ABMDF18 ; IHS/ASDST/DMJ - ADA-99 Dental Export Routine ;
;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
;Original;TMD;09/12/95 8:48 AM
;
; IHS/ASDS/LSL - 06/24/00 - V2.4 Patch 3 - NOIS DXX-0600-140080
; Routine created (Required by Wisconsin Medicaid)
; IHS/ASDS/LSL - 09/21/00 - V2.4 Patch 3 - NOIS HQW-0900-100053
; Some payers require a prefix of S, D, or 0 to ADA code
;
; IHS/SD/SDR - v2.5 p8 - IM15551
; line items not printing correctly
; IHS/SD/EFG - V2.5 P8 - IM16385
; Check for dental and misc services
; IHS/SD/SDR - v2.5 p9 - IM19595
; Corrected so charges*units, not charges+units
; IHS/SD/SDR - v2.5 p10 - IM20395
; Split out lines bundled by rev code
;
; IHS/SD/DSR - v.6 CSV
;
K ABM
S U="^"
S ABMP("EXP")=18 ; Export mode
D TXST^ABMDFUTL ; Create entry in 3P TX STATUS
S ABMY("N")=0 ; Initialize active insurer
; Print a form for every bill within an active insurer
F S ABMY("N")=$O(ABMY(ABMY("N"))) Q:'ABMY("N") D
.S ABMP("BDFN")="" ; Initialize bill IEN
.F S ABMP("BDFN")=$O(ABMY(ABMY("N"),ABMP("BDFN"))) Q:'ABMP("BDFN") D
..D ENT
..S DIE="^ABMDBILL(DUZ(2),"
..S DA=ABMP("BDFN")
..S DR=".04////B;.16////A;.17////"_ABMP("XMIT")
..D ^ABMDDIE
..Q:$D(ABM("DIE-FAIL"))
;
D TXUPDT^ABMDFUTL ; Update 3P TX STATUS
;
XIT ;
K ABM,ABMF,ABMV
Q
;
ENT ;EP for getting data and printing form
K ABMF
Q:'$D(^ABMDBILL(DUZ(2),ABMP("BDFN"),0)) ; Quit if no bill data
Q:'$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,0))&('$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),43,0))) ; Quit if no dental data
D ENT^ABMDF18A,BODY
Q
;
BODY ;
; For each dental entry in the bill file, find and print data.
S ABMX("INS")=ABMP("INS") ; IEN to INSURER
K ABMP("FLAT")
D FRATE^ABMDE2X1 ; find Flat Rate
S (ABM("C"),ABM,ABM("TCHRG"),ABM("I"),ABM("YTOT"))=0
F S ABM=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM)) Q:'ABM D Q:$D(DUOUT)
.S ABM(0)=$G(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM,0))
.D RESET:ABM("I")=0
.S ABM("F")=ABM("F")+1 ; Increment line counter
.I $P(ABM(0),U,5) D
..S ABMOPS=$P(ABM(0),U,5) ; IEN to DENTAL OPERATIVE SITE
..S $P(ABMF(ABM("F")),U,4)=$P($G(^ADEOPS(ABMOPS,88)),U) ; Tooth mnemonic (d)
..S:ABMF(ABM("F"))["D" $P(ABMF(ABM("F")),U,4)=$P($G(^ADEOPS(ABMOPS,0)),U,4) ; Tooth synonym
.S $P(ABMF(ABM("F")),U,5)=$P(ABM(0),U,6) ; Tooth surf
.S $P(ABMF(ABM("F")),U,9)=$P(^AUTTADA(+ABM(0),0),U,2) ; Svc desc
.S $P(ABMF(ABM("F")),U)=$E($P(ABM(0),U,7),4,5) ; DOS MM
.S $P(ABMF(ABM("F")),U,2)=$E($P(ABM(0),U,7),6,7) ; DOS DD
.S $P(ABMF(ABM("F")),U,3)=($E($P(ABM(0),U,7),1,3)+1700) ; DOS YYYY
.S $P(ABMF(ABM("F")),U,7)=$P(^AUTTADA(+ABM(0),0),U) ; Procedure #
.S ABMDENP=$P($G(^ABMDREC(ABMP("INS"),0)),U,2) ; Dent remap
.S:ABMDENP="" ABMDENP=$P($G(^ABMDPARM(ABMP("LDFN"),1,3)),U,11)
.S:ABMDENP="" ABMDENP=$P($G(^ABMDPARM(DUZ(2),1,3)),U,11)
.S:ABMDENP]"" $P(ABMF(ABM("F")),U,7)=ABMDENP_$P(ABMF(ABM("F")),U,7)
.S ABM("CHRG")=+$P(ABM(0),U,8)*($S($P(ABM(0),U,9)'=0:$P(ABM(0),U,9),1:1))
.S $P(ABMF(ABM("F")),U,10)=$S(+$G(ABMP("FLAT")):"",1:ABM("CHRG")*$S($P(ABM(0),U,9):$P(ABM(0),U,9),1:1))
.S ABM("TCHRG")=ABM("TCHRG")+(ABM("CHRG")*($S($P(ABM(0),U,9):$P(ABM(0),U,9),1:1))) ;Total fee (33)
.;
.S ABM("I")=ABM("I")+1 ; Increment line counter
.I ABM("I")=8 D
..Q:'$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM))
..S ABM("MORE")=1
..D ^ABMDF18X ; Print form
..S ABM("I")=0
;
;put misc services on dental form
N ABMRV
D 43^ABMERGR2 ;Obtain misc services data in ABMRV array
S ABMRCD=-1
F S ABMRCD=$O(ABMRV(ABMRCD)) Q:ABMRCD="" D
.S ABMED=""
.F S ABMED=$O(ABMRV(ABMRCD,ABMED)) Q:ABMED="" D Q:$D(DUOUT)
..S ABMCNTR=0
..F S ABMCNTR=$O(ABMRV(ABMRCD,ABMED,ABMCNTR)) Q:ABMCNTR="" D
...D RESET:ABM("I")=0
...S ABM("F")=ABM("F")+1
...S ABMMS=$P($$CPT^ABMCVAPI($O(^ICPT("B",ABMED,"")),ABMP("VDT")),U,3) ;CPT name ;CSV-c
...S ABMMSDT=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,10) ;date
...S ABMMSQTY=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,5) ;quantity
...S ABMMSCHG=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,6) ;charge
...S $P(ABMF(ABM("F")),U,9)=ABMMS
...I ABMMSDT]"" D
....S $P(ABMF(ABM("F")),U)=$E(ABMMSDT,4,5)
....S $P(ABMF(ABM("F")),U,2)=$E(ABMMSDT,6,7)
....S $P(ABMF(ABM("F")),U,3)=$E(ABMMSDT,1,3)+1700
...S $P(ABMF(ABM("F")),U,7)=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,2)
...S $P(ABMF(ABM("F")),U,10)=ABMMSCHG
...S ABM("TCHRG")=ABM("TCHRG")+ABMMSCHG
...S ABM("I")=ABM("I")+1
...I ABM("I")=10 D
....Q:($O(ABMRV(ABMRC,ABMED))=""&($O(ABMRV(ABMRCD))=""))
....S ABM("MORE")=1
....D ^ABMDF18X ;print form
;
; Put RX data on dental form
N ABMRV
D 23^ABMERGR2 ; Obtain RX data in ABMRV array
S ABMRCD=-1
F S ABMRCD=$O(ABMRV(ABMRCD)) Q:ABMRCD="" D
.S ABMED=0
.F S ABMED=$O(ABMRV(ABMRCD,ABMED)) Q:'+ABMED D Q:$D(DUOUT)
..S ABMCNTR=0
..F S ABMCNTR=$O(ABMRV(ABMRCD,ABMED,ABMCNTR)) Q:ABMCNTR="" D
...D RESET:ABM("I")=0
...S ABM("F")=ABM("F")+1
...S ABMRX=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,9) ; NDC# name
...S ABMRXDT=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,10) ; date/time
...S ABMRXQTY=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,5) ; Quantity
...S ABMRXCHG=$P(ABMRV(ABMRCD,ABMED,ABMCNTR),U,6) ; Charge
...S $P(ABMF(ABM("F")),U,4)=$E(ABMRX,1,3)
...S $P(ABMF(ABM("F")),U,5)=$E(ABMRX,4,8)
...S $P(ABMF(ABM("F")),U,9)=$E(ABMRX,9,99)
...I ABMRXDT]"" D
....S $P(ABMF(ABM("F")),U)=$E(ABMRXDT,4,5)
....S $P(ABMF(ABM("F")),U,2)=$E(ABMRXDT,6,7)
....S $P(ABMF(ABM("F")),U,3)=$E(ABMRXDT,1,3)+1700
...S $P(ABMF(ABM("F")),U,8)=ABMRXQTY
...S $P(ABMF(ABM("F")),U,10)=ABMRXCHG
...S ABM("TCHRG")=ABM("TCHRG")+ABMRXCHG
...S ABM("I")=ABM("I")+1
...I ABM("I")=10 D
....Q:($O(ABMRV(ABMRCD,ABMED))=""&($O(ABMRV(ABMRCD))=""))
....S ABM("MORE")=1
....D ^ABMDF18X ; Print form
....S ABM("I")=0
D TAIL:ABM("I")
Q
;
RESET ;
; Reset line numbers for BODY
F ABM("F")=41:1:48 K ABMF(ABM("F"))
S ABM("F")=40
Q
;
TAIL ;END OF FORM
I +$G(ABMP("FLAT")) S ABM("TCHRG")=+ABMP("FLAT")
S $P(ABMF(50),U)=ABM("TCHRG") ; Total fee charged on bill
S ABM("YTOT")=ABM("TCHRG")
D YTOT^ABMDFUTL
S (ABM("I"),ABM("TCHRG"))=0
D ^ABMDF18X ; Print form
Q
ABMDF18 ; IHS/ASDST/DMJ - ADA-99 Dental Export Routine ;
+1 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009
+2 ;Original;TMD;09/12/95 8:48 AM
+3 ;
+4 ; IHS/ASDS/LSL - 06/24/00 - V2.4 Patch 3 - NOIS DXX-0600-140080
+5 ; Routine created (Required by Wisconsin Medicaid)
+6 ; IHS/ASDS/LSL - 09/21/00 - V2.4 Patch 3 - NOIS HQW-0900-100053
+7 ; Some payers require a prefix of S, D, or 0 to ADA code
+8 ;
+9 ; IHS/SD/SDR - v2.5 p8 - IM15551
+10 ; line items not printing correctly
+11 ; IHS/SD/EFG - V2.5 P8 - IM16385
+12 ; Check for dental and misc services
+13 ; IHS/SD/SDR - v2.5 p9 - IM19595
+14 ; Corrected so charges*units, not charges+units
+15 ; IHS/SD/SDR - v2.5 p10 - IM20395
+16 ; Split out lines bundled by rev code
+17 ;
+18 ; IHS/SD/DSR - v.6 CSV
+19 ;
+20 KILL ABM
+21 SET U="^"
+22 ; Export mode
SET ABMP("EXP")=18
+23 ; Create entry in 3P TX STATUS
DO TXST^ABMDFUTL
+24 ; Initialize active insurer
SET ABMY("N")=0
+25 ; Print a form for every bill within an active insurer
+26 FOR
SET ABMY("N")=$ORDER(ABMY(ABMY("N")))
IF 'ABMY("N")
QUIT
Begin DoDot:1
+27 ; Initialize bill IEN
SET ABMP("BDFN")=""
+28 FOR
SET ABMP("BDFN")=$ORDER(ABMY(ABMY("N"),ABMP("BDFN")))
IF 'ABMP("BDFN")
QUIT
Begin DoDot:2
+29 DO ENT
+30 SET DIE="^ABMDBILL(DUZ(2),"
+31 SET DA=ABMP("BDFN")
+32 SET DR=".04////B;.16////A;.17////"_ABMP("XMIT")
+33 DO ^ABMDDIE
+34 IF $DATA(ABM("DIE-FAIL"))
QUIT
End DoDot:2
End DoDot:1
+35 ;
+36 ; Update 3P TX STATUS
DO TXUPDT^ABMDFUTL
+37 ;
XIT ;
+1 KILL ABM,ABMF,ABMV
+2 QUIT
+3 ;
ENT ;EP for getting data and printing form
+1 KILL ABMF
+2 ; Quit if no bill data
IF '$DATA(^ABMDBILL(DUZ(2),ABMP("BDFN"),0))
QUIT
+3 ; Quit if no dental data
IF '$ORDER(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,0))&('$ORDER(^ABMDBILL(DUZ(2),ABMP("BDFN"),43,0)))
QUIT
+4 DO ENT^ABMDF18A
DO BODY
+5 QUIT
+6 ;
BODY ;
+1 ; For each dental entry in the bill file, find and print data.
+2 ; IEN to INSURER
SET ABMX("INS")=ABMP("INS")
+3 KILL ABMP("FLAT")
+4 ; find Flat Rate
DO FRATE^ABMDE2X1
+5 SET (ABM("C"),ABM,ABM("TCHRG"),ABM("I"),ABM("YTOT"))=0
+6 FOR
SET ABM=$ORDER(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM))
IF 'ABM
QUIT
Begin DoDot:1
+7 SET ABM(0)=$GET(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM,0))
+8 IF ABM("I")=0
DO RESET
+9 ; Increment line counter
SET ABM("F")=ABM("F")+1
+10 IF $PIECE(ABM(0),U,5)
Begin DoDot:2
+11 ; IEN to DENTAL OPERATIVE SITE
SET ABMOPS=$PIECE(ABM(0),U,5)
+12 ; Tooth mnemonic (d)
SET $PIECE(ABMF(ABM("F")),U,4)=$PIECE($GET(^ADEOPS(ABMOPS,88)),U)
+13 ; Tooth synonym
IF ABMF(ABM("F"))["D"
SET $PIECE(ABMF(ABM("F")),U,4)=$PIECE($GET(^ADEOPS(ABMOPS,0)),U,4)
End DoDot:2
+14 ; Tooth surf
SET $PIECE(ABMF(ABM("F")),U,5)=$PIECE(ABM(0),U,6)
+15 ; Svc desc
SET $PIECE(ABMF(ABM("F")),U,9)=$PIECE(^AUTTADA(+ABM(0),0),U,2)
+16 ; DOS MM
SET $PIECE(ABMF(ABM("F")),U)=$EXTRACT($PIECE(ABM(0),U,7),4,5)
+17 ; DOS DD
SET $PIECE(ABMF(ABM("F")),U,2)=$EXTRACT($PIECE(ABM(0),U,7),6,7)
+18 ; DOS YYYY
SET $PIECE(ABMF(ABM("F")),U,3)=($EXTRACT($PIECE(ABM(0),U,7),1,3)+1700)
+19 ; Procedure #
SET $PIECE(ABMF(ABM("F")),U,7)=$PIECE(^AUTTADA(+ABM(0),0),U)
+20 ; Dent remap
SET ABMDENP=$PIECE($GET(^ABMDREC(ABMP("INS"),0)),U,2)
+21 IF ABMDENP=""
SET ABMDENP=$PIECE($GET(^ABMDPARM(ABMP("LDFN"),1,3)),U,11)
+22 IF ABMDENP=""
SET ABMDENP=$PIECE($GET(^ABMDPARM(DUZ(2),1,3)),U,11)
+23 IF ABMDENP]""
SET $PIECE(ABMF(ABM("F")),U,7)=ABMDENP_$PIECE(ABMF(ABM("F")),U,7)
+24 SET ABM("CHRG")=+$PIECE(ABM(0),U,8)*($SELECT($PIECE(ABM(0),U,9)'=0:$PIECE(ABM(0),U,9),1:1))
+25 SET $PIECE(ABMF(ABM("F")),U,10)=$SELECT(+$GET(ABMP("FLAT")):"",1:ABM("CHRG")*$SELECT($PIECE(ABM(0),U,9):$PIECE(ABM(0),U,9),1:1))
+26 ;Total fee (33)
SET ABM("TCHRG")=ABM("TCHRG")+(ABM("CHRG")*($SELECT($PIECE(ABM(0),U,9):$PIECE(ABM(0),U,9),1:1)))
+27 ;
+28 ; Increment line counter
SET ABM("I")=ABM("I")+1
+29 IF ABM("I")=8
Begin DoDot:2
+30 IF '$ORDER(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,ABM))
QUIT
+31 SET ABM("MORE")=1
+32 ; Print form
DO ^ABMDF18X
+33 SET ABM("I")=0
End DoDot:2
End DoDot:1
IF $DATA(DUOUT)
QUIT
+34 ;
+35 ;put misc services on dental form
+36 NEW ABMRV
+37 ;Obtain misc services data in ABMRV array
DO 43^ABMERGR2
+38 SET ABMRCD=-1
+39 FOR
SET ABMRCD=$ORDER(ABMRV(ABMRCD))
IF ABMRCD=""
QUIT
Begin DoDot:1
+40 SET ABMED=""
+41 FOR
SET ABMED=$ORDER(ABMRV(ABMRCD,ABMED))
IF ABMED=""
QUIT
Begin DoDot:2
+42 SET ABMCNTR=0
+43 FOR
SET ABMCNTR=$ORDER(ABMRV(ABMRCD,ABMED,ABMCNTR))
IF ABMCNTR=""
QUIT
Begin DoDot:3
+44 IF ABM("I")=0
DO RESET
+45 SET ABM("F")=ABM("F")+1
+46 ;CPT name ;CSV-c
SET ABMMS=$PIECE($$CPT^ABMCVAPI($ORDER(^ICPT("B",ABMED,"")),ABMP("VDT")),U,3)
+47 ;date
SET ABMMSDT=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,10)
+48 ;quantity
SET ABMMSQTY=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,5)
+49 ;charge
SET ABMMSCHG=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,6)
+50 SET $PIECE(ABMF(ABM("F")),U,9)=ABMMS
+51 IF ABMMSDT]""
Begin DoDot:4
+52 SET $PIECE(ABMF(ABM("F")),U)=$EXTRACT(ABMMSDT,4,5)
+53 SET $PIECE(ABMF(ABM("F")),U,2)=$EXTRACT(ABMMSDT,6,7)
+54 SET $PIECE(ABMF(ABM("F")),U,3)=$EXTRACT(ABMMSDT,1,3)+1700
End DoDot:4
+55 SET $PIECE(ABMF(ABM("F")),U,7)=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,2)
+56 SET $PIECE(ABMF(ABM("F")),U,10)=ABMMSCHG
+57 SET ABM("TCHRG")=ABM("TCHRG")+ABMMSCHG
+58 SET ABM("I")=ABM("I")+1
+59 IF ABM("I")=10
Begin DoDot:4
+60 IF ($ORDER(ABMRV(ABMRC,ABMED))=""&($ORDER(ABMRV(ABMRCD))=""))
QUIT
+61 SET ABM("MORE")=1
+62 ;print form
DO ^ABMDF18X
End DoDot:4
End DoDot:3
End DoDot:2
IF $DATA(DUOUT)
QUIT
End DoDot:1
+63 ;
+64 ; Put RX data on dental form
+65 NEW ABMRV
+66 ; Obtain RX data in ABMRV array
DO 23^ABMERGR2
+67 SET ABMRCD=-1
+68 FOR
SET ABMRCD=$ORDER(ABMRV(ABMRCD))
IF ABMRCD=""
QUIT
Begin DoDot:1
+69 SET ABMED=0
+70 FOR
SET ABMED=$ORDER(ABMRV(ABMRCD,ABMED))
IF '+ABMED
QUIT
Begin DoDot:2
+71 SET ABMCNTR=0
+72 FOR
SET ABMCNTR=$ORDER(ABMRV(ABMRCD,ABMED,ABMCNTR))
IF ABMCNTR=""
QUIT
Begin DoDot:3
+73 IF ABM("I")=0
DO RESET
+74 SET ABM("F")=ABM("F")+1
+75 ; NDC# name
SET ABMRX=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,9)
+76 ; date/time
SET ABMRXDT=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,10)
+77 ; Quantity
SET ABMRXQTY=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,5)
+78 ; Charge
SET ABMRXCHG=$PIECE(ABMRV(ABMRCD,ABMED,ABMCNTR),U,6)
+79 SET $PIECE(ABMF(ABM("F")),U,4)=$EXTRACT(ABMRX,1,3)
+80 SET $PIECE(ABMF(ABM("F")),U,5)=$EXTRACT(ABMRX,4,8)
+81 SET $PIECE(ABMF(ABM("F")),U,9)=$EXTRACT(ABMRX,9,99)
+82 IF ABMRXDT]""
Begin DoDot:4
+83 SET $PIECE(ABMF(ABM("F")),U)=$EXTRACT(ABMRXDT,4,5)
+84 SET $PIECE(ABMF(ABM("F")),U,2)=$EXTRACT(ABMRXDT,6,7)
+85 SET $PIECE(ABMF(ABM("F")),U,3)=$EXTRACT(ABMRXDT,1,3)+1700
End DoDot:4
+86 SET $PIECE(ABMF(ABM("F")),U,8)=ABMRXQTY
+87 SET $PIECE(ABMF(ABM("F")),U,10)=ABMRXCHG
+88 SET ABM("TCHRG")=ABM("TCHRG")+ABMRXCHG
+89 SET ABM("I")=ABM("I")+1
+90 IF ABM("I")=10
Begin DoDot:4
+91 IF ($ORDER(ABMRV(ABMRCD,ABMED))=""&($ORDER(ABMRV(ABMRCD))=""))
QUIT
+92 SET ABM("MORE")=1
+93 ; Print form
DO ^ABMDF18X
+94 SET ABM("I")=0
End DoDot:4
End DoDot:3
End DoDot:2
IF $DATA(DUOUT)
QUIT
End DoDot:1
+95 IF ABM("I")
DO TAIL
+96 QUIT
+97 ;
RESET ;
+1 ; Reset line numbers for BODY
+2 FOR ABM("F")=41:1:48
KILL ABMF(ABM("F"))
+3 SET ABM("F")=40
+4 QUIT
+5 ;
TAIL ;END OF FORM
+1 IF +$GET(ABMP("FLAT"))
SET ABM("TCHRG")=+ABMP("FLAT")
+2 ; Total fee charged on bill
SET $PIECE(ABMF(50),U)=ABM("TCHRG")
+3 SET ABM("YTOT")=ABM("TCHRG")
+4 DO YTOT^ABMDFUTL
+5 SET (ABM("I"),ABM("TCHRG"))=0
+6 ; Print form
DO ^ABMDF18X
+7 QUIT
