ABMEE61.m

ABMEE61 ; IHS/ASDST/DMJ - UB92 V5 EMC RECORD 61 (Outpatient Services) ; 

 ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009

 ;Original;DMJ;08/18/95 10:06 AM

 ;

 ; IHS/ASDS/DMJ - 04/04/01 - V2.4 P5 - NOIS HQW-0401-100014

 ;      New routine to address Envoy record 61 format

 ;

 ; IHS/SD/SDR - v2.5 p10 - IM20395

 ;   Split out lines bundled by rev code

 ;

START ;START HERE

 K ABMR(61),ABMREC(61)

 S ABME("RTYPE")=61,ABME("S#")=0

 S ABME("SPACE2")="0000         000000000000000000000000000000000          "

 S ABME("SPACE1")=ABME("SPACE2")_ABME("SPACE2")

 D SET^ABMERUTL

 K ABMP("FLAT") D FRATE^ABMDF11

 D ^ABMERGRV

 D LOOP

 S L=0 F  S L=$O(ABMREC(61,L)) Q:'L  D S90^ABMERUTL

 K ABM,ABME,ABMRV

 Q

LOOP ;LOOP HERE

 S L=0

 S J=0 F  S J=$O(ABMRV(J)) Q:'J  D

 .S K=-1 F  S K=$O(ABMRV(J,K)) Q:K=""  D

 ..S M=0

 ..F  S M=$O(ABMRV(J,K,M)) Q:M=""  D

 ...S L=L+1 I L#3=1 D

 ....S ABME("S#")=ABME("S#")+1

 ....F I=10:10:30 D @(I_"^ABMEE61"),ADD

 ...F I=40:10:130 D @(I_"^ABMEE61"),ADD

 ...Q:J=9999

 ...S ABM("ACTOT")=+$P(ABMRV(J,K),"^",6)

 ...S ABM("NCTOT")=+$P(ABMRV(J,K),"^",7)

 ...D ADTT^ABMER60

 I '$G(ABMP("NOFMT")) S ABMREC(61,ABME("S#"))=ABMREC(61,ABME("S#"))_$S(L#3=1:ABME("SPACE1"),L#3=2:ABME("SPACE2"),1:"")

 Q

ADD ;ADD TO RECORD

 I '$G(ABMP("NOFMT")) S ABMREC(61,ABME("S#"))=$G(ABMREC(61,ABME("S#")))_ABMR(61,I)

 Q

10 ;Record type 1-2

 S ABMR(61,10)=61

 Q

20 ;Sequence 3-4

 S ABMR(61,20)=ABME("S#")

 S ABMR(61,20)=$$FMT^ABMERUTL(ABMR(61,20),"2NR")

 Q

30 ;Patient Control Number 5-24 (SOURCE: FILE=9000001.41,FIELD=.02)

 S ABMR(61,30)=$$EX^ABMER20(30,ABMP("BDFN"))

 S ABMR(61,30)=$$FMT^ABMERUTL(ABMR(61,30),20)

 Q

40 ;Revenue Code 1, 25-28 (SOURCE: FILE=, FIELD=)

 S ABMR(61,40)=$P(ABMRV(J,K,M),U)

 S ABMR(61,40)=$$FMT^ABMERUTL(ABMR(61,40),"4NR")

 Q

50 ;HCPCS Procedure Code 1, 29-33

 S ABMR(61,50)=$P(ABMRV(J,K,M),U,2)

 S ABMR(61,50)=$$FMT^ABMERUTL(ABMR(61,50),5)

 Q

60 ;Modifier 1 (CPT-4 and HCPCS) 1, 34-35 (SOURCE: FILE=, FIELD=)

 S ABMR(61,60)=$P(ABMRV(J,K,M),U,3)

 S ABMR(61,60)=$$FMT^ABMERUTL(ABMR(61,60),2)

 Q

70 ;Modifier 2 (CPT-4 and HCPCS) 1, 36-37 (SOURCE: FILE=, FIELD=)

 S ABMR(61,70)=$P(ABMRV(J,K,M),U,4)

 S ABMR(61,70)=$$FMT^ABMERUTL(ABMR(61,70),2)

 Q

80 ;Units of Service 1, 38-44 (SOURCE: FILE= FIELD=)

 S ABMR(61,80)=$P(ABMRV(J,K,M),U,5)

 S ABMR(61,80)=$$FMT^ABMERUTL(ABMR(61,80),"7NR")

 Q

90 ;Form Locator 49, 45-50

 S ABMR(61,90)=""

 S ABMR(61,90)=$$FMT^ABMERUTL(ABMR(61,90),6)

 Q

100 ;Charges Total 1, 51-60 (SOURCE: FILE= FIELD=)

 S ABMR(61,100)=$P(ABMRV(J,K,M),U,6)

 S ABMR(61,100)=$$FMT^ABMERUTL(ABMR(61,100),"10NRJ2")

 Q

110 ;Charges Non-Covered 1, 61-70

 S ABMR(61,110)=""

 S ABMR(61,110)=$$FMT^ABMERUTL(ABMR(61,110),"10NRJ2")

 Q

120 ;Date of Service, 71-78 (SOURCE: FILE= FIELD=)

 S ABMR(61,120)=$$Y2KD2^ABMDUTL(ABMP("VDT"))

 S ABMR(61,120)=$$FMT^ABMERUTL(ABMR(61,120),8)

 Q

130 ;Filler (National Use), 79-80

 S ABMR(61,130)=""

 S ABMR(61,130)=$$FMT^ABMERUTL(ABMR(61,130),2)

 Q

EX(ABMX,ABMY,ABMZ) ;EXTRINSIC FUNCTION HERE

 ;X=data element, Y=bill internal entry number

 S ABMP("BDFN")=ABMY D SET^ABMERUTL

 I '$G(ABMP("NOFMT")) S ABMP("FMT")=0

 D @ABMX

 S Y=ABMR(61,ABMX)

 I $D(ABMP("FMT")) S ABMP("FMT")=1

 K ABMR(61,ABMX),ABME,ABMX,ABMY,ABMZ,ABM

 Q Y

ABMEE61   ; IHS/ASDST/DMJ - UB92 V5 EMC RECORD 61 (Outpatient Services) ; 

 +1       ;;2.6;IHS 3P BILLING SYSTEM;;NOV 12, 2009

 +2       ;Original;DMJ;08/18/95 10:06 AM

 +3       ;

 +4       ; IHS/ASDS/DMJ - 04/04/01 - V2.4 P5 - NOIS HQW-0401-100014

 +5       ;      New routine to address Envoy record 61 format

 +6       ;

 +7       ; IHS/SD/SDR - v2.5 p10 - IM20395

 +8       ;   Split out lines bundled by rev code

 +9       ;

START     ;START HERE

 +1        KILL ABMR(61),ABMREC(61)

 +2        SET ABME("RTYPE")=61

           SET ABME("S#")=0

 +3        SET ABME("SPACE2")="0000         000000000000000000000000000000000          "

 +4        SET ABME("SPACE1")=ABME("SPACE2")_ABME("SPACE2")

 +5        DO SET^ABMERUTL

 +6        KILL ABMP("FLAT")

           DO FRATE^ABMDF11

 +7        DO ^ABMERGRV

 +8        DO LOOP

 +9        SET L=0

           FOR 

               SET L=$ORDER(ABMREC(61,L))

               IF 'L

                   QUIT 

               DO S90^ABMERUTL

 +10       KILL ABM,ABME,ABMRV

 +11       QUIT 

LOOP      ;LOOP HERE

 +1        SET L=0

 +2        SET J=0

           FOR 

               SET J=$ORDER(ABMRV(J))

               IF 'J

                   QUIT 

               Begin DoDot:1

 +3                SET K=-1

                   FOR 

                       SET K=$ORDER(ABMRV(J,K))

                       IF K=""

                           QUIT 

                       Begin DoDot:2

 +4                        SET M=0

 +5                        FOR 

                               SET M=$ORDER(ABMRV(J,K,M))

                               IF M=""

                                   QUIT 

                               Begin DoDot:3

 +6                                SET L=L+1

                                   IF L#3=1

                                       Begin DoDot:4

 +7                                        SET ABME("S#")=ABME("S#")+1

 +8                                        FOR I=10:10:30

                                               DO @(I_"^ABMEE61")

                                               DO ADD

                                       End DoDot:4

 +9                                FOR I=40:10:130

                                       DO @(I_"^ABMEE61")

                                       DO ADD

 +10                               IF J=9999

                                       QUIT 

 +11                               SET ABM("ACTOT")=+$PIECE(ABMRV(J,K),"^",6)

 +12                               SET ABM("NCTOT")=+$PIECE(ABMRV(J,K),"^",7)

 +13                               DO ADTT^ABMER60

                               End DoDot:3

                       End DoDot:2

               End DoDot:1

 +14       IF '$GET(ABMP("NOFMT"))

               SET ABMREC(61,ABME("S#"))=ABMREC(61,ABME("S#"))_$SELECT(L#3=1:ABME("SPACE1"),L#3=2:ABME("SPACE2"),1:"")

 +15       QUIT 

ADD       ;ADD TO RECORD

 +1        IF '$GET(ABMP("NOFMT"))

               SET ABMREC(61,ABME("S#"))=$GET(ABMREC(61,ABME("S#")))_ABMR(61,I)

 +2        QUIT 

10        ;Record type 1-2

 +1        SET ABMR(61,10)=61

 +2        QUIT 

20        ;Sequence 3-4

 +1        SET ABMR(61,20)=ABME("S#")

 +2        SET ABMR(61,20)=$$FMT^ABMERUTL(ABMR(61,20),"2NR")

 +3        QUIT 

30        ;Patient Control Number 5-24 (SOURCE: FILE=9000001.41,FIELD=.02)

 +1        SET ABMR(61,30)=$$EX^ABMER20(30,ABMP("BDFN"))

 +2        SET ABMR(61,30)=$$FMT^ABMERUTL(ABMR(61,30),20)

 +3        QUIT 

40        ;Revenue Code 1, 25-28 (SOURCE: FILE=, FIELD=)

 +1        SET ABMR(61,40)=$PIECE(ABMRV(J,K,M),U)

 +2        SET ABMR(61,40)=$$FMT^ABMERUTL(ABMR(61,40),"4NR")

 +3        QUIT 

50        ;HCPCS Procedure Code 1, 29-33

 +1        SET ABMR(61,50)=$PIECE(ABMRV(J,K,M),U,2)

 +2        SET ABMR(61,50)=$$FMT^ABMERUTL(ABMR(61,50),5)

 +3        QUIT 

60        ;Modifier 1 (CPT-4 and HCPCS) 1, 34-35 (SOURCE: FILE=, FIELD=)

 +1        SET ABMR(61,60)=$PIECE(ABMRV(J,K,M),U,3)

 +2        SET ABMR(61,60)=$$FMT^ABMERUTL(ABMR(61,60),2)

 +3        QUIT 

70        ;Modifier 2 (CPT-4 and HCPCS) 1, 36-37 (SOURCE: FILE=, FIELD=)

 +1        SET ABMR(61,70)=$PIECE(ABMRV(J,K,M),U,4)

 +2        SET ABMR(61,70)=$$FMT^ABMERUTL(ABMR(61,70),2)

 +3        QUIT 

80        ;Units of Service 1, 38-44 (SOURCE: FILE= FIELD=)

 +1        SET ABMR(61,80)=$PIECE(ABMRV(J,K,M),U,5)

 +2        SET ABMR(61,80)=$$FMT^ABMERUTL(ABMR(61,80),"7NR")

 +3        QUIT 

90        ;Form Locator 49, 45-50

 +1        SET ABMR(61,90)=""

 +2        SET ABMR(61,90)=$$FMT^ABMERUTL(ABMR(61,90),6)

 +3        QUIT 

100       ;Charges Total 1, 51-60 (SOURCE: FILE= FIELD=)

 +1        SET ABMR(61,100)=$PIECE(ABMRV(J,K,M),U,6)

 +2        SET ABMR(61,100)=$$FMT^ABMERUTL(ABMR(61,100),"10NRJ2")

 +3        QUIT 

110       ;Charges Non-Covered 1, 61-70

 +1        SET ABMR(61,110)=""

 +2        SET ABMR(61,110)=$$FMT^ABMERUTL(ABMR(61,110),"10NRJ2")

 +3        QUIT 

120       ;Date of Service, 71-78 (SOURCE: FILE= FIELD=)

 +1        SET ABMR(61,120)=$$Y2KD2^ABMDUTL(ABMP("VDT"))

 +2        SET ABMR(61,120)=$$FMT^ABMERUTL(ABMR(61,120),8)

 +3        QUIT 

130       ;Filler (National Use), 79-80

 +1        SET ABMR(61,130)=""

 +2        SET ABMR(61,130)=$$FMT^ABMERUTL(ABMR(61,130),2)

 +3        QUIT 

EX(ABMX,ABMY,ABMZ) ;EXTRINSIC FUNCTION HERE

 +1       ;X=data element, Y=bill internal entry number

 +2        SET ABMP("BDFN")=ABMY

           DO SET^ABMERUTL

 +3        IF '$GET(ABMP("NOFMT"))

               SET ABMP("FMT")=0

 +4        DO @ABMX

 +5        SET Y=ABMR(61,ABMX)

 +6        IF $DATA(ABMP("FMT"))

               SET ABMP("FMT")=1

 +7        KILL ABMR(61,ABMX),ABME,ABMX,ABMY,ABMZ,ABM

 +8        QUIT Y