source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBJDB11.m@ 1464

IBJDB11 ;ALB/CPM - BILLING LAG TIME REPORT (COMPILE) ; 27-DEC-96

 ;;2.0;INTEGRATED BILLING;**69,100,118**;21-MAR-94

 ;

EN ; - Entry point from IBJDB1.

 ;

 ; - 

 I IBRPT="D" F X=2,3,4,6,7,8 S:IBSEL[X IBSEL=IBSEL_X_"I,"

 I 'IBSORT D INIT(0) G REV

 S X=0 F  S X=$S('VAUTD:$O(VAUTD(X)),1:$O(^DG(40.8,X))) Q:'X  D INIT(X)

 ;

REV ; - Review all claims in file #399.

 S IBN=0 F  S IBN=$O(^DGCR(399,IBN)) Q:'IBN  S IBN0=$G(^(IBN,0)) D  Q:IBQ

 .I IBN#100=0 S IBQ=$$STOP^IBOUTL("Billing Lag Time Report") Q:IBQ

 .;

 .I $P($G(^PRCA(430,IBN,0)),U,2)'=9 Q  ;              Not an RI claim.

 .I $P(IBN0,U,13)<3 Q  ;                              Not authorized.

 .I $P(IBN0,U,13)=7 Q  ;                              Cancelled in IB.

 .S X=$P($G(^PRCA(430,IBN,0)),U,8) I X=26!(X=39) Q  ; Cancelled in AR.

 .;

 .; - Does claim meet report criteria?

 .S IBAUTH=$$AUTH(IBN) I 'IBAUTH Q

 .;

 .; - Get division, if necessary.

 .I 'IBSORT S IBDIV=0

 .E  S IBDIV=$$DIV^IBJDF2(IBN) I 'IBDIV S IBDIV=+$$PRIM^VASITE()

 .I IBSORT,'VAUTD,'$D(VAUTD(IBDIV)) Q  ;  Not a selected division.

 .;

 .S IBTY=$S($P(IBN0,U,5)<3:"IN",1:"OP") ; Inpatient or outpatient claim?

 .;

 .; - Get most recent date PTF transmitted.

 .I IBTY="IN" D  Q:'IBPTF!('IBPTF&($P(IBAUTH,U,2)))

 ..S IBPTF=$P(IBN0,U,8) I 'IBPTF Q

 ..S IBPTF=$O(^DGP(45.83,"C",IBPTF,9999999),-1)\1 I IBPTF Q

 ..S IBPTF=$P($G(^DGP(45.83,IBPTF,0)),U,2)\1

 .;

 .; - Get other claim info and build date line.

 .S IBDAT=$P(IBAUTH,U,2,5),DFN=+$P(IBN0,U,2),IBDFN=$G(^DPT(DFN,0))

 .S IBPOL=+$G(^DPT(DFN,.312,+$P($G(^DGCR(399,IBN,"MP")),U,2),1))

 .;

 .; - Get care dates; quit if there are none.

 .K IBDR S IBNU=$G(^DGCR(399,IBN,"U")) D

 ..I IBTY="IN" S X=+$P(IBNU,U,2) S:'X X=+IBNU S:X IBDR(X)="" Q

 ..I '$D(^DGCR(399,IBN,"OP")) D  Q

 ...S X=+$P(IBNU,U,2) S:X IBDR(X)="" S:+IBNU&(+IBNU'=X) IBDR(+IBNU)=""

 ..S X=0 F  S X=$O(^DGCR(399,IBN,"OP",X)) Q:'X  S IBDR(X)=""

 .I '$D(IBDR) Q

 .;

 .; - Calculate statistics for each care date.

 .S IBX=0 F  S IBX=$O(IBDR(IBX)) Q:'IBX  D

 ..;

 ..; - Get discharge date.

 ..I IBTY="IN" D

 ...S IBX1=+$G(^DGPT(+$P(IBN0,U,8),70))\1 I IBX1 Q

 ...S IBX1=+$O(^DGPM("APTT3",DFN,(IBX-.0001)))\1 I 'IBX1 S IBX1=IBX

 ..;

 ..; - Get most recent check out date that has not been marked as non

 ..;   billable by Claims Tracking; quit if there isn't one.

 ..I IBTY="OP" D  Q:'IBCHK

 ...S IBCHK=0,IBX1=IBX-.0001

 ...F  S IBX1=$O(^SCE("ADFN",DFN,IBX1)) Q:'IBX1!((IBX1\1)>IBX)  D

 ....S IBX2=0 F  S IBX2=$O(^SCE("ADFN",DFN,IBX1,IBX2)) Q:'IBX2  D

 .....I $P($G(^IBT(356,+$O(^IBT(356,"ASCE",IBX2,0)),0)),U,19) Q

 .....S IBX3=$P($G(^SCE(IBX2,0)),U,7)\1 I IBX3 S IBCHK=IBX3

 ..;

 ..S X=$S(IBTY="IN":IBX1_U_IBPTF,1:IBX_U_IBCHK)_U_IBDAT

 ..S IBPOL1=$S(IBPOL>+X:1,1:0) ; Policy found after treatment.

 ..;

 ..; - Check date line for at least one date within the user specified

 ..;   range; quit if there isn't any.

 ..S IBDCHK=0 F Y=2:1:6 I $$DL(0,$P(X,U,Y)) S IBDCHK=1 Q

 ..I 'IBDCHK Q

 ..;

 ..K D,Y,Z S IBSEL1=""

 ..F Y=1:1:5 S Z(1)=$P(X,U,Y),Z(2)=$P(X,U,Y+1) D

 ...;

 ...; - Check out date/PTF transmission date.

 ...I Y=1 D:Z(2)  Q

 ....S D(0)=$$FMDIFF^XLFDT(Z(2),Z(1)),Z=$S(IBTY="IN":5,1:1)

 ....I $$DL(Z,Z(2)) S IBSEL1=IBSEL1_Z_",",Y(Z)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(0),1:D(0))

 ...;

 ...; - Date authorized.

 ...I Y=2 D:Z(1)  Q

 ....S D(1)=$$FMDIFF^XLFDT(Z(2),Z(1)),Z=$S(IBTY="IN":6,1:2)

 ....I $$DL(Z,Z(2)) D

 .....S Z1=$S(IBPOL1:Z_"I",1:Z),IBSEL1=IBSEL1_Z1_",",Y(Z1)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(1),1:D(1))

 .....I Z1=Z D

 ......S Z2=Z_"I",IBSEL1=IBSEL1_Z2_",",Y(Z2)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(1),1:D(1))

 ...;

 ...; - Date activated.

 ...I Y=3 D:Z(2)  Q

 ....S D(2)=$$FMDIFF^XLFDT(Z(2),Z(1)) I $$DL(9,Z(2)) S IBSEL1=IBSEL1_"9,",Y(9)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(2),1:D(2))

 ...;

 ...; - Payment date.

 ...I Y=4 D:Z(2)  Q

 ....S D(3)=$$FMDIFF^XLFDT(Z(2),Z(1)),D(6)=$$FMDIFF^XLFDT(Z(2),+X)

 ....F Z=$S(IBTY="IN":7,1:3),10 I $$DL(Z,Z(2)) D

 .....S Z1=$S(IBPOL1&(Z<10):Z_"I",1:Z),Z2=$S(Z<10:6,1:3)

 .....S IBSEL1=IBSEL1_Z1_",",Y(Z1)=$S(IBRPT="D":$S(Z2=3:Z(1),1:+X)_U_Z(2)_U_D(Z2),1:D(Z2))

 .....I Z1=Z,Z<10 S Z3=Z_"I",IBSEL1=IBSEL1_Z3_",",Y(Z3)=$S(IBRPT="D":$S(Z2=3:Z(1),1:+X)_U_Z(2)_U_D(Z2),1:D(Z2))

 ...;

 ...; - Date closed.

 ...I Z(2) D

 ....S D(4)=$$FMDIFF^XLFDT(Z(2),Z(1)),D(5)=$$FMDIFF^XLFDT(Z(2),+X)

 ....F Z=$S(IBTY="IN":8,1:4),11 I $$DL(Z,Z(2)) D

 .....S Z1=$S(IBPOL1&(Z<11):Z_"I",1:Z),Z2=$S(Z<11:5,1:4)

 .....S IBSEL1=IBSEL1_Z1_",",Y(Z1)=$S(IBRPT="D":$S(Z2=4:Z(1),1:+X)_U_Z(2)_U_D(Z2),1:D(Z2))

 .....I Z1=Z,Z<11 S Z3=Z_"I",IBSEL1=IBSEL1_Z3_",",Y(Z3)=$S(IBRPT="D":$S(Z2=4:Z(1),1:+X)_U_Z(2)_U_D(Z2),1:D(Z2))

 ..;

 ..; - Save data for detail or summary report(s).

 ..F Y=1:1 S Z=$P(IBSEL1,",",Y) Q:'Z  D

 ...I IBRPT="D" D

 ....S Y(Z)=$P(IBN0,U)_U_Y(Z)_U_$S(IBPOL1:"*",1:""),Y1(Z)=$G(Y1(Z))+1

 ....S ^TMP("IBJDB1",$J,IBDIV,IBTY,Z,$P(IBDFN,U)_"@@"_$P(IBDFN,U,9),Y1(Z))=Y(Z)

 ...E  S IBCT(IBDIV,IBTY,Z)=IBCT(IBDIV,IBTY,Z)+1,IBTL(IBDIV,IBTY,Z)=IBTL(IBDIV,IBTY,Z)+Y(Z)

 ;

 Q

 ;

INIT(X) ; - Initialize summary accumulators/detail division nodes.

 I IBRPT="D" S ^TMP("IBJDB1",$J,X)="" Q

 F Y=1:1:4,9,10,11,"2I","3I","4I" S (IBCT(X,"OP",Y),IBTL(X,"OP",Y))=0

 F Y=5:1:11,"6I","7I","8I" S (IBCT(X,"IN",Y),IBTL(X,"IN",Y))=0

 Q

 ;

AUTH(IBN) ; - Is this an authorized claim?

 ;  Input: IBN=Pointer to the AR in file #430

 ; Output: VAL=1^2^3^4^5, where:

 ;             1=1-Authorized claim

 ;               0-Not an authorized claim

 ;             2=Date AR was authorized

 ;             3=Date AR was activated

 ;             4=AR first payment date

 ;             5=Date AR was closed

 ;

 N IBPAY,IBT,IBT0,IBT1,VAL,X

 S VAL=0 I '$G(IBN) G AUTHQ

 ;

 ; - Get date authorized (required).

 S X=$P($G(^DGCR(399,IBN,"S")),U,10) G:'X AUTHQ S VAL="1^"_X

 ;

 ; - Get date activated, if available.

 S X=$P($G(^PRCA(430,IBN,6)),U,21) I X S $P(VAL,U,3)=X\1 G FP

 S X=$P($G(^PRCA(430,IBN,9)),U,3) I X S $P(VAL,U,3)=X\1 G FP

 S X=$P($G(^PRCA(430,IBN,0)),U,10) I X S $P(VAL,U,3)=X\1

 ;

FP ; - Get first payment date, if available.

 I '$P($G(^PRCA(430,IBN,7)),U,7) G CL ; No payments made.

 S (IBPAY,IBT)=0 F  S IBT=$O(^PRCA(433,"C",IBN,IBT)) Q:'IBT  D  Q:IBPAY

 .S IBT0=$G(^PRCA(433,IBT,0)),IBT1=$G(^(1))

 .I $P(IBT0,U,4)'=2 Q  ;                  Not complete.

 .I $P(IBT1,U,2)'=2,$P(IBT1,U,2)'=34 Q  ; Not a payment.

 .S X=$S(+IBT1:+IBT1,1:$P(IBT1,U,9)\1),$P(VAL,U,4)=X,IBPAY=1

 ;

CL ; - Get date AR closed.

 S X=$$CLO^PRCAFN(IBN) I X>0 S $P(VAL,U,5)=X

 ;

 ; - Is there a payment date AND a closed date for this claim?

 I '$P(VAL,U,4),$P(VAL,U,5) S $P(VAL,U)=0

 ;

AUTHQ Q VAL

 ;

DL(X,X1) ; - Is line item date valid for report?

 ;  Input: X=Line item number (or 0), X1=Line item date

 ; Output: 1=valid, 0=invalid 

 ; *Requires pre-defined variables IBBDT, IBEDT, and IBSEL

 S X2=0 I 'X1 G DLQ

 I 'X S:X1'<IBBDT&(X1'>IBEDT) X2=1 G DLQ

 I IBSEL[(","_X_","),X1'<IBBDT,X1'>IBEDT S X2=1

DLQ Q X2