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Routine: IBCONS3

IBCONS3.m

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  1. IBCONS3 ;ALB/AAS - NSC W/INSURANCE OUTPUT, TRACKING INTEFACE ; 21-OCT-93
  1. ;;2.0;INTEGRATED BILLING;**19,36,91,120**;21-MAR-94
  1. ;
  1. TRACK ; -- Claims tracking interface for patients with insurance reports.
  1. ;
  1. I $D(ZTQUEUED),$$S^%ZTLOAD S (ZTSTOP,IBQUIT)=1
  1. ;
  1. N IBNO,IBTRN,IBXX
  1. S IBRMARK=""
  1. ; -- if there get reason not billable
  1. I IBINPT D ;look for inpatient tracking records
  1. .Q:'$G(IBADMVT)
  1. .S IBTRN=$O(^IBT(356,"AD",+IBADMVT,0))
  1. .Q:'$G(IBTRN)
  1. .S IBRMARK=$$RMARK(IBTRN)
  1. .Q
  1. ;
  1. I 'IBINPT D ;look for outpatient tracking records
  1. .I $G(IBOE) S IBTRN=$O(^IBT(356,"ASCE",+IBOE,0))
  1. .;Patch 36 if assoc stop code link to primary encounter IBOE
  1. .I '$G(IBTRN) S IBXX=$$SCE^IBSDU(+IBOE,6) S:IBXX IBTRN=$O(^IBT(356,"ASCE",+IBXX,0))
  1. .I $P($G(IBOE(1)),U,2),'($G(IBTRN)) N X,IBTMP F IBNO=1:1 Q:$G(IBOE(IBNO))="" F X=1:1 Q:($P(IBOE(IBNO),U,X)="")!($G(IBTRN)) D
  1. ..S IBTMP=$P(IBOE(IBNO),U,X)
  1. ..I $O(^IBT(356,"ASCE",+IBTMP,0)) S IBTRN=$O(^IBT(356,"ASCE",+IBTMP,0)) Q
  1. .I '$G(IBTRN) D
  1. ..N IBETYP S IBETYP=+$O(^IBE(356.6,"B","OUTPATIENT VISIT",0))
  1. ..S X=$O(^IBT(356,"APTY",DFN,IBETYP,($P(I,".")-.0000001))) S:$P(X,".")=$P(I,".") IBTRN=$O(^(X,0))
  1. .Q:'$G(IBTRN)
  1. .S IBRMARK=$$RMARK(IBTRN)
  1. .Q
  1. ;
  1. ; -- if not in ct and parameter set to add, add to ct. (INPT ONLY P120)
  1. I IBINPT,'$G(IBTRN),$P(IBTRKR,"^",23) D ADD
  1. ;
  1. TRACKQ Q
  1. ;
  1. ADD ; -- if not there see if should add
  1. ; if inpatient, not before ct start date, inpt tracking on
  1. I IBINPT,I'<+IBTRKR,$P(IBTRKR,"^",2) D
  1. .;
  1. .Q:'$G(IBADMVT)
  1. .N I,J,X,Y,DA,DR,DIE,DIC,IBETYP,IBADMDT,IBTRN
  1. .S IBADMDT=$P(^DGPM(IBADMVT,0),"^")
  1. .S IBETYP=+$O(^IBE(356.6,"B","INPATIENT ADMISSION",0))
  1. .S IBTRN=$O(^IBT(356,"ASCH",+$$SCH^IBTRKR2(IBADMVT),0))
  1. .D:'IBTRN ADDT^IBTUTL
  1. .I IBTRN<1 Q
  1. .S DA=IBTRN,DIE="^IBT(356,"
  1. .L +^IBT(356,+IBTRN):10 I '$T Q
  1. .S DR=$$ADMDR^IBTUTL(IBADMDT,IBETYP,IBADMVT,0)
  1. .D ^DIE
  1. .L -^IBT(356,+IBTRN)
  1. .Q
  1. ;
  1. ; patch 120, removed add opt to CT from here to call tracker routine to add opt CT entries so will get all the non-billable checks
  1. ADDQ Q
  1. ;
  1. RMARK(IBTRN) ; -- returns external reason not billable
  1. Q $P($G(^IBE(356.8,+$P($G(^IBT(356,+$G(IBTRN),0)),"^",19),0)),"^")