IBNCPDR4 ;ALB/BDB - ROI MANAGEMENT, ROI CHECK ;30-NOV-07
Source file <IBNCPDR4.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| ROICHK(IBPAT,IBDRUG,IBINS,IBDT) | ;Check for ROI
; Function returns: ; 0 - if no ROI on file ; 1 - if ROI on file, new ROI added, or the Date of Service ; is on or after the Mission Act implementation date ; 2 - if not needed, passes checks |
|
| ROICLN(IBTRN,IBRX,IBFIL) | ;Clean NB reason, set CT ROI flag to 'obtained'
; Clean ROI non-billable reason on Claims Tracking 356 |
|
| ROI(IBDFN,IBDRUG,IBINS,IBADT) | ; -- Check for ROI on file
; Function returns: ; 1 = if ROI on file or Date of Service is on or after ; Mission Act implementation date ; 0 = if no ROI on file |
|
| ROIQ | ;
|
|
| AD(IBDFN,IBDRUG,IBINS,IBDT) | ; -- Add tracking entry
; Function returns 1 if ROI added, 0 if not added |
|
| ADDQ | ||
| ROI399(IBIFN) | ; -- ROI Complete? in Bill/Claims (#399;157)
; Check drugs that contain the sensitive diagnosis drug field=1, ; Claims Tracking ROI file (#356.25) to see if an ROI is on file ; ; input - IBIFN = IEN of the Bill/Claims file (#399) ; output - 0 = sensitive diagnosis drug and no ROI on file ; 1 = default, sensitive diagnosis drug and ROI on file, ; or DOS is on or after Mission Act implementation date |
|
| ROI399Q | ;
|
|
| MACHK(IBDOS) | ;
|
| FileNo | Call Tags |
|---|---|
| ^IBT(356 - [#356] | Classic Fileman Calls |
| ^IBT(356.25 - [#356.25] | Classic Fileman Calls |
