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Routine: IBINI064

IBINI064.m

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  1. IBINI064 ; ; 21-MAR-1994
  1. ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
  1. 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
  1. Q Q
  1. ;;^DD(356.2,.11,12)
  1. ;;=Only actions appropriate for the type of contact may be selected!
  1. ;;^DD(356.2,.11,12.1)
  1. ;;=S DIC("S")="N ACODE,CTYPE S ACODE=$P(^(0),U,3),CTYPE=$P(^IBT(356.2,DA,0),U,4) I $$SCREEN^IBTRC1(ACODE,CTYPE)"
  1. ;;^DD(356.2,.11,21,0)
  1. ;;=^^10^10^2940213^^^^
  1. ;;^DD(356.2,.11,21,1,0)
  1. ;;=Enter the action that the insurance company took on this call.
  1. ;;^DD(356.2,.11,21,2,0)
  1. ;;=Each contact can only have one action. If you need to enter
  1. ;;^DD(356.2,.11,21,3,0)
  1. ;;=more than one action, enter another contact. If you change the
  1. ;;^DD(356.2,.11,21,4,0)
  1. ;;=action, previously entered information will be deleted.
  1. ;;^DD(356.2,.11,21,5,0)
  1. ;;=
  1. ;;^DD(356.2,.11,21,6,0)
  1. ;;=If this contact was with an insurance company as part of an admission
  1. ;;^DD(356.2,.11,21,7,0)
  1. ;;=or continued stay review then you should enter the action that the
  1. ;;^DD(356.2,.11,21,8,0)
  1. ;;=insurance company took on thecall. Based upon the answer to
  1. ;;^DD(356.2,.11,21,9,0)
  1. ;;=this question along with the type of contact, you will be prompted
  1. ;;^DD(356.2,.11,21,10,0)
  1. ;;=for varying information.
  1. ;;^DD(356.2,.11,"DT")
  1. ;;=2931007
  1. ;;^DD(356.2,.12,0)
  1. ;;=CARE AUTHORIZED FROM^RDX^^0;12^S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X) K:'$$AFDT^IBTUTL4(DA,X) X
  1. ;;^DD(356.2,.12,4)
  1. ;;=D HELP^IBTUTL3(DA)
  1. ;;^DD(356.2,.12,21,0)
  1. ;;=^^3^3^2930806^^
  1. ;;^DD(356.2,.12,21,1,0)
  1. ;;=If the insurance company pre-approved the admission for
  1. ;;^DD(356.2,.12,21,2,0)
  1. ;;=this patient, this is the beginning date that they approved care
  1. ;;^DD(356.2,.12,21,3,0)
  1. ;;=from.
  1. ;;^DD(356.2,.12,"DT")
  1. ;;=2940127
  1. ;;^DD(356.2,.13,0)
  1. ;;=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
  1. ;;^DD(356.2,.13,1,0)
  1. ;;=^.1
  1. ;;^DD(356.2,.13,1,1,0)
  1. ;;=^^TRIGGER^356.2^.24
  1. ;;^DD(356.2,.13,1,1,1)
  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)
  1. ;;^DD(356.2,.13,1,1,1.4)
  1. ;;=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
  1. ;;^DD(356.2,.13,1,1,2)
  1. ;;=Q
  1. ;;^DD(356.2,.13,1,1,"CREATE VALUE")
  1. ;;=S X=$P(^IBT(356.2,DA,0),U,13)
  1. ;;^DD(356.2,.13,1,1,"DELETE VALUE")
  1. ;;=NO EFFECT
  1. ;;^DD(356.2,.13,1,1,"FIELD")
  1. ;;=#.24
  1. ;;^DD(356.2,.13,3)
  1. ;;=
  1. ;;^DD(356.2,.13,4)
  1. ;;=D HELP^IBTUTL3(DA)
  1. ;;^DD(356.2,.13,21,0)
  1. ;;=^^6^6^2940213^^
  1. ;;^DD(356.2,.13,21,1,0)
  1. ;;=If the insurance company pre-approved the admission for this
  1. ;;^DD(356.2,.13,21,2,0)
  1. ;;=patient, this is the ending date of the care approved.
  1. ;;^DD(356.2,.13,21,3,0)
  1. ;;=
  1. ;;^DD(356.2,.13,21,4,0)
  1. ;;=Typically insurance companies will approve only a certain number of
  1. ;;^DD(356.2,.13,21,5,0)
  1. ;;=days of care for reimbursement. This is the ending date of the number
  1. ;;^DD(356.2,.13,21,6,0)
  1. ;;=of days that they approved for reimbursement.
  1. ;;^DD(356.2,.13,"DT")
  1. ;;=2940127
  1. ;;^DD(356.2,.14,0)
  1. ;;=DIAGNOSIS AUTHORIZED^*P80'^ICD9(^0;14^S DIC("S")="I '$P(^(0),U,9)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
  1. ;;^DD(356.2,.14,12)
  1. ;;=Only Active Diagnosis may be selected
  1. ;;^DD(356.2,.14,12.1)
  1. ;;=S DIC("S")="I '$P(^(0),U,9)"
  1. ;;^DD(356.2,.14,21,0)
  1. ;;=^^6^6^2930928^^
  1. ;;^DD(356.2,.14,21,1,0)
  1. ;;=If the insurance company approved the care for this patient for
  1. ;;^DD(356.2,.14,21,2,0)
  1. ;;=reimbursement this is the diagnosis that they approved.
  1. ;;^DD(356.2,.14,21,3,0)
  1. ;;=
  1. ;;^DD(356.2,.14,21,4,0)
  1. ;;=Typically when an insurance company approves care for reimbursement