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Routine: IBCU83

IBCU83.m

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  1. IBCU83 ;ALB/ARH - THIRD PARTY BILLING UTILITES (BILL-CT) ; 3/10/96
  1. ;;2.0;INTEGRATED BILLING;**48,347**;21-MAR-94;Build 24
  1. ;;Per VHA Directive 2004-038, this routine should not be modified.
  1. ;
  1. IFNTRN(IBIFN,ARRAY,ARR2) ; find CT records for events on a bill: sched adm, inpt adm, outpt vsts, rx refills, prosthetics
  1. ; sets ARRAY=COUNT, ARRAY(IBTRN)=EV TYPE, if bill passed in defined
  1. ; ARR2(DATE,TRN)=TRN (based on IBCC1 and IBJTU5)
  1. ;
  1. N IBI,IBX,IBD0,DFN,IBTYP,IBTRN,IBDT,IBBDT,IBEDT,IBRX,IBRXN,IBPR,IBPRN,IBBILL,IBN K ARRAY,ARR2
  1. S ARRAY=0,IBD0=$G(^DGCR(399,+$G(IBIFN),0)) I IBD0="" G IFNQ
  1. S DFN=$P(IBD0,U,2)
  1. ;
  1. ; -- directly linked through 356.399 (not always correct)
  1. ;S IBI=0 F S IBI=$O(^IBT(356.399,"C",IBIFN,IBI)) Q:'IBI S IBX=+$G(^IBT(356.399,IBI,0)) I +IBX S ARRAY(+IBX)=""
  1. ;
  1. SCH ; -- scheduled admissions (all on event date of inpatient bills)
  1. S IBTYP=5,IBDT=$P(IBD0,U,3),IBBDT=$E(IBDT,1,7)-.00001,IBEDT=$E(IBDT,1,7)+.7
  1. F S IBBDT=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT)) Q:'IBBDT!(IBBDT>IBEDT) D
  1. . S IBTRN=0 F S IBTRN=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT,IBTRN)) Q:'IBTRN D
  1. .. S ARRAY(IBTRN)=IBTYP,ARR2(IBBDT,IBTRN)=IBTRN
  1. ;
  1. INPT ; -- inpt admission (matches event date and episode date, does not check patient admission movement or PTF)
  1. S IBTYP=1,IBDT=$P(IBD0,U,3),IBBDT=$E(IBDT,1,7)-.00001,IBEDT=$E(IBDT,1,7)+.7
  1. F S IBBDT=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT)) Q:'IBBDT!(IBBDT>IBEDT) D
  1. . S IBTRN=0 F S IBTRN=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT,IBTRN)) Q:'IBTRN D
  1. .. S IBBILL=$P(^IBT(356,IBTRN,0),U,11) I +IBBILL,IBBILL'=IBIFN Q
  1. .. S ARRAY(IBTRN)=IBTYP,ARR2(IBBDT,IBTRN)=IBTRN
  1. ;
  1. OPT ; -- outpatient visits (all CT visits on bills's opt visit dates)
  1. S IBTYP=2,IBDT=0 F S IBDT=$O(^DGCR(399,IBIFN,"OP",IBDT)) Q:'IBDT D
  1. . S IBBDT=$E(IBDT,1,7)-.00001,IBEDT=$E(IBDT,1,7)+.7
  1. . F S IBBDT=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT)) Q:'IBBDT!(IBBDT>IBEDT) D
  1. .. S IBTRN=0 F S IBTRN=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT,IBTRN)) Q:'IBTRN D
  1. ... S ARRAY(IBTRN)=IBTYP,ARR2(IBBDT,IBTRN)=IBTRN
  1. ;
  1. RX ; -- rx refills (matches rx's (52: (362.4,.05)=(356,.08)) for refill dates on bill)
  1. S IBTYP=4,IBI=0 F S IBI=$O(^IBA(362.4,"C",IBIFN,IBI)) Q:'IBI D
  1. . S IBRX=$G(^IBA(362.4,IBI,0)),IBDT=$P(IBRX,U,3),IBRXN=$P(IBRX,U,5)
  1. . I 'IBRXN S DIC=52,DIC(0)="BO",X=$P(IBRX,"^") D DIC^PSODI(52,.DIC,X) S IBRXN=+Y K DIC,X,Y Q:IBRXN=-1
  1. . S IBBDT=$E(IBDT,1,7)-.00001,IBEDT=$E(IBDT,1,7)+.7
  1. . F S IBBDT=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT)) Q:'IBBDT!(IBBDT>IBEDT) D
  1. .. S IBTRN=0 F S IBTRN=$O(^IBT(356,"APTY",DFN,IBTYP,IBBDT,IBTRN)) Q:'IBTRN D
  1. ... I $P($G(^IBT(356,IBTRN,0)),U,8)=IBRXN S ARRAY(IBTRN)=IBTYP,ARR2(IBBDT,IBTRN)=IBTRN
  1. ;
  1. PRO ; -- prosthetics (does not match delivery dates)
  1. S IBTYP=3,IBX="AIFN"_IBIFN,IBDT=0 F S IBDT=$O(^IBA(362.5,IBX,IBDT)) Q:'IBDT D
  1. . S IBI=0 F S IBI=$O(^IBA(362.5,IBX,IBDT,IBI)) Q:'IBI D
  1. .. S IBPR=$G(^IBA(362.5,IBI,0)),IBPRN=$P(IBPR,U,4) Q:'IBPRN
  1. .. S IBTRN=$O(^IBT(356,"APRO",IBPRN,0))
  1. .. I +IBTRN S ARRAY(IBTRN)=IBTYP,ARR2(IBDT,IBTRN)=IBTRN
  1. ;
  1. S IBI=0 F S IBI=$O(ARRAY(IBI)) Q:'IBI S ARRAY=ARRAY+1
  1. IFNQ Q