IBY568PO ;ALB/BAA - Post install routine for patch 568; 5-AUG-16
;;2.0;INTEGRATED BILLING;**568**;21-MAR-94;Build 40
;;Per VA Directive 6402, this routine should not be modified.
;
Q
; This post-install routine will create a new security key
; called IB PARAMETER EDIT.
; It will be added to two menu options/
;
; The new IB PARAMETER EDIT key will be used to lock
;
; IBT EDIT TRACKING PARAMETERS
; IBJ MCCR SITE PARAMETERS
;
; This routine will add PROSTHETICS to Plan Coverage Limitations file
;
; This routine will add three new rate types and the rate scheduals for each.
;
; HUMANITARIAN REIMB. INS.
; INELIGIBLE REIMB. INS.
; DENTAL REIMB. INS
;
;
START ; CALL SECTIONS
D MES^XPDUTL(" Starting post-install for IB*2.0*568")
D RIDER
D PLAN
D ADDRT
D ADDRS ; add Rate Schedules (363)
D NEWIBER
; Completion message
D MES^XPDUTL(" Finished post-install for IB*2.0*568")
Q
;
RIDER ; add Prostihetic Insurance Rider (355.6)
N IBNAME,DD,DO,DLAYGO,DIC,X,Y,IBDA,IBARR,IBX
D MES^XPDUTL(" ")
;
S IBNAME="PROSTHETICS COVERAGE"
I $O(^IBE(355.6,"B",IBNAME,0)) S IBX=" - "_IBNAME_" Insurance Rider (355.6) already exists, no change" D MES^XPDUTL(IBX) Q
;
K DD,DO S DLAYGO=355.6,DIC="^IBE(355.6,",DIC(0)="L",X=IBNAME D FILE^DICN K DIC I Y<1 K X,Y Q
S IBDA=+Y
;
S IBX=" * "_IBNAME_" Insurance Rider (355.6) added" D MES^XPDUTL(IBX)
Q
;
PLAN ; add Prosthetics to Plan Coverage Limitations
D MES^XPDUTL("Adding PROSTHETICS to Plan Coverage Limitations file...")
N IBA,IBNAME,IBRIDER,IBRDA,IBX,DD,DO,DLAYGO,DIC,X,Y,IBDA,DIE,DA,DR,IBFILE
S IBFILE=" Plan Limitation Category (#355.31) "
;
S IBNAME="PROSTHETICS",IBRIDER="PROSTHETICS COVERAGE"
S IBRDA=$O(^IBE(355.6,"B",IBRIDER,0)) I 'IBRDA S IBX=" - "_IBNAME_IBFILE_"Not Added, Rider Missing" D MES^XPDUTL(IBX) Q
;
I $O(^IBE(355.31,"B",IBNAME,0)) S IBA=">> "_IBNAME_IBFILE_"exists, no change" D MES^XPDUTL(IBA) Q
;
K DD,DO S DLAYGO=355.31,DIC="^IBE(355.31,",DIC(0)="L",X=IBNAME D FILE^DICN K DIC S IBDA=+Y I Y<1 K X,Y Q
;
S DIE="^IBE(355.31,",DA=+IBDA,DR=".02///Prosthetics coverage" D ^DIE K DIE,DA,DR,X,Y
;
D MES^XPDUTL("Prosthetics Plan added.....")
;
Q
;
ADDRT ; Add Rate Types (399.3)
N IBA,IBCNT,FLG,IBI,REC,C,DONE,RTNAM,RTNUM
S IBCNT=0
;
D MES^XPDUTL(" -> Adding new Rate Type entries to file 399.3 ...")
;
S C=";",(FLG,IBCNT)=0
F RTNUM=19,20,21 D
. S IBI="RT"_RTNUM
. S REC=$P($T(@IBI),";",3,99)
. S RTNAM=$P(REC,C,1)
. ; do a lookup and quit if exists.
. S DONE=$$NEW(RTNAM,RTNUM,REC) Q:DONE=-1
. ;
. D MES^XPDUTL("New Rate Type "_RTNAM_" added") S FLG=1,IBCNT=IBCNT+1
;
RTQ I FLG S IBA(1)=" >> "_IBCNT_" Rate Types added (399.3)..." D MES^XPDUTL(.IBA)
Q
;
NEW(NAM,NUM,REC) ; create new rate type
; see if entry exists
N DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,RN,OUT
S X=NAM
S DIC="^DGCR(399.3," D ^DIC S OUT=+Y
I OUT>0 D MES^XPDUTL(" "_NAM_" already exists.") Q OUT
; add entry
K DO
S DIC(0)="L",DLAYGO=399.3,DR="",X=NAM,DA=NUM
D FILE^DICN I +Y=-1 D MES^XPDUTL(" "_NAM_" failed to add!") Q +Y
S RN=+Y
S DA=RN
S DR=".02///"_$P(REC,C,2)_";.03///0"_";.04///"_$P(REC,C,4)_";.05///"_$P(REC,C,5)_";.06///"_$P(REC,C,6)_";.07///"_$P(REC,C,7)
S DIE="^DGCR(399.3,"
D ^DIE
S DIC(0)="L",DLAYGO=399.3,DR="",DA=RN
S DR=".08///"_$P(REC,C,8)_";.09///1;.1///"_$P(REC,C,10)_";.11///"_$P(REC,C,11)_";580950.1///1"
S DIE="^DGCR(399.3,"
D ^DIE
Q 1
;
ADDRS ; Add Rate Schedules (363) for EMERGENCY/HUMANITARIAN REIMB. & INELIGIBLE HOSP. REIMB.
D MES^XPDUTL(" -> Adding new Rate Schedules to file 363 ...")
N IBA,IBCNT,IBI,IBLN,IBFN,IBRT,IBBS,IBCNTCS,IBJ,IBLNCS,IBCS,IBCSFN,IBVDT,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,IBADJST,IBADMIN,IBDISP,IBRN,IBRS,IBRS1,INDT
S IBCNT=0
;
F IBI=1:1 S IBLN=$P($T(RSF+IBI),";;",2) Q:IBLN="END" I $E(IBLN)?1A D
. ;Check for problems
. I $O(^IBE(363,"B",$P(IBLN,U,1),0)) Q ;Already exists
. S IBBS=$P(IBLN,U,4) I IBBS'="" S IBBS=$$MCCRUTL(IBBS,13) Q:'IBBS ;Billable service invalid
. S IBRN=$P(IBLN,U,1)
. S IBRT=$P(IBLN,U,2),IBRT=$O(^DGCR(399.3,"B",IBRT,0)) D Q:'IBRT
.. I 'IBRT D MSG(" **** Rate Type "_$P(IBLN,U,2)_" not defined, RS "_$P(IBLN,U,1)_" not created")
.. I +$P($G(^DGCR(399.3,+IBRT,0)),U,3) S IBRT=0 D MSG(" **** Rate Type "_$P(IBLN,U,2)_" not Active, RS "_$P(IBLN,U,1)_" not created")
. ;No problems found, so create entry
. I IBRN="HR-INPT" S IBNAME="HMN-INPT"
. I IBRN="HR-OPT" S IBNAME="HMN-OPT"
. I IBRN="HR-RX" S IBNAME="HMN-RX"
. I IBRN="HR-OPT DENTAL" S IBNAME="DNTL-OPT DENTAL"
. I IBRN="IR-INPT" S IBNAME="INELIG-INPT"
. I IBRN="IR-OPT" S IBNAME="INELIG-OPT"
. I IBRN="IR-RX" S IBNAME="INELIG-RX"
. N IBX,IBRSFN,IBRS0 S IBRSFN=0
. F S IBRSFN=$O(^IBE(363,"B",IBNAME,IBRSFN)) Q:'IBRSFN D
.. S IBRS0=$G(^IBE(363,IBRSFN,0)),IBRS1=$G(^IBE(363,IBNAME,1))
.. I $P(IBRS0,U,1)=IBNAME D
... S IBVDT=$$FMTE^XLFDT($P(IBRS0,U,5),"2DZ"),INDT=$$FMTE^XLFDT($P(IBRS0,U,6),"2DZ")
... I IBNAME["RX" S IBDISP=$P(IBRS1,U,1),IBADMIN=$P(IBRS1,U,2),IBADJST=$G(^IBE(363,IBNAME,10))
... K DD,DO
... S DLAYGO=363,DIC="^IBE(363,",DIC(0)="L",X=$P(IBLN,U,1)
... D FILE^DICN K DIC,DINUM,DLAYGO
... I Y<1 K X,Y Q
... S IBFN=+Y,IBCNT=IBCNT+1
... S DR=".02///"_IBRT_";.03///"_$P(IBLN,U,3) I +IBBS S DR=DR_";.04///"_IBBS
... S DR=DR_";.05///^S X=IBVDT;.06///^S X=INDT"
... I IBRN["RX",IBDISP]"" S DR=DR_";1.01///"_IBDISP
... I IBRN["RX",IBADMIN]"" S DR=DR_";1.02///"_IBADMIN
... I IBRN["RX",IBADJST]"" S DR=DR_";10///"_IBADJST
... S DIE="^IBE(363,",DA=IBFN D ^DIE K DIE,DA,DR,X,Y
... S IBCNTCS=0
... ; add all Reasonable Charges Charge Sets
... S IBCNTCS=$$RSCS(IBFN,IBVDT,IBRSFN)
... D MES^XPDUTL(" Total Charge Set"_$S(IBCNTCS=1:" ",1:"s ")_IBCNTCS_" added to the rate schedule.")
D MES^XPDUTL(" Rate Schedules completed.")
Q ;ADDRS
;
;
RSCS(IBFN,IBVDT,IBCOPY) ; add existing Charge Sets to HR & IR
; copy the Charge Sets from the corresponding RI RS (v2)
N IBCNT,IBNRS,IBRSNM,IBTY,IBCS,IBXFN,IBCSFN,IBCSNM,IBCSAA,IBNAME
S IBCNT=0
S IBNRS=$G(^IBE(363,+$G(IBFN),0)),IBRSNM=$P(IBNRS,"^",1)
S IBTY=$P(IBNRS,"^",3)
I 'IBCOPY G RSCSQ
I +$P($G(^IBE(363,+IBCOPY,0)),U,3)=IBTY D
. S IBXFN=0 F S IBXFN=$O(^IBE(363,IBCOPY,11,IBXFN)) Q:'IBXFN D
.. S IBCS=$G(^IBE(363,IBCOPY,11,IBXFN,0)),IBCSFN=+IBCS
.. I +$$RSCSFILE(IBFN,$P($G(^IBE(363.1,IBCSFN,0)),U,1),$P(IBCS,U,2)) S IBCNT=IBCNT+1
RSCSQ Q IBCNT
;
;
RSCSFILE(IBFN,IBCSNM,IBCSAA) ; Add Charge Set to a Rate Schedule
N IBX,DD,DO,DLAYGO,DIC,DA,DR,X,Y,IBCSFN S IBX=0
I $G(^IBE(363,+$G(IBFN),0))="" G RSCSFQ
I $G(IBCSNM)="" G RSCSFQ
S IBCSFN=$O(^IBE(363.1,"B",IBCSNM,0)) I 'IBCSFN G RSCSFQ
I $O(^IBE(363,IBFN,11,"B",IBCSFN,0)) G RSCSFQ
S DLAYGO=363,DA(1)=+IBFN,DIC="^IBE(363,"_DA(1)_",11,",DIC(0)="L"
S X=IBCSNM,DIC("DR")=".02///"_$G(IBCSAA),DIC("P")="363.0011P" D ^DIC S:+Y IBX=1
RSCSFQ Q IBX
;
;
NEWIBER ;set up new error for COB worklist
N IB02,IB04,IB05,IBNAME,DD,DO,DLAYGO,DIC,X,Y,IBDA,IBARR,IBX
D MES^XPDUTL(" ")
;
S IBNAME="IB815"
S IB02="Balance bill this patient using the appropriate cost-based rate type."
S IB04="INTEGRATED BILLING"
S IB05="DISPLAY MESSAGE"
I $O(^IBE(350.8,"B",IBNAME,0)) S IBX=" - "_IBNAME_" IB Error (350.8) already exists, no change" D MES^XPDUTL(IBX) Q
;
K DD,DO S DLAYGO=350.8,DIC="^IBE(350.8,",DIC(0)="L",X=IBNAME D FILE^DICN
K DIC I Y<1 K X,Y Q
S IBDA=+Y
S RN=+Y
S DA=RN
S DR=".02///"_IB02_";.03///"_IBNAME_";.04///"_IB04_";.05///"_IB05
S DIE="^IBE(350.8,"
D ^DIE
;
S IBX=" * "_IBNAME_" IB Error (350.8) added" D MES^XPDUTL(IBX)
Q
;
;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
N IBX,IBY S IBY=""
I $G(X)'="" S IBX=0 F S IBX=$O(^DGCR(399.1,"B",X,IBX)) Q:'IBX I $P($G(^DGCR(399.1,IBX,0)),U,+$G(P)) S IBY=IBX
Q IBY
;
;
MSG(X) ;
N IBX S IBX=$O(IBA(999999),-1) S:'IBX IBX=1 S IBX=IBX+1
S IBA(IBX)=$G(X)
Q ;MSG
;
RSDT(PRE) ;Copy the active RX charge schedule from RI to FR
N IBCS,IBCS0,IBDISP,IBADMIN,IBADJST
S IBCS=""
I PRE="HR" S IBCS=$O(^IBE(363,"B","HMN-RX",""),-1)
I PRE="IR" S IBCS=$O(^IBE(363,"B","INELIG-RX",""),-1)
S IBCS0=$G(^IBE(363,IBCS,0))
S IBDISP=$P($G(^IBE(363,IBCS,1)),U,1),IBADMIN=$P($G(^IBE(363,IBCS,1)),U,2)
S IBADJST=$G(^IBE(363,IBCS,10))
Q $P(IBCS0,U,5)
;
;
NEWRT ;Rate Type
RT19 ;;HUMANITARIAN REIMB. INS.;HUMANITARIAN REIMB. INS.;0;HUM REIM;1;EMERGENCY/HUMANITARIAN REIMB.;i;1;0;1;28
RT20 ;;INELIGIBLE REIMB. INS.;INELIGIBLE REIMB. INS.;0;INE REIM;1;INELIGIBLE HOSP. REIMB.;i;1;0;1;28
RT21 ;;DENTAL REIMB. INS.;DENTAL REIMB. INS.;0;DEN REIM;1;EMERGENCY/HUMANITARIAN REIMB.;i;1;0;1;28
;;END
;
RSF ;Rate Schedules (363) for EMERGENCY/HUMANITARIAN REIMB. & INELIGIBLE HOSP. REIMB.
;;HR-INPT^HUMANITARIAN REIMB. INS.^1^INPATIENT
;;HR-OPT^HUMANITARIAN REIMB. INS.^3
;;HR-RX^HUMANITARIAN REIMB. INS.^3
;;HR-OPT DENTAL^DENTAL REIMB. INS.^3
;;IR-INPT^INELIGIBLE REIMB. INS.^1^INPATIENT
;;IR-OPT^INELIGIBLE REIMB. INS.^3
;;IR-RX^INELIGIBLE REIMB. INS.^3
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBY568PO 9174 printed Dec 13, 2024@02:34:34 Page 2
IBY568PO ;ALB/BAA - Post install routine for patch 568; 5-AUG-16
+1 ;;2.0;INTEGRATED BILLING;**568**;21-MAR-94;Build 40
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 QUIT
+5 ; This post-install routine will create a new security key
+6 ; called IB PARAMETER EDIT.
+7 ; It will be added to two menu options/
+8 ;
+9 ; The new IB PARAMETER EDIT key will be used to lock
+10 ;
+11 ; IBT EDIT TRACKING PARAMETERS
+12 ; IBJ MCCR SITE PARAMETERS
+13 ;
+14 ; This routine will add PROSTHETICS to Plan Coverage Limitations file
+15 ;
+16 ; This routine will add three new rate types and the rate scheduals for each.
+17 ;
+18 ; HUMANITARIAN REIMB. INS.
+19 ; INELIGIBLE REIMB. INS.
+20 ; DENTAL REIMB. INS
+21 ;
+22 ;
START ; CALL SECTIONS
+1 DO MES^XPDUTL(" Starting post-install for IB*2.0*568")
+2 DO RIDER
+3 DO PLAN
+4 DO ADDRT
+5 ; add Rate Schedules (363)
DO ADDRS
+6 DO NEWIBER
+7 ; Completion message
+8 DO MES^XPDUTL(" Finished post-install for IB*2.0*568")
+9 QUIT
+10 ;
RIDER ; add Prostihetic Insurance Rider (355.6)
+1 NEW IBNAME,DD,DO,DLAYGO,DIC,X,Y,IBDA,IBARR,IBX
+2 DO MES^XPDUTL(" ")
+3 ;
+4 SET IBNAME="PROSTHETICS COVERAGE"
+5 IF $ORDER(^IBE(355.6,"B",IBNAME,0))
SET IBX=" - "_IBNAME_" Insurance Rider (355.6) already exists, no change"
DO MES^XPDUTL(IBX)
QUIT
+6 ;
+7 KILL DD,DO
SET DLAYGO=355.6
SET DIC="^IBE(355.6,"
SET DIC(0)="L"
SET X=IBNAME
DO FILE^DICN
KILL DIC
IF Y<1
KILL X,Y
QUIT
+8 SET IBDA=+Y
+9 ;
+10 SET IBX=" * "_IBNAME_" Insurance Rider (355.6) added"
DO MES^XPDUTL(IBX)
+11 QUIT
+12 ;
PLAN ; add Prosthetics to Plan Coverage Limitations
+1 DO MES^XPDUTL("Adding PROSTHETICS to Plan Coverage Limitations file...")
+2 NEW IBA,IBNAME,IBRIDER,IBRDA,IBX,DD,DO,DLAYGO,DIC,X,Y,IBDA,DIE,DA,DR,IBFILE
+3 SET IBFILE=" Plan Limitation Category (#355.31) "
+4 ;
+5 SET IBNAME="PROSTHETICS"
SET IBRIDER="PROSTHETICS COVERAGE"
+6 SET IBRDA=$ORDER(^IBE(355.6,"B",IBRIDER,0))
IF 'IBRDA
SET IBX=" - "_IBNAME_IBFILE_"Not Added, Rider Missing"
DO MES^XPDUTL(IBX)
QUIT
+7 ;
+8 IF $ORDER(^IBE(355.31,"B",IBNAME,0))
SET IBA=">> "_IBNAME_IBFILE_"exists, no change"
DO MES^XPDUTL(IBA)
QUIT
+9 ;
+10 KILL DD,DO
SET DLAYGO=355.31
SET DIC="^IBE(355.31,"
SET DIC(0)="L"
SET X=IBNAME
DO FILE^DICN
KILL DIC
SET IBDA=+Y
IF Y<1
KILL X,Y
QUIT
+11 ;
+12 SET DIE="^IBE(355.31,"
SET DA=+IBDA
SET DR=".02///Prosthetics coverage"
DO ^DIE
KILL DIE,DA,DR,X,Y
+13 ;
+14 DO MES^XPDUTL("Prosthetics Plan added.....")
+15 ;
+16 QUIT
+17 ;
ADDRT ; Add Rate Types (399.3)
+1 NEW IBA,IBCNT,FLG,IBI,REC,C,DONE,RTNAM,RTNUM
+2 SET IBCNT=0
+3 ;
+4 DO MES^XPDUTL(" -> Adding new Rate Type entries to file 399.3 ...")
+5 ;
+6 SET C=";"
SET (FLG,IBCNT)=0
+7 FOR RTNUM=19,20,21
Begin DoDot:1
+8 SET IBI="RT"_RTNUM
+9 SET REC=$PIECE($TEXT(@IBI),";",3,99)
+10 SET RTNAM=$PIECE(REC,C,1)
+11 ; do a lookup and quit if exists.
+12 SET DONE=$$NEW(RTNAM,RTNUM,REC)
if DONE=-1
QUIT
+13 ;
+14 DO MES^XPDUTL("New Rate Type "_RTNAM_" added")
SET FLG=1
SET IBCNT=IBCNT+1
End DoDot:1
+15 ;
RTQ IF FLG
SET IBA(1)=" >> "_IBCNT_" Rate Types added (399.3)..."
DO MES^XPDUTL(.IBA)
+1 QUIT
+2 ;
NEW(NAM,NUM,REC) ; create new rate type
+1 ; see if entry exists
+2 NEW DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,RN,OUT
+3 SET X=NAM
+4 SET DIC="^DGCR(399.3,"
DO ^DIC
SET OUT=+Y
+5 IF OUT>0
DO MES^XPDUTL(" "_NAM_" already exists.")
QUIT OUT
+6 ; add entry
+7 KILL DO
+8 SET DIC(0)="L"
SET DLAYGO=399.3
SET DR=""
SET X=NAM
SET DA=NUM
+9 DO FILE^DICN
IF +Y=-1
DO MES^XPDUTL(" "_NAM_" failed to add!")
QUIT +Y
+10 SET RN=+Y
+11 SET DA=RN
+12 SET DR=".02///"_$PIECE(REC,C,2)_";.03///0"_";.04///"_$PIECE(REC,C,4)_";.05///"_$PIECE(REC,C,5)_";.06///"_$PIECE(REC,C,6)_";.07///"_$PIECE(REC,C,7)
+13 SET DIE="^DGCR(399.3,"
+14 DO ^DIE
+15 SET DIC(0)="L"
SET DLAYGO=399.3
SET DR=""
SET DA=RN
+16 SET DR=".08///"_$PIECE(REC,C,8)_";.09///1;.1///"_$PIECE(REC,C,10)_";.11///"_$PIECE(REC,C,11)_";580950.1///1"
+17 SET DIE="^DGCR(399.3,"
+18 DO ^DIE
+19 QUIT 1
+20 ;
ADDRS ; Add Rate Schedules (363) for EMERGENCY/HUMANITARIAN REIMB. & INELIGIBLE HOSP. REIMB.
+1 DO MES^XPDUTL(" -> Adding new Rate Schedules to file 363 ...")
+2 NEW IBA,IBCNT,IBI,IBLN,IBFN,IBRT,IBBS,IBCNTCS,IBJ,IBLNCS,IBCS,IBCSFN,IBVDT,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,IBADJST,IBADMIN,IBDISP,IBRN,IBRS,IBRS1,INDT
+3 SET IBCNT=0
+4 ;
+5 FOR IBI=1:1
SET IBLN=$PIECE($TEXT(RSF+IBI),";;",2)
if IBLN="END"
QUIT
IF $EXTRACT(IBLN)?1A
Begin DoDot:1
+6 ;Check for problems
+7 ;Already exists
IF $ORDER(^IBE(363,"B",$PIECE(IBLN,U,1),0))
QUIT
+8 ;Billable service invalid
SET IBBS=$PIECE(IBLN,U,4)
IF IBBS'=""
SET IBBS=$$MCCRUTL(IBBS,13)
if 'IBBS
QUIT
+9 SET IBRN=$PIECE(IBLN,U,1)
+10 SET IBRT=$PIECE(IBLN,U,2)
SET IBRT=$ORDER(^DGCR(399.3,"B",IBRT,0))
Begin DoDot:2
+11 IF 'IBRT
DO MSG(" **** Rate Type "_$PIECE(IBLN,U,2)_" not defined, RS "_$PIECE(IBLN,U,1)_" not created")
+12 IF +$PIECE($GET(^DGCR(399.3,+IBRT,0)),U,3)
SET IBRT=0
DO MSG(" **** Rate Type "_$PIECE(IBLN,U,2)_" not Active, RS "_$PIECE(IBLN,U,1)_" not created")
End DoDot:2
if 'IBRT
QUIT
+13 ;No problems found, so create entry
+14 IF IBRN="HR-INPT"
SET IBNAME="HMN-INPT"
+15 IF IBRN="HR-OPT"
SET IBNAME="HMN-OPT"
+16 IF IBRN="HR-RX"
SET IBNAME="HMN-RX"
+17 IF IBRN="HR-OPT DENTAL"
SET IBNAME="DNTL-OPT DENTAL"
+18 IF IBRN="IR-INPT"
SET IBNAME="INELIG-INPT"
+19 IF IBRN="IR-OPT"
SET IBNAME="INELIG-OPT"
+20 IF IBRN="IR-RX"
SET IBNAME="INELIG-RX"
+21 NEW IBX,IBRSFN,IBRS0
SET IBRSFN=0
+22 FOR
SET IBRSFN=$ORDER(^IBE(363,"B",IBNAME,IBRSFN))
if 'IBRSFN
QUIT
Begin DoDot:2
+23 SET IBRS0=$GET(^IBE(363,IBRSFN,0))
SET IBRS1=$GET(^IBE(363,IBNAME,1))
+24 IF $PIECE(IBRS0,U,1)=IBNAME
Begin DoDot:3
+25 SET IBVDT=$$FMTE^XLFDT($PIECE(IBRS0,U,5),"2DZ")
SET INDT=$$FMTE^XLFDT($PIECE(IBRS0,U,6),"2DZ")
+26 IF IBNAME["RX"
SET IBDISP=$PIECE(IBRS1,U,1)
SET IBADMIN=$PIECE(IBRS1,U,2)
SET IBADJST=$GET(^IBE(363,IBNAME,10))
+27 KILL DD,DO
+28 SET DLAYGO=363
SET DIC="^IBE(363,"
SET DIC(0)="L"
SET X=$PIECE(IBLN,U,1)
+29 DO FILE^DICN
KILL DIC,DINUM,DLAYGO
+30 IF Y<1
KILL X,Y
QUIT
+31 SET IBFN=+Y
SET IBCNT=IBCNT+1
+32 SET DR=".02///"_IBRT_";.03///"_$PIECE(IBLN,U,3)
IF +IBBS
SET DR=DR_";.04///"_IBBS
+33 SET DR=DR_";.05///^S X=IBVDT;.06///^S X=INDT"
+34 IF IBRN["RX"
IF IBDISP]""
SET DR=DR_";1.01///"_IBDISP
+35 IF IBRN["RX"
IF IBADMIN]""
SET DR=DR_";1.02///"_IBADMIN
+36 IF IBRN["RX"
IF IBADJST]""
SET DR=DR_";10///"_IBADJST
+37 SET DIE="^IBE(363,"
SET DA=IBFN
DO ^DIE
KILL DIE,DA,DR,X,Y
+38 SET IBCNTCS=0
+39 ; add all Reasonable Charges Charge Sets
+40 SET IBCNTCS=$$RSCS(IBFN,IBVDT,IBRSFN)
+41 DO MES^XPDUTL(" Total Charge Set"_$SELECT(IBCNTCS=1:" ",1:"s ")_IBCNTCS_" added to the rate schedule.")
End DoDot:3
End DoDot:2
End DoDot:1
+42 DO MES^XPDUTL(" Rate Schedules completed.")
+43 ;ADDRS
QUIT
+44 ;
+45 ;
RSCS(IBFN,IBVDT,IBCOPY) ; add existing Charge Sets to HR & IR
+1 ; copy the Charge Sets from the corresponding RI RS (v2)
+2 NEW IBCNT,IBNRS,IBRSNM,IBTY,IBCS,IBXFN,IBCSFN,IBCSNM,IBCSAA,IBNAME
+3 SET IBCNT=0
+4 SET IBNRS=$GET(^IBE(363,+$GET(IBFN),0))
SET IBRSNM=$PIECE(IBNRS,"^",1)
+5 SET IBTY=$PIECE(IBNRS,"^",3)
+6 IF 'IBCOPY
GOTO RSCSQ
+7 IF +$PIECE($GET(^IBE(363,+IBCOPY,0)),U,3)=IBTY
Begin DoDot:1
+8 SET IBXFN=0
FOR
SET IBXFN=$ORDER(^IBE(363,IBCOPY,11,IBXFN))
if 'IBXFN
QUIT
Begin DoDot:2
+9 SET IBCS=$GET(^IBE(363,IBCOPY,11,IBXFN,0))
SET IBCSFN=+IBCS
+10 IF +$$RSCSFILE(IBFN,$PIECE($GET(^IBE(363.1,IBCSFN,0)),U,1),$PIECE(IBCS,U,2))
SET IBCNT=IBCNT+1
End DoDot:2
End DoDot:1
RSCSQ QUIT IBCNT
+1 ;
+2 ;
RSCSFILE(IBFN,IBCSNM,IBCSAA) ; Add Charge Set to a Rate Schedule
+1 NEW IBX,DD,DO,DLAYGO,DIC,DA,DR,X,Y,IBCSFN
SET IBX=0
+2 IF $GET(^IBE(363,+$GET(IBFN),0))=""
GOTO RSCSFQ
+3 IF $GET(IBCSNM)=""
GOTO RSCSFQ
+4 SET IBCSFN=$ORDER(^IBE(363.1,"B",IBCSNM,0))
IF 'IBCSFN
GOTO RSCSFQ
+5 IF $ORDER(^IBE(363,IBFN,11,"B",IBCSFN,0))
GOTO RSCSFQ
+6 SET DLAYGO=363
SET DA(1)=+IBFN
SET DIC="^IBE(363,"_DA(1)_",11,"
SET DIC(0)="L"
+7 SET X=IBCSNM
SET DIC("DR")=".02///"_$GET(IBCSAA)
SET DIC("P")="363.0011P"
DO ^DIC
if +Y
SET IBX=1
RSCSFQ QUIT IBX
+1 ;
+2 ;
NEWIBER ;set up new error for COB worklist
+1 NEW IB02,IB04,IB05,IBNAME,DD,DO,DLAYGO,DIC,X,Y,IBDA,IBARR,IBX
+2 DO MES^XPDUTL(" ")
+3 ;
+4 SET IBNAME="IB815"
+5 SET IB02="Balance bill this patient using the appropriate cost-based rate type."
+6 SET IB04="INTEGRATED BILLING"
+7 SET IB05="DISPLAY MESSAGE"
+8 IF $ORDER(^IBE(350.8,"B",IBNAME,0))
SET IBX=" - "_IBNAME_" IB Error (350.8) already exists, no change"
DO MES^XPDUTL(IBX)
QUIT
+9 ;
+10 KILL DD,DO
SET DLAYGO=350.8
SET DIC="^IBE(350.8,"
SET DIC(0)="L"
SET X=IBNAME
DO FILE^DICN
+11 KILL DIC
IF Y<1
KILL X,Y
QUIT
+12 SET IBDA=+Y
+13 SET RN=+Y
+14 SET DA=RN
+15 SET DR=".02///"_IB02_";.03///"_IBNAME_";.04///"_IB04_";.05///"_IB05
+16 SET DIE="^IBE(350.8,"
+17 DO ^DIE
+18 ;
+19 SET IBX=" * "_IBNAME_" IB Error (350.8) added"
DO MES^XPDUTL(IBX)
+20 QUIT
+21 ;
+22 ;
MCCRUTL(X,P) ; returns IFN of item in 399.1 if Name is found and piece P is true
+1 NEW IBX,IBY
SET IBY=""
+2 IF $GET(X)'=""
SET IBX=0
FOR
SET IBX=$ORDER(^DGCR(399.1,"B",X,IBX))
if 'IBX
QUIT
IF $PIECE($GET(^DGCR(399.1,IBX,0)),U,+$GET(P))
SET IBY=IBX
+3 QUIT IBY
+4 ;
+5 ;
MSG(X) ;
+1 NEW IBX
SET IBX=$ORDER(IBA(999999),-1)
if 'IBX
SET IBX=1
SET IBX=IBX+1
+2 SET IBA(IBX)=$GET(X)
+3 ;MSG
QUIT
+4 ;
RSDT(PRE) ;Copy the active RX charge schedule from RI to FR
+1 NEW IBCS,IBCS0,IBDISP,IBADMIN,IBADJST
+2 SET IBCS=""
+3 IF PRE="HR"
SET IBCS=$ORDER(^IBE(363,"B","HMN-RX",""),-1)
+4 IF PRE="IR"
SET IBCS=$ORDER(^IBE(363,"B","INELIG-RX",""),-1)
+5 SET IBCS0=$GET(^IBE(363,IBCS,0))
+6 SET IBDISP=$PIECE($GET(^IBE(363,IBCS,1)),U,1)
SET IBADMIN=$PIECE($GET(^IBE(363,IBCS,1)),U,2)
+7 SET IBADJST=$GET(^IBE(363,IBCS,10))
+8 QUIT $PIECE(IBCS0,U,5)
+9 ;
+10 ;
NEWRT ;Rate Type
RT19 ;;HUMANITARIAN REIMB. INS.;HUMANITARIAN REIMB. INS.;0;HUM REIM;1;EMERGENCY/HUMANITARIAN REIMB.;i;1;0;1;28
RT20 ;;INELIGIBLE REIMB. INS.;INELIGIBLE REIMB. INS.;0;INE REIM;1;INELIGIBLE HOSP. REIMB.;i;1;0;1;28
RT21 ;;DENTAL REIMB. INS.;DENTAL REIMB. INS.;0;DEN REIM;1;EMERGENCY/HUMANITARIAN REIMB.;i;1;0;1;28
+1 ;;END
+2 ;
RSF ;Rate Schedules (363) for EMERGENCY/HUMANITARIAN REIMB. & INELIGIBLE HOSP. REIMB.
+1 ;;HR-INPT^HUMANITARIAN REIMB. INS.^1^INPATIENT
+2 ;;HR-OPT^HUMANITARIAN REIMB. INS.^3
+3 ;;HR-RX^HUMANITARIAN REIMB. INS.^3
+4 ;;HR-OPT DENTAL^DENTAL REIMB. INS.^3
+5 ;;IR-INPT^INELIGIBLE REIMB. INS.^1^INPATIENT
+6 ;;IR-OPT^INELIGIBLE REIMB. INS.^3
+7 ;;IR-RX^INELIGIBLE REIMB. INS.^3
+8 ;;END
