IBCRU8 ;ALB/ARH - RATES: UTILITIES (RC) ; 10-OCT-03
;;2.0;INTEGRATED BILLING;**245**;21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
VERSDT(VERS) ; return effective date of RC version passed in
N IBX S IBX=0 I +$G(VERS) S IBX=$$VERSDT^IBCRHBRV(VERS)
Q IBX
;
RCDV(DIV) ; return RC Billing Region Data a division 'Region IFN^ID^TYPE'
N IBX,IBRG,IBRG0 S IBX=0
I +$G(DIV) S IBRG=0 F S IBRG=$O(^IBE(363.31,IBRG)) Q:'IBRG D
. I '$O(^IBE(363.31,IBRG,11,"B",+DIV,0)) Q
. S IBRG0=$G(^IBE(363.31,IBRG,0)) I $E(IBRG0,1,3)'="RC " Q
. S IBX=IBRG_U_$P(IBRG0,U,2,3)
Q IBX
;
RSOTHER(RS) ; return Billable Service if the Rate Schedule is applicable to Other Type of Care
; with RC v2.0 Skilled Nursing and Sub-Acute has an entire set of charges separate from inpatient charges
; charges are identified as Other (SNF/SA) by the Rate Schedule Billable Service for RC v2.0+ only
; Output: 0 - Charges are not applicable to Other Care
; Billable Service ifn - Charges are applicable to the Billable Service only
; only the Billable Service SKILLED NURSING is defined as an 'Other' type of care and for RC 2.0+ only
N IBRS0,IBRCX,IBFND,IBX S (IBRCX,IBFND)=0 S IBRS0=$G(^IBE(363,+$G(RS),0)) I IBRS0="" G RSOTHERQ
I $P(IBRS0,U,5)<$$VERSDT(2) G RSOTHERQ
S IBX=0 F S IBX=$O(^IBE(363,RS,11,"B",IBX)) Q:'IBX I $E($G(^IBE(363.1,IBX,0)),1,3)="RC-" S IBRCX=1 Q
I 'IBRCX G RSOTHERQ
S IBX=$$MCCRUTL^IBCRU1("SKILLED NURSING",13) I +$P(IBRS0,U,4)=IBX S IBFND=IBX
RSOTHERQ Q IBFND
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCRU8 1540 printed Oct 16, 2024@18:20:42 Page 2
IBCRU8 ;ALB/ARH - RATES: UTILITIES (RC) ; 10-OCT-03
+1 ;;2.0;INTEGRATED BILLING;**245**;21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
VERSDT(VERS) ; return effective date of RC version passed in
+1 NEW IBX
SET IBX=0
IF +$GET(VERS)
SET IBX=$$VERSDT^IBCRHBRV(VERS)
+2 QUIT IBX
+3 ;
RCDV(DIV) ; return RC Billing Region Data a division 'Region IFN^ID^TYPE'
+1 NEW IBX,IBRG,IBRG0
SET IBX=0
+2 IF +$GET(DIV)
SET IBRG=0
FOR
SET IBRG=$ORDER(^IBE(363.31,IBRG))
if 'IBRG
QUIT
Begin DoDot:1
+3 IF '$ORDER(^IBE(363.31,IBRG,11,"B",+DIV,0))
QUIT
+4 SET IBRG0=$GET(^IBE(363.31,IBRG,0))
IF $EXTRACT(IBRG0,1,3)'="RC "
QUIT
+5 SET IBX=IBRG_U_$PIECE(IBRG0,U,2,3)
End DoDot:1
+6 QUIT IBX
+7 ;
RSOTHER(RS) ; return Billable Service if the Rate Schedule is applicable to Other Type of Care
+1 ; with RC v2.0 Skilled Nursing and Sub-Acute has an entire set of charges separate from inpatient charges
+2 ; charges are identified as Other (SNF/SA) by the Rate Schedule Billable Service for RC v2.0+ only
+3 ; Output: 0 - Charges are not applicable to Other Care
+4 ; Billable Service ifn - Charges are applicable to the Billable Service only
+5 ; only the Billable Service SKILLED NURSING is defined as an 'Other' type of care and for RC 2.0+ only
+6 NEW IBRS0,IBRCX,IBFND,IBX
SET (IBRCX,IBFND)=0
SET IBRS0=$GET(^IBE(363,+$GET(RS),0))
IF IBRS0=""
GOTO RSOTHERQ
+7 IF $PIECE(IBRS0,U,5)<$$VERSDT(2)
GOTO RSOTHERQ
+8 SET IBX=0
FOR
SET IBX=$ORDER(^IBE(363,RS,11,"B",IBX))
if 'IBX
QUIT
IF $EXTRACT($GET(^IBE(363.1,IBX,0)),1,3)="RC-"
SET IBRCX=1
QUIT
+9 IF 'IBRCX
GOTO RSOTHERQ
+10 SET IBX=$$MCCRUTL^IBCRU1("SKILLED NURSING",13)
IF +$PIECE(IBRS0,U,4)=IBX
SET IBFND=IBX
RSOTHERQ QUIT IBFND
