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Routine: ABMERGR2

ABMERGR2.m

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  1. ABMERGR2 ; IHS/SD/SDR - GET ANCILLARY SVCS REVENUE CODE INFO ;
  1. ;;2.6;IHS 3P BILLING SYSTEM;**6,8,9,10,11,19,20,21,22,23**;NOV 12, 2009;Build 427
  1. ;
  1. ;IHS/SD/LSL 08/30/02 V2.5 Patch 1 HIPAA Added prescription number as 14th piece of ABMRV array for Pharmacy
  1. ;IHS/SD/SDR V2.5 P2 5/9/02 NOIS HQW-0302-100190 Modified to display 2nd and 3rd modifiers and units
  1. ;IHS/SD/EFG V2.5 P8 IM16385 Correction to calculate cumulative charges correctly for dental
  1. ;IHS/SD/SDR v2.5 p8 task 6 Added new ambulance multiple 47
  1. ;IHS/SD/SDR v2.5 p9 IM19492 Corrected HCPCS issue (was +'ing HCPCS, making it 0)
  1. ;IHS/SD/SDR v2.5 p9 split for routine size ABMERGR3
  1. ;IHS/SD/SDR v2.5 p10 IM20018 Added code to get CPT code on Revenue code page
  1. ;IHS/SD/SDR v2.5 p10 IM20395 Split out lines bundled by Rev Code. NOTE: old code removed due to routine size
  1. ;IHS/SD/SDR v2.5 p11 IM24135 Fixed Rx number not printing (wasn't looking at both fields)
  1. ;IHS/SD/SDR v2.5 p12 IM25207 Changed default to RX number
  1. ;IHS/SD/SDR v2.5 p12 IM25947 Don't include dental charges if not doing ADA billing
  1. ;
  1. ;IHS/SD/SDR v2.6 CSV
  1. ;IHS/SD/SDR 2.6*6 5010 added date written
  1. ;IHS/SD/SDR 2.6*6 HEAT28973 if 55 modifier present use '1' for units to calculate charges
  1. ;IHS/SD/SDR 2.6*9 HEAT18507 Fixed where RX number was coming from (p14, not p6)
  1. ;IHS/SD/SDR 2.6*19 HEAT173117 Correction to CPT Narrative for 23 multiple.
  1. ;IHS/SD/AML 2.6*20 HEAT262141 AHCCCS RX billing.
  1. ;IHS/SD/SDR 2.6*21 HEAT106899 Get operating and rendering provider for 21 mult.
  1. ;IHS/SD/SDR 2.6*21 HEAT120880 Added SERVICE DATE TO in ABMRV array for all multiples.
  1. ;IHS/SD/SDR 2.6*21 HEAT168435 Added pharmacy modifiers (23 mult).
  1. ;IHS/SD/SDR 2.6*21 HEAT294086 Change for <UNDEF>23+25^ABMERGR2.
  1. ;IHS/SD/SDR 2.6*22 HEAT329144 Added print the medication name based on new parameter.
  1. ;IHS/SD/SDR 2.6*23 HEAT347035 Changed subscripts if print order is populated
  1. ;***********
  1. ; All line tags adhere to following description unless specified otherwise in the appropriate line tag:
  1. ;
  1. ; ABMRV(IEN to REVENUE CODE, CPT CODE)= IEN to REVENUE CODE ^ CPT Code ^ Modifier ^ 2nd modifier ^ cumulative units ^ cumulative
  1. ; charges ^ ^ Unit Charge ^ NDC/ADA ^ from date/time ^ 3rd Modifier ^ 4th Modifier ^ Prescription ^ Attending Provider
  1. ; ^ Operating Provider ^ Referring Provider ^ Other Provider
  1. ;*******
  1. ;
  1. 21 ;EP - Med/Surg
  1. S DA=0
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA)) Q:'DA D
  1. .F J=1:2:13,12,14 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,0),"^",J)
  1. .S ABMLCNT=+$G(ABMLCNT)+1
  1. .S:ABM(13)="" ABM(13)=1 ;Set default
  1. .S ABM(1)=$S(ABM(1):$P($$CPT^ABMCVAPI(ABM(1),ABMP("VDT")),U,2),1:0) ;CPT code ;CSV-c
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U)=ABM(3) ;Revenue code IEN
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,2)=ABM(1) ;CPT code
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,3)=ABM(9) ;Modifier
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,4)=ABM(11) ;2nd Modifier
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,5)=ABM(13) ;units
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,6)=(ABM(7)*ABM(13)) ;unit charges
  1. .I (ABM(9)="55")!(ABM(11)="55")!(ABM(12)="55") S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,6)=(ABM(7)) ;IHS/SD/AML 2/15/2011 HEAT28973
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,10)=ABM(5) ;From date/time
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,16)=ABM(14) ;Operating Provider
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,8)=ABM(7) ;Unit charge
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,12)=ABM(12) ;3rd Modifier
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,27)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,0)),U,19) ;abm*2.6*21 IHS/SD/SDR HEAT120880
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,2)),U,2) ;abm*2.6*9 NARR
  1. .;start new abm*2.6*21 IHS/SD/SDR HEAT106899
  1. .I $D(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P","C","O")) D
  1. ..S ABMPIEN=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P","C","O",0))
  1. ..S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,16)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P",ABMPIEN,0),U)
  1. .I $D(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P","C","R")) D
  1. ..S ABMPIEN=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P","C","R",0))
  1. ..S $P(ABMRV(+ABM(3),ABM(1),ABMLCNT),U,18)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,"P",ABMPIEN,0),U)
  1. .;end new abm*2.6*21 IHS/SD/SDR HEAT106899
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,0)),U,23)'=0 D
  1. ..I $P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),1)),U,24)'="Y" Q ;don't do print order if parameter is off
  1. ..S ABMPO=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),21,DA,0)),U,23)
  1. ..S ABMRV(ABMPO,ABMPO,ABMPO)=$G(ABMRV(+ABM(3),ABM(1),ABMLCNT))
  1. ..K ABMRV(+ABM(3),ABM(1),ABMLCNT)
  1. ..I +$P(ABMRV(ABMPO,ABMPO,ABMPO),U,6)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U)=0,$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0
  1. ..I $$RCID^ABMUTLP(ABMP("INS"))["61044",$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)="00"
  1. .;end new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. Q
  1. ;
  1. 23 ;EP - Pharmacy
  1. ; ABMRV(IEN to REVENUE CODE, Medication IEN)= IEN to REVENUE CODE ^ ^ ^ ^ cumulative units ^ cumulative charges ^ ^ ^ NDC code_" "_generic name ^ date/time ^ ^ ^ ^ Prescription
  1. S DA=0
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA)) Q:'DA D
  1. .;F J=1:1:6,14,22 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0),"^",J) ;abm*2.6*6 5010
  1. .;F J=1:1:6,14,22,25 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0),"^",J) ;abm*2.6*6 5010 ;abm*2.6*10 HEAT78446
  1. .;F J=1:1:6,14,22,25,29 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0),"^",J) ;abm*2.6*10 IHS/SD/AML 8/31/2012 HEAT78446 ;abm*2.6*11
  1. .F J=1:1:6,14,22,24,25,29 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0),"^",J) ;abm*2.6*10 IHS/SD/AML 8/31/2012 HEAT78446 ;abm*2.6*11
  1. .S ABM(10)=ABM(14)
  1. .S ABM(14)=ABM(6)
  1. .K ABM(6)
  1. .S:'+ABM(3) ABM(3)=1 ;default units = 1
  1. .S ABMLCNT=+$G(ABMLCNT)+1
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U)=ABM(2) ;revenue code IEN
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,2)=$S(+$G(ABM(29))'=0:$P($$CPT^ABMCVAPI(ABM(29),ABMP("VDT")),U,2),$G(ABMP("EXP"))=32:"J3490",1:0) ;abm*2.6*10 IHS/SD/AML 8/31/2012 HEAT78446
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,3)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,2)),U,3) ;modifier ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,4)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,2)),U,4) ;2nd modifier ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,5)=ABM(3) ;units
  1. .;S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,13)=$S($G(ABM(14))'="":ABM(14),+$G(ABM(22))'=0:$P($G(^PSRX(ABM(22),0)),U),1:"") ;abm*2.6*9 HEAT18507 ;abm*2.6*10 HEAT78446
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,28)=$S($G(ABM(14))'="":ABM(14),+$G(ABM(22))'=0:$P($G(^PSRX(ABM(22),0)),U),1:"") ;Prescription(RX) ;abm*2.6*10 HEAT78446
  1. .S ABM(6)=ABM(3)*ABM(4)+ABM(5) ;units * units cost + dispense fee
  1. .S ABM(6)=$J(ABM(6),1,2)
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,6)=ABM(6) ;charges
  1. .;I $$RCID^ABMERUTL(ABMP("INS"))=99999 S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,6)=0 ;abm*2.6*20 IHS/SD/AML HEAT262141 1/4/2016 - AHCCCS RX REQUIREMENT ;abm*2.6*21 IHS/SD/SDR HEAT294692
  1. .I $$RCID^ABMERUTL(+$G(ABMP("INS")))=99999 S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,6)=0 ;abm*2.6*20 IHS/SD/AML HEAT262141 1/4/2016 - AHCCCS RX REQUIREMENT ;abm*2.6*21 IHS/SD/SDR HEAT294692
  1. .;I ABM(24)'="" S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=ABM(24)_" "_$P($G(^PSDRUG(ABM(1),0)),U) ;NDC generic name ;abm*2.6*11 ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .;I ABM(24)'="" S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=ABM(24) ;NDC ;abm*2.6*11 ;abm*2.6*21 IHS/SD/SDR HEAT168435 ;abm*2.6*22 IHS/SD/SDR HEAT329144
  1. .;uncommented next line ;abm*2.6*22 IHS/SD/SDR HEAT329144
  1. .I ABM(24)'="" S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=ABM(24)_$S($P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),1)),U,21)'="UNT":" "_$P($G(^PSDRUG(ABM(1),0)),U),1:"") ;NDC ;abm*2.6*11 ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .;I ABM(24)="" S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=$P($G(^PSDRUG(ABM(1),2)),U,4)_" "_$P($G(^PSDRUG(ABM(1),0)),U) ;NDC generic name ;abm*2.6*11 ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .I ABM(24)="" S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=$P($G(^PSDRUG(ABM(1),2)),U,4) ;NDC generic name ;abm*2.6*11 ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9)=$S("^31^32^33^"'[("^"_$G(ABMP("EXP"))_"^"):"N4",1:"")_$P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,9) ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,10)=ABM(10) ;Date/Time
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,12)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,2)),U,5) ;3rd modifier ;abm*2.6*21 IHS/SD/SDR HEAT168435
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,32)=ABM(25) ;date written
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,27)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0)),U,28) ;abm*2.6*21 IHS/SD/SDR HEAT120880
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,2)),U) ;abm*2.6*8 5010 line item control number
  1. .;S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,2)),U,2) ;abm*2.6*9 NARR ;abm*2.6*19 IHS/SD/SDR HEAT173117
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,3)),U,2) ;abm*2.6*19 IHS/SD/SDR HEAT173117
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0)),U,30)'=0 D
  1. ..I $P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),1)),U,24)'="Y" Q ;don't do print order if parameter is off
  1. ..S ABMPO=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),23,DA,0)),U,30)
  1. ..S ABMRV(ABMPO,ABMPO,ABMPO)=$G(ABMRV(+ABM(2),ABM(1),ABMLCNT))
  1. ..K ABMRV(+ABM(2),ABM(1),ABMLCNT)
  1. ..I +$P(ABMRV(ABMPO,ABMPO,ABMPO),U,6)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U)=0,$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0
  1. ..I $$RCID^ABMUTLP(ABMP("INS"))["61044",$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)="00"
  1. .;end new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. Q
  1. 25 ;EP - Revenue Code
  1. ;ABMRV(IEN,0) = IEN to REVENUE CODE ^ ^ ^ ^ Cumulative units ^ Charges ^ ^ Unit charge ^ ^ start date/time
  1. S DA=0
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA)) Q:'DA D
  1. .F J=1:1:7 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,0),"^",J)
  1. .S:'+ABM(2) ABM(2)=1 ;Default units = 1
  1. .S ABMLCNT=+$G(ABMLCNT)+1
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U)=ABM(1) ;Revenue code IEN
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,2)=$S(+$G(ABM(7))'=0:$P($G(^ICPT(ABM(7),0)),U),1:ABM(7))
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,5)=ABM(2) ;units
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,6)=(ABM(2)*ABM(3))+ABM(6) ;Charges
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,8)=ABM(3) ;Unit charge
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,10)=ABM(4) ;Start date/time
  1. .S $P(ABMRV(+ABM(1),0,ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,0)),U,23)'=0 D
  1. ..I $P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),1)),U,24)'="Y" Q ;don't do print order if parameter is off
  1. ..S ABMPO=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,0)),U,23)
  1. ..S ABMRV(ABMPO,ABMPO,ABMPO)=$G(ABMRV(+ABM(1),0,ABMLCNT))
  1. ..K ABMRV(+ABM(1),0,ABMLCNT)
  1. ..I +$P(ABMRV(ABMPO,ABMPO,ABMPO),U,6)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U)=0,$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0
  1. ..I $$RCID^ABMUTLP(ABMP("INS"))["61044",$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)="00"
  1. .;end new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. ;
  1. I $P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),8)),U,10),'$D(ABMRV(450,0,ABMLCNT)) D
  1. .S ABMRV(450,0,ABMLCNT)=450
  1. .S $P(ABMRV(450,0,ABMLCNT),U,5)=1
  1. .S $P(ABMRV(450,0,ABMLCNT),U,6)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),8),U,10) ;emergency room surcharge
  1. .S $P(ABMRV(450,0,ABMLCNT),U,8)=$P(ABMRV(450,0,ABMLCNT),U,6)
  1. .S $P(ABMRV(450,0,ABMLCNT),U,27)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,0)),U,5) ;abm*2.6*21 IHS/SD/SDR HEAT120880
  1. .S $P(ABMRV(450,0,ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .S $P(ABMRV(450,0,ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),25,DA,2)),U,2) ;abm*2.6*9 NARR
  1. Q
  1. ;
  1. 27 ;EP - Medical Procedures
  1. D 27^ABMERGR5 ;abm*2.6*23 IHS/SD/SDR split due to size
  1. Q
  1. 33 ;EP - Dental
  1. D 33^ABMERGR5 ;abm*2.6*23 IHS/SD/SDR split due to size
  1. Q
  1. 35 ;EP - Radiology
  1. D 35^ABMERGR5 ;abm*2.6*23 IHS/SD/SDR split due to size
  1. Q
  1. 37 ;EP - Laboratory
  1. D 37^ABMERGR3
  1. Q
  1. 39 ;EP - Anesthesia
  1. D 39^ABMERGR3
  1. Q
  1. 43 ;EP - Miscellaneous Services
  1. D 43^ABMERGR3
  1. Q
  1. 45 ;EP - Supplies
  1. D 45^ABMERGR3
  1. Q
  1. 47 ;EP - Ambulance Services
  1. D 47^ABMERGR3
  1. Q