IBCD4 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - GATHER DX AND PROCEDURES) ;9/5/93
;;2.0;INTEGRATED BILLING;**14,80,106,160,309,276,347,522**;21-MAR-94;Build 11
;;Per VA Directive 6402, this routine should not be modified.
;
;
IDX(PTF,DT1,DT2) ; find 501 movement Diagnosis and 701 Discharge Diagnosisfor a PTF record within bill range
; check for billable bedsection and SC treatement and duplicates
; results: IBT = number of billable movements within date range
; IBMSG(X)=" error message " if any errors found
; ^TMP("IBDX",$J) = PTF IFN
; ^TMP("IBDX",$J,"DX",DX) = MOVE DATE/TIME ^ MOVE IEN ^ POA
; ^TMP("IBDX",$J,-MOVE DATE/TIME, MOVE IEN) = Dx ^ ^ POA
N IBMVT,IBN,IBDT,IBCNT,IBBS,IBSC,IBMV,IBDX,IBI,IBX K IBMSG,IBT,^TMP("IBDX",$J)
;
D PTFDXDT^IBCSC4F(PTF,DT1,DT2) S IBMVT="M" I +$P($G(^TMP($J,"IBDX","D")),U,3) S IBMVT="D"
;
S ^TMP("IBDX",$J)=+PTF S (IBT,IBBS,IBSC)=0,IBCNT=1
F IBN="D","M" S IBDT="" F S IBDT=$O(^TMP($J,"IBDX",IBN,IBDT)) Q:'IBDT D
. S IBMV=$G(^TMP($J,"IBDX",IBN,IBDT)) Q:IBMV=""
. ;
. I IBN="M" S IBT=IBT+1,IBX="" D Q:+IBX
.. I $P(IBMV,U,3)=1 S IBSC=IBSC+1,IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement related to an SC condition.",IBCNT=IBCNT+1,IBX=1
.. I $P($G(^DIC(42.4,+$P(IBMV,U,2),0)),U,5)="" S IBBS=IBBS+1,IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement is for a non-billable bedsection.",IBCNT=IBCNT+1,IBX=1
.. I '$P(IBMV,U,4) S IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement does not have a DRG as required for Reasonable Charges.",IBCNT=IBCNT+1
. I IBN'=IBMVT Q
. ;
. S IBI="" F S IBI=$O(^TMP($J,"IBDX",IBN,IBDT,IBI)) Q:'IBI D
.. S IBDX=$G(^TMP($J,"IBDX",IBN,IBDT,IBI)) Q:'IBDX
.. I '$P(IBDX,U,2),IBDT>+$G(^TMP("IBDX",$J,"DX",+IBDX)) S ^TMP("IBDX",$J,"DX",+IBDX)=IBDT_U_IBI_U_$P(IBDX,U,3)
;
S IBDX="" F S IBDX=$O(^TMP("IBDX",$J,"DX",IBDX)) Q:'IBDX D
. S IBX=^TMP("IBDX",$J,"DX",IBDX) I +IBX S ^TMP("IBDX",$J,-IBX,+$P(IBX,U,2))=IBDX_U_U_$P(IBX,U,3)
K ^TMP($J,"IBDX")
;
I +IBSC S IBMSG(IBCNT)="PTF record indicates "_+IBSC_" of "_IBT_" movements are for Service Connected Care.",IBCNT=IBCNT+1
I +IBBS S IBMSG(IBCNT)="PTF record indicates "_+IBBS_" of "_IBT_" movements are for a non-billable bedsection.",IBCNT=IBCNT+1
S IBT=IBT-IBSC-IBBS I 'IBT S IBMSG(IBCNT)="0 movements are billable."
IDXE Q
;
RXRF(PIFN,RIFN,IBDT) ; returns data on fill on date for rx (RX # ^ DRUG ^ DAYS SUPPLY ^ FILL DATE ^ QTY ^ NDC #)
N X,Y,PLN,RLN,IBFILL,PDFN,LIST,NODE
S X=""
S PDFN=$$FILE^IBRXUTL(PIFN,2)
S LIST="IBRXARR"
S NODE="R^^"
I +$G(PIFN) S PLN=$$RXZERO^IBRXUTL(PDFN,PIFN) I PLN'="" D
. D RX^PSO52API(PDFN,LIST,PIFN,,NODE,,)
. I $G(IBDT) D REF^PSO52EX($G(IBDT),$G(IBDT),LIST) S RIFN=$O(^TMP($J,LIST,"AD",IBDT,PIFN,""))
. S RLN="",IBFILL="^^" I $G(RIFN)="" S X="" Q
. I (RIFN=0)!(RIFN=-1) S RLN=$$RXSEC^IBRXUTL(PDFN,PIFN) Q:RLN="" S IBFILL=$P(PLN,U,8)_"^"_$P(RLN,U,2)_"^"_$P(PLN,U,7)
. I RIFN>0 S RLN=$$ZEROSUB^IBRXUTL(PDFN,PIFN,RIFN) Q:RLN="" S IBFILL=$P(RLN,U,10)_"^"_$P(RLN,U,1)_"^"_$P(RLN,U,4)
. S X=$P(PLN,U,1)_"^"_$P(PLN,U,6)_"^"_IBFILL_"^"_$$GETNDC^PSONDCUT(+PIFN,+RIFN)
E S X=""
K ^TMP($J,LIST)
Q X
;
CHK() ;other checks
N X S X=1 I $G(^DPT(+$G(IBDFN),0))="" S X="0^Patient information lacking."
Q X
;
CHKSYS() ;various checks to determine if bill can be created, returns true if passes XXXXXX
;if fails then returns "0^error message"
;requires nothing
N X,Y,I S X=1
I '$P($G(^IBE(350.9,1,1)),U,14) S X="0^MAS SERVICE PARAMETER UNKNOWN" G CHKSYSE
I +$P($$SITE^VASITE,U,3)<1 S X="0^ACILITY UNDEFINED" G CHKSYSE
;G:$D(IBB) CHKSYSE
;I '$D(DUZ(0)) S X="0^FILEMAN ACCESS UNDEFINED" G CHKSYSE
;I $S($D(DLAYGO):2\1-(DLAYGO\1),1:1),DUZ(0)'="@",$D(^DIC(399,0,"LAYGO")) S DLAYGO=399
CHKSYSE Q X
;
;GVARS(IFN) ;get data on bill IFN (commented out patch 80, does not appear to be used)
;N I S X=1 I '$G(^DGCR(399,+$G(IFN),0)) S X=0 G GVARSE
;F I=0,"M" S IB(I)=$G(^DGCR(399,+IFN,I))
;S DGINPAR=$P($G(^DIC(36,+IB("MP"),0)),U,6,10)
;GVARSE Q X
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCD4 4037 printed Dec 13, 2024@02:09:15 Page 2
IBCD4 ;ALB/ARH - AUTOMATED BILLER (ADD NEW BILL - GATHER DX AND PROCEDURES) ;9/5/93
+1 ;;2.0;INTEGRATED BILLING;**14,80,106,160,309,276,347,522**;21-MAR-94;Build 11
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;
IDX(PTF,DT1,DT2) ; find 501 movement Diagnosis and 701 Discharge Diagnosisfor a PTF record within bill range
+1 ; check for billable bedsection and SC treatement and duplicates
+2 ; results: IBT = number of billable movements within date range
+3 ; IBMSG(X)=" error message " if any errors found
+4 ; ^TMP("IBDX",$J) = PTF IFN
+5 ; ^TMP("IBDX",$J,"DX",DX) = MOVE DATE/TIME ^ MOVE IEN ^ POA
+6 ; ^TMP("IBDX",$J,-MOVE DATE/TIME, MOVE IEN) = Dx ^ ^ POA
+7 NEW IBMVT,IBN,IBDT,IBCNT,IBBS,IBSC,IBMV,IBDX,IBI,IBX
KILL IBMSG,IBT,^TMP("IBDX",$JOB)
+8 ;
+9 DO PTFDXDT^IBCSC4F(PTF,DT1,DT2)
SET IBMVT="M"
IF +$PIECE($GET(^TMP($JOB,"IBDX","D")),U,3)
SET IBMVT="D"
+10 ;
+11 SET ^TMP("IBDX",$JOB)=+PTF
SET (IBT,IBBS,IBSC)=0
SET IBCNT=1
+12 FOR IBN="D","M"
SET IBDT=""
FOR
SET IBDT=$ORDER(^TMP($JOB,"IBDX",IBN,IBDT))
if 'IBDT
QUIT
Begin DoDot:1
+13 SET IBMV=$GET(^TMP($JOB,"IBDX",IBN,IBDT))
if IBMV=""
QUIT
+14 ;
+15 IF IBN="M"
SET IBT=IBT+1
SET IBX=""
Begin DoDot:2
+16 IF $PIECE(IBMV,U,3)=1
SET IBSC=IBSC+1
SET IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement related to an SC condition."
SET IBCNT=IBCNT+1
SET IBX=1
+17 IF $PIECE($GET(^DIC(42.4,+$PIECE(IBMV,U,2),0)),U,5)=""
SET IBBS=IBBS+1
SET IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement is for a non-billable bedsection."
SET IBCNT=IBCNT+1
SET IBX=1
+18 IF '$PIECE(IBMV,U,4)
SET IBMSG(IBCNT)=$$FMTE^XLFDT(IBDT)_" movement does not have a DRG as required for Reasonable Charges."
SET IBCNT=IBCNT+1
End DoDot:2
if +IBX
QUIT
+19 IF IBN'=IBMVT
QUIT
+20 ;
+21 SET IBI=""
FOR
SET IBI=$ORDER(^TMP($JOB,"IBDX",IBN,IBDT,IBI))
if 'IBI
QUIT
Begin DoDot:2
+22 SET IBDX=$GET(^TMP($JOB,"IBDX",IBN,IBDT,IBI))
if 'IBDX
QUIT
+23 IF '$PIECE(IBDX,U,2)
IF IBDT>+$GET(^TMP("IBDX",$JOB,"DX",+IBDX))
SET ^TMP("IBDX",$JOB,"DX",+IBDX)=IBDT_U_IBI_U_$PIECE(IBDX,U,3)
End DoDot:2
End DoDot:1
+24 ;
+25 SET IBDX=""
FOR
SET IBDX=$ORDER(^TMP("IBDX",$JOB,"DX",IBDX))
if 'IBDX
QUIT
Begin DoDot:1
+26 SET IBX=^TMP("IBDX",$JOB,"DX",IBDX)
IF +IBX
SET ^TMP("IBDX",$JOB,-IBX,+$PIECE(IBX,U,2))=IBDX_U_U_$PIECE(IBX,U,3)
End DoDot:1
+27 KILL ^TMP($JOB,"IBDX")
+28 ;
+29 IF +IBSC
SET IBMSG(IBCNT)="PTF record indicates "_+IBSC_" of "_IBT_" movements are for Service Connected Care."
SET IBCNT=IBCNT+1
+30 IF +IBBS
SET IBMSG(IBCNT)="PTF record indicates "_+IBBS_" of "_IBT_" movements are for a non-billable bedsection."
SET IBCNT=IBCNT+1
+31 SET IBT=IBT-IBSC-IBBS
IF 'IBT
SET IBMSG(IBCNT)="0 movements are billable."
IDXE QUIT
+1 ;
RXRF(PIFN,RIFN,IBDT) ; returns data on fill on date for rx (RX # ^ DRUG ^ DAYS SUPPLY ^ FILL DATE ^ QTY ^ NDC #)
+1 NEW X,Y,PLN,RLN,IBFILL,PDFN,LIST,NODE
+2 SET X=""
+3 SET PDFN=$$FILE^IBRXUTL(PIFN,2)
+4 SET LIST="IBRXARR"
+5 SET NODE="R^^"
+6 IF +$GET(PIFN)
SET PLN=$$RXZERO^IBRXUTL(PDFN,PIFN)
IF PLN'=""
Begin DoDot:1
+7 DO RX^PSO52API(PDFN,LIST,PIFN,,NODE,,)
+8 IF $GET(IBDT)
DO REF^PSO52EX($GET(IBDT),$GET(IBDT),LIST)
SET RIFN=$ORDER(^TMP($JOB,LIST,"AD",IBDT,PIFN,""))
+9 SET RLN=""
SET IBFILL="^^"
IF $GET(RIFN)=""
SET X=""
QUIT
+10 IF (RIFN=0)!(RIFN=-1)
SET RLN=$$RXSEC^IBRXUTL(PDFN,PIFN)
if RLN=""
QUIT
SET IBFILL=$PIECE(PLN,U,8)_"^"_$PIECE(RLN,U,2)_"^"_$PIECE(PLN,U,7)
+11 IF RIFN>0
SET RLN=$$ZEROSUB^IBRXUTL(PDFN,PIFN,RIFN)
if RLN=""
QUIT
SET IBFILL=$PIECE(RLN,U,10)_"^"_$PIECE(RLN,U,1)_"^"_$PIECE(RLN,U,4)
+12 SET X=$PIECE(PLN,U,1)_"^"_$PIECE(PLN,U,6)_"^"_IBFILL_"^"_$$GETNDC^PSONDCUT(+PIFN,+RIFN)
End DoDot:1
+13 IF '$TEST
SET X=""
+14 KILL ^TMP($JOB,LIST)
+15 QUIT X
+16 ;
CHK() ;other checks
+1 NEW X
SET X=1
IF $GET(^DPT(+$GET(IBDFN),0))=""
SET X="0^Patient information lacking."
+2 QUIT X
+3 ;
CHKSYS() ;various checks to determine if bill can be created, returns true if passes XXXXXX
+1 ;if fails then returns "0^error message"
+2 ;requires nothing
+3 NEW X,Y,I
SET X=1
+4 IF '$PIECE($GET(^IBE(350.9,1,1)),U,14)
SET X="0^MAS SERVICE PARAMETER UNKNOWN"
GOTO CHKSYSE
+5 IF +$PIECE($$SITE^VASITE,U,3)<1
SET X="0^ACILITY UNDEFINED"
GOTO CHKSYSE
+6 ;G:$D(IBB) CHKSYSE
+7 ;I '$D(DUZ(0)) S X="0^FILEMAN ACCESS UNDEFINED" G CHKSYSE
+8 ;I $S($D(DLAYGO):2\1-(DLAYGO\1),1:1),DUZ(0)'="@",$D(^DIC(399,0,"LAYGO")) S DLAYGO=399
CHKSYSE QUIT X
+1 ;
+2 ;GVARS(IFN) ;get data on bill IFN (commented out patch 80, does not appear to be used)
+3 ;N I S X=1 I '$G(^DGCR(399,+$G(IFN),0)) S X=0 G GVARSE
+4 ;F I=0,"M" S IB(I)=$G(^DGCR(399,+IFN,I))
+5 ;S DGINPAR=$P($G(^DIC(36,+IB("MP"),0)),U,6,10)
+6 ;GVARSE Q X
