IBTOUR4 ;ALB/AAS - CLAIMS TRACKING UR ACTIVITY REPORT ; 27-OCT-93 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94 ; % I '$D(DT) D DT^DICRW INS ; -- print data ; -- ^tmp($j,"ibtour",primary sort,secondary sort,patient, ibtrc)=ibtrcd ; N IBCNT D HDR I $O(^TMP($J,"IBTOUR",""))="" W !!,"No Insurance Reviews Found in Date Range." G PRINTQ ; S IBH="" F S IBH=$O(^TMP($J,"IBTOUR",IBH)) Q:IBH=""!(IBQUIT) D .D SUBHDR^IBTOUR5 .S IBI="" F S IBI=$O(^TMP($J,"IBTOUR",IBH,IBI)) Q:IBI=""!(IBQUIT) D ..D SSUBHDR^IBTOUR5 ..S IBJ="" F S IBJ=$O(^TMP($J,"IBTOUR",IBH,IBI,IBJ)) Q:IBJ=""!(IBQUIT) D ...S IBTRC="" F S IBTRC=$O(^TMP($J,"IBTOUR",IBH,IBI,IBJ,IBTRC)) Q:IBTRC=""!(IBQUIT) S IBTRCD=^(IBTRC) D ONE ; PRINTQ I 'IBQUIT,$E(IOST,1,2)="C-" D PAUSE^VALM1 I $D(DIRUT) S IBQUIT=1 Q ; ONE ; -- print one entry ; -- ^tmp($j,"ibtour",primary sort,secondary sort,ibtrc)=^IBT(IBTRC) ; S IBAPL=$$APPEAL^IBTODD1(IBTRC) ; I IOSL<($Y+4) D HDR Q:IBQUIT S DFN=+$P(IBTRCD,"^",5) D PID^VADPT S IBTRCD=$G(^IBT(356.2,+IBTRC,0)) L1 W !,$E($P(^DPT(DFN,0),"^"),1,22),?25,VA("PID") S IBCDT=$$CDT^IBTODD1($P(IBTRCD,"^",2)) W ?38,$$DAT1^IBOUTL(+IBCDT\1) W:$P(IBCDT,"^",2) " to" W ?50,$P($G(^IBE(356.11,+$P(IBTRCD,"^",4),0)),"^",3) ;review type abbrev W ?64,$$DAT1^IBOUTL(+IBTRCD) ;review date W ?78,$E($$EXPAND^IBTRE(356.2,.08,$P(IBTRCD,"^",8)),1,20) ; ins co W ?100,$E($$EXPAND^IBTRE(356.2,.11,$P(IBTRCD,"^",11)),1,10) ;ins co action W ?112,$E($$EXPAND^IBTRE(356.2,1.04,$P($G(^IBT(356.2,+IBTRC,1)),"^",4)),1,19) ; last reviewer ; L2 W !?38,$$DAT1^IBOUTL($P(IBCDT,"^",2)\1,"2P") 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 !,"UR Insurance Review Activity Report",?(IOM-33),"Page ",IBPAG," ",IBHDT W !,"For Insurance Reviews Dated ",$$DAT1^IBOUTL(IBBDT)," to ",$$DAT1^IBOUTL(IBEDT) W !!,?38,"Dates of",?64,"Review" W !,"Patient",?25,"Pt. ID",?38,"Care",?50,"Review Type",?64,"Date",?78,"Ins. Co.",?100," Action",?112,"Last Reviewer" W !,$TR($J(" ",IOM)," ","-") Q ; HOSP ; -- print hospital report N IBCNT D HHDR I $O(^TMP($J,"IBTOUR3",""))="" W !!,"No Hospital Reviews Found in Date Range." G HOSPQ ; S IBH="" F S IBH=$O(^TMP($J,"IBTOUR3",IBH)) Q:IBH=""!(IBQUIT) D .D SUBHDR^IBTOUR5 .S IBI="" F S IBI=$O(^TMP($J,"IBTOUR3",IBH,IBI)) Q:IBI=""!(IBQUIT) D ..D SSUBHDR^IBTOUR5 ..S IBJ="" F S IBJ=$O(^TMP($J,"IBTOUR3",IBH,IBI,IBJ)) Q:IBJ=""!(IBQUIT) D ...S IBTRN="" F S IBTRN=$O(^TMP($J,"IBTOUR3",IBH,IBI,IBJ,IBTRN)) Q:IBTRN=""!(IBQUIT) S IBDATA=^(IBTRN) D HOSPONE ; HOSPQ I 'IBQUIT,$E(IOST,1,2)="C-" D PAUSE^VALM1 I $D(DIRUT) S IBQUIT=1 Q ; HOSPONE ; -print one case line I IOSL<($Y+4) D HHDR Q:IBQUIT S IBTRND=$G(^IBT(356,+IBTRN,0)) S DFN=+$P(IBTRND,"^",2) D PID^VADPT HL1 W !,$E($P(^DPT(DFN,0),"^"),1,22),?25,VA("PID") S IBCDT=$$CDT^IBTODD1(IBTRN) W ?38,$$DAT1^IBOUTL(+IBCDT\1) W:$P(IBCDT,"^",2) " to" S TYPE="" I $P(IBTRND,"^",25) S TYPE="RANDOM" I $P(IBTRND,"^",26) S:$L(TYPE) TYPE=TYPE_"/" S TYPE=TYPE_$$EXPAND^IBTRE(356,.26,$P(IBTRND,"^",26)) I $P(IBTRND,"^",27) S:$L(TYPE) TYPE=TYPE_"/LOCAL" W ?51,TYPE W ?70,$S($P(IBDATA,"^"):"YES",$P(IBDATA,"^")=0:"NO",1:"") W ?84,$J($P(IBDATA,"^",2),8) W ?98,$J($P(IBDATA,"^",3),8) ; W ?112,$E($$EXPAND^IBTRE(356,1.05,$P($G(^IBT(356,+IBTRN,1)),"^",5)),1,19) ; last reviewer ; HL2 I $P(IBCDT,"^",2)'="" W !?38,$$DAT1^IBOUTL($P(IBCDT,"^",2)\1,"2P") W ! Q ; HHDR ; -- hospital review header Q:IBQUIT I $E(IOST,1,2)="C-",IBPAG D PAUSE^VALM1 I $D(DIRUT) S IBQUIT=1 Q I $E(IOST,1,2)="C-"!(IBPAG) W @IOF S IBPAG=IBPAG+1 W !,"UR Hospital Review Activity Report",?(IOM-33),"Page ",IBPAG," ",IBHDT W !,"For Hospital Reviews Dated ",$$DAT1^IBOUTL(IBBDT)," to ",$$DAT1^IBOUTL(IBEDT) W !!,?38,"Dates of",?69,"Admission",?84,"Days Met",?98,"Days Not Met" W !,"Patient",?25,"Pt. ID",?38,"Care",?51,"Review Type",?69,"Met Criteria",?84,"Criteria",?98,"Criteria",?112,"Assigned Reviewer" W !,$TR($J(" ",IOM)," ","-") Q