IBECEA33 ;ALB/CPM - Cancel/Edit/Add... More Add Utilities ; 23-APR-93
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
NOCL ; Find the correct clock from the 'bill from' date.
N IBCLST,IBALR S IBALR=0
I IBCLDA S IBALR=1 W !!,"The Bill From date is prior to the start of the active clock..."
D CLSTR^IBECEAU1(DFN,IBFR)
I 'IBCLDA D G NOCLQ
.I IBALR W !!,"This patient has no clock which would cover this date. You should use the",!,"Clock Maintenance option to adjust this patient's clocks before proceeding." S IBY=-1 Q
.W !!,"Please note that I cannot find an active or closed clock for this patient",!,"on this date.",!
D CLDATA^IBAUTL3,DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G NOCLQ
I IBXA=2,$P($G(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU",IBCLDAY>90 S IBMED=IBMED/2
W !!?5,"This charge will be billed under the following closed clock:"
W !!?6,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY
W !?5,"Closed Date: ",$$DAT1^IBOUTL($P(IBCLST,"^",10))," ",$$INPT^IBECEAU(IBCLDAY)," 90 Days: $",+IBCLDOL
I IBXA=2,IBCLDOL'<IBMED S IBY=-1 W !!?5,"This patient has been billed the full copayment under this billing clock!",!?5,"You cannot add another copay charge starting on this date."
NOCLQ Q
;
OPT ; Check for a C&P exam and determine the outpatient copay rate.
I $$CNP^IBECEAU(DFN,IBFR) D I IBY<0 G OPTQ
.N DIR,DIRUT,DUOUT,DTOUT,Y
.W !!,"This patient had a Compensation & Pension exam on this date."
.S DIR(0)="Y",DIR("A")="Do you still want to add a charge"
.S DIR("?")="Enter 'Y' to continue to add the charge, or 'N' or '^' to quit"
.D ^DIR S:'Y IBY=-1
;
N IBDT,IBX,IBBS S (IBDT,IBTO)=IBFR,IBX="O",IBUNIT=1,IBEVDA="*"
D TYPE^IBAUTL2,CTBB^IBECEAU3:IBY>0
OPTQ Q
;
CHTYP ; Ask for the Charge Type
S DIC="^IBE(350.1,",DIC(0)="AEMQZ",D="E",DIC("S")="I $P(^(0),U)'[""MEDICARE"",$P(^(0),U)'[""CHAMPVA SUB""",DIC("A")="Select CHARGE TYPE: "
D IX^DIC K DIC S IBATYP=+Y I Y<0 S IBY=-1 W !!,"No CHARGE TYPE entered - transaction cannot be completed." G CHTYPQ
;
; - perform charge type edits
S IBSEQNO=$P(Y(0),"^",5),IBXA=$P(Y(0),"^",11),IBNH=$P(Y(0),"^",8)["NHCU"
I 'IBSEQNO S IBY="-1^IB023" G CHTYPQ
I IBXA=6 G:IBCVAEL CHTYPQ W !!,"This patient does not have a Primary Eligibility of CHAMPVA.",! G CHTYP
I 'IBCATC,IBXA'=5 W !!,"This patient has never been Category C...",!,"You may only select a Pharmacy copay charge type.",! G CHTYP
I +IBEXSTAT,IBXA=5 W !!,"Patient is Exempt from Medication Copayment",!,$P(IBEXSTAT,"^",4),! G CHTYP
S:IBXA=2 IBBS=$O(^DGCR(399.1,"AC",IBATYP,0))
CHTYPQ Q
;
CLMSG ; Check the Medicare Deductible and Billing Clock
I 'IBMED S IBCLDT=IBFR D DED^IBAUTL3 I IBY<0 D NODED^IBECEAU3 G CLMSGQ
I "^1^2^"[("^"_IBXA_"^"),IBCLDA,IBFR'<IBCLDT,IBCLDOL'<IBMED S IBY=-1 D
.W !!?5,*7,"This patient has already been billed the Medicare Deductible ($",IBMED,")"
.W !?5,"for his current 90 days of care. If you know this not to be the case,"
.W !?5,"please adjust the billing clock before proceeding."
CLMSGQ Q
IBECEA33 ;ALB/CPM - Cancel/Edit/Add... More Add Utilities ; 23-APR-93
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
NOCL ; Find the correct clock from the 'bill from' date.
+1 NEW IBCLST,IBALR
SET IBALR=0
+2 IF IBCLDA
SET IBALR=1
WRITE !!,"The Bill From date is prior to the start of the active clock..."
+3 DO CLSTR^IBECEAU1(DFN,IBFR)
+4 IF 'IBCLDA
Begin DoDot:1
+5 IF IBALR
WRITE !!,"This patient has no clock which would cover this date. You should use the",!,"Clock Maintenance option to adjust this patient's clocks before proceeding."
SET IBY=-1
QUIT
+6 WRITE !!,"Please note that I cannot find an active or closed clock for this patient",!,"on this date.",!
End DoDot:1
GOTO NOCLQ
+7 DO CLDATA^IBAUTL3
DO DED^IBAUTL3
IF IBY<0
DO NODED^IBECEAU3
GOTO NOCLQ
+8 IF IBXA=2
IF $PIECE($GET(^IBE(350.1,IBATYP,0)),"^",8)'["NHCU"
IF IBCLDAY>90
SET IBMED=IBMED/2
+9 WRITE !!?5,"This charge will be billed under the following closed clock:"
+10 WRITE !!?6,"Begin Date: ",$$DAT1^IBOUTL(IBCLDT)," # Inpt Days: ",IBCLDAY
+11 WRITE !?5,"Closed Date: ",$$DAT1^IBOUTL($PIECE(IBCLST,"^",10))," ",$$INPT^IBECEAU(IBCLDAY)," 90 Days: $",+IBCLDOL
+12 IF IBXA=2
IF IBCLDOL'<IBMED
SET IBY=-1
WRITE !!?5,"This patient has been billed the full copayment under this billing clock!",!?5,"You cannot add another copay charge starting on this date."
NOCLQ QUIT
+1 ;
OPT ; Check for a C&P exam and determine the outpatient copay rate.
+1 IF $$CNP^IBECEAU(DFN,IBFR)
Begin DoDot:1
+2 NEW DIR,DIRUT,DUOUT,DTOUT,Y
+3 WRITE !!,"This patient had a Compensation & Pension exam on this date."
+4 SET DIR(0)="Y"
SET DIR("A")="Do you still want to add a charge"
+5 SET DIR("?")="Enter 'Y' to continue to add the charge, or 'N' or '^' to quit"
+6 DO ^DIR
IF 'Y
SET IBY=-1
End DoDot:1
IF IBY<0
GOTO OPTQ
+7 ;
+8 NEW IBDT,IBX,IBBS
SET (IBDT,IBTO)=IBFR
SET IBX="O"
SET IBUNIT=1
SET IBEVDA="*"
+9 DO TYPE^IBAUTL2
IF IBY>0
DO CTBB^IBECEAU3
OPTQ QUIT
+1 ;
CHTYP ; Ask for the Charge Type
+1 SET DIC="^IBE(350.1,"
SET DIC(0)="AEMQZ"
SET D="E"
SET DIC("S")="I $P(^(0),U)'[""MEDICARE"",$P(^(0),U)'[""CHAMPVA SUB"""
SET DIC("A")="Select CHARGE TYPE: "
+2 DO IX^DIC
KILL DIC
SET IBATYP=+Y
IF Y<0
SET IBY=-1
WRITE !!,"No CHARGE TYPE entered - transaction cannot be completed."
GOTO CHTYPQ
+3 ;
+4 ; - perform charge type edits
+5 SET IBSEQNO=$PIECE(Y(0),"^",5)
SET IBXA=$PIECE(Y(0),"^",11)
SET IBNH=$PIECE(Y(0),"^",8)["NHCU"
+6 IF 'IBSEQNO
SET IBY="-1^IB023"
GOTO CHTYPQ
+7 IF IBXA=6
IF IBCVAEL
GOTO CHTYPQ
WRITE !!,"This patient does not have a Primary Eligibility of CHAMPVA.",!
GOTO CHTYP
+8 IF 'IBCATC
IF IBXA'=5
WRITE !!,"This patient has never been Category C...",!,"You may only select a Pharmacy copay charge type.",!
GOTO CHTYP
+9 IF +IBEXSTAT
IF IBXA=5
WRITE !!,"Patient is Exempt from Medication Copayment",!,$PIECE(IBEXSTAT,"^",4),!
GOTO CHTYP
+10 IF IBXA=2
SET IBBS=$ORDER(^DGCR(399.1,"AC",IBATYP,0))
CHTYPQ QUIT
+1 ;
CLMSG ; Check the Medicare Deductible and Billing Clock
+1 IF 'IBMED
SET IBCLDT=IBFR
DO DED^IBAUTL3
IF IBY<0
DO NODED^IBECEAU3
GOTO CLMSGQ
+2 IF "^1^2^"[("^"_IBXA_"^")
IF IBCLDA
IF IBFR'<IBCLDT
IF IBCLDOL'<IBMED
SET IBY=-1
Begin DoDot:1
+3 WRITE !!?5,*7,"This patient has already been billed the Medicare Deductible ($",IBMED,")"
+4 WRITE !?5,"for his current 90 days of care. If you know this not to be the case,"
+5 WRITE !?5,"please adjust the billing clock before proceeding."
End DoDot:1
CLMSGQ QUIT
