IBECEAU3 ;ALB/CPM - Cancel/Edit/Add... Add New IB Action; 11-MAR-93
;;2.0;INTEGRATED BILLING;**132,150,167,183,341,563,618,656,663,653,682**;21-MAR-94;Build 15
;;Per VA Directive 6402, this routine should not be modified.
;
ADD ; Add a new Integrated Billing Action entry.
; Input: DFN -- Pointer to patient in file #2
; IBATYP -- Pointer to Action Type in file #350.1
; IBUNIT -- Number of units of charge
; IBCHG -- Total charge
; IBDESC -- Charge description
; IBSITE -- Pointer to the facility in file #4
; IBFAC -- Facility number
; IBFR -- Bill From date
; IBTO -- Bill To date
; IBEFDT -- Bill Effective Date [OPTIONAL Rx Only]
; IBSL -- Softlink [OPTIONAL]
; IBPARNT -- Pointer to parent entry in #350 [OPTIONAL]
; IBEVDA -- Pointer to parent event in #350 [OPTIONAL], or
; -- "*" to set ibevda=ibn
; IBEVDT -- Event Date [OPTIONAL]
; IBIL -- Bill Number [OPTIONAL]
; IBCRES -- Pointer to canc. reason in #350.3 [OPTIONAL]
; IBXA -- IB Action billing group [OPTIONAL]
; IBJOB -- Option being executed [OPTIONAL]
; IBCVA -- CHAMPVA Admission date [OPTIONAL]
; IBSTOPDA -- Pointer to clinic stop entry in #352.5 [OPTIONAL]
; (used for new outpatient appts created in IB)
; IBGMTR -- GMT Related flag [OPTIONAL]
; IBTIER -- Copay Tier [OPTIONAL]
;
; Output: IBN -- Internal number of new entry in file #350
;
N DA,DIK,IBASTR,IBND,Y
D ADD^IBAUTL I Y<1 S IBY=Y G ADDQ
S:$G(IBEVDA)="*" IBEVDA=IBN
S:$G(IBEVDA)="" IBEVDA=IBN ;check for the NULL scenario IB*2.0*656
S IBND=DFN_"^"_IBATYP_"^"_$S($G(IBSL):IBSL,1:"350:"_IBN)_"^1^"_IBUNIT_"^"_IBCHG_"^"_IBDESC_"^"_$S($D(IBPARNT):IBPARNT,1:IBN)_"^"_$G(IBCRES)_"^"_$G(IBIL)_"^^"_IBFAC
I IBDESC["RX COPAY",$D(IBAM) S $P(IBND,"^",18)=IBAM,$P(^IBAM(354.71,IBAM,0),"^",6)="350:"_IBN ; mark 354.71 entry back and forth
I IBDESC["RX COPAY",$G(IBEFDT) S $P(IBND,"^",13,14)=IBEFDT_"^"_IBEFDT
I IBDESC'["RX COPAY" S IBND=IBND_"^"_IBFR_"^"_IBTO_"^"_$G(IBEVDA)_$S($G(IBEVDT):"^"_IBEVDT,$G(IBXA)=1!($G(IBXA)=4)!($G(IBJOB)=5):"^"_IBFR,1:"")
I $G(IBSTOPDA) S $P(IBND,"^",19)=IBSTOPDA
I $G(IBTIER) S $P(IBND,"^",21)=IBTIER
S $P(^IB(IBN,0),"^",2,20)=IBND
; IB*2.0*618 Allow Event date to File for Community Care RX
; IB*2.0*656 Correct a potential Undefined error
I IBDESC["RX COPAY",$G(IBEVDT) D
. N DIE,DR,DTOUT
. S DA=IBN,DIE="^IB("
. S DR=".16///"_$G(IBEVDA)_";.17///"_IBEVDT ;IB*2.0*656
. D ^DIE
; end IB*2.0*618
;
I $G(IBGMTR) S $P(^IB(IBN,0),"^",21)=1 ; GMT Related
; DUZ may be null if this code is called by a process started by an HL7 multi-threaded listener
; if this condition occurs the approved fix is to use the Postmaster IEN. 2/27/06, IB*2.0*341
D NOW^%DTC S $P(^IB(IBN,1),"^")=$S(DUZ:DUZ,1:.5),$P(^(1),"^",3,5)=$S(DUZ:DUZ,1:.5)_"^"_%_$S($G(IBCVA):"^"_IBCVA,1:"")
S DIK="^IB(",DA=IBN D IX1^DIK
ADDQ Q
;
CTBB ; Charge to be billed
; Check Outpat. Fee Service less than 20% Outpat Co Pay
S:$G(IBREBILL("CHRGAMT"))'="" IBCHG=IBREBILL("CHRGAMT") ; IB*2.0*682
D:$G(IBAFEE) FEE^IBECEAU5 Q:IBY<1
I $G(IBDESC)["RX COPAY",$$CHKHRFS^IBAMTS3(DFN,$G(IBEFDT)) S IBCHG=IBUNIT*2 ;IB*2.0*653 charge $2.00 per unit ( 1 Unit = 30 day supply), no Tier rates.
W !!,"Charge to be billed --> $",$J(IBCHG,0,2)
Q
;
NODED ; Could not determine the Medicare Deductible amount.
W !,*7,"The Medicare Deductible Amount for ",$$DAT1^IBOUTL(IBCLDT)," could not be determined."
W !,"You should determine the cause of this problem before proceeding."
S IBY=-1
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBECEAU3 3849 printed Dec 13, 2024@02:21:33 Page 2
IBECEAU3 ;ALB/CPM - Cancel/Edit/Add... Add New IB Action; 11-MAR-93
+1 ;;2.0;INTEGRATED BILLING;**132,150,167,183,341,563,618,656,663,653,682**;21-MAR-94;Build 15
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
ADD ; Add a new Integrated Billing Action entry.
+1 ; Input: DFN -- Pointer to patient in file #2
+2 ; IBATYP -- Pointer to Action Type in file #350.1
+3 ; IBUNIT -- Number of units of charge
+4 ; IBCHG -- Total charge
+5 ; IBDESC -- Charge description
+6 ; IBSITE -- Pointer to the facility in file #4
+7 ; IBFAC -- Facility number
+8 ; IBFR -- Bill From date
+9 ; IBTO -- Bill To date
+10 ; IBEFDT -- Bill Effective Date [OPTIONAL Rx Only]
+11 ; IBSL -- Softlink [OPTIONAL]
+12 ; IBPARNT -- Pointer to parent entry in #350 [OPTIONAL]
+13 ; IBEVDA -- Pointer to parent event in #350 [OPTIONAL], or
+14 ; -- "*" to set ibevda=ibn
+15 ; IBEVDT -- Event Date [OPTIONAL]
+16 ; IBIL -- Bill Number [OPTIONAL]
+17 ; IBCRES -- Pointer to canc. reason in #350.3 [OPTIONAL]
+18 ; IBXA -- IB Action billing group [OPTIONAL]
+19 ; IBJOB -- Option being executed [OPTIONAL]
+20 ; IBCVA -- CHAMPVA Admission date [OPTIONAL]
+21 ; IBSTOPDA -- Pointer to clinic stop entry in #352.5 [OPTIONAL]
+22 ; (used for new outpatient appts created in IB)
+23 ; IBGMTR -- GMT Related flag [OPTIONAL]
+24 ; IBTIER -- Copay Tier [OPTIONAL]
+25 ;
+26 ; Output: IBN -- Internal number of new entry in file #350
+27 ;
+28 NEW DA,DIK,IBASTR,IBND,Y
+29 DO ADD^IBAUTL
IF Y<1
SET IBY=Y
GOTO ADDQ
+30 if $GET(IBEVDA)="*"
SET IBEVDA=IBN
+31 ;check for the NULL scenario IB*2.0*656
if $GET(IBEVDA)=""
SET IBEVDA=IBN
+32 SET IBND=DFN_"^"_IBATYP_"^"_$SELECT($GET(IBSL):IBSL,1:"350:"_IBN)_"^1^"_IBUNIT_"^"_IBCHG_"^"_IBDESC_"^"_$SELECT($DATA(IBPARNT):IBPARNT,1:IBN)_"^"_$GET(IBCRES)_"^"_$GET(IBIL)_"^^"_IBFAC
+33 ; mark 354.71 entry back and forth
IF IBDESC["RX COPAY"
IF $DATA(IBAM)
SET $PIECE(IBND,"^",18)=IBAM
SET $PIECE(^IBAM(354.71,IBAM,0),"^",6)="350:"_IBN
+34 IF IBDESC["RX COPAY"
IF $GET(IBEFDT)
SET $PIECE(IBND,"^",13,14)=IBEFDT_"^"_IBEFDT
+35 IF IBDESC'["RX COPAY"
SET IBND=IBND_"^"_IBFR_"^"_IBTO_"^"_$GET(IBEVDA)_$SELECT($GET(IBEVDT):"^"_IBEVDT,$GET(IBXA)=1!($GET(IBXA)=4)!($GET(IBJOB)=5):"^"_IBFR,1:"")
+36 IF $GET(IBSTOPDA)
SET $PIECE(IBND,"^",19)=IBSTOPDA
+37 IF $GET(IBTIER)
SET $PIECE(IBND,"^",21)=IBTIER
+38 SET $PIECE(^IB(IBN,0),"^",2,20)=IBND
+39 ; IB*2.0*618 Allow Event date to File for Community Care RX
+40 ; IB*2.0*656 Correct a potential Undefined error
+41 IF IBDESC["RX COPAY"
IF $GET(IBEVDT)
Begin DoDot:1
+42 NEW DIE,DR,DTOUT
+43 SET DA=IBN
SET DIE="^IB("
+44 ;IB*2.0*656
SET DR=".16///"_$GET(IBEVDA)_";.17///"_IBEVDT
+45 DO ^DIE
End DoDot:1
+46 ; end IB*2.0*618
+47 ;
+48 ; GMT Related
IF $GET(IBGMTR)
SET $PIECE(^IB(IBN,0),"^",21)=1
+49 ; DUZ may be null if this code is called by a process started by an HL7 multi-threaded listener
+50 ; if this condition occurs the approved fix is to use the Postmaster IEN. 2/27/06, IB*2.0*341
+51 DO NOW^%DTC
SET $PIECE(^IB(IBN,1),"^")=$SELECT(DUZ:DUZ,1:.5)
SET $PIECE(^(1),"^",3,5)=$SELECT(DUZ:DUZ,1:.5)_"^"_%_$SELECT($GET(IBCVA):"^"_IBCVA,1:"")
+52 SET DIK="^IB("
SET DA=IBN
DO IX1^DIK
ADDQ QUIT
+1 ;
CTBB ; Charge to be billed
+1 ; Check Outpat. Fee Service less than 20% Outpat Co Pay
+2 ; IB*2.0*682
if $GET(IBREBILL("CHRGAMT"))'=""
SET IBCHG=IBREBILL("CHRGAMT")
+3 if $GET(IBAFEE)
DO FEE^IBECEAU5
if IBY<1
QUIT
+4 ;IB*2.0*653 charge $2.00 per unit ( 1 Unit = 30 day supply), no Tier rates.
IF $GET(IBDESC)["RX COPAY"
IF $$CHKHRFS^IBAMTS3(DFN,$GET(IBEFDT))
SET IBCHG=IBUNIT*2
+5 WRITE !!,"Charge to be billed --> $",$JUSTIFY(IBCHG,0,2)
+6 QUIT
+7 ;
NODED ; Could not determine the Medicare Deductible amount.
+1 WRITE !,*7,"The Medicare Deductible Amount for ",$$DAT1^IBOUTL(IBCLDT)," could not be determined."
+2 WRITE !,"You should determine the cause of this problem before proceeding."
+3 SET IBY=-1
+4 QUIT
