[613] | 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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