFN D ^DIE
. ;
. D PTFPRDT^IBCSC4A(+IB(.08),IB(151),IB(152),9) I $D(^UTILITY($J,"IB")) D K ^UTILITY($J,"IB")
.. S ^DGCR(399,IBIFN,"CP",0)="^399.0304AVI^"
.. S IBX=0 F S IBX=$O(^UTILITY($J,"IB",IBX)) Q:'IBX S IBY=0 F S IBY=$O(^UTILITY($J,"IB",IBX,IBY)) Q:'IBY D
... S IBZ=^UTILITY($J,"IB",IBX,IBY) Q:($$ICD0^IBACSV(+IBZ)="") S IBI=$P(^UTILITY($J,"IB",IBX,1),U,2)
... S DIC="^DGCR(399,"_IBIFN_",""CP"",",DIC(0)="L",DA(1)=IBIFN,X=+IBZ_";ICD0(",DLAYGO=399.0304 K DD,DO D FILE^DICN
... I Y>0 S DIE=DIC,DA=+Y,DR="1////"_(IBI\1) D ^DIE K DIE,DIC,DA,DLAYGO,DO,DD
;
END S IBX="1^Billing Record #"_$P(^DGCR(399,+IBIFN,0),"^",1)_" established for "_$P($G(^DPT(IBDFN,0)),U,1)
;
S IBAUTO=1,DGPTUPDT="" I '$G(IBCHTRN) D PROC^IBCU7A(IBIFN) D ^IBCU6 ; auto calculate/store revenue codes
;
Q K %,%DT,IBDR,X1,X2,X3,X4,Y,DGDIRA,DGDIRB,DGDIR0,DIR,DGRVRCAL,DIC,DA,DR,DINUM,DGPTUPDT,DGXRF1,IBCHK,IBINDT,IBIDS,DLAYGO
Q
;
WHERE ;;.01^0^1;.02^0^2;.03^0^3;.04^0^4;.05^0^5;.06^0^6;.07^0^7;.08^0^8;.09^0^9;.11^0^11;.17^0^17;.16^0^16;.18^0^18;.19^0^19;.2^0^20;.22^0^22;.27^0^27;112^M^12;151^U^1;152^U^2;155^U^5;157^U^7;101^M^1;158^U^8;159^U^9;160^U^10;161^U^11;162^U^12;
;;217^U2^3;221^U2^7;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCD3 10768 printed Jan 18, 2025@03:10:28 Page 2
IBCD3 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - CREATE BILL ENTRY) ;9/5/93
+1 ;;2.0;INTEGRATED BILLING;**14,55,52,91,106,125,51,148,160,137,210,245,260,405,384,516,522,592**;21-MAR-94;Build 58
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;Called by IBCD2,IBACUS2
+5 ;
EN(IBQUERY) ;
+1 NEW IBI,IBX,IBY,I,X,X1,X2,IBAC,IBCPY
KILL IBDR,IBDR222
SET IBAC=1
+2 SET X=$PIECE($TEXT(WHERE),";;",2)
SET X2=$PIECE($TEXT(WHERE+1),";;",2)
FOR I=0:0
SET I=$ORDER(IB(I))
if 'I
QUIT
SET X1=$PIECE($EXTRACT(X,$FIND(X,I)+1,999),";",1)
if X1=""
SET X1=$PIECE($EXTRACT(X2,$FIND(X2,I)+1,999),";",1)
IF $DATA(IB(I))=1
SET $PIECE(IBDR($PIECE(X1,"^",1)),"^",$PIECE(X1,"^",2))=IB(I)
+3 FOR I=0,"C","M","M1","S","U","U1","U2"
IF $DATA(IBDR(I))
SET ^DGCR(399,IBIFN,I)=IBDR(I)
+4 SET $PIECE(^DGCR(399,0),"^",3)=IBIFN
SET $PIECE(^(0),"^",4)=$PIECE(^(0),"^",4)+1
+5 ; set cross-references
SET DIK="^DGCR(399,"
SET DA=IBIFN
DO IX1^DIK
KILL DA,DIK
+6 ;
+7 ; Set the attending/rendering provider into provider multiple
+8 IF $GET(IB("PRV",.01))'=""
Begin DoDot:1
+9 SET DIC("DR")=""
SET I=.01
+10 NEW IBV
+11 ; Only file if the provider has an NPI. otherwise it's not billable and would have to be removed from the claim later
+12 IF $$GETNPI^IBCEF73A($GET(IB("PRV",.02)))]""
FOR
SET I=$ORDER(IB("PRV",I))
if 'I
QUIT
Begin DoDot:2
+13 IF IB("PRV",I)=""
QUIT
+14 SET IBV(I)=IB("PRV",I)
SET DIC("DR")=DIC("DR")_$SELECT(DIC("DR")="":"",1:";")_I_"////^S X=IBV("_I_")"
End DoDot:2
+15 SET DIC="^DGCR(399,"_IBIFN_",""PRV"","
SET DIC(0)="L"
SET DLAYGO=399
SET DA(1)=IBIFN
SET X=IB("PRV",.01)
+16 KILL DO,DD
DO FILE^DICN
KILL DO,DD,DLAYGO,DA,DIC
End DoDot:1
+17 ;
+18 ; Set the occurrence span codes for leave/pass days
+19 IF $ORDER(IB("OC",0))
Begin DoDot:1
+20 NEW I,I1
+21 SET I1=0
FOR
SET I1=$ORDER(IB("OC",I1))
if 'I1
QUIT
Begin DoDot:2
+22 SET I=0
SET DIC("DR")=""
+23 FOR
SET I=$ORDER(IB("OC",I1,I))
if 'I
QUIT
SET DIC("DR")=DIC("DR")_$SELECT(DIC("DR")="":"",1:";")_I_"////"_IB("OC",I1,I)
+24 SET DIC="^DGCR(399,"_IBIFN_",""OC"","
SET DIC(0)="L"
SET DLAYGO=399
SET DA(1)=IBIFN
SET DIC("P")=$$GETSPEC^IBEFUNC(399,41)
SET X=IB("OC")
+25 KILL DO,DD
DO FILE^DICN
KILL DO,DD,DLAYGO,DA,DIC
End DoDot:2
End DoDot:1
+26 ;
+27 ; file rx refills, default CPT and Dx if defined
+28 IF $DATA(IB(362.4))>2
Begin DoDot:1
+29 NEW IBZ
+30 SET IBRX=0
FOR
SET IBRX=$ORDER(IB(362.4,IBRX))
if 'IBRX
QUIT
SET IBY=""
FOR
SET IBY=$ORDER(IB(362.4,IBRX,IBY))
if IBY=""
QUIT
Begin DoDot:2
+31 SET IBX=IB(362.4,IBRX,IBY)
if IBX=""
QUIT
+32 SET IBZ=$$ADD^IBCSC5A($PIECE(IBX,U),IBIFN,$PIECE(IBX,U,4),$PIECE(IBX,U,2),+IBRX,$PIECE(IBX,U,3)_U_$PIECE(IBX,U,5)_U_$PIECE(IBX,U,6),IBY)
End DoDot:2
End DoDot:1
GOTO END
+33 ;
+34 ;file outpatient visit dates and find/store outpatient procedures and dx
+35 ;NOTE: If IBQUERY is defined at this point, it will be used to perform
+36 ; the scan for outpatient procedures
+37 IF '$$INPAT^IBCEF(IBIFN)
Begin DoDot:1
+38 IF $DATA(IB(43))>2
Begin DoDot:2
+39 SET ^DGCR(399,IBIFN,"OP",0)="^399.043DA^"
SET IBX=0
FOR
SET IBX=$ORDER(IB(43,IBX))
if 'IBX
QUIT
Begin DoDot:3
+40 SET DIC="^DGCR(399,"_IBIFN_",""OP"","
SET DIC(0)="L"
SET DA(1)=IBIFN
SET (DINUM,X)=IBX
SET DLAYGO=399.043
KILL DD,DO
DO FILE^DICN
KILL DIC,DA,DINUM,DO,DD,DLAYGO
End DoDot:3
End DoDot:2
+41 ;
+42 DO VST^IBCCPT(.IBQUERY)
IF $DATA(^UTILITY($JOB,"CPT-CNT"))
Begin DoDot:2
+43 ;JWS;IB*2.0*592;new of IBUSED
+44 NEW IBPRX,IBUSED
+45 SET DIC("P")=$$GETSPEC^IBEFUNC(399,304)
+46 SET IBY=0
FOR
SET IBY=$ORDER(^UTILITY($JOB,"CPT-CNT",IBY))
if 'IBY
QUIT
SET IBX=^(IBY)
IF '$PIECE(IBX,U,6)
Begin DoDot:3
+47 ;JWS;IB*2.0*592; added New command for var needed for link to DSS DRM data
+48 NEW IBPOS,IBTON,IBSURF,IBTSTAT,IBTNUM,IBPSCDS,IBDENHD
+49 SET IBPRX(+$PIECE(IBX,U,8))=""
+50 SET DIC="^DGCR(399,"_IBIFN_",""CP"","
SET DIC(0)="L"
SET DA(1)=IBIFN
SET X=+IBX_";ICPT("
SET DLAYGO=399
KILL DD,DO
DO FILE^DICN
KILL DO,DD,DLAYGO
if Y'>0
QUIT
+51 ;
+52 SET IBCPY=+Y
+53 ;
+54 ; add dx to 362.3 for associations if they exist
+55 IF $GET(^UTILITY($JOB,"CPT-CNT",IBY,"DX"))
DO ADDDX^IBCCPT1(IBIFN,IBCPY,^("DX"),.IBDR)
IF $LENGTH($GET(IBDR))
SET IBDR=IBDR_";"
+56 ;
+57 ;JWS;IB*2.0*592;begin;added Dental data from files 228.1 and 228.2; default POS to 22 for Dental, Type of Service to 35 Dental Care
+58 IF $$FT^IBCEF(IBIFN)=7
Begin DoDot:4
+59 NEW IBDENH0,STOP,IBDENH,IBVST,TARGET0
+60 SET IBPOS=$ORDER(^IBE(353.1,"B",22,0))
SET IBVST=$PIECE($GET(IBTRND),"^",3)
+61 ;S IBTOS=$O(^IBE(353.2,"B",35,0)) ;4/25/18
+62 ;IA# 2051, 6870, 6871
+63 ;S IBDENH=$$FIND1^DIC(228.1,,"QX",IBVST,"AV")
+64 DO FIND^DIC(228.1,,"IX","QXP",IBVST,,"AV",,,"TARGET0")
+65 IF +$GET(TARGET0("DILIST",0))
SET IBDENH0=0
FOR
SET IBDENH0=$ORDER(TARGET0("DILIST",IBDENH0))
if 'IBDENH0
QUIT
Begin DoDot:5
+66 SET IBDENH=$PIECE($GET(TARGET0("DILIST",IBDENH0,0)),"^")
+67 IF IBDENH
Begin DoDot:6
+68 NEW TARGET,TARGET1,IBDENHD0,IBPSCD0,IBPSC,IBPSCD,IBPSC2
SET (IBDENHD0,STOP)=0
+69 ;IA# 2051, 6870, 6871
+70 DO FIND^DIC(228.2,,"IX","QXP",IBDENH,,"AG",,,"TARGET")
+71 IF +$GET(TARGET("DILIST",0))
FOR
SET IBDENHD0=$ORDER(TARGET("DILIST",IBDENHD0))
if 'IBDENHD0
QUIT
Begin DoDot:7
+72 SET IBDENHD=$PIECE(TARGET("DILIST",IBDENHD0,0),"^")
+73 ;IA# 2056, 6870, 6871
+74 SET IBPSC=$$GET1^DIQ(228.2,IBDENHD_",",.04)
+75 ;;S IBPROV=$$GET1^DIQ(228.2,IBDENHD_",",.03,"I") ;provider linked to dental trans
+76 IF IBPSC'=$$GET1^DIQ(81,$PIECE(IBX,"^")_",",.01)
QUIT
+77 IF $DATA(^DGCR(399,"ADT",IBDENHD))
QUIT
+78 IF $DATA(IBUSED("D",IBDENHD))
QUIT
+79 SET IBUSED("D",IBDENHD)=""
+80 ;attempt to pull in the Not Otherwise Classified proc description from the Provider Narrative
+81 ;IA# 2051
+82 DO FIND^DIC(9000010.18,,"IX","QXP",IBVST,,"AD",,,"TARGET1")
+83 SET IBPSCD0=0
SET IBPSCDS=""
+84 ;IA# 2056
+85 FOR
SET IBPSCD0=$ORDER(TARGET1("DILIST",IBPSCD0))
if 'IBPSCD0
QUIT
SET IBPSCD=$PIECE(TARGET1("DILIST",IBPSCD0,0),"^")
IF $$GET1^DIQ(9000010.18,IBPSCD_",",.01)=IBPSC
IF '$DATA(IBUSED(IBPSCD))
IF $$CHECK^IBCCPT(IBPSCD,IBX)
Begin DoDot:8
+86 SET IBUSED(IBPSCD)=""
SET IBPSCDS=$$GET1^DIQ(9000010.18,IBPSCD_",",.04,"E")
QUIT
End DoDot:8
QUIT
+87 SET IBPSC2=$$GET1^DIQ(399.0304,IBCPY_","_IBIFN_",",.01,"I")
IF $$GET1^DIQ(81,$PIECE(IBPSC2,";")_",",.01)'=IBPSC
QUIT
+88 SET STOP=1
+89 NEW IBPDT
SET IBPDT=$$GET1^DIQ(399,IBIFN_",",.03,"I")
+90 IF '$$NOCPROC^IBCU7("^"_IBPSC2,IBPSC,IBPDT)
SET IBPSCDS=""
+91 ;IA# 2056, 6870, 6871
+92 SET IBTON=$$GET1^DIQ(228.2,IBDENHD_",",.15)
+93 SET IBSURF=$$GET1^DIQ(228.2,IBDENHD_",",.16)
+94 SET IBTSTAT=$$GET1^DIQ(228.2,IBDENHD_",",.09)
SET IBTSTAT=$SELECT(IBTSTAT="cndMissing":"M",1:"")
+95 NEW I1
FOR I=1:1:5
SET X=$EXTRACT(IBSURF,I)
if X=""
QUIT
IF $FIND(",M,B,D,I,O,L,F,",","_X_",")
SET I1=$GET(I1)+1
SET IBSURF(I1)=X
+96 QUIT
End DoDot:7
IF STOP
QUIT
+97 IF '$GET(STOP)
SET IBDENHD=""
+98 QUIT
End DoDot:6
+99 QUIT
End DoDot:5
IF $GET(STOP)
QUIT
+100 IF $PIECE(IBX,U,8)
KILL DA,DR,DIC
Begin DoDot:5
+101 NEW IBDATA
+102 ; Only file if the provider has an NPI. otherwise it's not billable and would have to be removed from the claim later
+103 IF $$GETNPI^IBCEF73A($PIECE(IBX,U,8)_";VA(200,")=""
QUIT
+104 SET DIC(0)="L"
SET DIC="^DGCR(399,"_IBIFN_",""CP"","_IBCPY_",""LNPRV"","
SET DLAYGO=399.0404
+105 SET DA(2)=IBIFN
SET DA(1)=IBCPY
SET X=3
SET IBDATA=$PIECE(IBX,U,8)_";VA(200,"
+106 SET DIC("DR")=".02////^S X=IBDATA"
+107 DO FILE^DICN
KILL DIC,DO,DD,DA,DR
+108 QUIT
End DoDot:5
+109 QUIT
End DoDot:4
+110 ;JWS;IB*2.0*592;end
+111 SET DR=$GET(IBDR)_"1////"_$PIECE(IBX,U,2)_$SELECT(+$PIECE(IBX,U,8):";18////"_+$PIECE(IBX,U,8),1:"")
KILL IBDR
+112 SET DR=DR_$SELECT(+$PIECE(IBX,U,9):";6////"_+$PIECE(IBX,U,9),1:"")_$SELECT(+$PIECE(IBX,U,5):";5////"_+$PIECE(IBX,U,5),1:"")
+113 SET DR=DR_$SELECT(+$PIECE(IBX,U,11):";20////"_+$PIECE(IBX,U,11),1:"")
+114 ;JWS;IB*2.0*592;add place of service default and NOC Procedure Description
+115 SET DR=DR_$SELECT($GET(IBPOS):";8////"_$GET(IBPOS),1:"")
+116 ;S DR=DR_$S($G(IBTOS):";9////"_$G(IBTOS),1:"") ;4/25/18
+117 IF $GET(IBPSCDS)'=""
SET DR=DR_";51////"_IBPSCDS
+118 SET DA(1)=IBIFN
SET DIE="^DGCR(399,"_IBIFN_",""CP"","
SET DA=+IBCPY
DO ^DIE
KILL DIE,DIC,DA,DINUM,DO,DD,DR
+119 ;JWS;IB*2.0*592;start;Add tooth # and surfaces to procedure line
+120 ;JWS;IB*2.0*592;allow for tooth # without surface
+121 IF $$FT^IBCEF(IBIFN)=7
Begin DoDot:4
+122 IF $GET(IBTON)'=""
KILL DA,DR,DIC
Begin DoDot:5
+123 SET DIC(0)="L"
SET DIC="^DGCR(399,"_IBIFN_",""CP"","_IBCPY_",""DEN1"","
SET DLAYGO=399.30491
+124 SET DA(2)=IBIFN
SET DA(1)=IBCPY
+125 SET DIC("DR")=".01////"_IBTON_$SELECT($DATA(IBSURF(1)):";.02////"_$GET(IBSURF(1)),1:"")
+126 SET X=IBTON
+127 IF $DATA(IBSURF(2))
SET DIC("DR")=DIC("DR")_";.03////"_IBSURF(2)
+128 IF $DATA(IBSURF(3))
SET DIC("DR")=DIC("DR")_";.04////"_IBSURF(3)
+129 IF $DATA(IBSURF(4))
SET DIC("DR")=DIC("DR")_";.05////"_IBSURF(4)
+130 IF $DATA(IBSURF(5))
SET DIC("DR")=DIC("DR")_";.06////"_IBSURF(5)
+131 IF $GET(IBDENHD)
SET DIC("DR")=DIC("DR")_";.07////"_IBDENHD
+132 DO FILE^DICN
KILL DIC,DO,DD,DA,DR
+133 QUIT
End DoDot:5
+134 IF $GET(IBTSTAT)'=""
IF $GET(IBTON)
Begin DoDot:5
+135 SET DIC="^DGCR(399,"_IBIFN_",""DEN1"","
SET DIC(0)="L"
SET DA(1)=IBIFN
SET X=IBTON
SET DLAYGO=399.096
KILL DD,DO
DO FILE^DICN
KILL DO,DD,DLAYGO
+136 SET IBTNUM=+Y
+137 SET DR=".02////"_IBTSTAT
+138 SET DIE=DIC
SET DA=IBTNUM
DO ^DIE
KILL DIE,DIC,DA,DINUM,DO,DD,DR
End DoDot:5
+139 ;JWS;IB*2.0*592;end
End DoDot:4
+140 ;Modifiers
IF $PIECE(IBX,U,10)
DO ADDMOD^IBCCPT(IBIFN,IBCPY,$PIECE(IBX,U,10))
End DoDot:3
+141 IF $ORDER(IBPRX(""))=$ORDER(IBPRX(""),-1)
IF $ORDER(IBPRX(0))
Begin DoDot:3
+142 ;If only 1 provider - make it the rendering
+143 SET IB("PRV",.02)=+$ORDER(IBPRX(0))_";VA(200,"
SET IB("PRV",.01)=3
End DoDot:3
End DoDot:2
+144 KILL DGCNT,V,IBOPV1,IBOPV2,I,DGDIV,I1,DGNOD,DGCPTS,I7,I2,DGCPT,^UTILITY($JOB,"CPT-CNT")
+145 ;
+146 DO OPTDX^IBCSC4D(DFN,IB(151),IB(152),.IBDX)
IF +IBDX
Begin DoDot:2
+147 SET IBY=0
FOR
SET IBY=$ORDER(IBDX(IBY))
if IBY=""
QUIT
SET IBX=IBDX(IBY)
IF '$PIECE(IBX,U,5)
Begin DoDot:3
+148 IF '$DATA(^DGCR(399,"AOPV",DFN,(+$PIECE(IBX,U,4)\1),IBIFN))
QUIT
+149 SET DIC("DR")=".02////"_IBIFN
SET DIC="^IBA(362.3,"
SET DIC(0)="L"
SET X=+IBX
SET DLAYGO=362.3
KILL DD,DO
DO FILE^DICN
+150 KILL DIE,DIC,DA,DLAYGO,DO,DD
End DoDot:3
End DoDot:2
KILL IBDX
End DoDot:1
GOTO END
+151 ;
+152 ;store inpatient diagnosis and procedures, default admit dx to first dx found
+153 IF $$INPAT^IBCEF(IBIFN)
Begin DoDot:1
+154 IF $GET(^TMP("IBDX",$JOB))=IB(.08)
Begin DoDot:2
+155 NEW IBXDEF
SET IBXDEF=0
+156 SET (IBI,IBX)=""
FOR
SET IBX=$ORDER(^TMP("IBDX",$JOB,IBX))
if 'IBX
QUIT
SET IBY=0
FOR
SET IBY=$ORDER(^TMP("IBDX",$JOB,IBX,IBY))
if 'IBY
QUIT
Begin DoDot:3
+157 SET IBZ=^TMP("IBDX",$JOB,IBX,IBY)
if ($$ICD9^IBACSV(+IBZ)="")
QUIT
SET IBI=IBI+1
+158 SET DIC("DR")=".02////"_IBIFN_";.03////"_IBI
IF $PIECE(IBZ,U,3)'=""
SET DIC("DR")=DIC("DR")_";.04///"_$PIECE(IBZ,U,3)
+159 SET DIC="^IBA(362.3,"
SET DIC(0)="L"
SET X=+IBZ
SET DLAYGO=362.3
KILL DD,DO
DO FILE^DICN
KILL DIE,DIC,DA,DLAYGO,DO,DD
+160 IF Y>0
IF 'IBXDEF
SET IBXDEF=1
SET DR="215////"_+IBZ
SET DIE="^DGCR(399,"
SET DA=IBIFN
DO ^DIE
End DoDot:3
End DoDot:2
KILL ^TMP("IBDX",$JOB)
+161 ;
+162 DO PTFPRDT^IBCSC4A(+IB(.08),IB(151),IB(152),9)
IF $DATA(^UTILITY($JOB,"IB"))
Begin DoDot:2
+163 SET ^DGCR(399,IBIFN,"CP",0)="^399.0304AVI^"
+164 SET IBX=0
FOR
SET IBX=$ORDER(^UTILITY($JOB,"IB",IBX))
if 'IBX
QUIT
SET IBY=0
FOR
SET IBY=$ORDER(^UTILITY($JOB,"IB",IBX,IBY))
if 'IBY
QUIT
Begin DoDot:3
+165 SET IBZ=^UTILITY($JOB,"IB",IBX,IBY)
if ($$ICD0^IBACSV(+IBZ)="")
QUIT
SET IBI=$PIECE(^UTILITY($JOB,"IB",IBX,1),U,2)
+166 SET DIC="^DGCR(399,"_IBIFN_",""CP"","
SET DIC(0)="L"
SET DA(1)=IBIFN
SET X=+IBZ_";ICD0("
SET DLAYGO=399.0304
KILL DD,DO
DO FILE^DICN
+167 IF Y>0
SET DIE=DIC
SET DA=+Y
SET DR="1////"_(IBI\1)
DO ^DIE
KILL DIE,DIC,DA,DLAYGO,DO,DD
End DoDot:3
End DoDot:2
KILL ^UTILITY($JOB,"IB")
End DoDot:1
GOTO END
+168 ;
END SET IBX="1^Billing Record #"_$PIECE(^DGCR(399,+IBIFN,0),"^",1)_" established for "_$PIECE($GET(^DPT(IBDFN,0)),U,1)
+1 ;
+2 ; auto calculate/store revenue codes
SET IBAUTO=1
SET DGPTUPDT=""
IF '$GET(IBCHTRN)
DO PROC^IBCU7A(IBIFN)
DO ^IBCU6
+3 ;
Q KILL %,%DT,IBDR,X1,X2,X3,X4,Y,DGDIRA,DGDIRB,DGDIR0,DIR,DGRVRCAL,DIC,DA,DR,DINUM,DGPTUPDT,DGXRF1,IBCHK,IBINDT,IBIDS,DLAYGO
+1 QUIT
+2 ;
WHERE ;;.01^0^1;.02^0^2;.03^0^3;.04^0^4;.05^0^5;.06^0^6;.07^0^7;.08^0^8;.09^0^9;.11^0^11;.17^0^17;.16^0^16;.18^0^18;.19^0^19;.2^0^20;.22^0^22;.27^0^27;112^M^12;151^U^1;152^U^2;155^U^5;157^U^7;101^M^1;158^U^8;159^U^9;160^U^10;161^U^11;162^U^12;
+1 ;;217^U2^3;221^U2^7;
