| 1 | RCRJRBD ;WISC/RFJ,TJK-bad debt extractor and report ;1 Feb 98
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| 2 |  ;;4.5;Accounts Receivable;**101,139,170,193,203,215,220,138,239**;Mar 20, 1995
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 |  ; IA 4385 for calls to $$MRATYPE^IBCEMU2 and $$MRADTACT^IBCEMU2
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| 5 |  Q
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| 6 |  ;
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| 7 |  ;
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| 8 | START(DATEEND) ;  run bad debt report
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| 9 |  ;  the DATEEND is the last day of the month being run
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| 10 |  ;  from the routine RCRJRCOL which is the data extractor.  The
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| 11 |  ;  current receivable dollars is stored in ^TMP($J,"RCRJRBD",SGL)
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| 12 |  ;  where SGL is the standard general ledger 1319, 1338, or 1339.
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| 13 |  ;
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| 14 |  N ACTDATE,ACTUALCA,ACTUALWO,BEGDATE,BILLDA,CATEGORY
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| 15 |  N COLLECT,CONTRACT,DR,ENDDATE,FUND,PAY,PAYMENT,PRIN,PRINCPAL
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| 16 |  N RCRJFMM,RCRJDATE,SGL,TRANDA,TRANDATE,TRANTYPE,VALUE,WRITEOFF
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| 17 |  N RCPRIN,RCTOMCCF,RCVALUE,RSC,MRATYPE,ARACTDT
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| 18 |  ;
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| 19 |  ;  lock the bad debt file for storing data, lock cannot fail
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| 20 |  ;  this lock can be used to monitor if the report is running
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| 21 |  L +^RC(348.1)
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| 22 |  ;
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| 23 |  ;  calculate the base percentages from past data
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| 24 |  ;  example:  DATEEND=2980331  => BEGDATE=2970300
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| 25 |  ;                             => ENDDATE=2980229
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| 26 |  ;   add one day to ending date to go to next month
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| 27 |  S BEGDATE=($E(DATEEND,1,3)-1)_$E(DATEEND,4,5)_"00"
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| 28 |  S ENDDATE=($$FMADD^XLFDT($E(DATEEND,1,5)_"00",-1))+1
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| 29 |  ;  loop bills activated between these dates
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| 30 |  S ACTDATE=BEGDATE
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| 31 |  F  S ACTDATE=$O(^PRCA(430,"ACTDT",ACTDATE)) Q:'ACTDATE!(ACTDATE>ENDDATE)  D
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| 32 |  . S BILLDA=0 F  S BILLDA=$O(^PRCA(430,"ACTDT",ACTDATE,BILLDA)) Q:'BILLDA  D
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| 33 |  . . S CATEGORY=+$P($G(^PRCA(430,BILLDA,0)),"^",2)
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| 34 |  . . ;  do not look at prepayments
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| 35 |  . . I 'CATEGORY!(CATEGORY=26) Q
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| 36 |  . . ;
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| 37 |  . . ;  only look at bills with a 0 principal balance
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| 38 |  . . I $P($G(^PRCA(430,BILLDA,7)),"^") Q
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| 39 |  . . ;
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| 40 |  . . ;  only report fund 528701,03,04, and 4032/528709 bills
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| 41 |  . . S FUND=$$GETFUNDB^RCXFMSUF(BILLDA,1)
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| 42 |  . . I '$$PTACCT^PRCAACC(FUND),$E(FUND,1,4)'=4032 Q
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| 43 |  . . ;
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| 44 |  . . ;  determine MRA type of bill, given bill# and bill active date
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| 45 |  . . ;  DBIA #4385 activated on 31-Mar-2004
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| 46 |  . . S MRATYPE=$$MRATYPE^IBCEMU2(BILLDA,ACTDATE)
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| 47 |  . . ;
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| 48 |  . . ;  derive standard general ledger (SGL) from cat/fund/MRA type
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| 49 |  . . S SGL=$$BDRSGL(CATEGORY,FUND,MRATYPE)
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| 50 |  . . ;
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| 51 |  . . ;  determine the original amount of the bill (add increase
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| 52 |  . . ;  adjustments below)
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| 53 |  . . S PRIN=$P($G(^PRCA(430,BILLDA,0)),"^",3)
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| 54 |  . . S PAY=0
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| 55 |  . . ;
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| 56 |  . . ;  get the $ transations for bills
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| 57 |  . . S TRANDA=0
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| 58 |  . . F  S TRANDA=$O(^PRCA(433,"C",BILLDA,TRANDA)) Q:'TRANDA  D
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| 59 |  . . . S TRANTYPE=$P($G(^PRCA(433,TRANDA,1)),"^",2)
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| 60 |  . . . I "^1^2^34^43^"'[("^"_TRANTYPE_"^") Q
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| 61 |  . . . S VALUE=$$TRANBAL^RCRJRCOT(TRANDA) I VALUE="" Q
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| 62 |  . . . ;  increase adjustments or re-establish
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| 63 |  . . . I TRANTYPE=1!(TRANTYPE=43) S PRIN=PRIN+$P(VALUE,"^") Q
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| 64 |  . . . ;  payments
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| 65 |  . . . I TRANTYPE=2!(TRANTYPE=34) S PAY=PAY+$P(VALUE,"^") Q
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| 66 |  . . ;
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| 67 |  . . ;  payment cannot be greater than principle
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| 68 |  . . I PAY>PRIN S PAY=PRIN
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| 69 |  . . ;
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| 70 |  . . ;  store the data
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| 71 |  . . S PRINCPAL(SGL)=$G(PRINCPAL(SGL))+PRIN
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| 72 |  . . S PAYMENT(SGL)=$G(PAYMENT(SGL))+PAY
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| 73 |  . . ;
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| 74 |  ;
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| 75 |  ;  calculate the writeoffs from 2/0/98
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| 76 |  ;  2/0/98 is when fms cleared out actual writeoffs and contract adj
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| 77 |  K ^XTMP("PRCABDET")
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| 78 |  S ^XTMP("PRCABDET",0)=$$FMADD^XLFDT(DT,10)_"^"_DT_"^BAD DEBT REPORT AUDIT"
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| 79 |  F TRANTYPE=8,9,10,11,35 D
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| 80 |  . S TRANDATE=2980200
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| 81 |  . ;  do not pick up transactions after the end date
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| 82 |  . F  S TRANDATE=$O(^PRCA(433,"AT",TRANTYPE,TRANDATE)) Q:'TRANDATE!($P(TRANDATE,".")>DATEEND)  D
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| 83 |  . . S TRANDA=0 F  S TRANDA=$O(^PRCA(433,"AT",TRANTYPE,TRANDATE,TRANDA)) Q:'TRANDA  D
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| 84 |  . . . ;  do not look at decrease adj which are not contract adj
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| 85 |  . . . I TRANTYPE=35,'$P($G(^PRCA(433,TRANDA,8)),"^",8) Q
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| 86 |  . . . ;
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| 87 |  . . . S BILLDA=$P($G(^PRCA(433,TRANDA,0)),"^",2)
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| 88 |  . . . I 'BILLDA Q
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| 89 |  . . . S CATEGORY=+$P($G(^PRCA(430,BILLDA,0)),"^",2)
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| 90 |  . . . ;  do not look at prepayments
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| 91 |  . . . I 'CATEGORY!(CATEGORY=26) Q
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| 92 |  . . . ;
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| 93 |  . . . ;  only report fund 528701,03,04 and 4032/528709 (ltc) bills
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| 94 |  . . . S FUND=$$GETFUNDB^RCXFMSUF(BILLDA,1)
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| 95 |  . . . I '$$PTACCT^PRCAACC(FUND),$E(FUND,1,4)'=4032 Q
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| 96 |  . . . ;
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| 97 |  . . . ;  get bill active date
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| 98 |  . . . S ARACTDT=+$P($P($G(^PRCA(430,BILLDA,6)),"^",21),".")
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| 99 |  . . . ;  determine MRA type of bill, given bill# and bill active date
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| 100 |  . . . ;  DBIA #4385 activated on 31-Mar-2004
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| 101 |  . . . S MRATYPE=$$MRATYPE^IBCEMU2(BILLDA,ARACTDT)
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| 102 |  . . . ;
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| 103 |  . . . ; derive standard general ledger (SGL) from cat/fund/MRA type
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| 104 |  . . . S SGL=$$BDRSGL(CATEGORY,FUND,MRATYPE)
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| 105 |  . . . ;
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| 106 |  . . . ;  get the principal transaction value
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| 107 |  . . . S RCVALUE=+$P($$TRANBAL^RCRJRCOT(TRANDA),"^")
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| 108 |  . . . ;  temp variable for value (used below)
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| 109 |  . . . S RCPRIN=RCVALUE
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| 110 |  . . . ;
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| 111 |  . . . ;  add actual writeoff amount for fiscal year
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| 112 |  . . . I TRANTYPE'=35 S ACTUALWO(SGL)=$G(ACTUALWO(SGL))+RCVALUE
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| 113 |  . . . ;  add actual contract adjustments for fiscal year
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| 114 |  . . . I TRANTYPE=35 S ACTUALCA(SGL)=$G(ACTUALCA(SGL))+RCVALUE
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| 115 |  . . . S RSC=$$CALCRSC^RCXFMSUR(BILLDA)
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| 116 |  . . . S ^XTMP("PRCABDET",BILLDA,CATEGORY,FUND,RSC,SGL,TRANDA,TRANDATE,TRANTYPE,RCPRIN,RCVALUE,0,0)=""
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| 117 |  ;
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| 118 |  ;  remove all the entries from the bad debt file
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| 119 |  D DELETALL
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| 120 |  ;
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| 121 |  ;  calculate percentages and store them
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| 122 |  F SGL=1319,1319.2,1319.3,1319.4,1338,1339,"133N" D
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| 123 |  . ;  collection %
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| 124 |  . S COLLECT=0 I $G(PRINCPAL(SGL)) S COLLECT=$J($G(PAYMENT(SGL))/PRINCPAL(SGL)*100,0,2)
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| 125 |  . ;  patch PRCA*4.5*138: for the first year from when MRA is activated at a site, there is no collection
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| 126 |  . ;  history for post-MRA non-Medicare bills(SGL 133N). So, to calculate the percentage for SGL 133N, the
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| 127 |  . ;  payment and the principal for SGL 1339 are used in the first year.
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| 128 |  . ;  override the collection value for SGL=133N for the first year from MRA activation.
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| 129 |  . ;;  Re-evaluate the calc. of the percentage for 133N as well as 1339.
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| 130 |  . ;;I SGL="133N",$G(PRINCIPAL(1339)) D  ;
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| 131 |  . ;;. N X1,X2,X,%Y
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| 132 |  . ;;. ;  X2=MRA Activation Date, X1=Today, X=diff in days, %Y=0 invalid dates
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| 133 |  . ;;. ;  DBIA #4385 activated on 31-Mar-2004
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| 134 |  . ;;. S X2=$$MRADTACT^IBCEMU2,X1=$$DT^XLFDT D ^%DTC
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| 135 |  . ;;. I %Y,X'>364.25 S COLLECT=$J($G(PAYMENT(1339))/PRINCPAL(1339)*100,0,2)
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| 136 |  . S DR=".02////"_+COLLECT_";"
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| 137 |  . ;
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| 138 |  . ;  current month receivable (this is built in the routine
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| 139 |  . ;  RCRJRCO1 and is stored in ^TMP($J,"RCRJRBD",SGL))
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| 140 |  . S DR=DR_".07////"_+$G(^TMP($J,"RCRJRBD",SGL))_";"
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| 141 |  . ;
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| 142 |  . ;  calculate allowance estimate for 1319 and 1338
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| 143 |  . ;  .08 allowance estimate = (writeoff % * current receivables)
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| 144 |  . ;  .09 actual writeoffs fytd
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| 145 |  . I SGL=1319!(SGL=1319.2)!(SGL=1319.3)!(SGL=1319.4)!(SGL=1338) D
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| 146 |  . . S WRITEOFF=100-COLLECT
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| 147 |  . . S DR=DR_".03////"_WRITEOFF_";"
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| 148 |  . . S DR=DR_".08////"_$J((WRITEOFF/100)*$G(^TMP($J,"RCRJRBD",SGL)),0,2)_";"
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| 149 |  . . S DR=DR_".09////"_+$G(ACTUALWO(SGL))_";"
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| 150 |  . ;  calculate allowance estimate for 1339
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| 151 |  . ;  .08 allowance estimate = (contract % * current receivables)
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| 152 |  . ;  .09 actual contract adjustments fytd
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| 153 |  . I SGL=1339!(SGL="133N") D
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| 154 |  . . S CONTRACT=100-COLLECT
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| 155 |  . . S DR=DR_".04////"_CONTRACT_";"
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| 156 |  . . S DR=DR_".08////"_$J((CONTRACT/100)*$G(^TMP($J,"RCRJRBD",SGL)),0,2)_";"
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| 157 |  . . S DR=DR_".09////"_+$G(ACTUALCA(SGL))_";"
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| 158 |  . ;
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| 159 |  . ;  set changed locally flag to no
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| 160 |  . S DR=DR_".1////0;"
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| 161 |  . D STORE(SGL,DR)
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| 162 |  ;
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| 163 |  L -^RC(348.1)
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| 164 |  ;
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| 165 |  ;   ;  put the report in a mail message (rcrjfmm=1)
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| 166 |  ;   S RCRJFMM=1
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| 167 |  ;   S RCRJDATE=DATEEND
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| 168 |  ;   D DQ^RCRJRBDR
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| 169 |  ;
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| 170 |  ;  transmit the allowances to FMS, and then generate the report.
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| 171 |  D BADDEBT^RCXFMSSV(DATEEND)
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| 172 |  Q
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| 173 |  ;
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| 174 |  ;
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| 175 | STORE(SGL,DR) ;  store data for Standard Ledger Account
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| 176 |  N D0,DA,DD,DI,DIC,DIE,DINUM,DO,DQ,X,Y
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| 177 |  S DIC="^RC(348.1,",DIC(0)="L",X=SGL,DIC("DR")=DR
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| 178 |  D FILE^DICN
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| 179 |  Q
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| 180 |  ;
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| 181 |  ;
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| 182 | DELETALL ;  delete all the entries from the bad debt file
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| 183 |  N %,DA,DIC,DIK,X,Y
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| 184 |  S DIK="^RC(348.1,"
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| 185 |  S DA=0 F  S DA=$O(^RC(348.1,DA)) Q:'DA  D ^DIK
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| 186 |  Q
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| 187 |  ;
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| 188 |  ;
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| 189 | WD3() ;  return the third work day of the month
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| 190 |  N J,P,V,X
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| 191 |  S J=0 F P=$E(DT,1,5)_"01":1 S V=$$DOW^XLFDT(P,1) I V,V<6,'$D(^HOLIDAY("B",P)) S J=J+1 Q:J=3
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| 192 |  S X=+$E(P,6,7)
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| 193 |  Q X
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| 194 |  ;
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| 195 |  ;
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| 196 | PREVMONT(FORDATE) ; return the previous month's date
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| 197 |  N PREVDATE
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| 198 |  S PREVDATE=$E(FORDATE,1,5)-1
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| 199 |  I $E(PREVDATE,4,5)="00" S PREVDATE=($E(PREVDATE,1,3)-1)_12
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| 200 |  Q PREVDATE_"00"
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| 201 |  ;
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| 202 |  ; derive standard general ledger (SGL) from category and fund
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| 203 | SGL(CATEGORY,FUND) ;
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| 204 |  I $G(FUND)=528709 Q 1319.2 ;new long term care fund
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| 205 |  I $E($G(FUND),1,4)=4032 Q 1319.2 ; breakout long term care as a subset
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| 206 |  I CATEGORY=8 Q 1339   ; crime or per. vio.
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| 207 |  I CATEGORY=9 Q 1339   ; reimbursable health insurance
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| 208 |  I CATEGORY=10 Q 1338  ; tort feasor
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| 209 |  I CATEGORY=21 Q 1339  ; medicare
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| 210 |  Q 1319
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| 211 |  ;
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| 212 |  ;
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| 213 | BDRSGL(CAT,FUND,MRATYPE) ; Calculate SGLs for the BDR process
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| 214 |  ;
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| 215 |  ; This API will be used by both the ARDC (routine RCRJRCOC)
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| 216 |  ; and the BDR estimate calculator to associate receivables
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| 217 |  ; with the correct standard general ledger account (SGL).
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| 218 |  ; The following table will be implemented:
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| 219 |  ;
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| 220 |  ; Receivable Type (Category)        Fund      SGL
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| 221 |  ;==================================================
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| 222 |  ; Medical Care Co-payments          528703    1319
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| 223 |  ;  (plus Inelig, Emerg./Hum. rec.)
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| 224 |  ; Long Term Care Co-payments        528709    1319.2
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| 225 |  ; Medication Co-payments            528701    1319.3
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| 226 |  ; Crimes of Personal Violence (8),  528704    1319.4
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| 227 |  ;  Medicare (21), No-Fault Auto
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| 228 |  ;  (7), Workman's Comp (6)
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| 229 |  ; Tort Feasor (10)                  528704    1338
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| 230 |  ; RHI (9), pre-MRA                  528704    1339
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| 231 |  ; RHI (9), post-MRA, MRA rec.       528704    133H
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| 232 |  ; RHI (9), post-MRA, non-MRA rec.   528704    133N
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| 233 |  ;
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| 234 |  ;  Input:  CAT  --  Pointer to the receivable category in file 430.2
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| 235 |  ;         FUND  --  Receivable fund calcualted by routine RCXFMSUF
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| 236 |  ;      MRATYPE  --  Indicator of an MRA (2) or non-MRA (3) receivable
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| 237 |  ;
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| 238 |  ;
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| 239 |  I $G(FUND)=528709 Q 1319.2
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| 240 |  I $E($G(FUND),1,4)=4032 Q 1319.2
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| 241 |  I $G(FUND)=528701 Q 1319.3
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| 242 |  I CAT=8!(CAT=21)!(CAT=7)!(CAT=6) Q 1319.4
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| 243 |  I CAT=10 Q 1338
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| 244 |  I CAT=9 Q $S(MRATYPE=2:"133H",MRATYPE=3:"133N",1:1339)
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| 245 |  Q 1319
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