source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBTODD1.m@ 1397

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