source: FOIAVistA/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBTOSUM.m@ 1800

IBTOSUM ;ALB/AAS - CLAIMS TRACKING BILLING INFORMATION PRINT ; 29-OCT-93
 ;;2.0;INTEGRATED BILLING;**118,133,217**;21-MAR-94
 ;
% I '$D(DT) D DT^DICRW
 W !!,"MCCR/UR Summary Report",!!
 S IBQUIT=0
 ;
SORT ; - Print either by admissions or discharges.
 N DIR
 S DIR(0)="SOBA^A:Admissions;D:Discharges"
 S DIR("A")="Print Report By [A]dmissions  [D]ischarges: "
 S DIR("B")="D"
 S DIR("?",1)="This summary report may be prepared by either Admissions or Discharges."
 S DIR("?",2)="If you choose by discharge the report will contain information on all"
 S DIR("?",3)="claims tracking information for the discharges that fall in the date"
 S DIR("?",4)="Range.  That is, all reviews for discharges found in the date range"
 S DIR("?",5)="will be included in the report.  If you choose by Admissions all"
 S DIR("?",6)="reviews found in the date range will be included but the reviews"
 S DIR("?",7)="may be for cases not related to the admissions."
 S DIR("?",8)="  "
 S DIR("?")="If you want to know the total reviews done during a date range sort by admissions.  If you want to know the total reviews done on the discharges for a date range sort by Discharges"
 D ^DIR K DIR
 S IBSORT=Y I "AD"'[Y!($D(DIRUT)) G END
 ;
 ; - Get date range.
 W ! D DATE^IBOUTL I IBBDT=""!(IBEDT="") G END
 ;
DEV ; - Select device, run option.
 W ! S %ZIS="QM" D ^%ZIS G:POP END
 I $D(IO("Q")) D  G END
 .S ZTRTN="RPT^IBTOSUM",ZTSAVE("IB*")=""
 .S ZTDESC="IB - MCCR/UR Summary Report" D ^%ZTLOAD K IO("Q"),ZTSK
 .D HOME^%ZIS
 U IO
 ;
RPT ; - Entry point from taskman/Store data in ^TMP($J,"IBTOSUM",n).
 ;
 I $G(IBXTRACT) D E^IBJDE(11,1) ; Change extract status.
 ;
 K ^TMP($J)
 S IBQUIT=0,IBPAG=0,Y=DT D D^DIQ S IBHDT=Y
 F I=0:1:13,20,21,80,81,82,99,30:1:34 S IBCNT(I)=0
 S IBCNT(3,0)=0
 I IBSORT="A" D ADM
 I IBSORT="D" D DIS
 D CHK^IBTOSUM2 I $G(ZTSTOP) G END
 ;
 ; - Extract summary data, if necessary.
 I $G(IBXTRACT) S IBCNT(3,0)=+$G(IBCNT(3,0)) D E^IBJDE(11,0) G END1
 ;
 D PRINT^IBTOSUM2
 ;
END ; - Clean up.
 W ! I $D(IBCNT(1)),$E(IOST,1,2)="C-" D PAUSE^VALM1
 ;
END1 K ^TMP($J) I $D(ZTQUEUED) S ZTREQ="@" Q
 D ^%ZISC
 K X,X1,X2,X3,Y,%ZIS,POP,DA,DIRUT,DUOUT,IBRATE,IBBBS,IBSORT,IBC,IBPCNT
 K IBDCNT,IBMAX,IBCDT,IBDT,IBBDT,IBEDT,IBQUIT,IBPAG,IBHDT,IBCNT,IBSPEC
 K IBINS,IBAC,IBPEN,IBPEND,IBTRN,IBTRND,IBTRC,IBTRCD,DFN,DGPM,IBNOD,IBDAY
 K IBFAC,IBSITE,IBSNM,I,J
 Q
 ;
ADM ; - Count admissions.
 D CHK^IBTOSUM2 I $G(ZTSTOP) Q
 S IBDT=IBBDT-.000000001
 F  S IBDT=$O(^DGPM("AMV1",IBDT)) Q:'IBDT!(IBDT>(IBEDT+.24))  D
 .S DFN=0 F  S DFN=$O(^DGPM("AMV1",IBDT,DFN)) Q:'DFN  D
 ..S DA=0 F  S DA=$O(^DGPM("AMV1",IBDT,DFN,DA)) Q:'DA  D PROC
 ;
 Q
 ;
DIS ; - Count discharges.
 D CHK^IBTOSUM2 I $G(ZTSTOP) Q
 S IBDT=IBBDT-.000000001
 F  S IBDT=$O(^DGPM("AMV3",IBDT)) Q:'IBDT!(IBDT>(IBEDT+.24))  D
 .S DFN=0 F  S DFN=$O(^DGPM("AMV3",IBDT,DFN)) Q:'DFN  D
 ..S DA=0 F  S DA=$O(^DGPM("AMV3",IBDT,DFN,DA)) Q:'DA  D PROC
 ;
 Q
 ;
PROC ; - Process each admission or discharge.
 S DGPM=+$P($G(^DGPM(DA,0)),U,14)
 S IBCNT(1)=IBCNT(1)+1 ; Admissions or discharges.
 S IBTRN=$O(^IBT(356,"AD",DGPM,0)) I 'IBTRN Q
 S IBTRND=$G(^IBT(356,+IBTRN,0)) ;W !,IBTRND
 I '$P(IBTRND,U,20) Q  ;     Must be an active visit.
 I '$$INSURED^IBCNS1(DFN,IBDT) Q  ; Must be insured for visit to count.
 S IBCNT(2)=IBCNT(2)+1 ;     Insured admissions or discharges.
 S IBCNT(3,+$P(IBTRND,U,19))=$G(IBCNT(3,+$P(IBTRND,U,19)))+1 ; Billables.
 I $P(IBTRND,U,19) S IBCNT(3,"NB")=$G(IBCNT(3,"NB"))+1
 S X=$P($G(^IBT(356,+IBTRN,1)),U,7) I X>3 S IBCNT(4)=IBCNT(4)+1
 I X="",$P(IBTRND,U,24),'$P(IBTRND,U,19) S IBCNT(4)=IBCNT(4)+1
 I $$APPEAL(IBTRN) S IBCNT(80)=IBCNT(80)+1
 ;
 K IBDCNT,IBPCNT S IBTRC=0
 F  S IBTRC=$O(^IBT(356.2,"C",IBTRN,IBTRC)) Q:'IBTRC  D RCNT^IBTOSUM1
 I $D(IBPCNT(IBTRN)) S IBCNT(99)=IBCNT(99)+1
 I $O(IBPCNT(IBTRN,+$O(IBPCNT(IBTRN,0)))) S IBCNT(13)=IBCNT(13)+1
 Q
 ;
APPEAL(IBTRN) ; - Was this case appealed?
 N A,X
 S A=0 I 'IBTRN G APPEALQ
 S X=$O(^IBE(356.11,"ACODE",60,0)) ; Initial appeal.
 I $O(^IBT(356.2,"ATRTP",IBTRN,X,0)) S A=1 G APPEALQ
 S X=$O(^IBE(356.11,"ACODE",65,0)) ; Subsequent appeal.
 I $O(^IBT(356.2,"ATRTP",IBTRN,X,0)) S A=1 G APPEALQ
APPEALQ Q A