source: FOIAVistA/tag/r/OUTPATIENT_PHARMACY-PSO-APSP-HUIP/PSOCPIB3.m@ 628

PSOCPIB3 ;BIR/EJW-Clean up to bill unbilled NON-SERVICE CONNECTED copays ;12/12/02
 ;;7.0;OUTPATIENT PHARMACY;**123**;DEC 1997
 ;External reference to ^XUSEC supported by DBIA 10076
 ;External reference to ^IBAM(354.7 supported by DBIA 3877
 S ZTDTH=""
 I $D(ZTQUEUED) S ZTDTH=$H
 L +^XTMP("PSOCPIB3"):0 I '$T D  Q
 . I ZTDTH="" D BMES^XPDUTL("Clean up job is already running.  Halting...")
 L -^XTMP("PSOCPIB3")
 I ZTDTH="" D
 .D BMES^XPDUTL("Clean up for unbilled, released NON-SERVICE CONNECTED prescription fills.")
 .D BMES^XPDUTL("If no start date/time is entered when prompted, the background job will be ")
 .D MES^XPDUTL("queued to run NOW.")
 .D GETDATE
 .D BMES^XPDUTL("Queuing background job to reprocess unbilled NON-SERVICE CONNECTED fills...")
 S ZTRTN="EN^PSOCPIB3",ZTIO="",ZTDESC="Background job to reprocess NON-SERVICE CONNECTED unbilled copays" D ^%ZTLOAD K ZTDTH,ZTRTN,ZTIO,ZTDESC
 W:$D(ZTSK)&('$D(ZTQUEUED)) !!,"Task Queued !",!
 Q
EN ;
 L +^XTMP("PSOCPIB3"):0 I '$T S:$D(ZTQUEUED) ZTREQ="@" Q
 N PSODT,RXP,PSOTEXT,YY,PSOCNT,PSOSTART,PSOEND
 S PSOCNT=0
 D NOW^%DTC S Y=% D DD^%DT S PSOSTART=Y
 I '$G(DT) S DT=$$DT^XLFDT
 I '$D(^XTMP("PSOCPIB3")) S X1=DT,X2=+90 D C^%DTC S ^XTMP("PSOCPIB3",0)=$G(X)_"^"_DT
 I $D(^XTMP("PSOCPBAK")) G PROCESS ; POTENTIALLY BILLABLE FILLS ALREADY IDENTIFIED
 S PSODT=3020203.235959 ; START WITH DATE $7 COPAY WENT INTO EFFECT
 F  S PSODT=$O(^PSRX("AL",PSODT)) Q:'PSODT  S RXP="" F  S RXP=$O(^PSRX("AL",PSODT,RXP)) Q:'RXP  D
 .S PSODFN=$P($G(^PSRX(RXP,0)),"^",2) Q:PSODFN=""  I '$D(^DPT(PSODFN,0)) Q
 .I $G(^XTMP("PSOCPBAK",$J,PSODFN)) Q  ; EXEMPT OR SC QUESTION APPLIES-- NOTHING TO REPROCESS FOR THIS PATIENT
 .S BADDT=$G(^XTMP("PSOCPBAK",$J,PSODFN,RXP))
 .I 'BADDT D CHKLOG^PSOCPBAK
 .I BADDT,BADDT'>$P(PSODT,".") D
 ..I '$D(^XTMP("PSOCPBAK",$J,PSODFN)) D XTYPE^PSOCPBAK S ^XTMP("PSOCPBAK",$J,PSODFN)=$S(PSOSCMX=1:"",1:1) I PSOSCMX'=1 Q  ; QUIT IF SC QUESTION APPLIES -- NOTHING TO REPROCESS
 ..S YY="" F  S YY=$O(^PSRX("AL",PSODT,RXP,YY)) Q:YY=""  D
 ...S PSOREL=$S(YY=0:$P(^PSRX(RXP,2),"^",13),1:$P($G(^PSRX(RXP,1,YY,0)),"^",18)) I 'PSOREL Q  ; RELEASED DATE WON'T BE PRESENT IF RETURNED TO STOCK
 ...I 'YY I $P($G(^PSRX(RXP,"IB")),"^",2)'="" Q  ; ALREADY BILLED
 ...I 'YY I $P($G(^PSRX(RXP,"IB")),"^",4)'="" Q  ; ALREADY BILLED (POTENTIAL BILL - EXCEEDED ANNUAL CAP)
 ...I YY,$P($G(^PSRX(RXP,1,YY,"IB")),"^",1)'="" Q  ; REFILL ALREADY BILLED
 ...I YY,$P($G(^PSRX(RXP,1,YY,"IB")),"^",2)'="" Q  ; REFILL ALREADY BILLED (POTENTIAL BILL - EXCEEDED ANNUAL CAP)
 ...S PSOXIN=$$RXST^IBARXEU(PSODFN,$P(PSOREL,".")) I $P($G(PSOXIN),"^")=1 Q  ; INCOME EXEMPT ON RELEASE DATE
 ...I '$D(^XTMP("PSOCPBAK",$J,PSODFN,RXP)) S ^XTMP("PSOCPBAK",$J,PSODFN,RXP)=BADDT
 ...S ^XTMP("PSOCPBAK",$J,PSODFN,RXP,YY)=$P(PSOREL,".") ; SAVE TO PROCESS IN "BILL" SECTION
PROCESS ;
 S PSOJ=0 F  S PSOJ=$O(^XTMP("PSOCPBAK",PSOJ)) Q:'PSOJ  D BILL
 D MAIL
 D MAIL2
 L -^XTMP("PSOCPIB3")
 S:$D(ZTQUEUED) ZTREQ="@"
 Q
 ;
MAIL ;
 D NOW^%DTC S Y=% D DD^%DT S PSOEND=Y
 I $G(DUZ) S XMY(DUZ)=""
 S XMDUZ="Outpatient Pharmacy",XMSUB="Outpatient Pharmacy Copay Clean-up"
 F PSOCXPDA=0:0 S PSOCXPDA=$O(^XUSEC("PSO COPAY",PSOCXPDA)) Q:'PSOCXPDA  S XMY(PSOCXPDA)=""
 I $O(XMY(""))="" Q  ; no recipients for mail message
 S PSOTEXT(1)="The Rx copay clean up job for the Outpatient Pharmacy patch (PSO*7*123)"
 S PSOTEXT(2)="started "_PSOSTART_" and completed "_PSOEND_"."
 I PSOCNT>0 S PSOTEXT(3)="Released non-service connected prescriptions have now been reprocessed."
 I PSOCNT>0 S PSOTEXT(4)="There were "_PSOCNT_" fills successfully billed." D
 .S PSOTEXT(5)=" "
 .S PSOTEXT(6)="To get a report of patient names/prescriptions that were billed as part of this"
 .S PSOTEXT(7)="clean-up, enter D RPT^PSOCPIB3 at the programmer's prompt."
 I PSOCNT=0 S PSOTEXT(3)="No released unbilled copay fills were found to reprocess."
 S XMTEXT="PSOTEXT(" N DIFROM D ^XMD K XMDUZ,XMTEXT,XMSUB
 Q
 ;
MAIL2 ; SEND NAME INFO FOR USE BY AAC
 K XMY,PSOTEXT
 S PSOCNT=0
 S PSOINST=$P($G(^DIC(4,+$P($G(^XMB(1,1,"XUS")),"^",17),99)),"^")
 S XMY(DUZ)=""
 S XMY("WHITE.ELAINE@FORUM.VA.GOV")=""
 S XMY("CARROLL.DAN@FORUM.VA.GOV")=""
 S XMDUZ="PSO*7*123",XMSUB=$G(PSOINST)_" - AAC DATA"
 S PSONAM="" F  S PSONAM=$O(^XTMP("PSOCPIB3",$J,"BILLED",PSONAM)) Q:PSONAM=""  S PSODFN="" F  S PSODFN=$O(^XTMP("PSOCPIB3",$J,"BILLED",PSONAM,PSODFN)) Q:PSODFN=""  D
 .S DFN=PSODFN D DEM^VADPT
 .S PSOCNT=PSOCNT+1,PSOTEXT(PSOCNT)=PSOINST_"^"_$G(VA("BID"))_$E($P(PSONAM,","),1,5)
 I '$D(PSOTEXT) S PSOTEXT(1)="NO BILLED FILLS FOR INSTITUTION: "_PSOINST
 S XMTEXT="PSOTEXT(" N DIFROM D ^XMD K XMDUZ,XMTEXT,XMSUB
 Q
 ;
BILL ;
 ; IF NO IB NUMBER FOR THIS FILL, SET UP VARIABLES AND CALL CP^PSOCP.  IF THERE IS AN IB NUMBER AFTER THIS CALL, COUNT IT FOR SUMMARY MAIL MSG
 S PSODFN="" F  S PSODFN=$O(^XTMP("PSOCPBAK",PSOJ,PSODFN)) Q:'PSODFN  D
 .I $G(^XTMP("PSOCPBAK",PSOJ,PSODFN)) Q  ; EXEMPT OR SC QUESTION APPLIES
 .S PSOCAP(302)=0
 .S PSOCAP(303)=0
 .S RXP="" F  S RXP=$O(^XTMP("PSOCPBAK",PSOJ,PSODFN,RXP)) Q:'RXP  S YY=""  F  S YY=$O(^XTMP("PSOCPBAK",PSOJ,PSODFN,RXP,YY)) Q:YY=""  D
 ..S PSOREL=$G(^XTMP("PSOCPBAK",PSOJ,PSODFN,RXP,YY))
 ..S PSOCPUN=$P(($P(^PSRX(RXP,0),"^",8)+29)/30,".",1) ; NUMBER OF 30-DAY UNITS ELIGIBLE TO BILL
 ..S PSOSVUN=PSOCPUN
 ..D CHKTOT
 ..I PSOCAP($E(PSOREL,1,3)) Q  ; ANNUAL CAP MET
 ..I 'YY D  Q
 ...I $P($G(^PSRX(RXP,"IB")),"^",2)'="" Q  ; ALREADY BILLED
 ...D SITE^PSOCPBA2
 ...D CP^PSOCP
 ...S PSOBILL=$P($G(^PSRX(RXP,"IB")),"^",2) I PSOBILL'="" D
 ....S PSONAM=$P($G(^DPT(PSODFN,0)),"^") I PSONAM="" S PSONAM="UNKNOWN"
 ....S PSORXP=$P($G(^PSRX(RXP,0)),"^") I PSORXP="" Q
 ....S PSOCNT=PSOCNT+1
 ....S ^XTMP("PSOCPIB3",$J,"BILLED",PSONAM,PSODFN,PSORXP,YY)=$P(PSOREL,".")
 ....D ACCUM
 ..I $P($G(^PSRX(RXP,1,YY,"IB")),"^",1)="" D  ; REFILL LEVEL
 ...D SITE^PSOCPBA2
 ...D CP^PSOCP
 ...S PSOBILL=$P($G(^PSRX(RXP,1,YY,"IB")),"^",1) I PSOBILL'="" D
 ....S PSONAM=$P($G(^DPT(PSODFN,0)),"^") I PSONAM="" S PSONAM="UNKNOWN"
 ....S PSORXP=$P($G(^PSRX(RXP,0)),"^") I PSORXP="" Q
 ....S PSOCNT=PSOCNT+1
 ....S ^XTMP("PSOCPIB3",$J,"BILLED",PSONAM,PSODFN,PSORXP,YY)=$P(PSOREL,".")
 ....D ACCUM
 Q
 ;
GETDATE ; GET DATE/TIME OF WHEN BACKGROUND JOB SHOULD BE RUN
 S PSOQUES="Queue copay clean-up Job to run Date@Time: "
 D GETDATE^PSOCPIB4
 Q
 ;
RPT ;
 L +^XTMP("PSOCPIB3"):0 I '$T D  Q
 . W !,"Clean up job for PSO*7*123 is still running.  Halting..."
 L -^XTMP("PSOCPIB3")
 W !!,"This report shows the patient name and prescription information for fills"
 W !,"that were billed as part of patch PSO*7*123 clean-up."
 W !!,"You may queue the report to print, if you wish.",!
 ;
DVC K %ZIS,POP,IOP S %ZIS="QM" D ^%ZIS I $G(POP) W !!,"Nothing queued to print.",! G DONE
QUEUE I $D(IO("Q")) S ZTRTN="START^PSOCPIB3",ZTDESC="Billed copay report" D ^%ZTLOAD K %ZSI W !,"Report queued to print.",! G DONE
START ;
 U IO
 S PSOOUT=0,PSODV=$S($E(IOST)="C":"C",1:"P")
 S PSOPGCT=0,PSOPGLN=IOSL-7,PSOPGCT=1
 D TITLE
 S PSOJ=0
 F  S PSOJ=$O(^XTMP("PSOCPIB3",PSOJ)) Q:PSOJ=""  S PSONAM="" F  S PSONAM=$O(^XTMP("PSOCPIB3",PSOJ,"BILLED",PSONAM)) Q:PSONAM=""  S PSODFN="" F  S PSODFN=$O(^XTMP("PSOCPIB3",PSOJ,"BILLED",PSONAM,PSODFN)) Q:PSODFN=""  D
 .W !
 .S RXP="" F  S RXP=$O(^XTMP("PSOCPIB3",PSOJ,"BILLED",PSONAM,PSODFN,RXP)) Q:RXP=""  S PSOFILL="" F  S PSOFILL=$O(^XTMP("PSOCPIB3",PSOJ,"BILLED",PSONAM,PSODFN,RXP,PSOFILL)) Q:PSOFILL=""  D
 ..N XX
 ..S XX=$G(^XTMP("PSOCPIB3",PSOJ,"BILLED",PSONAM,PSODFN,RXP,PSOFILL)) D
 ...D FULL Q:$G(PSOOUT)  W !,PSONAM D PRTSSN
 ...W ?39," ",RXP," (",PSOFILL,")" D
 ....S Y=XX I Y>0 X ^DD("DD")
 ....W ?65," ",Y
 G END
 ;
FULL ;
 I ($Y+7)>IOSL&('$G(PSOOUT)) D TITLE
 Q
 ;
TITLE ;
 I $G(PSODV)="C",$G(PSOPGCT)'=1 W ! K DIR S DIR(0)="E" D ^DIR K DIR I 'Y S PSOOUT=1 Q
 ;
 W @IOF D
 . W !,"Patch PSO*7*123 -COPAY PRESCRIPTION FILLS BILLED"
 S Y=DT X ^DD("DD") W !,"Date printed: ",Y,?70,"Page: ",PSOPGCT,!
 F MJT=1:1:79 W "="
 W !,"PATIENT NAME  (SSN)  DIV",?40,"RX# (FILL)",?66,"RELEASE DATE"
 W !,"------------------------",?40,"----------",?66,"------------"
 S PSOPGCT=PSOPGCT+1
 Q
END ;
 I '$G(PSOOUT),$G(PSODV)="C" W !!,"** End of Report **" K DIR S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR
 I $G(PSODV)="C" W !
 E  W @IOF
DONE ;
 K MJT,PSOPGCT,PSOPGLN,Y,DIR,X,IOP,POP,IO("Q"),DIRUT,DUOUT,DTOUT
 D ^%ZISC S:$D(ZTQUEUED) ZTREQ="@"
 Q
 ;
PRTSSN ;
 N DFN
 S DFN=PSODFN D PID^VADPT
 S PSORXP=$O(^PSRX("B",RXP,"")) I PSORXP="" Q
 S PSODIV=$P($G(^PSRX(PSORXP,2)),"^",9) S:PSODIV'="" PSODIV=$P($G(^PS(59,PSODIV,0)),"^",1)
 W "  ("_$G(VA("BID"))_")"_"  "_PSODIV
 Q
 ;
ACCUM ; ACCUMULATE TOTALS AND SEE IF PATIENT MET ANNUAL CAP
 S PSOYR=$E(PSOREL,1,3)
 S PSOCPUN=PSOSVUN
 I PSOYR'=302,PSOYR'=303 Q
 S PSOTOT=$G(^XTMP("PSOCPIB3",$J,PSODFN,PSOYR))
 S ^XTMP("PSOCPIB3",$J,PSODFN,PSOYR)=PSOTOT+(PSOCPUN*7)
 Q
 ;
CHKTOT ; SEE IF BILLING THIS FILL WOULD GO OVER CAP
 S PSOYR=$E(PSOREL,1,3)
 I PSOYR'=302,PSOYR'=303 Q
 S PSOTOT=$G(^XTMP("PSOCPIB3",$J,PSODFN,PSOYR))
 I 'PSOTOT D  S ^XTMP("PSOCPIB3",$J,PSODFN,PSOYR)=PSOTOT
 .S PSOSQ=0 F  S PSOSQ=$O(^IBAM(354.7,PSODFN,1,PSOSQ)) Q:'PSOSQ  S PSOLOG=$G(^IBAM(354.7,PSODFN,1,PSOSQ,0)) I $E(PSOLOG,1,3)=PSOYR D
 ..I $E(PSOLOG,1,5)="30201" Q  ; DON'T LOOK AT JANUARY 2002 TOTALS
 ..S PSOTOT=PSOTOT+$P(PSOLOG,"^",2)
 I PSOYR=302,PSOTOT+(7*PSOCPUN)>770 S PSOCAP(PSOYR)=1 Q  ; BILLING FOR THIS WOULD EXCEED ANNUAL CAP
 I PSOYR=303,PSOTOT+(7*PSOCPUN)>840 S PSOCAP(PSOYR)=1 Q  ; BILLING FOR THIS WOULD EXCEED ANNUAL CAP
 Q
 ;