IBCRBG ;ALB/ARH - RATES: BILL SOURCE EVENTS (INPT) ;21 MAY 96
;;2.0;INTEGRATED BILLING;**52,80,106,51,142,159,210,245,382,389,461,522**;21-MAR-94;Build 11
;;Per VA Directive 6402, this routine should not be modified.
;
INPTPTF(IBIFN,CS) ; search PTF record for billable bedsections, transfer DRGs, and length of stay
; - screens out days for pass, leave and SC treatment
; - adds charges for only one BS if the ins company does not allow multiple bedsections per bill (36,.06)
; Output: ^TMP($J,"IBCRC-INDT", BILLABLE DATE) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
;
N IB0,DFN,PTF,IBU,IBBDT,IBEDT,IBTF,IBADM,IBX,IBINSMBS
K ^TMP($J,"IBCRC-PTF"),^TMP($J,"IBCRC-DIV"),^TMP($J,"IBCRC-INDT")
;
S IB0=$G(^DGCR(399,+$G(IBIFN),0)),DFN=$P(IB0,U,2) Q:'DFN
S IBTF=$P(IB0,U,6),PTF="" S:$P(IB0,U,5)<3 PTF=$P(IB0,U,8) Q:'PTF
S IBINSMBS=0,IBX=+$G(^DGCR(399,+IBIFN,"MP"))
I 'IBX,$$MCRWNR^IBEFUNC($$CURR^IBCEF2(IBIFN)) S IBX=$$CURR^IBCEF2(IBIFN)
I $P($G(^DIC(36,+IBX,0)),U,6)=0 S IBINSMBS=1 ; 1 bs per bill
;
S IBU=$G(^DGCR(399,+IBIFN,"U")) Q:'IBU
S IBBDT=+IBU,IBEDT=$P(IBU,U,2) Q:'IBEDT
;
S IBADM=$O(^DGPM("APTF",PTF,0)) ; find corresponding admission
;
D PTF(PTF) ; get movements and bedsections
D PTFDV(PTF) ; reset movements and bedsections for ward/division
D PTFFY(PTF,IBBDT,IBEDT) ; reset movements for FY DRG change
;
D BSLOS(IBBDT,IBEDT,IBTF,IBADM,IBINSMBS) ; calculate days in bedsections within timeframe of the bill
;
K ^TMP($J,"IBCRC-PTF"),^TMP($J,"IBCRC-DIV")
;
D INPTRSET^IBCRBG2(IBIFN,$G(CS))
Q
;
PTF(PTF) ; find all movements in PTF for the admission by date and billing bedsection (501 movement)
; the movement date is the date the patient left the bedsection
; Output: ^TMP($J,"IBCRC-PTF", MOVE DT/TM)=MOVE DT/TM ^ BILL BED ^ SC FLAG ^ TRANSFER DRG ^ ^ SPECIALTY ^ MOVE #
;
N IBMOVE,IBMVLN,IBBILLBS,IBENDDT,IBMSC,IBMDRG S PTF=+$G(PTF)
S IBMOVE=0 F S IBMOVE=$O(^DGPT(PTF,"M",IBMOVE)) Q:'IBMOVE D
. S IBMVLN=^DGPT(PTF,"M",IBMOVE,0)
. S IBBILLBS=+$$SPBB($P(IBMVLN,U,2)) ; billable bedsection
. S IBENDDT=+$P(IBMVLN,U,10) I 'IBENDDT S IBENDDT=DT ; movement date (last date in bedsection)
. S IBMSC="" I +$P(IBMVLN,U,18)=1 S IBMSC=1 ; sc movement
. S IBMDRG=$$MVDRG(PTF,IBMOVE) ; movement DRG
. S ^TMP($J,"IBCRC-PTF",IBENDDT)=IBENDDT_U_IBBILLBS_U_IBMSC_U_IBMDRG_U_U_+$P(IBMVLN,U,2)_U_IBMOVE
Q
;
SPBB(SPCLTY) ; find the billable bedsection for a Specialty (42.4)
; returns billable bedsection IFN ^ billable bedsection name
N IBX,IBY,IBZ S IBZ=0
S IBX=$P($G(^DIC(42.4,+$G(SPCLTY),0)),U,5)
I IBX'="" S IBY=$O(^DGCR(399.1,"B",IBX,0)) I +IBY S IBZ=IBY_U_IBX
Q IBZ
;
BSLOS(IBBDT,IBEDT,IBTF,IBADM,IBINSMBS) ; from the array of PTF movments get all bedsections and their LOS covered by date range of the bill
; adds all days for first cronological bs if ins comp wants only a single bs per bill, even if not sequential
; the movement date is the date the patient left the bedsection, so admission date is not in PTF array
;
; Input: ^TMP($J,"IBCRC-PTF", MOVE DT/TM) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
; Output: ^TMP($J,"IBCRC-INDT", BILLABLE DATE) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
;
N IBSBDT,IBSEDT,IBS,IBLASTDT,IBX
S IBSBDT=IBBDT+.3 ; discount any movements ending on or before the begin date
S IBSEDT=IBEDT\1
;
I ",2,3,"'[IBTF S IBSEDT=IBSEDT-.01 ; final bill, do not count last day
;
I +$G(IBADM) S IBX=$$AD^IBCU64(IBADM) I +IBX,($P(IBX,U,1)\1)=($P(IBX,U,2)\1) S IBSBDT=IBBDT ; reset 1 day stays
;
S IBS=IBSBDT-.01 F S IBS=$O(^TMP($J,"IBCRC-PTF",IBS)) Q:'IBS D SET S IBLASTDT=IBS Q:(IBLASTDT\1)>IBSEDT
;
Q
;
SET ; checks a specific movement to determine if it should be billed and what the length of stay is
; setting of the movement date determines how many days are counted in the bedsection
N IBMVLN,IBMBDT,IBMEDT,IBMTF,IBMLOS,IBI,IBCHGDT
S IBMVLN=$G(^TMP($J,"IBCRC-PTF",IBS))
I '$P(IBMVLN,U,2) Q ; non-billable bedsection
I +$P(IBMVLN,U,3) Q ; sc movement
I +IBINSMBS,+$G(IBLASTDT) Q ; ins does not allow multiple bs
;
S IBMBDT=$S(IBBDT>$G(IBLASTDT):IBBDT,1:IBLASTDT),IBMBDT=IBMBDT\1 ; start cnt on begin dt or last move dt
S IBMEDT=$S(IBS<IBEDT:IBS,1:IBEDT),IBMEDT=IBMEDT\1 ; end cnt on move dt or end dt
S IBMTF=$S(IBEDT<(IBS\1):IBTF,1:1) ; last movement gets timeframe
S IBMLOS=$$LOS^IBCU64(IBMBDT,IBMEDT,IBMTF,IBADM) Q:'IBMLOS ; calculate the LOS for the movement
;
F IBI=1:1:IBMLOS S IBCHGDT=$$FMADD^XLFDT(IBMBDT,(IBI-1)),^TMP($J,"IBCRC-INDT",+IBCHGDT)=IBMVLN
Q
;
BBS(X) ; returns true if pointer passed in is a billable bedsection ^ bedsection name
N IBX,IBY S IBY=0,IBX=$G(^DGCR(399.1,+$G(X),0)) I +$P(IBX,U,5) S IBY=1_U_$P(IBX,U,1)
Q IBY
;
Q
;
PTFDV(PTF) ; find all ward/location transfers in PTF for the patient to determine the site/division the patient was in
; the division of the ward will be added to the PTF bedsection movements
; Input: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ ^ specialty ^ move #
; Output: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ WARD DIV ^ spec ^ move#
; ^TMP($J,"IBCRC-DIV", TRANSFER DATE/TIME) = WARD DIVISION
N IBTRNSF,IBTRLN,IBENDDT,IBTRDV,IBMVDT,IBTRDT
;
I '$O(^TMP($J,"IBCRC-PTF",0)) Q
;
; get all ward transfers
S IBTRNSF=0 F S IBTRNSF=$O(^DGPT(PTF,535,IBTRNSF)) Q:'IBTRNSF D
. S IBTRLN=$G(^DGPT(PTF,535,+IBTRNSF,0))
. S IBENDDT=$P(IBTRLN,U,10) I 'IBENDDT S IBENDDT=DT ; transfer date (last date in ward)
. S IBTRDV=$P($G(^DIC(42,+$P(IBTRLN,U,6),0)),U,11) Q:'IBTRDV ; losing ward division
. S ^TMP($J,"IBCRC-DIV",IBENDDT)=IBTRDV
;
; if the ward transfer does not coincide with a specialty transfer add bedsection move on the transfer date
S IBENDDT=0 F S IBENDDT=$O(^TMP($J,"IBCRC-DIV",IBENDDT)) Q:'IBENDDT D
. S IBMVDT=$O(^TMP($J,"IBCRC-PTF",(IBENDDT-.0000001)))
. I 'IBMVDT Q ; - transfer movement dates after the discharge date in the PTF file (inconsistent)
. I $P(IBENDDT,".")'=$P(IBMVDT,".") S ^TMP($J,"IBCRC-PTF",IBENDDT)=$G(^TMP($J,"IBCRC-PTF",IBMVDT))
;
; add the ward division to the bedsection/specialty
S IBENDDT=0 F S IBENDDT=$O(^TMP($J,"IBCRC-PTF",IBENDDT)) Q:'IBENDDT D
. S IBTRDT=$O(^TMP($J,"IBCRC-DIV",(IBENDDT-.0000001))) ; ward transfer covering this bedsection
. S IBTRDV=$G(^TMP($J,"IBCRC-DIV",+IBTRDT)) ; ward division
. I +IBTRDV S $P(^TMP($J,"IBCRC-PTF",IBENDDT),U,5)=IBTRDV
Q
;
PTFFY(PTF,BEGDT,ENDDT) ; add movement for FY (10/1) if date range covers FY and DRG changes
; the DRG may change on FY so check and if necessary add movement for pre-FY with old DRG
; Input: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ ^ specialty ^ move #
; Output: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ MOVE DRG ^ ward div ^ spec ^ move#
N IBBEGDT,IBENDDT,IBYRB,IBYRE,IBYR,IBFY,IBMVLN,IBMVDRG,IBMOVE,IBFYDRG Q:'$G(PTF)
Q:'$G(BEGDT) S IBFY=$E(BEGDT,1,3)_"1001"
;
S IBBEGDT=BEGDT,IBENDDT=BEGDT\1 F S IBENDDT=$O(^TMP($J,"IBCRC-PTF",IBENDDT)) Q:'IBENDDT D S IBBEGDT=IBENDDT
. S IBYRB=$E(IBBEGDT,1,3),IBYRE=$E(IBENDDT,1,3) I (IBYRE-IBYRB)>10 Q
. F IBYR=IBYRB:1:IBYRE S IBFY=IBYR_"1001" I IBBEGDT<IBFY,IBENDDT>IBFY D
.. S IBMVLN=$G(^TMP($J,"IBCRC-PTF",IBENDDT)),IBMVDRG=$P(IBMVLN,U,4),IBMOVE=$P(IBMVLN,U,7)
.. S IBFYDRG=$$MVDRG(PTF,IBMOVE,IBYR_"0930")
.. I IBMVDRG'=IBFYDRG S $P(IBMVLN,U,4)=IBFYDRG S ^TMP($J,"IBCRC-PTF",IBFY)=IBMVLN
Q
;
DXVER(DX,DATE) ; check the code version of the diagnosis matchs the code version on the date
; with ICD-10, bills may span the activation date and Dx may be coded in either version (should be ICD-10)
; returns null or if versions don't match then last ICD-9 date for ICD-9 Dx or first ICD-10 date for ICD-10 Dx
N DXVER,CSVDATE,VDATE S VDATE=""
S DXVER=$$ICD9VER^IBACSV(DX)
I DXVER'=$$ICD9SYS^IBACSV(DATE) S CSVDATE=$$CSVDATE^IBACSV(30) S VDATE=CSVDATE I DXVER=1 S VDATE=$$FMADD^XLFDT(CSVDATE,-1)
Q VDATE
;
MVDRG(PTF,M,CDATE) ; Return the DRG for a specific PTF Movememt (M=move ifn)
; CDATE is optional, used if need to calculate DRG for some day within the move, not at the end date
N DPT0,PTF0,PTFM0,PTFM82,PTF70,IBBEG,IBEND,IBDSST,IBDX,IBPRC0,IBPRC,IBDRG,IBVDATE,IBI,IBJ,IBP,PTFARR
N SEX,AGE,ICDDX,ICDPOA,ICDPRC,ICDEXP,ICDDMS,ICDTRS,ICDDRG,ICDMDC,ICDRTC,ICDDATE
N ICDCSYS,ICD0,ICDCDSY,ICDEDT,ICDX,ICDTMP,ICDRG,ICD10ORNIT,ICD10ORT,X1,X2,ICDSEX,ICDY ; ICDDRG clean-up
S IBDRG=""
;
S PTF0=$G(^DGPT(+$G(PTF),0)),DPT0=$G(^DPT(+$P(PTF0,U,1),0)) I DPT0="" G MVDRGQ
S PTFM0=$G(^DGPT(+PTF,"M",+$G(M),0)) I 'PTFM0 G MVDRGQ
S PTFM82=$G(^DGPT(+PTF,"M",+$G(M),82))
S PTF70=$G(^DGPT(+PTF,70)),IBDSST=+$P(PTF70,U,3)
;
S IBEND=+$P(PTFM0,U,10) I 'IBEND S IBEND=DT+.9
S IBBEG=$O(^DGPT(+PTF,"M","AM",IBEND),-1) I 'IBBEG S IBBEG=$P(PTF0,U,2)
;
S SEX=$P(DPT0,U,2)
S AGE=$P(DPT0,U,3),AGE=$$FMDIFF^XLFDT(IBEND,AGE)\365.25
;
S (ICDEXP,ICDDMS,ICDTRS)=0 I +PTF70,+PTF70=$P(PTFM0,U,10) D
. I IBDSST>5 S ICDEXP=1 ; patient expired
. I IBDSST=4 S ICDDMS=1 ; patient left against medical advice
. I IBDSST=5,+$P(PTF70,U,13) S ICDTRS=1 ; patient transfered to another facility
;
D PTFCDS^IBCSC4F(+PTF,501,+$G(M),.PTFARR) D K PTFARR ; Diagnosis
. S IBJ=0,IBI="" F S IBI=$O(PTFARR(IBI)) Q:IBI="" S IBDX=PTFARR(IBI) I +IBDX D
.. S IBJ=IBJ+1,ICDDX(IBJ)=+IBDX,ICDPOA(IBJ)=$P(IBDX,U,2)
;
I '$G(ICDDX(1)) G MVDRGQ
;
S IBJ=0
S IBP=0 F S IBP=$O(^DGPT(+PTF,"S",IBP)) Q:'IBP D ; surgeries
. S IBPRC0=$G(^DGPT(+PTF,"S",IBP,0)) Q:'IBPRC0
. I +IBPRC0'<IBBEG,+IBPRC0'>IBEND D PTFCDS^IBCSC4F(+PTF,401,IBP,.PTFARR) D K PTFARR
.. S IBI="" F S IBI=$O(PTFARR(IBI)) Q:IBI="" S IBPRC=PTFARR(IBI) I +IBPRC S IBJ=IBJ+1,ICDPRC(IBJ)=+IBPRC
;
S IBP=0 F S IBP=$O(^DGPT(+PTF,"P",IBP)) Q:'IBP D ; procedures
. S IBPRC0=$G(^DGPT(+PTF,"P",IBP,0)) Q:'IBPRC0
. I +IBPRC0'<IBBEG,+IBPRC0'>IBEND D PTFCDS^IBCSC4F(+PTF,601,IBP,.PTFARR) D K PTFARR
.. S IBI="" F S IBI=$O(PTFARR(IBI)) Q:IBI="" S IBPRC=PTFARR(IBI) I +IBPRC S IBJ=IBJ+1,ICDPRC(IBJ)=+IBPRC
;
S ICDDATE=$S(+$G(CDATE):CDATE,+$P(PTFM0,U,10):+$P(PTFM0,U,10),1:DT) ; date for the DRG Grouper versioning
S IBVDATE=$$DXVER(ICDDX(1),ICDDATE) I +IBVDATE S ICDDATE=IBVDATE ; reset date to within Dx code version
;
D ^ICDDRG S IBDRG=$G(ICDDRG)
;
MVDRGQ Q IBDRG
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCRBG 10860 printed Oct 16, 2024@18:19:30 Page 2
IBCRBG ;ALB/ARH - RATES: BILL SOURCE EVENTS (INPT) ;21 MAY 96
+1 ;;2.0;INTEGRATED BILLING;**52,80,106,51,142,159,210,245,382,389,461,522**;21-MAR-94;Build 11
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
INPTPTF(IBIFN,CS) ; search PTF record for billable bedsections, transfer DRGs, and length of stay
+1 ; - screens out days for pass, leave and SC treatment
+2 ; - adds charges for only one BS if the ins company does not allow multiple bedsections per bill (36,.06)
+3 ; Output: ^TMP($J,"IBCRC-INDT", BILLABLE DATE) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
+4 ;
+5 NEW IB0,DFN,PTF,IBU,IBBDT,IBEDT,IBTF,IBADM,IBX,IBINSMBS
+6 KILL ^TMP($JOB,"IBCRC-PTF"),^TMP($JOB,"IBCRC-DIV"),^TMP($JOB,"IBCRC-INDT")
+7 ;
+8 SET IB0=$GET(^DGCR(399,+$GET(IBIFN),0))
SET DFN=$PIECE(IB0,U,2)
if 'DFN
QUIT
+9 SET IBTF=$PIECE(IB0,U,6)
SET PTF=""
if $PIECE(IB0,U,5)<3
SET PTF=$PIECE(IB0,U,8)
if 'PTF
QUIT
+10 SET IBINSMBS=0
SET IBX=+$GET(^DGCR(399,+IBIFN,"MP"))
+11 IF 'IBX
IF $$MCRWNR^IBEFUNC($$CURR^IBCEF2(IBIFN))
SET IBX=$$CURR^IBCEF2(IBIFN)
+12 ; 1 bs per bill
IF $PIECE($GET(^DIC(36,+IBX,0)),U,6)=0
SET IBINSMBS=1
+13 ;
+14 SET IBU=$GET(^DGCR(399,+IBIFN,"U"))
if 'IBU
QUIT
+15 SET IBBDT=+IBU
SET IBEDT=$PIECE(IBU,U,2)
if 'IBEDT
QUIT
+16 ;
+17 ; find corresponding admission
SET IBADM=$ORDER(^DGPM("APTF",PTF,0))
+18 ;
+19 ; get movements and bedsections
DO PTF(PTF)
+20 ; reset movements and bedsections for ward/division
DO PTFDV(PTF)
+21 ; reset movements for FY DRG change
DO PTFFY(PTF,IBBDT,IBEDT)
+22 ;
+23 ; calculate days in bedsections within timeframe of the bill
DO BSLOS(IBBDT,IBEDT,IBTF,IBADM,IBINSMBS)
+24 ;
+25 KILL ^TMP($JOB,"IBCRC-PTF"),^TMP($JOB,"IBCRC-DIV")
+26 ;
+27 DO INPTRSET^IBCRBG2(IBIFN,$GET(CS))
+28 QUIT
+29 ;
PTF(PTF) ; find all movements in PTF for the admission by date and billing bedsection (501 movement)
+1 ; the movement date is the date the patient left the bedsection
+2 ; Output: ^TMP($J,"IBCRC-PTF", MOVE DT/TM)=MOVE DT/TM ^ BILL BED ^ SC FLAG ^ TRANSFER DRG ^ ^ SPECIALTY ^ MOVE #
+3 ;
+4 NEW IBMOVE,IBMVLN,IBBILLBS,IBENDDT,IBMSC,IBMDRG
SET PTF=+$GET(PTF)
+5 SET IBMOVE=0
FOR
SET IBMOVE=$ORDER(^DGPT(PTF,"M",IBMOVE))
if 'IBMOVE
QUIT
Begin DoDot:1
+6 SET IBMVLN=^DGPT(PTF,"M",IBMOVE,0)
+7 ; billable bedsection
SET IBBILLBS=+$$SPBB($PIECE(IBMVLN,U,2))
+8 ; movement date (last date in bedsection)
SET IBENDDT=+$PIECE(IBMVLN,U,10)
IF 'IBENDDT
SET IBENDDT=DT
+9 ; sc movement
SET IBMSC=""
IF +$PIECE(IBMVLN,U,18)=1
SET IBMSC=1
+10 ; movement DRG
SET IBMDRG=$$MVDRG(PTF,IBMOVE)
+11 SET ^TMP($JOB,"IBCRC-PTF",IBENDDT)=IBENDDT_U_IBBILLBS_U_IBMSC_U_IBMDRG_U_U_+$PIECE(IBMVLN,U,2)_U_IBMOVE
End DoDot:1
+12 QUIT
+13 ;
SPBB(SPCLTY) ; find the billable bedsection for a Specialty (42.4)
+1 ; returns billable bedsection IFN ^ billable bedsection name
+2 NEW IBX,IBY,IBZ
SET IBZ=0
+3 SET IBX=$PIECE($GET(^DIC(42.4,+$GET(SPCLTY),0)),U,5)
+4 IF IBX'=""
SET IBY=$ORDER(^DGCR(399.1,"B",IBX,0))
IF +IBY
SET IBZ=IBY_U_IBX
+5 QUIT IBZ
+6 ;
BSLOS(IBBDT,IBEDT,IBTF,IBADM,IBINSMBS) ; from the array of PTF movments get all bedsections and their LOS covered by date range of the bill
+1 ; adds all days for first cronological bs if ins comp wants only a single bs per bill, even if not sequential
+2 ; the movement date is the date the patient left the bedsection, so admission date is not in PTF array
+3 ;
+4 ; Input: ^TMP($J,"IBCRC-PTF", MOVE DT/TM) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
+5 ; Output: ^TMP($J,"IBCRC-INDT", BILLABLE DATE) = MOVE DT/TM ^ BILL BS ^ SC FLAG ^ DRG ^ DIV ^ SPECIALTY ^ MOVE #
+6 ;
+7 NEW IBSBDT,IBSEDT,IBS,IBLASTDT,IBX
+8 ; discount any movements ending on or before the begin date
SET IBSBDT=IBBDT+.3
+9 SET IBSEDT=IBEDT\1
+10 ;
+11 ; final bill, do not count last day
IF ",2,3,"'[IBTF
SET IBSEDT=IBSEDT-.01
+12 ;
+13 ; reset 1 day stays
IF +$GET(IBADM)
SET IBX=$$AD^IBCU64(IBADM)
IF +IBX
IF ($PIECE(IBX,U,1)\1)=($PIECE(IBX,U,2)\1)
SET IBSBDT=IBBDT
+14 ;
+15 SET IBS=IBSBDT-.01
FOR
SET IBS=$ORDER(^TMP($JOB,"IBCRC-PTF",IBS))
if 'IBS
QUIT
DO SET
SET IBLASTDT=IBS
if (IBLASTDT\1)>IBSEDT
QUIT
+16 ;
+17 QUIT
+18 ;
SET ; checks a specific movement to determine if it should be billed and what the length of stay is
+1 ; setting of the movement date determines how many days are counted in the bedsection
+2 NEW IBMVLN,IBMBDT,IBMEDT,IBMTF,IBMLOS,IBI,IBCHGDT
+3 SET IBMVLN=$GET(^TMP($JOB,"IBCRC-PTF",IBS))
+4 ; non-billable bedsection
IF '$PIECE(IBMVLN,U,2)
QUIT
+5 ; sc movement
IF +$PIECE(IBMVLN,U,3)
QUIT
+6 ; ins does not allow multiple bs
IF +IBINSMBS
IF +$GET(IBLASTDT)
QUIT
+7 ;
+8 ; start cnt on begin dt or last move dt
SET IBMBDT=$SELECT(IBBDT>$GET(IBLASTDT):IBBDT,1:IBLASTDT)
SET IBMBDT=IBMBDT\1
+9 ; end cnt on move dt or end dt
SET IBMEDT=$SELECT(IBS<IBEDT:IBS,1:IBEDT)
SET IBMEDT=IBMEDT\1
+10 ; last movement gets timeframe
SET IBMTF=$SELECT(IBEDT<(IBS\1):IBTF,1:1)
+11 ; calculate the LOS for the movement
SET IBMLOS=$$LOS^IBCU64(IBMBDT,IBMEDT,IBMTF,IBADM)
if 'IBMLOS
QUIT
+12 ;
+13 FOR IBI=1:1:IBMLOS
SET IBCHGDT=$$FMADD^XLFDT(IBMBDT,(IBI-1))
SET ^TMP($JOB,"IBCRC-INDT",+IBCHGDT)=IBMVLN
+14 QUIT
+15 ;
BBS(X) ; returns true if pointer passed in is a billable bedsection ^ bedsection name
+1 NEW IBX,IBY
SET IBY=0
SET IBX=$GET(^DGCR(399.1,+$GET(X),0))
IF +$PIECE(IBX,U,5)
SET IBY=1_U_$PIECE(IBX,U,1)
+2 QUIT IBY
+3 ;
+4 QUIT
+5 ;
PTFDV(PTF) ; find all ward/location transfers in PTF for the patient to determine the site/division the patient was in
+1 ; the division of the ward will be added to the PTF bedsection movements
+2 ; Input: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ ^ specialty ^ move #
+3 ; Output: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ WARD DIV ^ spec ^ move#
+4 ; ^TMP($J,"IBCRC-DIV", TRANSFER DATE/TIME) = WARD DIVISION
+5 NEW IBTRNSF,IBTRLN,IBENDDT,IBTRDV,IBMVDT,IBTRDT
+6 ;
+7 IF '$ORDER(^TMP($JOB,"IBCRC-PTF",0))
QUIT
+8 ;
+9 ; get all ward transfers
+10 SET IBTRNSF=0
FOR
SET IBTRNSF=$ORDER(^DGPT(PTF,535,IBTRNSF))
if 'IBTRNSF
QUIT
Begin DoDot:1
+11 SET IBTRLN=$GET(^DGPT(PTF,535,+IBTRNSF,0))
+12 ; transfer date (last date in ward)
SET IBENDDT=$PIECE(IBTRLN,U,10)
IF 'IBENDDT
SET IBENDDT=DT
+13 ; losing ward division
SET IBTRDV=$PIECE($GET(^DIC(42,+$PIECE(IBTRLN,U,6),0)),U,11)
if 'IBTRDV
QUIT
+14 SET ^TMP($JOB,"IBCRC-DIV",IBENDDT)=IBTRDV
End DoDot:1
+15 ;
+16 ; if the ward transfer does not coincide with a specialty transfer add bedsection move on the transfer date
+17 SET IBENDDT=0
FOR
SET IBENDDT=$ORDER(^TMP($JOB,"IBCRC-DIV",IBENDDT))
if 'IBENDDT
QUIT
Begin DoDot:1
+18 SET IBMVDT=$ORDER(^TMP($JOB,"IBCRC-PTF",(IBENDDT-.0000001)))
+19 ; - transfer movement dates after the discharge date in the PTF file (inconsistent)
IF 'IBMVDT
QUIT
+20 IF $PIECE(IBENDDT,".")'=$PIECE(IBMVDT,".")
SET ^TMP($JOB,"IBCRC-PTF",IBENDDT)=$GET(^TMP($JOB,"IBCRC-PTF",IBMVDT))
End DoDot:1
+21 ;
+22 ; add the ward division to the bedsection/specialty
+23 SET IBENDDT=0
FOR
SET IBENDDT=$ORDER(^TMP($JOB,"IBCRC-PTF",IBENDDT))
if 'IBENDDT
QUIT
Begin DoDot:1
+24 ; ward transfer covering this bedsection
SET IBTRDT=$ORDER(^TMP($JOB,"IBCRC-DIV",(IBENDDT-.0000001)))
+25 ; ward division
SET IBTRDV=$GET(^TMP($JOB,"IBCRC-DIV",+IBTRDT))
+26 IF +IBTRDV
SET $PIECE(^TMP($JOB,"IBCRC-PTF",IBENDDT),U,5)=IBTRDV
End DoDot:1
+27 QUIT
+28 ;
PTFFY(PTF,BEGDT,ENDDT) ; add movement for FY (10/1) if date range covers FY and DRG changes
+1 ; the DRG may change on FY so check and if necessary add movement for pre-FY with old DRG
+2 ; Input: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ move drg ^ ^ specialty ^ move #
+3 ; Output: ^TMP($J,"IBCRC-PTF", move dt/tm) = move dt/tm ^ bill bs ^ sc flag ^ MOVE DRG ^ ward div ^ spec ^ move#
+4 NEW IBBEGDT,IBENDDT,IBYRB,IBYRE,IBYR,IBFY,IBMVLN,IBMVDRG,IBMOVE,IBFYDRG
if '$GET(PTF)
QUIT
+5 if '$GET(BEGDT)
QUIT
SET IBFY=$EXTRACT(BEGDT,1,3)_"1001"
+6 ;
+7 SET IBBEGDT=BEGDT
SET IBENDDT=BEGDT\1
FOR
SET IBENDDT=$ORDER(^TMP($JOB,"IBCRC-PTF",IBENDDT))
if 'IBENDDT
QUIT
Begin DoDot:1
+8 SET IBYRB=$EXTRACT(IBBEGDT,1,3)
SET IBYRE=$EXTRACT(IBENDDT,1,3)
IF (IBYRE-IBYRB)>10
QUIT
+9 FOR IBYR=IBYRB:1:IBYRE
SET IBFY=IBYR_"1001"
IF IBBEGDT<IBFY
IF IBENDDT>IBFY
Begin DoDot:2
+10 SET IBMVLN=$GET(^TMP($JOB,"IBCRC-PTF",IBENDDT))
SET IBMVDRG=$PIECE(IBMVLN,U,4)
SET IBMOVE=$PIECE(IBMVLN,U,7)
+11 SET IBFYDRG=$$MVDRG(PTF,IBMOVE,IBYR_"0930")
+12 IF IBMVDRG'=IBFYDRG
SET $PIECE(IBMVLN,U,4)=IBFYDRG
SET ^TMP($JOB,"IBCRC-PTF",IBFY)=IBMVLN
End DoDot:2
End DoDot:1
SET IBBEGDT=IBENDDT
+13 QUIT
+14 ;
DXVER(DX,DATE) ; check the code version of the diagnosis matchs the code version on the date
+1 ; with ICD-10, bills may span the activation date and Dx may be coded in either version (should be ICD-10)
+2 ; returns null or if versions don't match then last ICD-9 date for ICD-9 Dx or first ICD-10 date for ICD-10 Dx
+3 NEW DXVER,CSVDATE,VDATE
SET VDATE=""
+4 SET DXVER=$$ICD9VER^IBACSV(DX)
+5 IF DXVER'=$$ICD9SYS^IBACSV(DATE)
SET CSVDATE=$$CSVDATE^IBACSV(30)
SET VDATE=CSVDATE
IF DXVER=1
SET VDATE=$$FMADD^XLFDT(CSVDATE,-1)
+6 QUIT VDATE
+7 ;
MVDRG(PTF,M,CDATE) ; Return the DRG for a specific PTF Movememt (M=move ifn)
+1 ; CDATE is optional, used if need to calculate DRG for some day within the move, not at the end date
+2 NEW DPT0,PTF0,PTFM0,PTFM82,PTF70,IBBEG,IBEND,IBDSST,IBDX,IBPRC0,IBPRC,IBDRG,IBVDATE,IBI,IBJ,IBP,PTFARR
+3 NEW SEX,AGE,ICDDX,ICDPOA,ICDPRC,ICDEXP,ICDDMS,ICDTRS,ICDDRG,ICDMDC,ICDRTC,ICDDATE
+4 ; ICDDRG clean-up
NEW ICDCSYS,ICD0,ICDCDSY,ICDEDT,ICDX,ICDTMP,ICDRG,ICD10ORNIT,ICD10ORT,X1,X2,ICDSEX,ICDY
+5 SET IBDRG=""
+6 ;
+7 SET PTF0=$GET(^DGPT(+$GET(PTF),0))
SET DPT0=$GET(^DPT(+$PIECE(PTF0,U,1),0))
IF DPT0=""
GOTO MVDRGQ
+8 SET PTFM0=$GET(^DGPT(+PTF,"M",+$GET(M),0))
IF 'PTFM0
GOTO MVDRGQ
+9 SET PTFM82=$GET(^DGPT(+PTF,"M",+$GET(M),82))
+10 SET PTF70=$GET(^DGPT(+PTF,70))
SET IBDSST=+$PIECE(PTF70,U,3)
+11 ;
+12 SET IBEND=+$PIECE(PTFM0,U,10)
IF 'IBEND
SET IBEND=DT+.9
+13 SET IBBEG=$ORDER(^DGPT(+PTF,"M","AM",IBEND),-1)
IF 'IBBEG
SET IBBEG=$PIECE(PTF0,U,2)
+14 ;
+15 SET SEX=$PIECE(DPT0,U,2)
+16 SET AGE=$PIECE(DPT0,U,3)
SET AGE=$$FMDIFF^XLFDT(IBEND,AGE)\365.25
+17 ;
+18 SET (ICDEXP,ICDDMS,ICDTRS)=0
IF +PTF70
IF +PTF70=$PIECE(PTFM0,U,10)
Begin DoDot:1
+19 ; patient expired
IF IBDSST>5
SET ICDEXP=1
+20 ; patient left against medical advice
IF IBDSST=4
SET ICDDMS=1
+21 ; patient transfered to another facility
IF IBDSST=5
IF +$PIECE(PTF70,U,13)
SET ICDTRS=1
End DoDot:1
+22 ;
+23 ; Diagnosis
DO PTFCDS^IBCSC4F(+PTF,501,+$GET(M),.PTFARR)
Begin DoDot:1
+24 SET IBJ=0
SET IBI=""
FOR
SET IBI=$ORDER(PTFARR(IBI))
if IBI=""
QUIT
SET IBDX=PTFARR(IBI)
IF +IBDX
Begin DoDot:2
+25 SET IBJ=IBJ+1
SET ICDDX(IBJ)=+IBDX
SET ICDPOA(IBJ)=$PIECE(IBDX,U,2)
End DoDot:2
End DoDot:1
KILL PTFARR
+26 ;
+27 IF '$GET(ICDDX(1))
GOTO MVDRGQ
+28 ;
+29 SET IBJ=0
+30 ; surgeries
SET IBP=0
FOR
SET IBP=$ORDER(^DGPT(+PTF,"S",IBP))
if 'IBP
QUIT
Begin DoDot:1
+31 SET IBPRC0=$GET(^DGPT(+PTF,"S",IBP,0))
if 'IBPRC0
QUIT
+32 IF +IBPRC0'<IBBEG
IF +IBPRC0'>IBEND
DO PTFCDS^IBCSC4F(+PTF,401,IBP,.PTFARR)
Begin DoDot:2
+33 SET IBI=""
FOR
SET IBI=$ORDER(PTFARR(IBI))
if IBI=""
QUIT
SET IBPRC=PTFARR(IBI)
IF +IBPRC
SET IBJ=IBJ+1
SET ICDPRC(IBJ)=+IBPRC
End DoDot:2
KILL PTFARR
End DoDot:1
+34 ;
+35 ; procedures
SET IBP=0
FOR
SET IBP=$ORDER(^DGPT(+PTF,"P",IBP))
if 'IBP
QUIT
Begin DoDot:1
+36 SET IBPRC0=$GET(^DGPT(+PTF,"P",IBP,0))
if 'IBPRC0
QUIT
+37 IF +IBPRC0'<IBBEG
IF +IBPRC0'>IBEND
DO PTFCDS^IBCSC4F(+PTF,601,IBP,.PTFARR)
Begin DoDot:2
+38 SET IBI=""
FOR
SET IBI=$ORDER(PTFARR(IBI))
if IBI=""
QUIT
SET IBPRC=PTFARR(IBI)
IF +IBPRC
SET IBJ=IBJ+1
SET ICDPRC(IBJ)=+IBPRC
End DoDot:2
KILL PTFARR
End DoDot:1
+39 ;
+40 ; date for the DRG Grouper versioning
SET ICDDATE=$SELECT(+$GET(CDATE):CDATE,+$PIECE(PTFM0,U,10):+$PIECE(PTFM0,U,10),1:DT)
+41 ; reset date to within Dx code version
SET IBVDATE=$$DXVER(ICDDX(1),ICDDATE)
IF +IBVDATE
SET ICDDATE=IBVDATE
+42 ;
+43 DO ^ICDDRG
SET IBDRG=$GET(ICDDRG)
+44 ;
MVDRGQ QUIT IBDRG
