- IBECEA33 ;ALB/CPM - Cancel/Edit/Add... More Add Utilities ; 23-APR-93
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- ;;Per VHA Directive 10-93-142, this routine should not be modified.
- ;
- NOCL ; Find the correct clock from the 'bill from' date.
- N IBCLST,IBALR S IBALR=0
- I IBCLDA S IBALR=1 W !!,"The Bill From date is prior to the start of the active clock..."
- D CLSTR^IBECEAU1(DFN,IBFR)
- I 'IBCLDA D G NOCLQ
- .I IBALR W !!,"This patient has no clock which would cover this date. You should use the",!,"Clock Maintenance option to adjust this patient's clocks before proceeding." S IBY=-1 Q
- .W !!,"Please note that I cannot find an active or closed clock for this patient",!,"on this date.",!
- D CLDATA^IBAUTL3,DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G NOCLQ
- I IBXA=2,$P($G(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU",IBCLDAY>90 S IBMED=IBMED/2
- W !!?5,"This charge will be billed under the following closed clock:"
- W !!?6,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY
- W !?5,"Closed Date: ",$$DAT1^IBOUTL($P(IBCLST,"^",10))," ",$$INPT^IBECEAU(IBCLDAY)," 90 Days: $",+IBCLDOL
- I IBXA=2,IBCLDOL'<IBMED S IBY=-1 W !!?5,"This patient has been billed the full copayment under this billing clock!",!?5,"You cannot add another copay charge starting on this date."
- NOCLQ Q
- ;
- OPT ; Check for a C&P exam and determine the outpatient copay rate.
- I $$CNP^IBECEAU(DFN,IBFR) D I IBY<0 G OPTQ
- .N DIR,DIRUT,DUOUT,DTOUT,Y
- .W !!,"This patient had a Compensation & Pension exam on this date."
- .S DIR(0)="Y",DIR("A")="Do you still want to add a charge"
- .S DIR("?")="Enter 'Y' to continue to add the charge, or 'N' or '^' to quit"
- .D ^DIR S:'Y IBY=-1
- ;
- N IBDT,IBX,IBBS S (IBDT,IBTO)=IBFR,IBX="O",IBUNIT=1,IBEVDA="*"
- D TYPE^IBAUTL2,CTBB^IBECEAU3:IBY>0
- OPTQ Q
- ;
- CHTYP ; Ask for the Charge Type
- S DIC="^IBE(350.1,",DIC(0)="AEMQZ",D="E",DIC("S")="I $P(^(0),U)'[""MEDICARE"",$P(^(0),U)'[""CHAMPVA SUB""",DIC("A")="Select CHARGE TYPE: "
- D IX^DIC K DIC S IBATYP=+Y I Y<0 S IBY=-1 W !!,"No CHARGE TYPE entered - transaction cannot be completed." G CHTYPQ
- ;
- ; - perform charge type edits
- S IBSEQNO=$P(Y(0),"^",5),IBXA=$P(Y(0),"^",11),IBNH=$P(Y(0),"^",8)["NHCU"
- I 'IBSEQNO S IBY="-1^IB023" G CHTYPQ
- I IBXA=6 G:IBCVAEL CHTYPQ W !!,"This patient does not have a Primary Eligibility of CHAMPVA.",! G CHTYP
- I 'IBCATC,IBXA'=5 W !!,"This patient has never been Category C...",!,"You may only select a Pharmacy copay charge type.",! G CHTYP
- I +IBEXSTAT,IBXA=5 W !!,"Patient is Exempt from Medication Copayment",!,$P(IBEXSTAT,"^",4),! G CHTYP
- S:IBXA=2 IBBS=$O(^DGCR(399.1,"AC",IBATYP,0))
- CHTYPQ Q
- ;
- CLMSG ; Check the Medicare Deductible and Billing Clock
- I 'IBMED S IBCLDT=IBFR D DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G CLMSGQ
- I "^1^2^"[("^"_IBXA_"^"),IBCLDA,IBFR'<IBCLDT,IBCLDOL'<IBMED S IBY=-1 D
- .W !!?5,*7,"This patient has already been billed the Medicare Deductible ($",IBMED,")"
- .W !?5,"for his current 90 days of care. If you know this not to be the case,"
- .W !?5,"please adjust the billing clock before proceeding."
- CLMSGQ Q
- IBECEA33 ;ALB/CPM - Cancel/Edit/Add... More Add Utilities ; 23-APR-93
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
- +3 ;
- NOCL ; Find the correct clock from the 'bill from' date.
- +1 NEW IBCLST,IBALR
- SET IBALR=0
- +2 IF IBCLDA
- SET IBALR=1
- WRITE !!,"The Bill From date is prior to the start of the active clock..."
- +3 DO CLSTR^IBECEAU1(DFN,IBFR)
- +4 IF 'IBCLDA
- Begin DoDot:1
- +5 IF IBALR
- WRITE !!,"This patient has no clock which would cover this date. You should use the",!,"Clock Maintenance option to adjust this patient's clocks before proceeding."
- SET IBY=-1
- QUIT
- +6 WRITE !!,"Please note that I cannot find an active or closed clock for this patient",!,"on this date.",!
- End DoDot:1
- GOTO NOCLQ
- +7 DO CLDATA^IBAUTL3
- DO DED^IBAUTL3
- IF IBY<0
- DO NODED^IBECEAU3
- GOTO NOCLQ
- +8 IF IBXA=2
- IF $PIECE($GET(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU"
- IF IBCLDAY>90
- SET IBMED=IBMED/2
- +9 WRITE !!?5,"This charge will be billed under the following closed clock:"
- +10 WRITE !!?6,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY
- +11 WRITE !?5,"Closed Date: ",$$DAT1^IBOUTL($PIECE(IBCLST,"^",10))," ",$$INPT^IBECEAU(IBCLDAY)," 90 Days: $",+IBCLDOL
- +12 IF IBXA=2
- IF IBCLDOL'<IBMED
- SET IBY=-1
- WRITE !!?5,"This patient has been billed the full copayment under this billing clock!",!?5,"You cannot add another copay charge starting on this date."
- NOCLQ QUIT
- +1 ;
- OPT ; Check for a C&P exam and determine the outpatient copay rate.
- +1 IF $$CNP^IBECEAU(DFN,IBFR)
- Begin DoDot:1
- +2 NEW DIR,DIRUT,DUOUT,DTOUT,Y
- +3 WRITE !!,"This patient had a Compensation & Pension exam on this date."
- +4 SET DIR(0)="Y"
- SET DIR("A")="Do you still want to add a charge"
- +5 SET DIR("?")="Enter 'Y' to continue to add the charge, or 'N' or '^' to quit"
- +6 DO ^DIR
- IF 'Y
- SET IBY=-1
- End DoDot:1
- IF IBY<0
- GOTO OPTQ
- +7 ;
- +8 NEW IBDT,IBX,IBBS
- SET (IBDT,IBTO)=IBFR
- SET IBX="O"
- SET IBUNIT=1
- SET IBEVDA="*"
- +9 DO TYPE^IBAUTL2
- IF IBY>0
- DO CTBB^IBECEAU3
- OPTQ QUIT
- +1 ;
- CHTYP ; Ask for the Charge Type
- +1 SET DIC="^IBE(350.1,"
- SET DIC(0)="AEMQZ"
- SET D="E"
- SET DIC("S")="I $P(^(0),U)'[""MEDICARE"",$P(^(0),U)'[""CHAMPVA SUB"""
- SET DIC("A")="Select CHARGE TYPE: "
- +2 DO IX^DIC
- KILL DIC
- SET IBATYP=+Y
- IF Y<0
- SET IBY=-1
- WRITE !!,"No CHARGE TYPE entered - transaction cannot be completed."
- GOTO CHTYPQ
- +3 ;
- +4 ; - perform charge type edits
- +5 SET IBSEQNO=$PIECE(Y(0),"^",5)
- SET IBXA=$PIECE(Y(0),"^",11)
- SET IBNH=$PIECE(Y(0),"^",8)["NHCU"
- +6 IF 'IBSEQNO
- SET IBY="-1^IB023"
- GOTO CHTYPQ
- +7 IF IBXA=6
- IF IBCVAEL
- GOTO CHTYPQ
- WRITE !!,"This patient does not have a Primary Eligibility of CHAMPVA.",!
- GOTO CHTYP
- +8 IF 'IBCATC
- IF IBXA'=5
- WRITE !!,"This patient has never been Category C...",!,"You may only select a Pharmacy copay charge type.",!
- GOTO CHTYP
- +9 IF +IBEXSTAT
- IF IBXA=5
- WRITE !!,"Patient is Exempt from Medication Copayment",!,$PIECE(IBEXSTAT,"^",4),!
- GOTO CHTYP
- +10 IF IBXA=2
- SET IBBS=$ORDER(^DGCR(399.1,"AC",IBATYP,0))
- CHTYPQ QUIT
- +1 ;
- CLMSG ; Check the Medicare Deductible and Billing Clock
- +1 IF 'IBMED
- SET IBCLDT=IBFR
- DO DED^IBAUTL3
- IF IBY<0
- DO NODED^IBECEAU3
- GOTO CLMSGQ
- +2 IF "^1^2^"[("^"_IBXA_"^")
- IF IBCLDA
- IF IBFR'<IBCLDT
- IF IBCLDOL'<IBMED
- SET IBY=-1
- Begin DoDot:1
- +3 WRITE !!?5,*7,"This patient has already been billed the Medicare Deductible ($",IBMED,")"
- +4 WRITE !?5,"for his current 90 days of care. If you know this not to be the case,"
- +5 WRITE !?5,"please adjust the billing clock before proceeding."
- End DoDot:1
- CLMSGQ QUIT
