IBY400PO ;ALB/ESG - Post Install for IB patch 400 ;27-Aug-2008
;;2.0;INTEGRATED BILLING;**400**;21-MAR-94;Build 52
;;Per VHA Directive 2004-038, this routine should not be modified.
;
EN ;
N XPDIDTOT S XPDIDTOT=9
D PPS ; 1. fire new trigger to set PPS field
D BP ; 2. populate the list of valid billing provider facility types
D BFLD ; 3. remove obsolete fields associated with boxes 32/33 on cms-1500
D BPTAX ; 4. manually set the new billing provider taxonomy code field
D XREFCL ; 5. build new x-ref in file 399 and remove existing triggers
D XREFRX ; 6. build new x-ref in file 362.4
D RIT ; 7. recompile input template
D VC ; 8. add value codes
D TMOPT ; 9. schedule option in TaskManager
EX ;
Q
;
PPS ; Fire new FileMan trigger to set the new PPS field on all applicable claims
NEW DIK,FOUND,STOP,CNT,IBIFN
D BMES^XPDUTL(" STEP 1 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Fire trigger for default claim PPS (DRG) ... ")
;
; try to determine if this has already been run by looking at recent inpatient claims
; the "ABT" x-ref is by the .05 field, "1" being regular inpatient claims
S (FOUND,STOP,CNT)=0
S IBIFN=" " F S IBIFN=$O(^DGCR(399,"ABT",1,IBIFN),-1) Q:'IBIFN!FOUND!STOP D Q:FOUND!STOP
. I $$FT^IBCEF(IBIFN)'=3 Q ; it must be a UB claim
. S CNT=CNT+1
. I CNT>500 S STOP=1 Q ; stop after looking at 500 inpatient, UB claims
. I +$P($G(^DGCR(399,IBIFN,"U1")),U,15) S FOUND=1 Q ; found an example where new field# 170 exists
. Q
;
I FOUND D MES^XPDUTL("Already completed previously.") G PPSX
;
; call FileMan to fire this new trigger
S DIK="^DGCR(399,"
S DIK(1)=".08^7"
D ENALL^DIK
PPSX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(1)
Q
;
BP ; Populate the list of billing provider facility types
NEW BPZ,MSG,TYPE,SITE,SUBJ,XMTO,LN
D BMES^XPDUTL(" STEP 2 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Populating the list of valid billing provider facility types ...")
;
; This is the list of CBO-defined billing provider facility types (7-Oct-2008)
S BPZ("CBOC")="" ; COMMUNITY BASED OUTPATIENT CLINIC
S BPZ("HCS")="" ; HEALTH CARE SYSTEM
S BPZ("M&ROC")="1" ; MEDICAL AND REGIONAL OFFFICE CENTER
S BPZ("OC")="1" ; OUTPATIENT CLINIC (INDEPENDENT)
S BPZ("OPC")="" ; OUT PATIENT CLINIC
S BPZ("PHARM")="" ; PHARMACY
S BPZ("RO-OC")="1" ; REGIONAL OFFICE - OUTPATIENT CLINIC
S BPZ("VAMC")="1" ; VA MEDICAL CENTER
;
K MSG
S TYPE=""
F S TYPE=$O(BPZ(TYPE)) Q:TYPE="" D
. N IEN,X,Y,DIC,DA,DLAYGO,DO
. S IEN=+$$FIND1^DIC(4.1,,"BX",TYPE,"B") ; find single entry, exact match only
. I 'IEN D ERR(TYPE) Q ; log an error if type not found
. I $D(^IBE(350.9,1,20,"B",IEN)) Q ; already in the list
. S X=IEN
. S DIC="^IBE(350.9,1,20,",DIC(0)="L",DA(1)=1,DLAYGO=350.9005
. I BPZ(TYPE) S DIC("DR")=".02////1" ; file the pay-to provider flag
. D FILE^DICN
. I $P(Y,U,3)'=1 D ERR(TYPE,IEN) ; log an error if not added
. Q
;
I '$D(MSG) G BPX ; no errors found
I '$$PROD^XUPROD(1) G BPX ; not a production account
;
S SITE=$$SITE^VASITE
S SUBJ="IB*2*400 post-install errors - #"_$P(SITE,U,3)_" - "_$P(SITE,U,2)
S SUBJ=$E(SUBJ,1,65) ; subject must be <= 65 chars or mail will fail
S XMTO("Eric.Gustafson@domain.ext")=""
S LN=$O(MSG(""),-1)
S LN=LN+1,MSG(LN)=""
S LN=LN+1,MSG(LN)="Please contact EPS and report this problem by entering a Remedy ticket"
S LN=LN+1,MSG(LN)="or by calling the VA Service Desk (ph. 1-888-596-4357)."
S LN=LN+1,MSG(LN)=""
S LN=LN+1,MSG(LN)="One or more billing provider facility types were NOT added successfully."
S LN=LN+1,MSG(LN)=""
D SENDMSG^XMXAPI(DUZ,SUBJ,"MSG",.XMTO)
D MES^XPDUTL(.MSG)
BPX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(2)
Q
;
ERR(TYPE,IEN) ; log an error in MSG array
N Z S Z=$O(MSG(""),-1)+1
S MSG(Z)="Error adding billing provider facility type "_TYPE_"."
I $G(IEN) S MSG(Z)=MSG(Z)_" IEN="_IEN_"."
ERRX ;
Q
;
BFLD ; remove obsolete fields in files 399 and 350.9 dealing with printing of data in boxes 32/33 on a CMS-1500 claim
NEW IEN,DIK,DA,PCE
D BMES^XPDUTL(" STEP 3 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Removing obsolete fields for CMS-1500 Box 32/33 Data ... ")
I '$$VFIELD^DILFD(399,401) D MES^XPDUTL("Already completed previously.") G BFLDX
;
; Delete the 401 field from file 399
S DIK="^DD(399,",DA=401,DA(1)=399 D ^DIK
;
; Delete the 2.12 field from file 350.9
S DIK="^DD(350.9,",DA=2.12,DA(1)=350.9 D ^DIK
S $P(^IBE(350.9,1,2),U,12)="" ; blank out any data
;
; Remove the Agent Cashier name and address data from file 350.9
F PCE=1:1:6,10 S $P(^IBE(350.9,1,2),U,PCE)=""
;
BFLDX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(3)
Q
;
XREFCL ; Build a new-style x-ref in file 399 for the default taxonomy codes
N IBXR,VAL
D BMES^XPDUTL(" STEP 5 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Constructing a new x-ref for file 399 ... ")
S IBXR("FILE")=399
S IBXR("NAME")="ABP"
;
; check to see if xref is already installed (don't do this part for this patch)
;S VAL(1)=IBXR("FILE"),VAL(2)=IBXR("NAME")
;I $$FIND1^DIC(.11,"","X",.VAL,"BB") D MES^XPDUTL("Already completed previously.") G XREFCLX
;
S IBXR("TYPE")="MU"
S IBXR("USE")="A"
S IBXR("EXECUTION")="R"
S IBXR("ACTIVITY")="IR"
S IBXR("SHORT DESCR")="Update default taxonomy codes and billing provider IDs"
S IBXR("DESCR",1)="Whenever the fields in this x-ref are changed in any way (add/edit/delete)"
S IBXR("DESCR",2)="the billing provider and service facility for the claim may change so we"
S IBXR("DESCR",3)="need to recalculate the default values of the billing provider taxonomy"
S IBXR("DESCR",4)="code, the service facility taxonomy code, and the billing provider"
S IBXR("DESCR",5)="secondary IDs and Qualifiers for every payer on the claim."
S IBXR("DESCR",6)=" "
S IBXR("DESCR",7)="Please note that this x-ref will potentially update the values of 8"
S IBXR("DESCR",8)="fields in file 399:"
S IBXR("DESCR",9)=" "
S IBXR("DESCR",10)="399,243 - SERVICE FACILITY TAXONOMY"
S IBXR("DESCR",11)="399,252 - BILLING PROVIDER TAXONOMY"
S IBXR("DESCR",12)="399,122 - PRIMARY PROVIDER #"
S IBXR("DESCR",13)="399,123 - SECONDARY PROVIDER #"
S IBXR("DESCR",14)="399,124 - TERTIARY PROVIDER #"
S IBXR("DESCR",15)="399,128 - PRIMARY ID QUALIFIER"
S IBXR("DESCR",16)="399,129 - SECONDARY ID QUALIFIER"
S IBXR("DESCR",17)="399,130 - TERTIARY ID QUALIFIER"
S IBXR("SET")="D TAX^IBCEF79(DA)"
S IBXR("KILL")="D TAX^IBCEF79(DA)"
S IBXR("VAL",1)=.22
S IBXR("VAL",1,"COLLATION")="F"
S IBXR("VAL",2)=232
S IBXR("VAL",2,"COLLATION")="F"
S IBXR("VAL",3)=136
S IBXR("VAL",3,"COLLATION")="F"
S IBXR("VAL",4)=.19
S IBXR("VAL",4,"COLLATION")="F"
D CREIXN^DDMOD(.IBXR,"W")
;
; Remove 7 existing triggers from the DEFAULT DIVISION field (#.22).
; These fields are included in this new style xref.
D DELIX^DDMOD(399,.22,1)
D DELIX^DDMOD(399,.22,2)
D DELIX^DDMOD(399,.22,3)
D DELIX^DDMOD(399,.22,4)
D DELIX^DDMOD(399,.22,5)
D DELIX^DDMOD(399,.22,6)
D DELIX^DDMOD(399,.22,8)
;
; Remove 1 existing trigger from the FORM TYPE field (#.19).
; Trigger#4 on field .19 calls BILLPNS^IBCU(DA) which sets the same fields as this new style xref.
D DELIX^DDMOD(399,.19,4)
;
XREFCLX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(5)
Q
;
XREFRX ; Build a new-style x-ref in file 362.4 for the default taxonomy codes
N IBXR,VAL
D BMES^XPDUTL(" STEP 6 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Constructing a new x-ref for file 362.4 ... ")
S IBXR("FILE")=362.4
S IBXR("NAME")="ABP"
;
; check to see if xref is already installed (don't do this part for this patch)
;S VAL(1)=IBXR("FILE"),VAL(2)=IBXR("NAME")
;I $$FIND1^DIC(.11,"","X",.VAL,"BB") D MES^XPDUTL("Already completed previously.") G XREFRXX
;
S IBXR("TYPE")="MU"
S IBXR("USE")="A"
S IBXR("EXECUTION")="F"
S IBXR("ACTIVITY")="IR"
S IBXR("SHORT DESCR")="Update default taxonomy codes and billing provider IDs"
S IBXR("DESCR",1)="When a claim is entered into this file it is considered a pharmacy claim"
S IBXR("DESCR",2)="and the billing provider for this claim becomes the dispensing pharmacy"
S IBXR("DESCR",3)="institution. When a claim is removed from this file, it ceases to be a "
S IBXR("DESCR",4)="pharmacy claim and the billing provider will change with this action."
S IBXR("DESCR",5)=" "
S IBXR("DESCR",6)="This x-ref will update the billing provider and service facility default "
S IBXR("DESCR",7)="taxonomy codes based on a potential new billing provider and service "
S IBXR("DESCR",8)="facility. It will also update the billing provider secondary IDs and "
S IBXR("DESCR",9)="Qualifiers for every payer on the claim."
S IBXR("DESCR",10)=" "
S IBXR("DESCR",11)="Please note that this x-ref will potentially update the values of 8 "
S IBXR("DESCR",12)="fields in file 399:"
S IBXR("DESCR",13)=" "
S IBXR("DESCR",14)="399,243 - SERVICE FACILITY TAXONOMY"
S IBXR("DESCR",15)="399,252 - BILLING PROVIDER TAXONOMY"
S IBXR("DESCR",16)="399,122 - PRIMARY PROVIDER #"
S IBXR("DESCR",17)="399,123 - SECONDARY PROVIDER #"
S IBXR("DESCR",18)="399,124 - TERTIARY PROVIDER #"
S IBXR("DESCR",19)="399,128 - PRIMARY ID QUALIFIER"
S IBXR("DESCR",20)="399,129 - SECONDARY ID QUALIFIER"
S IBXR("DESCR",21)="399,130 - TERTIARY ID QUALIFIER"
S IBXR("SET")="D TAX^IBCEF79(X(1))"
S IBXR("KILL")="D TAX^IBCEF79(X(1))"
S IBXR("VAL",1)=.02
S IBXR("VAL",1,"COLLATION")="F"
D CREIXN^DDMOD(.IBXR,"W")
;
XREFRXX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(6)
Q
;
BPTAX ; manually set the new field# 252 - billing provider taxonomy code field
; set for non-cancelled claims in cases of retransmission of existing claims - go back 1 year
N IBIFN,BPZ,BPTAX,FOUND,STOP,CNT,STEVD
D BMES^XPDUTL(" STEP 4 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Setting the billing provider taxonomy code default.")
;
; try to determine if this has been run previously
S (FOUND,STOP,CNT)=0
S IBIFN=" " F S IBIFN=$O(^DGCR(399,IBIFN),-1) Q:'IBIFN!FOUND!STOP D Q:FOUND!STOP
. I $P($G(^DGCR(399,IBIFN,0)),U,13)=7 Q ; skip cancelled claims
. S CNT=CNT+1
. I CNT>500 S STOP=1 Q ; stop after looking thru 500 claims
. I +$P($G(^DGCR(399,IBIFN,"U3")),U,11) S FOUND=1 Q ; found one!
. Q
;
I FOUND D MES^XPDUTL("Already completed previously.") G BPTAXX
;
; It has not been done yet, so loop thru claims
I '$D(ZTQUEUED) D MES^XPDUTL("Each ""."" represents 10,000 claims ")
S CNT=0
S STEVD=$$FMADD^XLFDT(DT,-367) ; 1 year ago
F S STEVD=$O(^DGCR(399,"D",STEVD)) Q:'STEVD S IBIFN=0 F S IBIFN=$O(^DGCR(399,"D",STEVD,IBIFN)) Q:'IBIFN D
. S CNT=CNT+1 I CNT#10000=0,'$D(ZTQUEUED) W "."
. I $P($G(^DGCR(399,IBIFN,0)),U,13)=7 Q ; not for cancelled claims
. S BPZ=+$$B^IBCEF79(IBIFN) I 'BPZ Q ; get the billing provider to continue
. S BPTAX=+$P($$TAXORG^XUSTAX(BPZ),U,2) ; taxonomy/person class ien to file 8932.1
. I 'BPTAX Q
. S $P(^DGCR(399,IBIFN,"U3"),U,11)=BPTAX ; set the field
. Q
D MES^XPDUTL("Total # of claims in the past year = "_$FN(CNT,","))
;
BPTAXX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(4)
Q
;
RIT ; Recompile input templates for billing screens
; Billing screen 4 is included here because of field# 158 which was modified.
; There were no changes to this input template, but it has to be recompiled at the target facility
; in order for the changes to become effective.
NEW X,Y,DMAX
D BMES^XPDUTL(" STEP 7 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Recompiling Input Template for Billing Screen 4 ...")
S X="IBXSC4",Y=$$FIND1^DIC(.402,,"X","IB SCREEN4","B"),DMAX=8000
I Y D EN^DIEZ
RITX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(7)
Q
;
VC ; Add value codes to file 399.1
NEW IBCNT,VCD,VCH,DO,IBVCDB,CODE,IEN,DLAYGO,DIC,X,Y,IBVCIEN,HLPTXT,IENS,IBVCACA
D BMES^XPDUTL(" STEP 8 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Adding UB-04 Value Codes ...")
;
S IBCNT=0
;
; *** NOTE *** - any new value codes should also be added to routine IBCVC
;
S VCD(80)="COVERED DAYS"
S VCH(80,1)="Enter the number of days covered by the primary payer"
S VCH(80,2)="as qualified by the payer."
;
S VCD(81)="NON-COVERED DAYS"
S VCH(81,1)="Enter the number of days of care not covered by the primary payer."
;
S VCD(82)="CO-INSURANCE DAYS"
S VCH(82,1)="Enter the number of inpatient Medicare days occurring after"
S VCH(82,2)="the 60th day and before the 91st day or inpatient SNF/Swing"
S VCH(82,3)="Bed days occurring after the 20th and before the 101st day"
S VCH(82,4)="in a single spell of illness."
;
; loop thru each one and add it to file 399.1
S CODE=""
F S CODE=$O(VCD(CODE)) Q:CODE="" D
. ;
. ; check to see if this value code is already in file 399.1
. S (IEN,IBVCDB)=0 F S IEN=$O(^DGCR(399.1,"C",CODE,IEN)) Q:'IEN!IBVCDB I $P($G(^DGCR(399.1,IEN,0)),U,11) S IBVCDB=IEN Q
. I IBVCDB D MES^XPDUTL("Value Code "_CODE_" ("_$P($G(^DGCR(399.1,IBVCDB,0)),U,1)_") is already on file.") Q
. ;
. ; add the value code to file 399.1
. S DLAYGO=399.1,DIC="^DGCR(399.1,",DIC(0)="L",X=VCD(CODE) D FILE^DICN
. I Y<1 D MES^XPDUTL("ERROR - Value Code "_CODE_" ("_VCD(CODE)_") was not added.") Q
. S IBVCIEN=+Y,IBCNT=IBCNT+1
. ;
. ; update the rest of the value code fields
. K HLPTXT,IBVCACA
. M HLPTXT=VCH(CODE)
. S IENS=IBVCIEN_","
. S IBVCACA(399.1,IENS,.02)=CODE ; value code
. S IBVCACA(399.1,IENS,.18)=1 ; value code flag
. S IBVCACA(399.1,IENS,.19)=0 ; value code dollar amount flag
. S IBVCACA(399.1,IENS,1)="HLPTXT" ; value code help text
. D FILE^DIE(,"IBVCACA")
. Q
;
VCX ;
D MES^XPDUTL(IBCNT_" UB-04 Value Codes added to file# 399.1")
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(8)
Q
;
TMOPT ; Schedule the TaskMan option to run once a month
;
NEW IBZ,T,FST,TMERR,OPTNM,DIFROM
D BMES^XPDUTL(" STEP 9 of "_XPDIDTOT)
D MES^XPDUTL("-------------")
D MES^XPDUTL("Schedule option in TaskManager ...")
;
I '$$PROD^XUPROD(1) D MES^XPDUTL("Not a production account. No TaskMan job scheduled.") G TMOPTX
;
S OPTNM="IBCN INS BILL PROV FLAG RPT" ; option name to be scheduled
D OPTSTAT^XUTMOPT(OPTNM,.IBZ)
S T=$G(IBZ(1))
I +T,$$NOW^XLFDT'>$P(T,U,2),$P(T,U,3)["1M" D MES^XPDUTL("Option is already scheduled properly. No further action taken."),TMDISP(T) G TMOPTX
;
S FST=$$FMADD^XLFDT(DT,14)_".20" ; first run is 2 weeks from today at 8pm
D RESCH^XUTMOPT(OPTNM,FST,,"1M(1@2AM)","L",.TMERR) ; schedule it
I $G(TMERR)=-1 D MES^XPDUTL("Scheduling Error - Option not found!")
K IBZ
D OPTSTAT^XUTMOPT(OPTNM,.IBZ)
S T=$G(IBZ(1))
D TMDISP(T)
;
TMOPTX ;
D MES^XPDUTL(" Done.")
D UPDATE^XPDID(9)
Q
;
TMDISP(T) ; display task information
D MES^XPDUTL(" Option: "_OPTNM)
D MES^XPDUTL(" Task Number: "_$P(T,U,1))
D MES^XPDUTL(" Queued to Run: "_$$FMTE^XLFDT($P(T,U,2),"5ZPM"))
D MES^XPDUTL("Rescheduling Freq: "_$P(T,U,3))
Q
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBY400PO 15480 printed Dec 13, 2024@02:34:03 Page 2
IBY400PO ;ALB/ESG - Post Install for IB patch 400 ;27-Aug-2008
+1 ;;2.0;INTEGRATED BILLING;**400**;21-MAR-94;Build 52
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
EN ;
+1 NEW XPDIDTOT
SET XPDIDTOT=9
+2 ; 1. fire new trigger to set PPS field
DO PPS
+3 ; 2. populate the list of valid billing provider facility types
DO BP
+4 ; 3. remove obsolete fields associated with boxes 32/33 on cms-1500
DO BFLD
+5 ; 4. manually set the new billing provider taxonomy code field
DO BPTAX
+6 ; 5. build new x-ref in file 399 and remove existing triggers
DO XREFCL
+7 ; 6. build new x-ref in file 362.4
DO XREFRX
+8 ; 7. recompile input template
DO RIT
+9 ; 8. add value codes
DO VC
+10 ; 9. schedule option in TaskManager
DO TMOPT
EX ;
+1 QUIT
+2 ;
PPS ; Fire new FileMan trigger to set the new PPS field on all applicable claims
+1 NEW DIK,FOUND,STOP,CNT,IBIFN
+2 DO BMES^XPDUTL(" STEP 1 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Fire trigger for default claim PPS (DRG) ... ")
+5 ;
+6 ; try to determine if this has already been run by looking at recent inpatient claims
+7 ; the "ABT" x-ref is by the .05 field, "1" being regular inpatient claims
+8 SET (FOUND,STOP,CNT)=0
+9 SET IBIFN=" "
FOR
SET IBIFN=$ORDER(^DGCR(399,"ABT",1,IBIFN),-1)
if 'IBIFN!FOUND!STOP
QUIT
Begin DoDot:1
+10 ; it must be a UB claim
IF $$FT^IBCEF(IBIFN)'=3
QUIT
+11 SET CNT=CNT+1
+12 ; stop after looking at 500 inpatient, UB claims
IF CNT>500
SET STOP=1
QUIT
+13 ; found an example where new field# 170 exists
IF +$PIECE($GET(^DGCR(399,IBIFN,"U1")),U,15)
SET FOUND=1
QUIT
+14 QUIT
End DoDot:1
if FOUND!STOP
QUIT
+15 ;
+16 IF FOUND
DO MES^XPDUTL("Already completed previously.")
GOTO PPSX
+17 ;
+18 ; call FileMan to fire this new trigger
+19 SET DIK="^DGCR(399,"
+20 SET DIK(1)=".08^7"
+21 DO ENALL^DIK
PPSX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(1)
+3 QUIT
+4 ;
BP ; Populate the list of billing provider facility types
+1 NEW BPZ,MSG,TYPE,SITE,SUBJ,XMTO,LN
+2 DO BMES^XPDUTL(" STEP 2 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Populating the list of valid billing provider facility types ...")
+5 ;
+6 ; This is the list of CBO-defined billing provider facility types (7-Oct-2008)
+7 ; COMMUNITY BASED OUTPATIENT CLINIC
SET BPZ("CBOC")=""
+8 ; HEALTH CARE SYSTEM
SET BPZ("HCS")=""
+9 ; MEDICAL AND REGIONAL OFFFICE CENTER
SET BPZ("M&ROC")="1"
+10 ; OUTPATIENT CLINIC (INDEPENDENT)
SET BPZ("OC")="1"
+11 ; OUT PATIENT CLINIC
SET BPZ("OPC")=""
+12 ; PHARMACY
SET BPZ("PHARM")=""
+13 ; REGIONAL OFFICE - OUTPATIENT CLINIC
SET BPZ("RO-OC")="1"
+14 ; VA MEDICAL CENTER
SET BPZ("VAMC")="1"
+15 ;
+16 KILL MSG
+17 SET TYPE=""
+18 FOR
SET TYPE=$ORDER(BPZ(TYPE))
if TYPE=""
QUIT
Begin DoDot:1
+19 NEW IEN,X,Y,DIC,DA,DLAYGO,DO
+20 ; find single entry, exact match only
SET IEN=+$$FIND1^DIC(4.1,,"BX",TYPE,"B")
+21 ; log an error if type not found
IF 'IEN
DO ERR(TYPE)
QUIT
+22 ; already in the list
IF $DATA(^IBE(350.9,1,20,"B",IEN))
QUIT
+23 SET X=IEN
+24 SET DIC="^IBE(350.9,1,20,"
SET DIC(0)="L"
SET DA(1)=1
SET DLAYGO=350.9005
+25 ; file the pay-to provider flag
IF BPZ(TYPE)
SET DIC("DR")=".02////1"
+26 DO FILE^DICN
+27 ; log an error if not added
IF $PIECE(Y,U,3)'=1
DO ERR(TYPE,IEN)
+28 QUIT
End DoDot:1
+29 ;
+30 ; no errors found
IF '$DATA(MSG)
GOTO BPX
+31 ; not a production account
IF '$$PROD^XUPROD(1)
GOTO BPX
+32 ;
+33 SET SITE=$$SITE^VASITE
+34 SET SUBJ="IB*2*400 post-install errors - #"_$PIECE(SITE,U,3)_" - "_$PIECE(SITE,U,2)
+35 ; subject must be <= 65 chars or mail will fail
SET SUBJ=$EXTRACT(SUBJ,1,65)
+36 SET XMTO("Eric.Gustafson@domain.ext")=""
+37 SET LN=$ORDER(MSG(""),-1)
+38 SET LN=LN+1
SET MSG(LN)=""
+39 SET LN=LN+1
SET MSG(LN)="Please contact EPS and report this problem by entering a Remedy ticket"
+40 SET LN=LN+1
SET MSG(LN)="or by calling the VA Service Desk (ph. 1-888-596-4357)."
+41 SET LN=LN+1
SET MSG(LN)=""
+42 SET LN=LN+1
SET MSG(LN)="One or more billing provider facility types were NOT added successfully."
+43 SET LN=LN+1
SET MSG(LN)=""
+44 DO SENDMSG^XMXAPI(DUZ,SUBJ,"MSG",.XMTO)
+45 DO MES^XPDUTL(.MSG)
BPX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(2)
+3 QUIT
+4 ;
ERR(TYPE,IEN) ; log an error in MSG array
+1 NEW Z
SET Z=$ORDER(MSG(""),-1)+1
+2 SET MSG(Z)="Error adding billing provider facility type "_TYPE_"."
+3 IF $GET(IEN)
SET MSG(Z)=MSG(Z)_" IEN="_IEN_"."
ERRX ;
+1 QUIT
+2 ;
BFLD ; remove obsolete fields in files 399 and 350.9 dealing with printing of data in boxes 32/33 on a CMS-1500 claim
+1 NEW IEN,DIK,DA,PCE
+2 DO BMES^XPDUTL(" STEP 3 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Removing obsolete fields for CMS-1500 Box 32/33 Data ... ")
+5 IF '$$VFIELD^DILFD(399,401)
DO MES^XPDUTL("Already completed previously.")
GOTO BFLDX
+6 ;
+7 ; Delete the 401 field from file 399
+8 SET DIK="^DD(399,"
SET DA=401
SET DA(1)=399
DO ^DIK
+9 ;
+10 ; Delete the 2.12 field from file 350.9
+11 SET DIK="^DD(350.9,"
SET DA=2.12
SET DA(1)=350.9
DO ^DIK
+12 ; blank out any data
SET $PIECE(^IBE(350.9,1,2),U,12)=""
+13 ;
+14 ; Remove the Agent Cashier name and address data from file 350.9
+15 FOR PCE=1:1:6,10
SET $PIECE(^IBE(350.9,1,2),U,PCE)=""
+16 ;
BFLDX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(3)
+3 QUIT
+4 ;
XREFCL ; Build a new-style x-ref in file 399 for the default taxonomy codes
+1 NEW IBXR,VAL
+2 DO BMES^XPDUTL(" STEP 5 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Constructing a new x-ref for file 399 ... ")
+5 SET IBXR("FILE")=399
+6 SET IBXR("NAME")="ABP"
+7 ;
+8 ; check to see if xref is already installed (don't do this part for this patch)
+9 ;S VAL(1)=IBXR("FILE"),VAL(2)=IBXR("NAME")
+10 ;I $$FIND1^DIC(.11,"","X",.VAL,"BB") D MES^XPDUTL("Already completed previously.") G XREFCLX
+11 ;
+12 SET IBXR("TYPE")="MU"
+13 SET IBXR("USE")="A"
+14 SET IBXR("EXECUTION")="R"
+15 SET IBXR("ACTIVITY")="IR"
+16 SET IBXR("SHORT DESCR")="Update default taxonomy codes and billing provider IDs"
+17 SET IBXR("DESCR",1)="Whenever the fields in this x-ref are changed in any way (add/edit/delete)"
+18 SET IBXR("DESCR",2)="the billing provider and service facility for the claim may change so we"
+19 SET IBXR("DESCR",3)="need to recalculate the default values of the billing provider taxonomy"
+20 SET IBXR("DESCR",4)="code, the service facility taxonomy code, and the billing provider"
+21 SET IBXR("DESCR",5)="secondary IDs and Qualifiers for every payer on the claim."
+22 SET IBXR("DESCR",6)=" "
+23 SET IBXR("DESCR",7)="Please note that this x-ref will potentially update the values of 8"
+24 SET IBXR("DESCR",8)="fields in file 399:"
+25 SET IBXR("DESCR",9)=" "
+26 SET IBXR("DESCR",10)="399,243 - SERVICE FACILITY TAXONOMY"
+27 SET IBXR("DESCR",11)="399,252 - BILLING PROVIDER TAXONOMY"
+28 SET IBXR("DESCR",12)="399,122 - PRIMARY PROVIDER #"
+29 SET IBXR("DESCR",13)="399,123 - SECONDARY PROVIDER #"
+30 SET IBXR("DESCR",14)="399,124 - TERTIARY PROVIDER #"
+31 SET IBXR("DESCR",15)="399,128 - PRIMARY ID QUALIFIER"
+32 SET IBXR("DESCR",16)="399,129 - SECONDARY ID QUALIFIER"
+33 SET IBXR("DESCR",17)="399,130 - TERTIARY ID QUALIFIER"
+34 SET IBXR("SET")="D TAX^IBCEF79(DA)"
+35 SET IBXR("KILL")="D TAX^IBCEF79(DA)"
+36 SET IBXR("VAL",1)=.22
+37 SET IBXR("VAL",1,"COLLATION")="F"
+38 SET IBXR("VAL",2)=232
+39 SET IBXR("VAL",2,"COLLATION")="F"
+40 SET IBXR("VAL",3)=136
+41 SET IBXR("VAL",3,"COLLATION")="F"
+42 SET IBXR("VAL",4)=.19
+43 SET IBXR("VAL",4,"COLLATION")="F"
+44 DO CREIXN^DDMOD(.IBXR,"W")
+45 ;
+46 ; Remove 7 existing triggers from the DEFAULT DIVISION field (#.22).
+47 ; These fields are included in this new style xref.
+48 DO DELIX^DDMOD(399,.22,1)
+49 DO DELIX^DDMOD(399,.22,2)
+50 DO DELIX^DDMOD(399,.22,3)
+51 DO DELIX^DDMOD(399,.22,4)
+52 DO DELIX^DDMOD(399,.22,5)
+53 DO DELIX^DDMOD(399,.22,6)
+54 DO DELIX^DDMOD(399,.22,8)
+55 ;
+56 ; Remove 1 existing trigger from the FORM TYPE field (#.19).
+57 ; Trigger#4 on field .19 calls BILLPNS^IBCU(DA) which sets the same fields as this new style xref.
+58 DO DELIX^DDMOD(399,.19,4)
+59 ;
XREFCLX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(5)
+3 QUIT
+4 ;
XREFRX ; Build a new-style x-ref in file 362.4 for the default taxonomy codes
+1 NEW IBXR,VAL
+2 DO BMES^XPDUTL(" STEP 6 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Constructing a new x-ref for file 362.4 ... ")
+5 SET IBXR("FILE")=362.4
+6 SET IBXR("NAME")="ABP"
+7 ;
+8 ; check to see if xref is already installed (don't do this part for this patch)
+9 ;S VAL(1)=IBXR("FILE"),VAL(2)=IBXR("NAME")
+10 ;I $$FIND1^DIC(.11,"","X",.VAL,"BB") D MES^XPDUTL("Already completed previously.") G XREFRXX
+11 ;
+12 SET IBXR("TYPE")="MU"
+13 SET IBXR("USE")="A"
+14 SET IBXR("EXECUTION")="F"
+15 SET IBXR("ACTIVITY")="IR"
+16 SET IBXR("SHORT DESCR")="Update default taxonomy codes and billing provider IDs"
+17 SET IBXR("DESCR",1)="When a claim is entered into this file it is considered a pharmacy claim"
+18 SET IBXR("DESCR",2)="and the billing provider for this claim becomes the dispensing pharmacy"
+19 SET IBXR("DESCR",3)="institution. When a claim is removed from this file, it ceases to be a "
+20 SET IBXR("DESCR",4)="pharmacy claim and the billing provider will change with this action."
+21 SET IBXR("DESCR",5)=" "
+22 SET IBXR("DESCR",6)="This x-ref will update the billing provider and service facility default "
+23 SET IBXR("DESCR",7)="taxonomy codes based on a potential new billing provider and service "
+24 SET IBXR("DESCR",8)="facility. It will also update the billing provider secondary IDs and "
+25 SET IBXR("DESCR",9)="Qualifiers for every payer on the claim."
+26 SET IBXR("DESCR",10)=" "
+27 SET IBXR("DESCR",11)="Please note that this x-ref will potentially update the values of 8 "
+28 SET IBXR("DESCR",12)="fields in file 399:"
+29 SET IBXR("DESCR",13)=" "
+30 SET IBXR("DESCR",14)="399,243 - SERVICE FACILITY TAXONOMY"
+31 SET IBXR("DESCR",15)="399,252 - BILLING PROVIDER TAXONOMY"
+32 SET IBXR("DESCR",16)="399,122 - PRIMARY PROVIDER #"
+33 SET IBXR("DESCR",17)="399,123 - SECONDARY PROVIDER #"
+34 SET IBXR("DESCR",18)="399,124 - TERTIARY PROVIDER #"
+35 SET IBXR("DESCR",19)="399,128 - PRIMARY ID QUALIFIER"
+36 SET IBXR("DESCR",20)="399,129 - SECONDARY ID QUALIFIER"
+37 SET IBXR("DESCR",21)="399,130 - TERTIARY ID QUALIFIER"
+38 SET IBXR("SET")="D TAX^IBCEF79(X(1))"
+39 SET IBXR("KILL")="D TAX^IBCEF79(X(1))"
+40 SET IBXR("VAL",1)=.02
+41 SET IBXR("VAL",1,"COLLATION")="F"
+42 DO CREIXN^DDMOD(.IBXR,"W")
+43 ;
XREFRXX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(6)
+3 QUIT
+4 ;
BPTAX ; manually set the new field# 252 - billing provider taxonomy code field
+1 ; set for non-cancelled claims in cases of retransmission of existing claims - go back 1 year
+2 NEW IBIFN,BPZ,BPTAX,FOUND,STOP,CNT,STEVD
+3 DO BMES^XPDUTL(" STEP 4 of "_XPDIDTOT)
+4 DO MES^XPDUTL("-------------")
+5 DO MES^XPDUTL("Setting the billing provider taxonomy code default.")
+6 ;
+7 ; try to determine if this has been run previously
+8 SET (FOUND,STOP,CNT)=0
+9 SET IBIFN=" "
FOR
SET IBIFN=$ORDER(^DGCR(399,IBIFN),-1)
if 'IBIFN!FOUND!STOP
QUIT
Begin DoDot:1
+10 ; skip cancelled claims
IF $PIECE($GET(^DGCR(399,IBIFN,0)),U,13)=7
QUIT
+11 SET CNT=CNT+1
+12 ; stop after looking thru 500 claims
IF CNT>500
SET STOP=1
QUIT
+13 ; found one!
IF +$PIECE($GET(^DGCR(399,IBIFN,"U3")),U,11)
SET FOUND=1
QUIT
+14 QUIT
End DoDot:1
if FOUND!STOP
QUIT
+15 ;
+16 IF FOUND
DO MES^XPDUTL("Already completed previously.")
GOTO BPTAXX
+17 ;
+18 ; It has not been done yet, so loop thru claims
+19 IF '$DATA(ZTQUEUED)
DO MES^XPDUTL("Each ""."" represents 10,000 claims ")
+20 SET CNT=0
+21 ; 1 year ago
SET STEVD=$$FMADD^XLFDT(DT,-367)
+22 FOR
SET STEVD=$ORDER(^DGCR(399,"D",STEVD))
if 'STEVD
QUIT
SET IBIFN=0
FOR
SET IBIFN=$ORDER(^DGCR(399,"D",STEVD,IBIFN))
if 'IBIFN
QUIT
Begin DoDot:1
+23 SET CNT=CNT+1
IF CNT#10000=0
IF '$DATA(ZTQUEUED)
WRITE "."
+24 ; not for cancelled claims
IF $PIECE($GET(^DGCR(399,IBIFN,0)),U,13)=7
QUIT
+25 ; get the billing provider to continue
SET BPZ=+$$B^IBCEF79(IBIFN)
IF 'BPZ
QUIT
+26 ; taxonomy/person class ien to file 8932.1
SET BPTAX=+$PIECE($$TAXORG^XUSTAX(BPZ),U,2)
+27 IF 'BPTAX
QUIT
+28 ; set the field
SET $PIECE(^DGCR(399,IBIFN,"U3"),U,11)=BPTAX
+29 QUIT
End DoDot:1
+30 DO MES^XPDUTL("Total # of claims in the past year = "_$FNUMBER(CNT,","))
+31 ;
BPTAXX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(4)
+3 QUIT
+4 ;
RIT ; Recompile input templates for billing screens
+1 ; Billing screen 4 is included here because of field# 158 which was modified.
+2 ; There were no changes to this input template, but it has to be recompiled at the target facility
+3 ; in order for the changes to become effective.
+4 NEW X,Y,DMAX
+5 DO BMES^XPDUTL(" STEP 7 of "_XPDIDTOT)
+6 DO MES^XPDUTL("-------------")
+7 DO MES^XPDUTL("Recompiling Input Template for Billing Screen 4 ...")
+8 SET X="IBXSC4"
SET Y=$$FIND1^DIC(.402,,"X","IB SCREEN4","B")
SET DMAX=8000
+9 IF Y
DO EN^DIEZ
RITX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(7)
+3 QUIT
+4 ;
VC ; Add value codes to file 399.1
+1 NEW IBCNT,VCD,VCH,DO,IBVCDB,CODE,IEN,DLAYGO,DIC,X,Y,IBVCIEN,HLPTXT,IENS,IBVCACA
+2 DO BMES^XPDUTL(" STEP 8 of "_XPDIDTOT)
+3 DO MES^XPDUTL("-------------")
+4 DO MES^XPDUTL("Adding UB-04 Value Codes ...")
+5 ;
+6 SET IBCNT=0
+7 ;
+8 ; *** NOTE *** - any new value codes should also be added to routine IBCVC
+9 ;
+10 SET VCD(80)="COVERED DAYS"
+11 SET VCH(80,1)="Enter the number of days covered by the primary payer"
+12 SET VCH(80,2)="as qualified by the payer."
+13 ;
+14 SET VCD(81)="NON-COVERED DAYS"
+15 SET VCH(81,1)="Enter the number of days of care not covered by the primary payer."
+16 ;
+17 SET VCD(82)="CO-INSURANCE DAYS"
+18 SET VCH(82,1)="Enter the number of inpatient Medicare days occurring after"
+19 SET VCH(82,2)="the 60th day and before the 91st day or inpatient SNF/Swing"
+20 SET VCH(82,3)="Bed days occurring after the 20th and before the 101st day"
+21 SET VCH(82,4)="in a single spell of illness."
+22 ;
+23 ; loop thru each one and add it to file 399.1
+24 SET CODE=""
+25 FOR
SET CODE=$ORDER(VCD(CODE))
if CODE=""
QUIT
Begin DoDot:1
+26 ;
+27 ; check to see if this value code is already in file 399.1
+28 SET (IEN,IBVCDB)=0
FOR
SET IEN=$ORDER(^DGCR(399.1,"C",CODE,IEN))
if 'IEN!IBVCDB
QUIT
IF $PIECE($GET(^DGCR(399.1,IEN,0)),U,11)
SET IBVCDB=IEN
QUIT
+29 IF IBVCDB
DO MES^XPDUTL("Value Code "_CODE_" ("_$PIECE($GET(^DGCR(399.1,IBVCDB,0)),U,1)_") is already on file.")
QUIT
+30 ;
+31 ; add the value code to file 399.1
+32 SET DLAYGO=399.1
SET DIC="^DGCR(399.1,"
SET DIC(0)="L"
SET X=VCD(CODE)
DO FILE^DICN
+33 IF Y<1
DO MES^XPDUTL("ERROR - Value Code "_CODE_" ("_VCD(CODE)_") was not added.")
QUIT
+34 SET IBVCIEN=+Y
SET IBCNT=IBCNT+1
+35 ;
+36 ; update the rest of the value code fields
+37 KILL HLPTXT,IBVCACA
+38 MERGE HLPTXT=VCH(CODE)
+39 SET IENS=IBVCIEN_","
+40 ; value code
SET IBVCACA(399.1,IENS,.02)=CODE
+41 ; value code flag
SET IBVCACA(399.1,IENS,.18)=1
+42 ; value code dollar amount flag
SET IBVCACA(399.1,IENS,.19)=0
+43 ; value code help text
SET IBVCACA(399.1,IENS,1)="HLPTXT"
+44 DO FILE^DIE(,"IBVCACA")
+45 QUIT
End DoDot:1
+46 ;
VCX ;
+1 DO MES^XPDUTL(IBCNT_" UB-04 Value Codes added to file# 399.1")
+2 DO MES^XPDUTL(" Done.")
+3 DO UPDATE^XPDID(8)
+4 QUIT
+5 ;
TMOPT ; Schedule the TaskMan option to run once a month
+1 ;
+2 NEW IBZ,T,FST,TMERR,OPTNM,DIFROM
+3 DO BMES^XPDUTL(" STEP 9 of "_XPDIDTOT)
+4 DO MES^XPDUTL("-------------")
+5 DO MES^XPDUTL("Schedule option in TaskManager ...")
+6 ;
+7 IF '$$PROD^XUPROD(1)
DO MES^XPDUTL("Not a production account. No TaskMan job scheduled.")
GOTO TMOPTX
+8 ;
+9 ; option name to be scheduled
SET OPTNM="IBCN INS BILL PROV FLAG RPT"
+10 DO OPTSTAT^XUTMOPT(OPTNM,.IBZ)
+11 SET T=$GET(IBZ(1))
+12 IF +T
IF $$NOW^XLFDT'>$P(T,U,2)
IF $PIECE(T,U,3)["1M"
DO MES^XPDUTL("Option is already scheduled properly. No further action taken.")
DO TMDISP(T)
GOTO TMOPTX
+13 ;
+14 ; first run is 2 weeks from today at 8pm
SET FST=$$FMADD^XLFDT(DT,14)_".20"
+15 ; schedule it
DO RESCH^XUTMOPT(OPTNM,FST,,"1M(1@2AM)","L",.TMERR)
+16 IF $GET(TMERR)=-1
DO MES^XPDUTL("Scheduling Error - Option not found!")
+17 KILL IBZ
+18 DO OPTSTAT^XUTMOPT(OPTNM,.IBZ)
+19 SET T=$GET(IBZ(1))
+20 DO TMDISP(T)
+21 ;
TMOPTX ;
+1 DO MES^XPDUTL(" Done.")
+2 DO UPDATE^XPDID(9)
+3 QUIT
+4 ;
TMDISP(T) ; display task information
+1 DO MES^XPDUTL(" Option: "_OPTNM)
+2 DO MES^XPDUTL(" Task Number: "_$PIECE(T,U,1))
+3 DO MES^XPDUTL(" Queued to Run: "_$$FMTE^XLFDT($PIECE(T,U,2),"5ZPM"))
+4 DO MES^XPDUTL("Rescheduling Freq: "_$PIECE(T,U,3))
+5 QUIT
+6 ;
