VistA-WorldVistAEHR/r/INTEGRATED_BILLING-IB-PRQ--.../IB20P247.m

121 lines
3.6 KiB
Mathematica

IB20P247 ;WOIFO/SS - POST INIT ROUTINE FOR IB*2*247 ;6-OCT-03
;;2.0;INTEGRATED BILLING;**247**;21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
Q
POST ; adding charge removal reason entries if not there
N IBX,IBT,IBY,X,Y,DIC,DO
D ADDCRR
D ADDNBR
Q
;
ADDCRR ; need to add charge removal reasons
N IBX,IBT,IBY,DIC,Y,X
F IBX=1:1 S IBY=$P($T(CRR+IBX),";",3,99) Q:IBY="" S IBT=$P(IBY,";") I '$O(^IBE(350.3,"B",IBT,0)) K DO D
. S DIC="^IBE(350.3,",DIC(0)="",X=IBT,DIC("DR")=$P(IBY,";",2,3)
. D FILE^DICN I Y>0 D BMES^XPDUTL(" --> Added Charge Removal Reasons: "_IBT)
Q
;
ADDNBR ; need to add non billable reasons
F IBX=1:1 S IBT=$P($T(NBR+IBX),";",3) Q:IBT="" I '$O(^IBE(356.8,"B",IBT,0)) K DO D
. S DIC="^IBE(356.8,",DIC(0)="",X=IBT
. D FILE^DICN I Y>0 D BMES^XPDUTL(" --> Added Reason Not Billable: "_IBT)
Q
;
CRR ; charge removal reasons to add in #350.3
;;COMBAT VETERAN;.02///CV;.03///GENERIC
;;
NBR ; non-billable reasons to add in #356.8 if not there
;;HEAD/NECK CANCER
;;COMBAT VETERAN
;;
;
;-------- report for CV expiration date problem
RPT ;
I '$$PATCH^XPDUTL("DG*5.3*576") W !,"The patch DG*5.3*576 needs to be installed to run the report." Q
K ^TMP("DGCVEX",$J),^TMP("IBCVEX",$J)
D EN^DGCVEXP
N IBDFN,IBDT,IBNNN
S IBNNN=0
S IBDFN=0 F S IBDFN=$O(^TMP("DGCVEX",$J,IBDFN)) Q:+IBDFN=0 D
. S IBDT=0 F S IBDT=$O(^TMP("DGCVEX",$J,IBDFN,IBDT)) Q:+IBDT=0 D COUNTIN(IBDFN,IBDT,.IBNNN)
D PRINTREP(IBNNN)
K ^TMP("DGCVEX",$J),^TMP("IBCVEX",$J)
Q
;--------
;IBDF - patient's DFN
;IBD - the last date of CV
COUNTIN(IBDF,IBD,IBNN) ;
;3rd party claims
N IBIEN,IBRVDT,IB1,IBTO,IBFR,IBI,IBK
S IBIEN=0 F S IBIEN=$O(^DGCR(399,"C",IBDF,IBIEN)) Q:+IBIEN=0 D
. S IB1=$G(^DGCR(399,IBIEN,0))
. Q:+$P(IB1,"^",5)=0 ;no care type
. S IBTO=+$P($G(^DGCR(399,IBIEN,"U")),"^",2),IBFR=+$G(^DGCR(399,IBIEN,"U"))
. ;outpatients
. I $P(IB1,"^",5)>2 D:IBD=IBFR SETTMP(IBDF,IBD,IBIEN,1,.IBNN) Q
. ;inpatients
. I (IBD'<IBFR) I IBTO=0!(IBD'>IBTO) D SETTMP(IBDF,IBD,IBIEN,2,.IBNN)
;1st party copays
S IBIEN=0 F S IBIEN=$O(^IB("C",IBDF,IBIEN)) Q:+IBIEN=0 D
. S IB1=$G(^IB(IBIEN,0)),IBFR=+$P(IB1,"^",14),IBTO=+$P(IB1,"^",15)
. I (IBD'<IBFR),(IBD'>IBTO) D SETTMP(IBDF,IBD,IBIEN,3,.IBNN)
Q
;--------
; print report
PRINTREP(IBNN) ;
N IBDFN,IBDT,IB1,IBN
D HEADER
S IBDFN=0 F S IBDFN=$O(^TMP("IBCVEX",$J,IBDFN)) Q:+IBDFN=0 D
. S IBDT=0 F S IBDT=$O(^TMP("IBCVEX",$J,IBDFN,IBDT)) Q:+IBDT=0 D
.. S IBN=0 F S IBN=$O(^TMP("IBCVEX",$J,IBDFN,IBDT,IBN)) Q:+IBN=0 D OUTP(IBDFN,IBDT,$G(^TMP("IBCVEX",$J,IBDFN,IBDT,IBN)))
D FOOTER(IBNN)
Q
;--------
;set ^TMP
SETTMP(IBDFN,IBDT,IBIEN1,IBTYP,IBNUM) ;
S IBNUM=IBNUM+1,^TMP("IBCVEX",$J,IBDFN,IBDT,IBNUM)=IBTYP_"^"_IBIEN1
Q
OUTP(IBDFN,IBDT,IBDATA) ;
Q:$G(IBDATA)=""
N Y S Y=$$PATINFO(IBDFN)
W !,$P(Y,"^"),?30,$P(Y,"^",2),?43,$$STRDATE(IBDT),?55,$E($$BILLINFO(IBDATA),1,18)
Q
;--------
;billing info
BILLINFO(IBDATA) ;
I +IBDATA=3 Q $P($P($G(^IB(+$P(IBDATA,"^",2),0)),"^",11),"-",2)_" PATIENT"
Q $P($G(^DGCR(399,+$P(IBDATA,"^",2),0)),"^")_" INSURANCE"
;--------
;Fileman date to String format
;Y - fileman date
STRDATE(Y) ;
I Y>0 X ^DD("DD") Q Y
Q ""
;--------
;patient info
PATINFO(DFN) ;
I +$G(DFN)=0 Q "??"
N VADM,VA,VAERR
D DEM^VADPT
Q $E($G(VADM(1)),1,28)_"^"_$P($G(VADM(2)),"^",2)
;
;--------
HEADER ;header
W !,"...Please wait..."
W !,?15,">> CV Billing Verification Report <<"
D LINE
W !,"Name",?30,"SSN",?43,"Date",?55,"Bill #"
D LINE
Q
;--------
FOOTER(IBNNN) ;footer
D LINE
W !,"Total: "_IBNNN_" bills/copays"
Q
;--------
LINE ;line
W !,"-----------------------------",?30,"------------",?43,"-----------",?55,"------------------"
Q
;