IBTOSUM2 ;ALB/AAS - CLAIMS TRACKING BILLING INFORMATION PRINT ; 29-OCT-93 ;;2.0;INTEGRATED BILLING;**118**;21-MAR-94 ; PRINT ; - Print the report. K X,X2,X3 D HDR,MAIN,PENAL I $O(IBCNT(3,0)) D RNB I $O(IBCNT(10,0)) D APPROV I $O(IBCNT(20,0)) D DENIAL Q ; MAIN ; - Print main body of report. S IBPER(1)=$J($S('IBCNT(2):0,1:IBCNT(2)/IBCNT(1)*100),0,2) S IBPER(2)=$J($S('IBCNT(3,0):0,1:+IBCNT(3,0)/IBCNT(1)*100),0,2) S IBPER(3)=$J($S('IBCNT(4):0,1:IBCNT(4)/IBCNT(1)*100),0,2) S IBPER(4)=$J($S('IBCNT(99):0,1:IBCNT(99)/IBCNT(1)*100),0,2) S IBPER(5)=$J($S('IBCNT(13):0,1:IBCNT(13)/IBCNT(1)*100),0,2) W !?((IOM/2)-16),"Total ",$S(IBSORT="A":"Admissions",1:"Discharges"),": ",$J(IBCNT(1),11) W !?((IOM/2)-31),"Total ",$S(IBSORT="A":"Admissions",1:"Discharges")," with Insurance: ",$J(IBCNT(2),11)," (",IBPER(1),"%)" W !?((IOM/2)-25),"Total Billable ",$S(IBSORT="A":"Admissions",1:"Discharges"),": ",$J(+$G(IBCNT(3,0)),11)," (",IBPER(2),"%)" ; W !?((IOM/2)-34),"Total ",$S(IBSORT="A":"Admissions",1:"Discharges")," Requiring Reviews: ",$J(IBCNT(4),11)," (",IBPER(3),"%)" W !?((IOM/2)-25),"Total ",$S(IBSORT="A":"Admissions",1:"Discharges")," Reviewed: ",$J(IBCNT(99),11)," (",IBPER(4),"%)" W !?((IOM/2)-39),"Total ",$S(IBSORT="A":"Admissions",1:"Discharges")," Reviewed-Multi Carrier: ",$J(IBCNT(13),11)," (",IBPER(5),"%)" ; I $E(IOST,1,2)="C-" W ! D PAUSE^VALM1 Q:$D(DIRUT) W @IOF ; W !!?((IOM/2)-18),"Total Reviews Done: ",$J(IBCNT(5),11) W !?((IOM/2)-23),"Number of Days Approved: ",$J(IBCNT(10),11) S X=IBCNT(11),X2="0$" D COMMA^%DTC W !?((IOM/2)-39),"Amount Collectible Approved for Billing: ",X ; W !!?((IOM/2)-21),"Number of Days Denied: ",$J(IBCNT(20),11) S X=IBCNT(21),X2="0$" D COMMA^%DTC W !?((IOM/2)-25),"Amount Denied for Billing: ",X ; W !!?((IOM/2)-20),"Total Cases Appealed: ",$J(IBCNT(80),11) W !?((IOM/2)-25),"Number of Initial Appeals: ",$J(IBCNT(81),11) W !?((IOM/2)-28),"Number of Subsequent Appeals: ",$J(IBCNT(82),11) ; Q ; PENAL ; -- penalty codes; variable; external form ; 1; IBCNT(31); NO PRE ADMISSION CERTIFICATION ; 2; IBCNT(32); UNTIMELY PRE ADMISSION CERTIFICATION ; 3; IBCNT(33); VA A NON-PROVIDER ; W !!!?((IOM/2)-14),"Penalty Report: Number of cases Dollars" W !?((IOM/2)-14),"--------------- ------------------------------------" W !?((IOM/2)-30),"No Pre Admission Certification: ",$J($P(IBCNT(31),U),10)," " S X=+$P(IBCNT(31),U,2),X3=9,X2="0$" D COMMA^%DTC W X W !?((IOM/2)-36),"Untimely Pre Admission Certification: ",$J($P(IBCNT(32),U),10)," " S X=+$P(IBCNT(32),U,2),X3=9,X2="0$" D COMMA^%DTC W X W !?((IOM/2)-17),"VA a Non-Provider: ",$J($P(IBCNT(33),U),10)," " S X=+$P(IBCNT(33),U,2),X3=9,X2="0$" D COMMA^%DTC W X Q ; RNB ; -- print reasons not billable D CNT(3) W !!!?((IOM/2)-26),"Reason Not Billable Report: Reason Count" W !?((IOM/2)-26),"--------------------------- ------------------------------------" S I=0 F S I=$O(IBCNT(3,I)) Q:'I D .W !?((IOM/2)+3),$E($P($G(^IBE(356.8,+I,0)),U),1,20) .W ?((IOM/2)+24),$J(IBCNT(3,I),6) .W " (",$J(IBCNT(3,I)/IBCNT(3,"NB")*100,0,2),"%)" ; W !?((IOM/2)+23),"-------" W !?((IOM/2)+3),"Total:",?((IOM/2)+23),$J(IBCNT(3,"NB"),7) Q ; ; DENIAL ; -- print days denied by specialty D CNT(20) W !!!?((IOM/2)-24),"Days Denied by Specialty: Specialty No. Days Dollars" W !?((IOM/2)-24),"------------------------- ------------------------------------" S I=0 F S I=$O(IBCNT(20,I)) Q:'I D .W !?((IOM/2)+3),$E($P($G(^DIC(45.7,+I,0)),U)_" ",1,16) .W ?((IOM/2)+20)," ",$J(IBCNT(20,I),6) .S X=IBCNT(21,I),X2="0$" D COMMA^%DTC .W ?((IOM/2)+30)," ",X Q ; ; APPROV ; -- print days approved by specialty D CNT(10) W !!!?((IOM/2)-26),"Days Approved by Specialty: Specialty No. Days Dollars" W !?((IOM/2)-26),"--------------------------- ------------------------------------" S I=0 F S I=$O(IBCNT(10,I)) Q:'I D .W !?((IOM/2)+3),$E($P($G(^DIC(45.7,+I,0)),U)_" ",1,16) .W ?((IOM/2)+20)," ",$J(IBCNT(10,I),6) .S X=IBCNT(11,I),X2="0$" D COMMA^%DTC .W ?((IOM/2)+30)," ",X ; Q ; HDR ; -- print report header W:$E(IOST,1,2)["C-"!(IBPAG>0) @IOF W !?((IOM-22)/2),"MCCR/UR SUMMARY REPORT" W !?((IOM-3)/2),"for" D SITE^IBAUTL S IBSNM=$S($D(^DIC(4,IBFAC,0)):$P(^(0),U),1:"") W !?((IOM-($L(IBSNM)+6))/2),IBSNM_" ("_IBSITE_")" W !!?((IOM-14)/2),"for "_$S(IBSORT="A":"Admissions",1:"Discharges") W !?(IOM-18/2),"From: " S Y=IBBDT D DT^DIQ W !?((IOM-16)/2)," To: " S Y=IBEDT D DT^DIQ W !!?(IOM-26/2),"Date Printed: ",IBHDT S IBPAG=IBPAG+1 W !?(IOM-8/2),"Page: ",IBPAG W !?(IOM-26/2),"--------------------------",!! Q ; CHK ; -- check task man stop flag I $D(ZTQUEUED),$$S^%ZTLOAD S ZTSTOP=1 D HDR W !!,"....task stopped at user request." Q ; CNT(N) ; -- see if enought room on page for list Q:'$G(N) S (IBC,I)=0 F S I=$O(IBCNT(N,I)) Q:'I S IBC=IBC+1 I IOSL<($Y+IBC+3),$E(IOST,1,2)="C-" D PAUSE^VALM1 S:$D(DIRUT) IBQUIT=1 W:'IBQUIT @IOF Q I IOSL<($Y+IBC+3) D HDR Q