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more billing fixes #4365

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merged 8 commits into from May 3, 2021
Merged

more billing fixes #4365

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07d681b
more billing fixes
stephenwaite Apr 29, 2021
19645aa
add modifier to function and call of lookup_code_descriptions
stephenwaite Apr 29, 2021
cebc24a
style
stephenwaite Apr 29, 2021
43eaa7e
add modifier to patient report
stephenwaite Apr 30, 2021
5f1e98d
commenting mod addition
stephenwaite Apr 30, 2021
2c0264b
fix typo
stephenwaite Apr 30, 2021
466914c
better comment
stephenwaite May 2, 2021
c7d3bbe
undo edit
stephenwaite May 2, 2021
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11 changes: 9 additions & 2 deletions custom/code_types.inc.php
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Expand Up @@ -218,7 +218,7 @@ function fees_are_used()
}

/**
* Checks is modifiers are applicable to any of the code types.
* Checks if modifiers are applicable to any of the code types.
* (If a code type is not set to show in the fee sheet, then is ignored)
*
* @param boolean $fee_sheet Will ignore code types that are not shown in the fee sheet
Expand Down Expand Up @@ -697,7 +697,8 @@ function lookup_code_descriptions($codes, $desc_detail = "code_text")
continue;
}

list($codetype, $code) = explode(':', $codestring);
// added $modifier for HCPCS and other internal codesets so can grab exact entry in codes table
list($codetype, $code, $modifier) = explode(':', $codestring);
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would document this exception on line 679 (and that will only work with internal codesets)

$table_id = $code_types[$codetype]['external'] ?? '';
if (isset($code_external_tables[$table_id])) {
$table_info = $code_external_tables[$table_id];
Expand Down Expand Up @@ -743,6 +744,12 @@ function lookup_code_descriptions($codes, $desc_detail = "code_text")
$sql .= $table_name . "." . $code_col . "=? ";
array_push($sqlArray, $code);

// Add the modifier if necessary for CPT and HCPCS which differentiates code
if ($modifier) {
$sql .= " AND modifier = ? ";
array_push($sqlArray, $modifier);
}

// We need to include the filter clauses
// For SNOMED and SNOMED-CT this ensures that we get the Preferred Term or the Fully Specified Term as appropriate
// It also prevents returning "inactive" results
Expand Down
2 changes: 1 addition & 1 deletion interface/forms/fee_sheet/new.php
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Expand Up @@ -526,7 +526,7 @@ function echoProductLines()
//
if (!$alertmsg && (!empty($_POST['bn_save']) || !empty($_POST['bn_save_close']) || !empty($_POST['bn_save_stay']))) {
$main_provid = 0 + ($_POST['ProviderID'] ?? 0);
$main_supid = 0 + ($_POST['SupervisorID'] ?? 0);
$main_supid = 0 + (int)($_POST['SupervisorID'] ?? 0);

$fs->save(
$_POST['bill'],
Expand Down
4 changes: 2 additions & 2 deletions interface/patient_file/report/custom_report.php
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Expand Up @@ -822,7 +822,7 @@ function zip_content($source, $destination, $content = '', $create = true)
if ($res[1] == 'newpatient') {
// display billing info
$bres = sqlStatement(
"SELECT b.date, b.code, b.code_text " .
"SELECT b.date, b.code, b.code_text, b.modifier " .
"FROM billing AS b, code_types AS ct WHERE " .
"b.pid = ? AND " .
"b.encounter = ? AND " .
Expand All @@ -834,7 +834,7 @@ function zip_content($source, $destination, $content = '', $create = true)
);
while ($brow = sqlFetchArray($bres)) {
echo "<div class='font-weight-bold d-inline-block'>&nbsp;" . xlt('Procedure') . ": </div><div class='text d-inline-block'>" .
text($brow['code']) . " " . text($brow['code_text']) . "</div><br />\n";
text($brow['code']) . ":" . text($brow['modifier']) . " " . text($brow['code_text']) . "</div><br />\n";
}
}

Expand Down
8 changes: 5 additions & 3 deletions interface/reports/criteria.tab.php
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Expand Up @@ -254,9 +254,11 @@
<li class="list-group-item bg-light d-flex justify-content-between align-items-center">
<a class="link_submit" href="#" onclick="javascript:return SubmitTheScreen();"><strong><?php echo xlt('Update List') ?></strong></a><i id='update-tooltip' class="fa fa-info-circle fa-lg text-primary" aria-hidden="true"></i>
</li>
<li class="list-group-item bg-light">
<a class='link_submit' href="#" onclick="javascript:return SubmitTheScreenExportOFX();"><strong><?php echo xlt('Export OFX'); ?></strong></a>
</li>
<?php if (file_exists("$webserver_root/custom/BillingExport.php")) { ?>
<li class="list-group-item bg-light">
<a class='link_submit' href="#" onclick="javascript:return SubmitTheScreenExportOFX();"><strong><?php echo xlt('Export OFX'); ?></strong></a>
</li>
<?php } ?>
<li class="list-group-item bg-light">
<a class='link_submit' href="#" onclick="javascript:return SubmitTheScreenPrint();"><strong><?php echo xlt('View Printable Report'); ?></strong></a>
</li>
Expand Down
2 changes: 1 addition & 1 deletion library/FeeSheet.class.php
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Expand Up @@ -1127,7 +1127,7 @@ public function save(
} elseif (!$del) { // Otherwise it's a new item...
$logarr = array($code_type, $code, '', $pricelevel, $fee, $units, $provid, '');
$this->logFSMessage(xl('Item added'), '', $logarr);
$code_text = lookup_code_descriptions($code_type . ":" . $code);
$code_text = lookup_code_descriptions($code_type . ":" . $code . ":" . $modifier);
BillingUtilities::addBilling(
$this->encounter,
$code_type,
Expand Down
2 changes: 1 addition & 1 deletion library/report.inc
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Expand Up @@ -277,7 +277,7 @@ function printPatientBilling($pid)
while ($result = sqlFetchArray($res)) {
echo "<span class='bold'>" . text(oeFormatSDFT(strtotime($result["date"]))) . " : </span>";
echo "<span class='text'>(" . text($result["code_type"]) . ") ";
echo $result['code_type'] == 'COPAY' ? text(oeFormatMoney($result['code'])) : text($result['code']);
echo $result['code_type'] == 'COPAY' ? text(oeFormatMoney($result['code'])) : (text($result['code']) . ":" . text($result['modifier']));
echo " - " . wordwrap(text($result['code_text']), 70, "\n", true) . "</span>";
echo "<br />\n";
}
Expand Down
12 changes: 0 additions & 12 deletions src/Billing/Claim.php
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Expand Up @@ -1458,18 +1458,6 @@ public function diagArray($strip_periods = true)
}
}

// The above got all the diagnoses used for justification, in the order
// used for justification. Next we go through all diagnoses, justified
// or not, to make sure they all get into the claim. We do it this way
// so that the more important diagnoses appear first.
foreach ($this->diags as $diag) {
if ($strip_periods) {
$diag = str_replace('.', '', $diag);
}

$da[$diag] = $diag;
}

return $da;
}

Expand Down