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Routine: ABMERGR5

ABMERGR5.m

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  1. ABMERGR5 ; 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. 27 ;EP - Medical Procedures
  1. S DA=0
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA)) Q:'DA D
  1. .F J=1:1:10 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,0),"^",J)
  1. .S:'+ABM(3) ABM(3)=1
  1. .S ABM(1)=$S(ABM(1):$P($$CPT^ABMCVAPI(ABM(1),ABMP("VDT")),U,2),1:0) ;CPT code ;CSV-c
  1. .S ABMLCNT=+$G(ABMLCNT)+1
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U)=ABM(2) ;Revenue code IEN
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,2)=ABM(1) ;CPT code
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,3)=ABM(5) ;Modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,4)=ABM(8) ;2nd modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,5)=ABM(3) ;cumulative units
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,6)=(ABM(3)*ABM(4)) ;cumulative charges
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,15)=ABM(10) ;Attending Provider
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,8)=ABM(4) ;Unit Charge
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,10)=ABM(7) ;Date/Time
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,12)=ABM(9) ;3rd Modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,27)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,0)),U,12) ;abm*2.6*21 IHS/SD/SDR HEAT120880
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,2)),U,2) ;abm*2.6*9 NARR
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,0)),U,23)'=0 D
  1. ..I $P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),1)),U,24)'="Y" Q ;don't do print order if parameter is off
  1. ..S ABMPO=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),27,DA,0)),U,23)
  1. ..S ABMRV(ABMPO,ABMPO,ABMPO)=$G(ABMRV(+ABM(2),ABM(1),ABMLCNT))
  1. ..K ABMRV(+ABM(2),ABM(1),ABMLCNT)
  1. ..I +$P(ABMRV(ABMPO,ABMPO,ABMPO),U,6)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U)=0,$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0
  1. ..I $$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. 33 ;EP - Dental
  1. ; ABMRV(IEN, Dental Code) = IEN to REVENUE CODE ^ Dental code ^ ^ ^ Cumulative units ^ Cumulative charges ^ ^ ^ ADA Description ^ Date of Service
  1. S DA=0
  1. I $G(ABMP("LDFN"))'="",($G(ABMP("INS"))'=""),($G(ABMP("VTYP"))'="") Q:$P($G(^ABMNINS(ABMP("LDFN"),ABMP("INS"),1,ABMP("VTYP"),0)),U,2)'="A"
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,DA)) Q:'DA D
  1. .F J=1,2,7,8,9 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,DA,0),"^",J)
  1. .S:'+ABM(9) ABM(9)=1
  1. .S ABM("DCODE")=$P(^AUTTADA(ABM(1),0),U) ;dental code
  1. .;start new abm*2.6*11 HEAT90370
  1. .S ABMDENP=$P($G(^ABMDREC(ABMP("INS"),0)),U,2)
  1. .S:ABMDENP="" ABMDENP=$P($G(^ABMDPARM(ABMP("LDFN"),1,3)),U,11)
  1. .S:ABMDENP="" ABMDENP=$P($G(^ABMDPARM(DUZ(2),1,3)),U,11)
  1. .S:ABMDENP]"" ABM("DCODE")=ABMDENP_ABM("DCODE")
  1. .;end new HEAT90370
  1. .S ABMLCNT=+$G(ABMLCNT)+1
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U)=ABM(2) ;Rev code IEN
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,2)=ABM("DCODE") ;Dental code
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,5)=ABM(9) ;units
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,6)=(ABM(8)*ABM(9)) ;charges
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,9)=$P(^AUTTADA(ABM(1),0),U,2) ;ADA Desc
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,10)=ABM(7) ;DoS
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,27)=ABM(7) ;abm*2.6*21 IHS/SD/SDR HEAT120880
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,38)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .S $P(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,DA,2)),U,2) ;abm*2.6*9 NARR
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),33,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"),33,DA,0)),U,23)
  1. ..S ABMRV(ABMPO,ABMPO,ABMPO)=$G(ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT))
  1. ..K ABMRV(+ABM(2),+ABM("DCODE"),ABMLCNT)
  1. ..I +$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 $$RCID^ABMUTLP(ABMP("INS"))["61044",$P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)=0 S $P(ABMRV(ABMPO,ABMPO,ABMPO),U,5)="00"
  1. .;end new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. Q
  1. 35 ;EP - Radiology
  1. S DA=0
  1. F S DA=$O(^ABMDBILL(DUZ(2),ABMP("BDFN"),35,DA)) Q:'DA D
  1. .F J=1:1:10 S ABM(J)=$P(^ABMDBILL(DUZ(2),ABMP("BDFN"),35,DA,0),"^",J)
  1. .S:'+ABM(3) ABM(3)=1
  1. .S ABM(1)=$S(ABM(1):$P($$CPT^ABMCVAPI(ABM(1),ABMP("VDT")),U,2),1:0) ;CPT Code ;CSV-c
  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)=ABM(1) ;CPT Code
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,3)=ABM(5) ;Modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,4)=ABM(6) ;2nd Modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,5)=ABM(3) ;units
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,6)=(ABM(3)*ABM(4)) ;charges
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,8)=ABM(4) ;Unit Charge
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,10)=ABM(9) ;Date/Time
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,12)=ABM(7) ;3rd Modifier
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,15)=ABM(10) ;Attending Provider
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,27)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),35,DA,0)),U,12) ;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"),35,DA,2)),U) ;abm*2.6*8 5010 LICN
  1. .S $P(ABMRV(+ABM(2),ABM(1),ABMLCNT),U,39)=$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),35,DA,2)),U,2) ;abm*2.6*9 NARR
  1. .;start new abm*2.6*23 IHS/SD/SDR HEAT347035
  1. .I +$P($G(^ABMDBILL(DUZ(2),ABMP("BDFN"),35,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"),35,DA,0)),U,23)
  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