IBAUTL2 ;ALB/CPM - MEANS TEST BILLING UTILITIES ; 30-AUG-91
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
CHFIND ; Find open charge for a billable event
; Input: IBEVDA, IBX (C=copay/P=per diem)
; Output: IBCH*DA=0/ien of charge also IBCH* if IBCH*DA>0
N J,X S J=0
F S J=$O(^IB("ACT",IBEVDA,J)) Q:'J S X=$G(^IB(J,0)) I X]"",(($P(X,"^",8)["CO-PAY"&(IBX="C"))!($P(X,"^",8)["PER DIEM"&(IBX="P"))) Q:$P(X,"^",5)=1
S:J IBCHTOTL=$P(X,"^",7),IBCHFR=$P(X,"^",14),IBCHTO=$P(X,"^",15)
S @("IBCH"_IBX_"DA")=+J Q
;
CHADD ; Add a new IB Action in #350
D ADD^IBAUTL I Y<1 S IBY=Y G CHADDQ
S $P(^IB(IBN,0),"^",2,16)=DFN_"^"_IBATYP_"^"_IBSL_"^1^1^"_IBCHG_"^"_IBDESC_"^"_IBN_"^^^^"_IBFAC_"^"_IBDT_"^"_IBDT_"^"_IBEVDA
D NOW^%DTC S $P(^IB(IBN,1),"^")=DUZ,$P(^(1),"^",3,4)=DUZ_"^"_%
S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA
;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",DFN,IBN)=""
CHADDQ Q
;
CHUPD ; Update an IB Action charge
; Input: IBCHTOTL, IBCHFR, IBDT, IBX(P/C), IBN, IBCHG, DUZ
N TOT,UNIT S UNIT=1
I IBX="P" S X1=IBDT,X2=IBCHFR D ^%DTC S UNIT=X+1,TOT=UNIT*IBCHG
I IBX="C" S TOT=IBCHTOTL+IBCHG
D NOW^%DTC S $P(^IB(IBN,0),"^",6,7)=UNIT_"^"_TOT,$P(^(0),"^",15)=IBDT,$P(^(1),"^",3,4)=DUZ_"^"_%
S DIK="^IB(",DA=IBN D IX1^DIK K DIK,DA
;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",+$G(DFN),IBN)=""
Q
;
SERV ; Find the service pointer for MAS.
S IBSERV=$P($G(^IBE(350.9,1,1)),"^",14) I '$D(^DIC(49,+IBSERV,0)) S IBY="-1^IB003"
Q
;
TYPE ; Find the IB action type and rate for per diem and OPT co-payment charges.
; Input: IBDT, IBBS (if IBX=P), IBX (O=opt copay/P=per diem)
; Output: IBATYP, IBCHG, IBDESC, IBRTED
N J S IBCHG=0,IBDESC=""
I IBX="O" S IBBS=+$O(^DGCR(399.1,"B","OUTPATIENT VISIT",0)) D COPAY
I IBX="P" S IBATYP=+$P($G(^DGCR(399.1,IBBS,0)),"^",8) I IBATYP D COST X:$D(^IBE(350.1,IBATYP,20)) ^(20)
I 'IBATYP S IBY="-1^IB008" G TYPEQ
I 'IBCHG S IBY="-1^IB029"
TYPEQ Q
;
COST ; - find per diem charge. Input: IBATYP, IBDT Output: IBCHG
N X S X=$O(^IBE(350.2,"AIVDT",IBATYP,-(IBDT+.1))),X=$O(^(+X,0)) I $D(^IBE(350.2,+X,0)) S X=$P(^(0),"^",4)
S IBCHG=+X Q
;
COPAY ; Find the Inpatient/NHCU daily copay rate and IB action type
; Input: IBBS, IBDT Output: IBATYP, IBCHG, IBDESC, IBRTED
N CHK,DA,J,R,X,Y
S (CHK,IBATYP,IBCHG)=0,J=-(IBDT+.1),(DA,IBDESC,R)=""
S IBATYP=$P($G(^DGCR(399.1,IBBS,0)),"^",7) I 'IBATYP S IBY="-1^IB008" G COPAYQ
I $D(^IBE(350.1,+IBATYP,20)) X ^(20)
F S J=$O(^DGCR(399.5,"AIVDT",IBBS,J)) Q:'J D Q:CHK
. F S R=$O(^DGCR(399.5,"AIVDT",IBBS,J,R)) Q:'R D Q:CHK
.. F S DA=$O(^DGCR(399.5,"AIVDT",IBBS,J,R,DA)) Q:'DA D Q:CHK
... S Y=$G(^DGCR(399.5,+DA,0))
... I $P(Y,"^",5),$P(Y,"^",6)["c" S IBCHG=+$P(Y,"^",4),IBRTED=-J,CHK=1
I 'IBCHG S IBY="-1^IB030"
COPAYQ Q
IBAUTL2 ;ALB/CPM - MEANS TEST BILLING UTILITIES ; 30-AUG-91
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
CHFIND ; Find open charge for a billable event
+1 ; Input: IBEVDA, IBX (C=copay/P=per diem)
+2 ; Output: IBCH*DA=0/ien of charge also IBCH* if IBCH*DA>0
+3 NEW J,X
SET J=0
+4 FOR
SET J=$ORDER(^IB("ACT",IBEVDA,J))
IF 'J
QUIT
SET X=$GET(^IB(J,0))
IF X]""
IF (($PIECE(X,"^",8)["CO-PAY"&(IBX="C"))!($PIECE(X,"^",8)["PER DIEM"&(IBX="P")))
IF $PIECE(X,"^",5)=1
QUIT
+5 IF J
SET IBCHTOTL=$PIECE(X,"^",7)
SET IBCHFR=$PIECE(X,"^",14)
SET IBCHTO=$PIECE(X,"^",15)
+6 SET @("IBCH"_IBX_"DA")=+J
QUIT
+7 ;
CHADD ; Add a new IB Action in #350
+1 DO ADD^IBAUTL
IF Y<1
SET IBY=Y
GOTO CHADDQ
+2 SET $PIECE(^IB(IBN,0),"^",2,16)=DFN_"^"_IBATYP_"^"_IBSL_"^1^1^"_IBCHG_"^"_IBDESC_"^"_IBN_"^^^^"_IBFAC_"^"_IBDT_"^"_IBDT_"^"_IBEVDA
+3 DO NOW^%DTC
SET $PIECE(^IB(IBN,1),"^")=DUZ
SET $PIECE(^(1),"^",3,4)=DUZ_"^"_%
+4 SET DIK="^IB("
SET DA=IBN
DO IX1^DIK
KILL DIK,DA
+5 ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",DFN,IBN)=""
CHADDQ QUIT
+1 ;
CHUPD ; Update an IB Action charge
+1 ; Input: IBCHTOTL, IBCHFR, IBDT, IBX(P/C), IBN, IBCHG, DUZ
+2 NEW TOT,UNIT
SET UNIT=1
+3 IF IBX="P"
SET X1=IBDT
SET X2=IBCHFR
DO ^%DTC
SET UNIT=X+1
SET TOT=UNIT*IBCHG
+4 IF IBX="C"
SET TOT=IBCHTOTL+IBCHG
+5 DO NOW^%DTC
SET $PIECE(^IB(IBN,0),"^",6,7)=UNIT_"^"_TOT
SET $PIECE(^(0),"^",15)=IBDT
SET $PIECE(^(1),"^",3,4)=DUZ_"^"_%
+6 SET DIK="^IB("
SET DA=IBN
DO IX1^DIK
KILL DIK,DA
+7 ;I $G(IBJOB)=1 S ^TMP($J,"IBAMTC","I",+$G(DFN),IBN)=""
+8 QUIT
+9 ;
SERV ; Find the service pointer for MAS.
+1 SET IBSERV=$PIECE($GET(^IBE(350.9,1,1)),"^",14)
IF '$DATA(^DIC(49,+IBSERV,0))
SET IBY="-1^IB003"
+2 QUIT
+3 ;
TYPE ; Find the IB action type and rate for per diem and OPT co-payment charges.
+1 ; Input: IBDT, IBBS (if IBX=P), IBX (O=opt copay/P=per diem)
+2 ; Output: IBATYP, IBCHG, IBDESC, IBRTED
+3 NEW J
SET IBCHG=0
SET IBDESC=""
+4 IF IBX="O"
SET IBBS=+$ORDER(^DGCR(399.1,"B","OUTPATIENT VISIT",0))
DO COPAY
+5 IF IBX="P"
SET IBATYP=+$PIECE($GET(^DGCR(399.1,IBBS,0)),"^",8)
IF IBATYP
DO COST
IF $DATA(^IBE(350.1,IBATYP,20))
XECUTE ^(20)
+6 IF 'IBATYP
SET IBY="-1^IB008"
GOTO TYPEQ
+7 IF 'IBCHG
SET IBY="-1^IB029"
TYPEQ QUIT
+1 ;
COST ; - find per diem charge. Input: IBATYP, IBDT Output: IBCHG
+1 NEW X
SET X=$ORDER(^IBE(350.2,"AIVDT",IBATYP,-(IBDT+.1)))
SET X=$ORDER(^(+X,0))
IF $DATA(^IBE(350.2,+X,0))
SET X=$PIECE(^(0),"^",4)
+2 SET IBCHG=+X
QUIT
+3 ;
COPAY ; Find the Inpatient/NHCU daily copay rate and IB action type
+1 ; Input: IBBS, IBDT Output: IBATYP, IBCHG, IBDESC, IBRTED
+2 NEW CHK,DA,J,R,X,Y
+3 SET (CHK,IBATYP,IBCHG)=0
SET J=-(IBDT+.1)
SET (DA,IBDESC,R)=""
+4 SET IBATYP=$PIECE($GET(^DGCR(399.1,IBBS,0)),"^",7)
IF 'IBATYP
SET IBY="-1^IB008"
GOTO COPAYQ
+5 IF $DATA(^IBE(350.1,+IBATYP,20))
XECUTE ^(20)
+6 FOR
SET J=$ORDER(^DGCR(399.5,"AIVDT",IBBS,J))
IF 'J
QUIT
Begin DoDot:1
+7 FOR
SET R=$ORDER(^DGCR(399.5,"AIVDT",IBBS,J,R))
IF 'R
QUIT
Begin DoDot:2
+8 FOR
SET DA=$ORDER(^DGCR(399.5,"AIVDT",IBBS,J,R,DA))
IF 'DA
QUIT
Begin DoDot:3
+9 SET Y=$GET(^DGCR(399.5,+DA,0))
+10 IF $PIECE(Y,"^",5)
IF $PIECE(Y,"^",6)["c"
SET IBCHG=+$PIECE(Y,"^",4)
SET IBRTED=-J
SET CHK=1
End DoDot:3
IF CHK
QUIT
End DoDot:2
IF CHK
QUIT
End DoDot:1
IF CHK
QUIT
+11 IF 'IBCHG
SET IBY="-1^IB030"
COPAYQ QUIT
