| 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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