IBYPPM.m

IBYPPM ;ALB/CXW,TJH - IB*2*333 POST INIT: ADD TORT/INTERAGENCY RATES NOV 2005 ; 11/23/05

 ;;2.0;INTEGRATED BILLING;**333**;21-MAR-94

 ;;Per VHA Directive 10-93-142, this routine should not be modified.

 ; 

 ;

 ; Add OCT 2005 Tort and Interagency Charges to the Charge Master, 61 Charge Items

 Q

POST ;

 N IBA,IBEFFDT

 S IBA(1)="",IBA(2)="    IB*2*333 Post-Install .....",IBA(3)="" D MES^XPDUTL(.IBA) K IBA

 S IBEFFDT=3051103 ;            effective date of Tort Nov 03, 2005

 D ADDCI(IBEFFDT) ;     add new Tort Liable and Interagency charges or and Reasonable Charges

 ;

 S IBA(1)="",IBA(2)="    IB*2*333 Post-Install Complete",IBA(3)="" D MES^XPDUTL(.IBA) K IBA

 Q

 ;

ADDCI(EFFDAT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges

 N IBA,IBCNT,IBCNT1,IBI,IBLN,IBFN,IBCS,IBXRF,IBCI,IBRVCD,IBCHG,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,IBX,IBZ,IBDFLTDT,IBDT S (IBCNT,IBCNT1)=0

 ;

 S IBDFLTDT=+$G(EFFDAT) I 'IBDFLTDT D MSG("** Error: No Date, No Charges Added") G CIQ

 ;

 F IBI=1:1 S IBLN=$P($T(CIF+IBI),";;",2) Q:+IBLN!(IBLN="")  I $E(IBLN)?1A D SETCI

 ;

 I +IBCNT1 D MSG(IBCNT1_" Duplicate Charge Items already exist, not re-added")

 ;

CIQ S IBA(1)="      >> "_IBCNT_" Tort/Interagency Charge Items added (363.2)" D MES^XPDUTL(.IBA) K IBA

 Q

 ;

SETCI ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)

 ;

 S IBCS=$P(IBLN,U,2),IBCS=+$O(^IBE(363.1,"B",IBCS,0)) I 'IBCS D MSG("** Error: CS "_$P(IBLN,U,2)_" undefined") Q

 S IBCI=+$$MCCRUTL($P(IBLN,U,1),5) I 'IBCI D MSG("** Error: BS "_$P(IBLN,U,1)_" undefined") Q

 S IBDT=IBDFLTDT I +$P(IBLN,U,3) S IBDT=+$P(IBLN,U,3)

 S IBRVCD=$$RVCD($P(IBLN,U,4))

 S IBCHG=+$P(IBLN,U,5)

 S IBXRF="AIVDTS"_IBCS

 ;

 S IBX=0 F  S IBX=$O(^IBA(363.2,IBXRF,IBCI,-IBDT,IBX)) Q:'IBX  S IBZ=$G(^IBA(363.2,IBX,0)) I $P(IBZ,U,6)=IBRVCD D

 . S IBCI=0,IBCNT1=IBCNT1+1 I +$P(IBZ,U,5)'=IBCHG D MSG("** Error: Item exists, wrong charge: "_IBLN)

 Q:'IBCI

 ;

 K DD,DO S DLAYGO=363.2,DIC="^IBA(363.2,",DIC(0)="L",X=IBCI_";DGCR(399.1," D FILE^DICN K DIC I Y<1 K X,Y Q

 S IBFN=+Y,IBCNT=IBCNT+1

 ;

 S DR=".02////"_IBCS_";.03////"_IBDT_";.05////"_IBCHG I +IBRVCD S DR=DR_";.06////"_IBRVCD

 S DIE="^IBA(363.2,",DA=+IBFN D ^DIE K DIE,DA,DR,X,Y

 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

 ;

RVCD(RVCD) ; returns IFN if revenue code is valid and active

 N IBX,IBY S IBY=""

 I +$G(RVCD) S IBX=$G(^DGCR(399.2,+RVCD,0)) I +$P(IBX,U,3) S IBY=+RVCD

 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

 ;

 ;

CIF ; Charge Items (363.2):  Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge

 ;;     

TORT ;; 2005 Tortiously Liable All Inclusive

 ;;        

 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1952

 ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1178

 ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^2037

 ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^1324

 ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^2633

 ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^504

 ;;PRRTP^TL-INPT (INCLUSIVE)^^^293

 ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1211

 ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^1670

 ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^1383

 ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^4117

 ;;             

 ;; Tortiously Liable Non-Professional

 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^1314

 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^452

 ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^498

 ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^585

 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^1262

 ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^531

 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1065

 ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^194

 ;;NEUROLOGY^TL-INPT (NPF)^^101^1553

 ;;NEUROLOGY^TL-INPT (NPF)^^240^695

 ;;NURSING HOME CARE^TL-INPT (NPF)^^101^420

 ;;NURSING HOME CARE^TL-INPT (NPF)^^240^68

 ;;PRRTP^TL-INPT (NPF)^^101^244

 ;;PRRTP^TL-INPT (NPF)^^240^31

 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^906

 ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^191

 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^970

 ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^510

 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^864

 ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^348

 ;;SURGICAL CARE^TL-INPT (NPF)^^101^2414

 ;;SURGICAL CARE^TL-INPT (NPF)^^240^1249

 ;;              

 ;; Tortiously Liable Professional

 ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^186

 ;;BLIND REHABILITATION^TL-INPT (PF)^^^95

 ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^244

 ;;INTERMEDIATE CARE^TL-INPT (PF)^^^65

 ;;NEUROLOGY^TL-INPT (PF)^^^385

 ;;NURSING HOME CARE^TL-INPT (PF)^^^16

 ;;PRRTP^TL-INPT (PF)^^^18

 ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^114

 ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^190

 ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^171

 ;;SURGICAL CARE^TL-INPT (PF)^^^454

 ;;                    

 ;; Tortiously Liable Other

 ;;OUTPATIENT VISIT^TL-OPT VST^^^298

 ;;PRESCRIPTION^TL-RX FILL^^^51

 ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^202

 ;;          

 ;;         

IA ;; 2005 Interagency

 ;;            

 ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1832

 ;;BLIND REHABILITATION^IA-INPT^^^1112

 ;;GENERAL MEDICAL CARE^IA-INPT^^^1914

 ;;INTERMEDIATE CARE^IA-INPT^^^1241

 ;;NEUROLOGY^IA-INPT^^^2465

 ;;NURSING HOME CARE^IA-INPT^^^470

 ;;PRRTP^IA-INPT^^^273

 ;;PSYCHIATRIC CARE^IA-INPT^^^1132

 ;;REHABILITATION MEDICINE^IA-INPT^^^1564

 ;;SPINAL CORD INJURY CARE^IA-INPT^^^1292

 ;;SURGICAL CARE^IA-INPT^^^3894

 ;;            

 ;;OUTPATIENT VISIT^IA-OPT VST^^^284

 ;;PRESCRIPTION^IA-RX FILL^^^51

 ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^188

 ;;

 Q

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---IBYPPM   5810     printed  Mar 13, 2025@21:41:43                                                                                                                                                                                                      Page 2

IBYPPM    ;ALB/CXW,TJH - IB*2*333 POST INIT: ADD TORT/INTERAGENCY RATES NOV 2005 ; 11/23/05

 +1       ;;2.0;INTEGRATED BILLING;**333**;21-MAR-94

 +2       ;;Per VHA Directive 10-93-142, this routine should not be modified.

 +3       ; 

 +4       ;

 +5       ; Add OCT 2005 Tort and Interagency Charges to the Charge Master, 61 Charge Items

 +6        QUIT 

POST      ;

 +1        NEW IBA,IBEFFDT

 +2        SET IBA(1)=""

           SET IBA(2)="    IB*2*333 Post-Install ....."

           SET IBA(3)=""

           DO MES^XPDUTL(.IBA)

           KILL IBA

 +3       ;            effective date of Tort Nov 03, 2005

           SET IBEFFDT=3051103

 +4       ;     add new Tort Liable and Interagency charges or and Reasonable Charges

           DO ADDCI(IBEFFDT)

 +5       ;

 +6        SET IBA(1)=""

           SET IBA(2)="    IB*2*333 Post-Install Complete"

           SET IBA(3)=""

           DO MES^XPDUTL(.IBA)

           KILL IBA

 +7        QUIT 

 +8       ;

ADDCI(EFFDAT) ; Add Charge Items (363.2) needs Charge Sets, pass in the effective date of the new charges

 +1        NEW IBA,IBCNT,IBCNT1,IBI,IBLN,IBFN,IBCS,IBXRF,IBCI,IBRVCD,IBCHG,DD,DO,DLAYGO,DIC,DIE,DA,DR,X,Y,IBX,IBZ,IBDFLTDT,IBDT

           SET (IBCNT,IBCNT1)=0

 +2       ;

 +3        SET IBDFLTDT=+$GET(EFFDAT)

           IF 'IBDFLTDT

               DO MSG("** Error: No Date, No Charges Added")

               GOTO CIQ

 +4       ;

 +5        FOR IBI=1:1

               SET IBLN=$PIECE($TEXT(CIF+IBI),";;",2)

               if +IBLN!(IBLN="")

                   QUIT 

               IF $EXTRACT(IBLN)?1A

                   DO SETCI

 +6       ;

 +7        IF +IBCNT1

               DO MSG(IBCNT1_" Duplicate Charge Items already exist, not re-added")

 +8       ;

CIQ        SET IBA(1)="      >> "_IBCNT_" Tort/Interagency Charge Items added (363.2)"

           DO MES^XPDUTL(.IBA)

           KILL IBA

 +1        QUIT 

 +2       ;

SETCI     ; set Charge Item (duplicates based on item, CS, eff dt, rev cd)

 +1       ;

 +2        SET IBCS=$PIECE(IBLN,U,2)

           SET IBCS=+$ORDER(^IBE(363.1,"B",IBCS,0))

           IF 'IBCS

               DO MSG("** Error: CS "_$PIECE(IBLN,U,2)_" undefined")

               QUIT 

 +3        SET IBCI=+$$MCCRUTL($PIECE(IBLN,U,1),5)

           IF 'IBCI

               DO MSG("** Error: BS "_$PIECE(IBLN,U,1)_" undefined")

               QUIT 

 +4        SET IBDT=IBDFLTDT

           IF +$PIECE(IBLN,U,3)

               SET IBDT=+$PIECE(IBLN,U,3)

 +5        SET IBRVCD=$$RVCD($PIECE(IBLN,U,4))

 +6        SET IBCHG=+$PIECE(IBLN,U,5)

 +7        SET IBXRF="AIVDTS"_IBCS

 +8       ;

 +9        SET IBX=0

           FOR 

               SET IBX=$ORDER(^IBA(363.2,IBXRF,IBCI,-IBDT,IBX))

               if 'IBX

                   QUIT 

               SET IBZ=$GET(^IBA(363.2,IBX,0))

               IF $PIECE(IBZ,U,6)=IBRVCD

                   Begin DoDot:1

 +10                   SET IBCI=0

                       SET IBCNT1=IBCNT1+1

                       IF +$PIECE(IBZ,U,5)'=IBCHG

                           DO MSG("** Error: Item exists, wrong charge: "_IBLN)

                   End DoDot:1

 +11       if 'IBCI

               QUIT 

 +12      ;

 +13       KILL DD,DO

           SET DLAYGO=363.2

           SET DIC="^IBA(363.2,"

           SET DIC(0)="L"

           SET X=IBCI_";DGCR(399.1,"

           DO FILE^DICN

           KILL DIC

           IF Y<1

               KILL X,Y

               QUIT 

 +14       SET IBFN=+Y

           SET IBCNT=IBCNT+1

 +15      ;

 +16       SET DR=".02////"_IBCS_";.03////"_IBDT_";.05////"_IBCHG

           IF +IBRVCD

               SET DR=DR_";.06////"_IBRVCD

 +17       SET DIE="^IBA(363.2,"

           SET DA=+IBFN

           DO ^DIE

           KILL DIE,DA,DR,X,Y

 +18       QUIT 

 +19      ;

 +20      ;

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       ;

RVCD(RVCD) ; returns IFN if revenue code is valid and active

 +1        NEW IBX,IBY

           SET IBY=""

 +2        IF +$GET(RVCD)

               SET IBX=$GET(^DGCR(399.2,+RVCD,0))

               IF +$PIECE(IBX,U,3)

                   SET IBY=+RVCD

 +3        QUIT IBY

 +4       ;

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        QUIT 

 +4       ;

 +5       ;

CIF       ; Charge Items (363.2):  Bedsection ^ Charge Set ^Effective Date ^ Revenue Code ^ Charge

 +1       ;;     

TORT      ;; 2005 Tortiously Liable All Inclusive

 +1       ;;        

 +2       ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (INCLUSIVE)^^^1952

 +3       ;;BLIND REHABILITATION^TL-INPT (INCLUSIVE)^^^1178

 +4       ;;GENERAL MEDICAL CARE^TL-INPT (INCLUSIVE)^^^2037

 +5       ;;INTERMEDIATE CARE^TL-INPT (INCLUSIVE)^^^1324

 +6       ;;NEUROLOGY^TL-INPT (INCLUSIVE)^^^2633

 +7       ;;NURSING HOME CARE^TL-INPT (INCLUSIVE)^^^504

 +8       ;;PRRTP^TL-INPT (INCLUSIVE)^^^293

 +9       ;;PSYCHIATRIC CARE^TL-INPT (INCLUSIVE)^^^1211

 +10      ;;REHABILITATION MEDICINE^TL-INPT (INCLUSIVE)^^^1670

 +11      ;;SPINAL CORD INJURY CARE^TL-INPT (INCLUSIVE)^^^1383

 +12      ;;SURGICAL CARE^TL-INPT (INCLUSIVE)^^^4117

 +13      ;;             

 +14      ;; Tortiously Liable Non-Professional

 +15      ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^101^1314

 +16      ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (NPF)^^240^452

 +17      ;;BLIND REHABILITATION^TL-INPT (NPF)^^101^498

 +18      ;;BLIND REHABILITATION^TL-INPT (NPF)^^240^585

 +19      ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^101^1262

 +20      ;;GENERAL MEDICAL CARE^TL-INPT (NPF)^^240^531

 +21      ;;INTERMEDIATE CARE^TL-INPT (NPF)^^101^1065

 +22      ;;INTERMEDIATE CARE^TL-INPT (NPF)^^240^194

 +23      ;;NEUROLOGY^TL-INPT (NPF)^^101^1553

 +24      ;;NEUROLOGY^TL-INPT (NPF)^^240^695

 +25      ;;NURSING HOME CARE^TL-INPT (NPF)^^101^420

 +26      ;;NURSING HOME CARE^TL-INPT (NPF)^^240^68

 +27      ;;PRRTP^TL-INPT (NPF)^^101^244

 +28      ;;PRRTP^TL-INPT (NPF)^^240^31

 +29      ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^101^906

 +30      ;;PSYCHIATRIC CARE^TL-INPT (NPF)^^240^191

 +31      ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^101^970

 +32      ;;REHABILITATION MEDICINE^TL-INPT (NPF)^^240^510

 +33      ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^101^864

 +34      ;;SPINAL CORD INJURY CARE^TL-INPT (NPF)^^240^348

 +35      ;;SURGICAL CARE^TL-INPT (NPF)^^101^2414

 +36      ;;SURGICAL CARE^TL-INPT (NPF)^^240^1249

 +37      ;;              

 +38      ;; Tortiously Liable Professional

 +39      ;;ALCOHOL AND DRUG TREATMENT^TL-INPT (PF)^^^186

 +40      ;;BLIND REHABILITATION^TL-INPT (PF)^^^95

 +41      ;;GENERAL MEDICAL CARE^TL-INPT (PF)^^^244

 +42      ;;INTERMEDIATE CARE^TL-INPT (PF)^^^65

 +43      ;;NEUROLOGY^TL-INPT (PF)^^^385

 +44      ;;NURSING HOME CARE^TL-INPT (PF)^^^16

 +45      ;;PRRTP^TL-INPT (PF)^^^18

 +46      ;;PSYCHIATRIC CARE^TL-INPT (PF)^^^114

 +47      ;;REHABILITATION MEDICINE^TL-INPT (PF)^^^190

 +48      ;;SPINAL CORD INJURY CARE^TL-INPT (PF)^^^171

 +49      ;;SURGICAL CARE^TL-INPT (PF)^^^454

 +50      ;;                    

 +51      ;; Tortiously Liable Other

 +52      ;;OUTPATIENT VISIT^TL-OPT VST^^^298

 +53      ;;PRESCRIPTION^TL-RX FILL^^^51

 +54      ;;OUTPATIENT DENTAL^TL-OPT DENTAL^^^202

 +55      ;;          

 +56      ;;         

IA        ;; 2005 Interagency

 +1       ;;            

 +2       ;;ALCOHOL AND DRUG TREATMENT^IA-INPT^^^1832

 +3       ;;BLIND REHABILITATION^IA-INPT^^^1112

 +4       ;;GENERAL MEDICAL CARE^IA-INPT^^^1914

 +5       ;;INTERMEDIATE CARE^IA-INPT^^^1241

 +6       ;;NEUROLOGY^IA-INPT^^^2465

 +7       ;;NURSING HOME CARE^IA-INPT^^^470

 +8       ;;PRRTP^IA-INPT^^^273

 +9       ;;PSYCHIATRIC CARE^IA-INPT^^^1132

 +10      ;;REHABILITATION MEDICINE^IA-INPT^^^1564

 +11      ;;SPINAL CORD INJURY CARE^IA-INPT^^^1292

 +12      ;;SURGICAL CARE^IA-INPT^^^3894

 +13      ;;            

 +14      ;;OUTPATIENT VISIT^IA-OPT VST^^^284

 +15      ;;PRESCRIPTION^IA-RX FILL^^^51

 +16      ;;OUTPATIENT DENTAL^IA-OPT DENTAL^^^188

 +17      ;;

 +18       QUIT