- IBINI064 ; ; 21-MAR-1994
- ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- Q:'DIFQ(356.2) F I=1:2 S X=$T(Q+I) Q:X="" S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
- Q Q
- ;;^DD(356.2,.11,12)
- ;;=Only actions appropriate for the type of contact may be selected!
- ;;^DD(356.2,.11,12.1)
- ;;=S DIC("S")="N ACODE,CTYPE S ACODE=$P(^(0),U,3),CTYPE=$P(^IBT(356.2,DA,0),U,4) I $$SCREEN^IBTRC1(ACODE,CTYPE)"
- ;;^DD(356.2,.11,21,0)
- ;;=^^10^10^2940213^^^^
- ;;^DD(356.2,.11,21,1,0)
- ;;=Enter the action that the insurance company took on this call.
- ;;^DD(356.2,.11,21,2,0)
- ;;=Each contact can only have one action. If you need to enter
- ;;^DD(356.2,.11,21,3,0)
- ;;=more than one action, enter another contact. If you change the
- ;;^DD(356.2,.11,21,4,0)
- ;;=action, previously entered information will be deleted.
- ;;^DD(356.2,.11,21,5,0)
- ;;=
- ;;^DD(356.2,.11,21,6,0)
- ;;=If this contact was with an insurance company as part of an admission
- ;;^DD(356.2,.11,21,7,0)
- ;;=or continued stay review then you should enter the action that the
- ;;^DD(356.2,.11,21,8,0)
- ;;=insurance company took on thecall. Based upon the answer to
- ;;^DD(356.2,.11,21,9,0)
- ;;=this question along with the type of contact, you will be prompted
- ;;^DD(356.2,.11,21,10,0)
- ;;=for varying information.
- ;;^DD(356.2,.11,"DT")
- ;;=2931007
- ;;^DD(356.2,.12,0)
- ;;=CARE AUTHORIZED FROM^RDX^^0;12^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$AFDT^IBTUTL4(DA,X) X
- ;;^DD(356.2,.12,4)
- ;;=D HELP^IBTUTL3(DA)
- ;;^DD(356.2,.12,21,0)
- ;;=^^3^3^2930806^^
- ;;^DD(356.2,.12,21,1,0)
- ;;=If the insurance company pre-approved the admission for
- ;;^DD(356.2,.12,21,2,0)
- ;;=this patient, this is the beginning date that they approved care
- ;;^DD(356.2,.12,21,3,0)
- ;;=from.
- ;;^DD(356.2,.12,"DT")
- ;;=2940127
- ;;^DD(356.2,.13,0)
- ;;=CARE AUTHORIZED TO^RDX^^0;13^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$ATDT^IBTUTL4(DA,X) X
- ;;^DD(356.2,.13,1,0)
- ;;=^.1
- ;;^DD(356.2,.13,1,1,0)
- ;;=^^TRIGGER^356.2^.24
- ;;^DD(356.2,.13,1,1,1)
- ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,24),X=X S DIU=X K Y S X=DIV S X=$P(^IBT(356.2,DA,0),U,13) X ^DD(356.2,.13,1,1,1.4)
- ;;^DD(356.2,.13,1,1,1.4)
- ;;=S DIH=$S($D(^IBT(356.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,24)=DIV,DIH=356.2,DIG=.24 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
- ;;^DD(356.2,.13,1,1,2)
- ;;=Q
- ;;^DD(356.2,.13,1,1,"CREATE VALUE")
- ;;=S X=$P(^IBT(356.2,DA,0),U,13)
- ;;^DD(356.2,.13,1,1,"DELETE VALUE")
- ;;=NO EFFECT
- ;;^DD(356.2,.13,1,1,"FIELD")
- ;;=#.24
- ;;^DD(356.2,.13,3)
- ;;=
- ;;^DD(356.2,.13,4)
- ;;=D HELP^IBTUTL3(DA)
- ;;^DD(356.2,.13,21,0)
- ;;=^^6^6^2940213^^
- ;;^DD(356.2,.13,21,1,0)
- ;;=If the insurance company pre-approved the admission for this
- ;;^DD(356.2,.13,21,2,0)
- ;;=patient, this is the ending date of the care approved.
- ;;^DD(356.2,.13,21,3,0)
- ;;=
- ;;^DD(356.2,.13,21,4,0)
- ;;=Typically insurance companies will approve only a certain number of
- ;;^DD(356.2,.13,21,5,0)
- ;;=days of care for reimbursement. This is the ending date of the number
- ;;^DD(356.2,.13,21,6,0)
- ;;=of days that they approved for reimbursement.
- ;;^DD(356.2,.13,"DT")
- ;;=2940127
- ;;^DD(356.2,.14,0)
- ;;=DIAGNOSIS AUTHORIZED^*P80'^ICD9(^0;14^S DIC("S")="I '$P(^(0),U,9)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- ;;^DD(356.2,.14,12)
- ;;=Only Active Diagnosis may be selected
- ;;^DD(356.2,.14,12.1)
- ;;=S DIC("S")="I '$P(^(0),U,9)"
- ;;^DD(356.2,.14,21,0)
- ;;=^^6^6^2930928^^
- ;;^DD(356.2,.14,21,1,0)
- ;;=If the insurance company approved the care for this patient for
- ;;^DD(356.2,.14,21,2,0)
- ;;=reimbursement this is the diagnosis that they approved.
- ;;^DD(356.2,.14,21,3,0)
- ;;=
- ;;^DD(356.2,.14,21,4,0)
- ;;=Typically when an insurance company approves care for reimbursement
- IBINI064 ; ; 21-MAR-1994
- +1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
- +2 IF 'DIFQ(356.2)
- QUIT
- FOR I=1:2
- SET X=$TEXT(Q+I)
- IF X=""
- QUIT
- SET Y=$EXTRACT($TEXT(Q+I+1),4,999)
- SET X=$EXTRACT(X,4,999)
- IF $ASCII(Y)=126
- SET I=I+1
- SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,99)
- IF $ASCII(Y)=61
- SET Y=$EXTRACT(Y,2,999)
- XECUTE NO
- IF '$TEST
- SET @X=Y
- Q QUIT
- +1 ;;^DD(356.2,.11,12)
- +2 ;;=Only actions appropriate for the type of contact may be selected!
- +3 ;;^DD(356.2,.11,12.1)
- +4 ;;=S DIC("S")="N ACODE,CTYPE S ACODE=$P(^(0),U,3),CTYPE=$P(^IBT(356.2,DA,0),U,4) I $$SCREEN^IBTRC1(ACODE,CTYPE)"
- +5 ;;^DD(356.2,.11,21,0)
- +6 ;;=^^10^10^2940213^^^^
- +7 ;;^DD(356.2,.11,21,1,0)
- +8 ;;=Enter the action that the insurance company took on this call.
- +9 ;;^DD(356.2,.11,21,2,0)
- +10 ;;=Each contact can only have one action. If you need to enter
- +11 ;;^DD(356.2,.11,21,3,0)
- +12 ;;=more than one action, enter another contact. If you change the
- +13 ;;^DD(356.2,.11,21,4,0)
- +14 ;;=action, previously entered information will be deleted.
- +15 ;;^DD(356.2,.11,21,5,0)
- +16 ;;=
- +17 ;;^DD(356.2,.11,21,6,0)
- +18 ;;=If this contact was with an insurance company as part of an admission
- +19 ;;^DD(356.2,.11,21,7,0)
- +20 ;;=or continued stay review then you should enter the action that the
- +21 ;;^DD(356.2,.11,21,8,0)
- +22 ;;=insurance company took on thecall. Based upon the answer to
- +23 ;;^DD(356.2,.11,21,9,0)
- +24 ;;=this question along with the type of contact, you will be prompted
- +25 ;;^DD(356.2,.11,21,10,0)
- +26 ;;=for varying information.
- +27 ;;^DD(356.2,.11,"DT")
- +28 ;;=2931007
- +29 ;;^DD(356.2,.12,0)
- +30 ;;=CARE AUTHORIZED FROM^RDX^^0;12^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$AFDT^IBTUTL4(DA,X) X
- +31 ;;^DD(356.2,.12,4)
- +32 ;;=D HELP^IBTUTL3(DA)
- +33 ;;^DD(356.2,.12,21,0)
- +34 ;;=^^3^3^2930806^^
- +35 ;;^DD(356.2,.12,21,1,0)
- +36 ;;=If the insurance company pre-approved the admission for
- +37 ;;^DD(356.2,.12,21,2,0)
- +38 ;;=this patient, this is the beginning date that they approved care
- +39 ;;^DD(356.2,.12,21,3,0)
- +40 ;;=from.
- +41 ;;^DD(356.2,.12,"DT")
- +42 ;;=2940127
- +43 ;;^DD(356.2,.13,0)
- +44 ;;=CARE AUTHORIZED TO^RDX^^0;13^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$ATDT^IBTUTL4(DA,X) X
- +45 ;;^DD(356.2,.13,1,0)
- +46 ;;=^.1
- +47 ;;^DD(356.2,.13,1,1,0)
- +48 ;;=^^TRIGGER^356.2^.24
- +49 ;;^DD(356.2,.13,1,1,1)
- +50 ;;=K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^IBT(356.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,24),X=X S DIU=X K Y S X=DIV S X=$P(^IBT(356.2,DA,0),U,13) X ^DD(356.2,.13,1,1,1.4)
- +51 ;;^DD(356.2,.13,1,1,1.4)
- +52 ;;=S DIH=$S($D(^IBT(356.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,24)=DIV,DIH=356.2,DIG=.24 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
- +53 ;;^DD(356.2,.13,1,1,2)
- +54 ;;=Q
- +55 ;;^DD(356.2,.13,1,1,"CREATE VALUE")
- +56 ;;=S X=$P(^IBT(356.2,DA,0),U,13)
- +57 ;;^DD(356.2,.13,1,1,"DELETE VALUE")
- +58 ;;=NO EFFECT
- +59 ;;^DD(356.2,.13,1,1,"FIELD")
- +60 ;;=#.24
- +61 ;;^DD(356.2,.13,3)
- +62 ;;=
- +63 ;;^DD(356.2,.13,4)
- +64 ;;=D HELP^IBTUTL3(DA)
- +65 ;;^DD(356.2,.13,21,0)
- +66 ;;=^^6^6^2940213^^
- +67 ;;^DD(356.2,.13,21,1,0)
- +68 ;;=If the insurance company pre-approved the admission for this
- +69 ;;^DD(356.2,.13,21,2,0)
- +70 ;;=patient, this is the ending date of the care approved.
- +71 ;;^DD(356.2,.13,21,3,0)
- +72 ;;=
- +73 ;;^DD(356.2,.13,21,4,0)
- +74 ;;=Typically insurance companies will approve only a certain number of
- +75 ;;^DD(356.2,.13,21,5,0)
- +76 ;;=days of care for reimbursement. This is the ending date of the number
- +77 ;;^DD(356.2,.13,21,6,0)
- +78 ;;=of days that they approved for reimbursement.
- +79 ;;^DD(356.2,.13,"DT")
- +80 ;;=2940127
- +81 ;;^DD(356.2,.14,0)
- +82 ;;=DIAGNOSIS AUTHORIZED^*P80'^ICD9(^0;14^S DIC("S")="I '$P(^(0),U,9)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
- +83 ;;^DD(356.2,.14,12)
- +84 ;;=Only Active Diagnosis may be selected
- +85 ;;^DD(356.2,.14,12.1)
- +86 ;;=S DIC("S")="I '$P(^(0),U,9)"
- +87 ;;^DD(356.2,.14,21,0)
- +88 ;;=^^6^6^2930928^^
- +89 ;;^DD(356.2,.14,21,1,0)
- +90 ;;=If the insurance company approved the care for this patient for
- +91 ;;^DD(356.2,.14,21,2,0)
- +92 ;;=reimbursement this is the diagnosis that they approved.
- +93 ;;^DD(356.2,.14,21,3,0)
- +94 ;;=
- +95 ;;^DD(356.2,.14,21,4,0)
- +96 ;;=Typically when an insurance company approves care for reimbursement