IBTODD1 ;ALB/AAS - CLAIMS TRACKING DENIED DAYS REPORT ; 27-OCT-93 ;;Version 2.0 ; INTEGRATED BILLING ;**32**; 21-MAR-94 ; % I '$D(DT) D DT^DICRW PRINT ; -- print data ; -- ^tmp($j,"ibtodd",primary sort,secondary sort,ibtrc)=DFN ^ attending ^ treating specialty ^ service ^ billing bed section ^ billing rate ; K IBCNT I 'IBSUM D HDR I 'IBSUM,$O(^TMP($J,"IBTODD",""))="" W !!,"No Denials Found in Date Range." G PRINTQ ; S IBI="",IBISV="" F S IBI=$O(^TMP($J,"IBTODD",IBI)) Q:IBI=""!(IBQUIT) D .I IBSORT'="P",IBISV'=IBI D SUBT^IBTODD2 .S IBISV=IBI D SUBH^IBTODD2(IBI) Q:IBQUIT .S IBJ="" F S IBJ=$O(^TMP($J,"IBTODD",IBI,IBJ)) Q:IBJ=""!(IBQUIT) D ..S IBTRC="" ..F S IBTRC=$O(^TMP($J,"IBTODD",IBI,IBJ,IBTRC)) Q:IBTRC=""!(IBQUIT) S IBDATA=^(IBTRC) D ONE I IBQUIT G PRINTQ I 'IBSUM D SUBT^IBTODD2 D SUM^IBTODD2 ; PRINTQ Q ; ONE ; -- print one entry ; -- ^tmp($j,"ibtodd",primary sort,secondary sort,ibtrc)=DFN ^ attending ^ treating specialty ^ service ^ billing bed section ^ billing rate ; S IBAPL=$$APPEAL(IBTRC) D CNTS S IBTALL=+$P($G(^IBT(356.2,+IBTRC,1)),"^",7) ;entire admission denied Q:IBSUM ; I IOSL<($Y+6) D HDR,SUBH^IBTODD2(IBI) S DFN=+IBDATA D PID^VADPT S IBTRCD=$G(^IBT(356.2,+IBTRC,0)) L1 W !,$E($P(^DPT(DFN,0),"^"),1,22),?25,VA("PID") S IBCDT=$$CDT($P(IBTRCD,"^",2)) W ?38,$$DAT1^IBOUTL(+IBCDT\1) W:$P(IBCDT,"^",2) " to" W ?50,$J($P(IBDATA,"^",2),8) I IBTALL W ?64,"ALL" I 'IBTALL W ?64,$$DAT1^IBOUTL($P(IBTRCD,"^",15),"2P") W:$P(IBTRCD,"^",16) " to" I IBTALL!('$P(IBTRCD,"^",16)) W " (",$P(IBDATA,"^",7),")" K IBDEN,IBC S IBDEN=0,IBC=0 F S IBDEN=$O(^IBT(356.2,+IBTRC,12,IBDEN)) Q:'IBDEN S IBC=IBC+1,IBC(IBC)=^(IBDEN,0) W:$G(IBC(1)) ?78,$E($$EXPAND^IBTRE(356.212,.01,+IBC(1)),1,25) W ?110,$S(+$P(IBAPL,"^",2):"YES",1:"NO") W ?117,$J(+IBAPL,8) ; ; L2 W !?38,$$DAT1^IBOUTL($P(IBCDT,"^",2)\1,"2P") W ?64,$$DAT1^IBOUTL($P(IBTRCD,"^",16),"2P") I 'IBTALL,$P(IBTRCD,"^",16) W " (",$P(IBDATA,"^",7),")" W ?78,$E($$EXPAND^IBTRE(356.212,.01,$G(IBC(2))),1,25) ; I $O(IBC(2)) S IBDEN=2 F S IBDEN=$O(IBC(IBDEN)) Q:'IBDEN W !?78,$E($$EXPAND^IBTRE(356.212,.01,$G(IBC(IBDEN))),1,25) ONEQ W ! Q ; ; CNTS ; -- develop summary data S IBSERV=$P(IBDATA,"^",4) I IBSERV="" S IBSERV="UNKNOWN" S:'$D(IBCNT(IBSERV)) IBCNT(IBSERV)="" S $P(IBCNT(IBSERV),"^")=$P(IBCNT(IBSERV),"^")+$P(IBDATA,"^",7) S $P(IBCNT(IBSERV),"^",2)=$P(IBCNT(IBSERV),"^",2)+($P(IBDATA,"^",7)*$P(IBDATA,"^",6)) S $P(IBCNT(IBSERV),"^",3)=$P(IBCNT(IBSERV),"^",3)+1 S $P(IBCNT(IBSERV),"^",4)=$P(IBCNT(IBSERV),"^",4)+$G(IBAPL) S:$P(IBCNT(IBSERV),"^",6)<$P(IBDATA,"^",6) $P(IBCNT(IBSERV),"^",6)=$P(IBDATA,"^",6) S IBSUBT=$G(IBSUBT)+$P(IBDATA,"^",7) S IBTOTL=$G(IBTOTL)+$P(IBDATA,"^",7) Q ; HDR ; -- Print header for billing report Q:IBQUIT I $E(IOST,1,2)="C-",IBPAG D PAUSE^VALM1 I $D(DIRUT) S IBQUIT=1 Q I $E(IOST,1,2)="C-"!(IBPAG) W @IOF S IBPAG=IBPAG+1 W !,"MCCR/UR DENIED DAYS Report for Denials Dated ",$$FMTE^XLFDT(IBBDT),$S(IBBDT'=IBEDT:" to "_$$FMTE^XLFDT(IBEDT),1:"")," " W ?(IOM-33),"Page ",IBPAG," ",IBHDT W !!,?38,"Dates of",?64,"Dates",?117,"Days Approved" W !,"Patient",?25,"Pt. ID",?38,"Care",?50,"Attending",?64,"Denied",?78,"Denial Reason",?105,"Appealed",?117,"on Appeal" W !,$TR($J(" ",IOM)," ","-") Q ; CDT(IBTRN) ; -- compute dates of care N X,Y S X=$G(^IBT(356,+IBTRN,0)),Y="" I $P(X,"^",5) S DGPM=$G(^DGPM($P(X,"^",5),0)) D .S Y=+DGPM .I $P(DGPM,"^",17) S Y=Y_"^"_+$G(^DGPM($P(DGPM,"^",17),0)) I 'Y S Y=$P(X,"^",6) Q Y ; APPEAL(IBTRC) ; -- Find appeals N X,Y,IBAPEAL,IBTRN,IBTRSV S (Y,X)=0 S IBTRSV=IBTRC S IBTRC=0 F S IBTRC=$O(^IBT(356.2,"AP",+IBTRSV,IBTRC)) Q:'IBTRC S Y=1,X=X+$$AP(IBTRC) ; Q X_"^"_Y ; AP(IBTRC) ; -- count days approved N X,Y,Z S (X,Z)=0 F S X=$O(^IBT(356.2,+IBTRC,14,X)) Q:'X S Y=$G(^(X,0)),Z=Z+$$FMDIFF^XLFDT($P(Y,"^",2),+Y)+1 Q Z