IBCSC6 ;ALB/MJB - MCCR SCREEN 6 (INPT. BILLING INFO) ;27 MAY 88 10:19
;;2.0;INTEGRATED BILLING;**52,80,109,106,51,137,343,400,432,623**;21-MAR-94;Build 70
;;Per VA Directive 6402, this routine should not be modified.
;
;MAP TO DGCRSC6
;
EN I $P(^DGCR(399,IBIFN,0),"^",5)>2 G EN^IBCSC7
I $D(DGRVRCAL) D ^IBCU6 K DGRVRCAL
D ^IBCSCU S IBSR=6,IBSR1="",IBV1="0000000" S:IBV IBV1="1111111" F I="U","U1",0,"U2","U3" S IB(I)=$S($D(^DGCR(399,IBIFN,I)):^(I),1:"")
D H^IBCSCU
S IBBT=$P(IB(0),U,24)_$P(IB(0),U,5)_$P(IB(0),U,26)
S IBBT1=$P(IB(0),U,24)_$P($G(^DGCR(399.1,+$P(IB(0),U,25),0)),U,2)_$P(IB(0),U,26)
D 4^IBCVA1,5^IBCVA1
;
1 S Z=1,IBW=1 X IBWW W " Bill Type : ",$S('$D(IBBT1):IBU,IBBT1="":IBU,1:IBBT1)
W $J("",14),"Loc. of Care: ",$E($G(IBBTP1),1,30) K IBBTP1
;W !?4,"Covered Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,2)'="":$P(IB("U2"),U,2),1:IBU)
W !?4,"Charge Type : ",$S($P(IB(0),U,27)=1:"INSTITUTIONAL",$P(IB(0),U,27)=2:"PROFESSIONAL",1:IBU)
; IB*2.0*432 - remove Covered, Non-covered and co-insurance days
;W !?4,"Non-Cov Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,3)'="":$P(IB("U2"),U,3),1:IBU)
W ?38,"Timeframe: ",$S($D(IBBTP3):$E(IBBTP3,1,30),1:"") K IBBTP3
W !?4,"Form Type : ",$P($G(^IBE(353,+$P(IB(0),U,19),0)),U,1)
W ?39,"Division: ",$E($P($G(^DG(40.8,+$P(IB(0),U,22),0)),U,1),1,30)
W !,?4,"Bill Classif: ",$E($G(IBBTP2),1,30) K IBBTP2
;W ?34,"Co-Insur Days: ",$S($P(IB("U2"),U,7)="":$S($$MCRONBIL^IBEFUNC(IBIFN):IBU,1:IBUN),1:$P(IB("U2"),U,7))
;
ROI S Z=2,IBW=1 X IBWW
W " Sensitive? : ",$S(IB("U")="":IBU,$P(IB("U"),U,5)="":IBU,$P(IB("U"),U,5)=1:"YES",1:"NO")
W ?46,"Assignment: ",$S(IB("U")="":IBU,$P(IB("U"),U,6)="":IBU,$P(IB("U"),U,6)["n":"NO",$P(IB("U"),U,6)["N":"NO",$P(IB("U"),U,6)=0:"NO",1:"YES")
;/vd - IB*2.0*623 (US4995) - Modified the following line of code with the following conditional to validate that a
; claim is ROI Eligible based upon the Date of Service.
;I $P(IB("U"),U,5)=1 W !?4,"R.O.I. Form : ",$S($P(IB("U"),U,7)=1:"COMPLETED",$P(IB("U"),U,7)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
I $$ROIDTCK^IBCEU7(IBIFN) D
. I $P(IB("U"),U,5)=1 W !?4,"R.O.I. Form : ",$S($P(IB("U"),U,7)=1:"COMPLETED",$P(IB("U"),U,7)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
S IBOA="01^02^03^04^05^06^" F I=1:1:5 Q:'$D(IBOCN(I)) I IBOA[IBOCN(I)_"^" S IBOX=1
W:$D(IBOX) !,?4,"Pow of Atty : ",$S($P(IB("U"),U,3)=1:"COMPLETED",$P(IB("U"),U,3)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
;
3 S Z=3,IBW=1 X IBWW D FROMTO
;
BED S Z=4,IBW=1 X IBWW
W " Bedsection : ",$S(IB("U")="":IBU,$P(IB("U"),U,11)'="":$P(^DGCR(399.1,$P(IB("U"),U,11),0),U,1),1:IBU)
W !?4,"LOS : ",IBLS
;
I $P($G(^DPT(DFN,.3)),"^")="Y" D SC I IBSCM>0 W !?4,"PTF record indicates ",IBSCM," of ",IBM," movements are for Service Connected Care."
;
REV S Z=5,IBREVC=0,IBW=1 X IBWW W " Rev. Code : " F I=1:1:8 Q:'$D(IBREVC(I)) D:$S(IBREVC<7:1,1:$P(IBREVC(I),U,9)="") REV^IBCSC61 S IBREVC=IBREVC+1 Q:IBREVC>7
I $G(IBREVC)>9 W !,?4,"Too many Revenue Codes to display, enter '5' to list"
BILL D OFFSET^IBCSC61
I $G(IBUCH),$$FT^IBCEF(IBIFN)=3 S X=IBUCH,X2="2$" D COMMA^%DTC W !,?39,"Non-Cov: ",X
;
RS S Z=6,IBW=1 X IBWW W " Rate Sched : (re-calculate charges)"
;
PRPAY S Z=7,IBW=1 X IBWW
S IB("M1")=$G(^DGCR(399,IBIFN,"M1")),X3=0,IBI="Prior Payments:" F X=0,1,2 D
. S X1=$P(IB("U2"),U,(X+4)),X2=$P(IB("M1"),U,(5+X)) I X1="",X2="" Q
. S IBI=IBI_$J("",(17-$L(IBI)))_$S(X=0:"Primary",X=1:"Secondary",X=2:"Tertiary",1:"")
. S IBI=IBI_$J("",(28-$L(IBI)))_$S(X1'="":$J(X1,11,2),1:IBU)
. S IBI=IBI_$J("",(50-$L(IBI)))_"Bill #: "_$S(+X2:$P($G(^DGCR(399,+X2,0)),U,1),1:IBU)
. W:'X3 " " W:X3 !,?4 W IBI S X3=1,IBI=""
I 'X3 W " Prior Claims: ",IBU
;
G ^IBCSCP
Q
;
FROMTO ; - Print From and To dates of bill
W " Bill From : " S Y=$P(IB("U"),"^") D D^DIQ W $S($L(Y):Y,1:IBU)
W ?49,"Bill To: " S Y=$P(IB("U"),"^",2) D D^DIQ W $S($L(Y):Y,1:IBU)
Q
;
SC ; -if patient is sc, are movements for sc care
S PTF=$P(IB(0),"^",8)
;
SC1 ;
; -input ptf
;
; -output IBm = number of movements
; IBscm = number of SC movements
S (IBM,IBSCM,M)=0
I $S('PTF:1,'$D(^DGPT(PTF,0)):1,1:0) Q
F S M=$O(^DGPT(PTF,"M",M)) Q:'M S IBM=IBM+1 I $P($G(^DGPT(PTF,"M",M,0)),"^",18)=1 S IBSCM=IBSCM+1
Q
;IBCSC6
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBCSC6 4326 printed Dec 13, 2024@02:20:23 Page 2
IBCSC6 ;ALB/MJB - MCCR SCREEN 6 (INPT. BILLING INFO) ;27 MAY 88 10:19
+1 ;;2.0;INTEGRATED BILLING;**52,80,109,106,51,137,343,400,432,623**;21-MAR-94;Build 70
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ;MAP TO DGCRSC6
+5 ;
EN IF $PIECE(^DGCR(399,IBIFN,0),"^",5)>2
GOTO EN^IBCSC7
+1 IF $DATA(DGRVRCAL)
DO ^IBCU6
KILL DGRVRCAL
+2 DO ^IBCSCU
SET IBSR=6
SET IBSR1=""
SET IBV1="0000000"
if IBV
SET IBV1="1111111"
FOR I="U","U1",0,"U2","U3"
SET IB(I)=$SELECT($DATA(^DGCR(399,IBIFN,I)):^(I),1:"")
+3 DO H^IBCSCU
+4 SET IBBT=$PIECE(IB(0),U,24)_$PIECE(IB(0),U,5)_$PIECE(IB(0),U,26)
+5 SET IBBT1=$PIECE(IB(0),U,24)_$PIECE($GET(^DGCR(399.1,+$PIECE(IB(0),U,25),0)),U,2)_$PIECE(IB(0),U,26)
+6 DO 4^IBCVA1
DO 5^IBCVA1
+7 ;
1 SET Z=1
SET IBW=1
XECUTE IBWW
WRITE " Bill Type : ",$SELECT('$DATA(IBBT1):IBU,IBBT1="":IBU,1:IBBT1)
+1 WRITE $JUSTIFY("",14),"Loc. of Care: ",$EXTRACT($GET(IBBTP1),1,30)
KILL IBBTP1
+2 ;W !?4,"Covered Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,2)'="":$P(IB("U2"),U,2),1:IBU)
+3 WRITE !?4,"Charge Type : ",$SELECT($PIECE(IB(0),U,27)=1:"INSTITUTIONAL",$PIECE(IB(0),U,27)=2:"PROFESSIONAL",1:IBU)
+4 ; IB*2.0*432 - remove Covered, Non-covered and co-insurance days
+5 ;W !?4,"Non-Cov Days: ",$S(IB("U2")="":IBU,$P(IB("U2"),U,3)'="":$P(IB("U2"),U,3),1:IBU)
+6 WRITE ?38,"Timeframe: ",$SELECT($DATA(IBBTP3):$EXTRACT(IBBTP3,1,30),1:"")
KILL IBBTP3
+7 WRITE !?4,"Form Type : ",$PIECE($GET(^IBE(353,+$PIECE(IB(0),U,19),0)),U,1)
+8 WRITE ?39,"Division: ",$EXTRACT($PIECE($GET(^DG(40.8,+$PIECE(IB(0),U,22),0)),U,1),1,30)
+9 WRITE !,?4,"Bill Classif: ",$EXTRACT($GET(IBBTP2),1,30)
KILL IBBTP2
+10 ;W ?34,"Co-Insur Days: ",$S($P(IB("U2"),U,7)="":$S($$MCRONBIL^IBEFUNC(IBIFN):IBU,1:IBUN),1:$P(IB("U2"),U,7))
+11 ;
ROI SET Z=2
SET IBW=1
XECUTE IBWW
+1 WRITE " Sensitive? : ",$SELECT(IB("U")="":IBU,$PIECE(IB("U"),U,5)="":IBU,$PIECE(IB("U"),U,5)=1:"YES",1:"NO")
+2 WRITE ?46,"Assignment: ",$SELECT(IB("U")="":IBU,$PIECE(IB("U"),U,6)="":IBU,$PIECE(IB("U"),U,6)["n":"NO",$PIECE(IB("U"),U,6)["N":"NO",$PIECE(IB("U"),U,6)=0:"NO",1:"YES")
+3 ;/vd - IB*2.0*623 (US4995) - Modified the following line of code with the following conditional to validate that a
+4 ; claim is ROI Eligible based upon the Date of Service.
+5 ;I $P(IB("U"),U,5)=1 W !?4,"R.O.I. Form : ",$S($P(IB("U"),U,7)=1:"COMPLETED",$P(IB("U"),U,7)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
+6 IF $$ROIDTCK^IBCEU7(IBIFN)
Begin DoDot:1
+7 IF $PIECE(IB("U"),U,5)=1
WRITE !?4,"R.O.I. Form : ",$SELECT($PIECE(IB("U"),U,7)=1:"COMPLETED",$PIECE(IB("U"),U,7)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
End DoDot:1
+8 SET IBOA="01^02^03^04^05^06^"
FOR I=1:1:5
if '$DATA(IBOCN(I))
QUIT
IF IBOA[IBOCN(I)_"^"
SET IBOX=1
+9 if $DATA(IBOX)
WRITE !,?4,"Pow of Atty : ",$SELECT($PIECE(IB("U"),U,3)=1:"COMPLETED",$PIECE(IB("U"),U,3)=0:"NOT COMPLETED",1:"STATUS UNKNOWN")
+10 ;
3 SET Z=3
SET IBW=1
XECUTE IBWW
DO FROMTO
+1 ;
BED SET Z=4
SET IBW=1
XECUTE IBWW
+1 WRITE " Bedsection : ",$SELECT(IB("U")="":IBU,$PIECE(IB("U"),U,11)'="":$PIECE(^DGCR(399.1,$PIECE(IB("U"),U,11),0),U,1),1:IBU)
+2 WRITE !?4,"LOS : ",IBLS
+3 ;
+4 IF $PIECE($GET(^DPT(DFN,.3)),"^")="Y"
DO SC
IF IBSCM>0
WRITE !?4,"PTF record indicates ",IBSCM," of ",IBM," movements are for Service Connected Care."
+5 ;
REV SET Z=5
SET IBREVC=0
SET IBW=1
XECUTE IBWW
WRITE " Rev. Code : "
FOR I=1:1:8
if '$DATA(IBREVC(I))
QUIT
if $SELECT(IBREVC<7
DO REV^IBCSC61
SET IBREVC=IBREVC+1
if IBREVC>7
QUIT
+1 IF $GET(IBREVC)>9
WRITE !,?4,"Too many Revenue Codes to display, enter '5' to list"
BILL DO OFFSET^IBCSC61
+1 IF $GET(IBUCH)
IF $$FT^IBCEF(IBIFN)=3
SET X=IBUCH
SET X2="2$"
DO COMMA^%DTC
WRITE !,?39,"Non-Cov: ",X
+2 ;
RS SET Z=6
SET IBW=1
XECUTE IBWW
WRITE " Rate Sched : (re-calculate charges)"
+1 ;
PRPAY SET Z=7
SET IBW=1
XECUTE IBWW
+1 SET IB("M1")=$GET(^DGCR(399,IBIFN,"M1"))
SET X3=0
SET IBI="Prior Payments:"
FOR X=0,1,2
Begin DoDot:1
+2 SET X1=$PIECE(IB("U2"),U,(X+4))
SET X2=$PIECE(IB("M1"),U,(5+X))
IF X1=""
IF X2=""
QUIT
+3 SET IBI=IBI_$JUSTIFY("",(17-$LENGTH(IBI)))_$SELECT(X=0:"Primary",X=1:"Secondary",X=2:"Tertiary",1:"")
+4 SET IBI=IBI_$JUSTIFY("",(28-$LENGTH(IBI)))_$SELECT(X1'="":$JUSTIFY(X1,11,2),1:IBU)
+5 SET IBI=IBI_$JUSTIFY("",(50-$LENGTH(IBI)))_"Bill #: "_$SELECT(+X2:$PIECE($GET(^DGCR(399,+X2,0)),U,1),1:IBU)
+6 if 'X3
WRITE " "
if X3
WRITE !,?4
WRITE IBI
SET X3=1
SET IBI=""
End DoDot:1
+7 IF 'X3
WRITE " Prior Claims: ",IBU
+8 ;
+9 GOTO ^IBCSCP
+10 QUIT
+11 ;
FROMTO ; - Print From and To dates of bill
+1 WRITE " Bill From : "
SET Y=$PIECE(IB("U"),"^")
DO D^DIQ
WRITE $SELECT($LENGTH(Y):Y,1:IBU)
+2 WRITE ?49,"Bill To: "
SET Y=$PIECE(IB("U"),"^",2)
DO D^DIQ
WRITE $SELECT($LENGTH(Y):Y,1:IBU)
+3 QUIT
+4 ;
SC ; -if patient is sc, are movements for sc care
+1 SET PTF=$PIECE(IB(0),"^",8)
+2 ;
SC1 ;
+1 ; -input ptf
+2 ;
+3 ; -output IBm = number of movements
+4 ; IBscm = number of SC movements
+5 SET (IBM,IBSCM,M)=0
+6 IF $SELECT('PTF:1,'$DATA(^DGPT(PTF,0)):1,1:0)
QUIT
+7 FOR
SET M=$ORDER(^DGPT(PTF,"M",M))
if 'M
QUIT
SET IBM=IBM+1
IF $PIECE($GET(^DGPT(PTF,"M",M,0)),"^",18)=1
SET IBSCM=IBSCM+1
+8 QUIT
+9 ;IBCSC6
