Added GZ modifier and associated LMRP validation logic

bradsp · bradsp · commit a6c25d5244a8 · 2024-08-06T10:13:09.000-05:00
diff --git a/Lab Billing UI/Properties/launchSettings.json b/Lab Billing UI/Properties/launchSettings.json
@@ -1,7 +1,8 @@
 {
   "profiles": {
     "Lab Billing WinForms UI": {
-      "commandName": "Project"
+      "commandName": "Project",
+      "commandLineArgs": "/TEST"
     }
   }
 }
diff --git a/Lab Billing UI/VersionAutoIncrementer.cs b/Lab Billing UI/VersionAutoIncrementer.cs
@@ -6,9 +6,9 @@
 [assembly: System.Reflection.AssemblyCompanyAttribute("Lab Patient Accounting")]
 [assembly: System.Reflection.AssemblyCopyrightAttribute("Copyright 2020-2024")]
 [assembly: System.Reflection.AssemblyDescriptionAttribute("...")]
-[assembly: System.Reflection.AssemblyFileVersionAttribute("2024.8.5.926")]
-[assembly: System.Reflection.AssemblyInformationalVersionAttribute("2024.8.5.926")]
+[assembly: System.Reflection.AssemblyFileVersionAttribute("2024.8.6.585")]
+[assembly: System.Reflection.AssemblyInformationalVersionAttribute("2024.8.6.585")]
 [assembly: System.Reflection.AssemblyProductAttribute("...")]
 [assembly: System.Reflection.AssemblyTitleAttribute("Lab Patient Accounting")]
-[assembly: AssemblyVersion("2024.8.5.926")]
+[assembly: AssemblyVersion("2024.8.6.585")]
 
diff --git a/LabBilling Library/Models/Dictionaries.cs b/LabBilling Library/Models/Dictionaries.cs
@@ -290,6 +290,7 @@ public static class Dictionaries
         {"59", "Distinct Procedural Service" },
         {"90", "Reference (Outside) Laboratory" },
         {"91", "Repeat Test" },
+        {"GZ", "No ABN obtained" },
         {"QW", "CLIA Waived Test" }
     };
 }
diff --git a/LabBilling Library/Services/AccountService.cs b/LabBilling Library/Services/AccountService.cs
@@ -1726,7 +1726,7 @@ private List<string> ValidateLMRP(Account account)
             if (ruleDef == null)
                 continue;
 
-            bool dxIsValid = ruleDef.DxIsValid == 0 ? false : true;
+            bool dxIsValid = ruleDef.DxIsValid != 0;
             bool dxSupported = false;
 
             foreach (var dx in account.Pat.Diagnoses)
@@ -1741,7 +1741,11 @@ private List<string> ValidateLMRP(Account account)
 
             if (!dxSupported)
             {
-                errorList.Add($"LMRP Violation - No dx codes support medical necessity for cpt {cpt4}.");
+                //check if charge has a GZ modifier
+                if (!account.BillableCharges.Any(x => x.ChrgDetails.Where(y => y.Cpt4 == cpt4).Any(z => z.Modifier == "GZ" || z.Modifier2 == "GZ")))
+                {
+                    errorList.Add($"LMRP Violation - No dx codes support medical necessity for cpt {cpt4}.");
+                }                
             }
         }
         uow.Commit();
diff --git a/LabBillingJobsSetup/LabBillingJobsSetup.vdproj b/LabBillingJobsSetup/LabBillingJobsSetup.vdproj
@@ -255,15 +255,15 @@
         {
         "Name" = "8:Microsoft Visual Studio"
         "ProductName" = "8:LabBillingJobsSetup"
-        "ProductCode" = "8:{DB7141FE-404A-4D80-8563-64FC86B4F18E}"
-        "PackageCode" = "8:{4AC3A8A1-34E6-4337-B309-78857081BB40}"
+        "ProductCode" = "8:{7BFA7CA3-6E7B-46BB-8449-78ACAC933FB9}"
+        "PackageCode" = "8:{C510493E-C840-497B-A10B-4F550C01DDC7}"
         "UpgradeCode" = "8:{947B5E93-9B8F-4A8A-80E4-E50848C461B9}"
         "AspNetVersion" = "8:2.0.50727.0"
         "RestartWWWService" = "11:FALSE"
         "RemovePreviousVersions" = "11:TRUE"
         "DetectNewerInstalledVersion" = "11:TRUE"
         "InstallAllUsers" = "11:TRUE"
-        "ProductVersion" = "8:1.0.0"
+        "ProductVersion" = "8:1.0.1"
         "Manufacturer" = "8:WTH"
         "ARPHELPTELEPHONE" = "8:"
         "ARPHELPLINK" = "8:"

Original file line number	Diff line number	Diff line change
`@@ -1,7 +1,8 @@`
`1`	`1`	`{`
`2`	`2`	`"profiles": {`
`3`	`3`	`"Lab Billing WinForms UI": {`
`4`		`- "commandName": "Project"`
	`4`	`+ "commandName": "Project",`
	`5`	`+ "commandLineArgs": "/TEST"`
`5`	`6`	`}`
`6`	`7`	`}`
`7`	`8`	`}`
Original file line number	Diff line number	Diff line change
`@@ -290,6 +290,7 @@ public static class Dictionaries`
`290`	`290`	`{"59", "Distinct Procedural Service" },`
`291`	`291`	`{"90", "Reference (Outside) Laboratory" },`
`292`	`292`	`{"91", "Repeat Test" },`
	`293`	`+ {"GZ", "No ABN obtained" },`
`293`	`294`	`{"QW", "CLIA Waived Test" }`
`294`	`295`	`};`
`295`	`296`	`}`
Original file line number	Diff line number	Diff line change
`@@ -1726,7 +1726,7 @@ private List<string> ValidateLMRP(Account account)`
`1726`	`1726`	`if (ruleDef == null)`
`1727`	`1727`	`continue;`
`1728`	`1728`
`1729`		`- bool dxIsValid = ruleDef.DxIsValid == 0 ? false : true;`
	`1729`	`+ bool dxIsValid = ruleDef.DxIsValid != 0;`
`1730`	`1730`	`bool dxSupported = false;`
`1731`	`1731`
`1732`	`1732`	`foreach (var dx in account.Pat.Diagnoses)`
`@@ -1741,7 +1741,11 @@ private List<string> ValidateLMRP(Account account)`
`1741`	`1741`
`1742`	`1742`	`if (!dxSupported)`
`1743`	`1743`	`{`
`1744`		`- errorList.Add($"LMRP Violation - No dx codes support medical necessity for cpt {cpt4}.");`
	`1744`	`+ //check if charge has a GZ modifier`
	`1745`	`+ if (!account.BillableCharges.Any(x => x.ChrgDetails.Where(y => y.Cpt4 == cpt4).Any(z => z.Modifier == "GZ" \|\| z.Modifier2 == "GZ")))`
	`1746`	`+ {`
	`1747`	`+ errorList.Add($"LMRP Violation - No dx codes support medical necessity for cpt {cpt4}.");`
	`1748`	`+ }`
`1745`	`1749`	`}`
`1746`	`1750`	`}`
`1747`	`1751`	`uow.Commit();`