source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBJDB11.m@ 1259

Last change on this file since 1259 was 623, checked in by George Lilly, 15 years ago

revised back to 6/30/08 version

File size: 6.7 KB
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1IBJDB11 ;ALB/CPM - BILLING LAG TIME REPORT (COMPILE) ; 27-DEC-96
2 ;;2.0;INTEGRATED BILLING;**69,100,118**;21-MAR-94
3 ;
4EN ; - Entry point from IBJDB1.
5 ;
6 ; -
7 I IBRPT="D" F X=2,3,4,6,7,8 S:IBSEL[X IBSEL=IBSEL_X_"I,"
8 I 'IBSORT D INIT(0) G REV
9 S X=0 F S X=$S('VAUTD:$O(VAUTD(X)),1:$O(^DG(40.8,X))) Q:'X D INIT(X)
10 ;
11REV ; - Review all claims in file #399.
12 S IBN=0 F S IBN=$O(^DGCR(399,IBN)) Q:'IBN S IBN0=$G(^(IBN,0)) D Q:IBQ
13 .I IBN#100=0 S IBQ=$$STOP^IBOUTL("Billing Lag Time Report") Q:IBQ
14 .;
15 .I $P($G(^PRCA(430,IBN,0)),U,2)'=9 Q ; Not an RI claim.
16 .I $P(IBN0,U,13)<3 Q ; Not authorized.
17 .I $P(IBN0,U,13)=7 Q ; Cancelled in IB.
18 .S X=$P($G(^PRCA(430,IBN,0)),U,8) I X=26!(X=39) Q ; Cancelled in AR.
19 .;
20 .; - Does claim meet report criteria?
21 .S IBAUTH=$$AUTH(IBN) I 'IBAUTH Q
22 .;
23 .; - Get division, if necessary.
24 .I 'IBSORT S IBDIV=0
25 .E S IBDIV=$$DIV^IBJDF2(IBN) I 'IBDIV S IBDIV=+$$PRIM^VASITE()
26 .I IBSORT,'VAUTD,'$D(VAUTD(IBDIV)) Q ; Not a selected division.
27 .;
28 .S IBTY=$S($P(IBN0,U,5)<3:"IN",1:"OP") ; Inpatient or outpatient claim?
29 .;
30 .; - Get most recent date PTF transmitted.
31 .I IBTY="IN" D Q:'IBPTF!('IBPTF&($P(IBAUTH,U,2)))
32 ..S IBPTF=$P(IBN0,U,8) I 'IBPTF Q
33 ..S IBPTF=$O(^DGP(45.83,"C",IBPTF,9999999),-1)\1 I IBPTF Q
34 ..S IBPTF=$P($G(^DGP(45.83,IBPTF,0)),U,2)\1
35 .;
36 .; - Get other claim info and build date line.
37 .S IBDAT=$P(IBAUTH,U,2,5),DFN=+$P(IBN0,U,2),IBDFN=$G(^DPT(DFN,0))
38 .S IBPOL=+$G(^DPT(DFN,.312,+$P($G(^DGCR(399,IBN,"MP")),U,2),1))
39 .;
40 .; - Get care dates; quit if there are none.
41 .K IBDR S IBNU=$G(^DGCR(399,IBN,"U")) D
42 ..I IBTY="IN" S X=+$P(IBNU,U,2) S:'X X=+IBNU S:X IBDR(X)="" Q
43 ..I '$D(^DGCR(399,IBN,"OP")) D Q
44 ...S X=+$P(IBNU,U,2) S:X IBDR(X)="" S:+IBNU&(+IBNU'=X) IBDR(+IBNU)=""
45 ..S X=0 F S X=$O(^DGCR(399,IBN,"OP",X)) Q:'X S IBDR(X)=""
46 .I '$D(IBDR) Q
47 .;
48 .; - Calculate statistics for each care date.
49 .S IBX=0 F S IBX=$O(IBDR(IBX)) Q:'IBX D
50 ..;
51 ..; - Get discharge date.
52 ..I IBTY="IN" D
53 ...S IBX1=+$G(^DGPT(+$P(IBN0,U,8),70))\1 I IBX1 Q
54 ...S IBX1=+$O(^DGPM("APTT3",DFN,(IBX-.0001)))\1 I 'IBX1 S IBX1=IBX
55 ..;
56 ..; - Get most recent check out date that has not been marked as non
57 ..; billable by Claims Tracking; quit if there isn't one.
58 ..I IBTY="OP" D Q:'IBCHK
59 ...S IBCHK=0,IBX1=IBX-.0001
60 ...F S IBX1=$O(^SCE("ADFN",DFN,IBX1)) Q:'IBX1!((IBX1\1)>IBX) D
61 ....S IBX2=0 F S IBX2=$O(^SCE("ADFN",DFN,IBX1,IBX2)) Q:'IBX2 D
62 .....I $P($G(^IBT(356,+$O(^IBT(356,"ASCE",IBX2,0)),0)),U,19) Q
63 .....S IBX3=$P($G(^SCE(IBX2,0)),U,7)\1 I IBX3 S IBCHK=IBX3
64 ..;
65 ..S X=$S(IBTY="IN":IBX1_U_IBPTF,1:IBX_U_IBCHK)_U_IBDAT
66 ..S IBPOL1=$S(IBPOL>+X:1,1:0) ; Policy found after treatment.
67 ..;
68 ..; - Check date line for at least one date within the user specified
69 ..; range; quit if there isn't any.
70 ..S IBDCHK=0 F Y=2:1:6 I $$DL(0,$P(X,U,Y)) S IBDCHK=1 Q
71 ..I 'IBDCHK Q
72 ..;
73 ..K D,Y,Z S IBSEL1=""
74 ..F Y=1:1:5 S Z(1)=$P(X,U,Y),Z(2)=$P(X,U,Y+1) D
75 ...;
76 ...; - Check out date/PTF transmission date.
77 ...I Y=1 D:Z(2) Q
78 ....S D(0)=$$FMDIFF^XLFDT(Z(2),Z(1)),Z=$S(IBTY="IN":5,1:1)
79 ....I $$DL(Z,Z(2)) S IBSEL1=IBSEL1_Z_",",Y(Z)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(0),1:D(0))
80 ...;
81 ...; - Date authorized.
82 ...I Y=2 D:Z(1) Q
83 ....S D(1)=$$FMDIFF^XLFDT(Z(2),Z(1)),Z=$S(IBTY="IN":6,1:2)
84 ....I $$DL(Z,Z(2)) D
85 .....S Z1=$S(IBPOL1:Z_"I",1:Z),IBSEL1=IBSEL1_Z1_",",Y(Z1)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(1),1:D(1))
86 .....I Z1=Z D
87 ......S Z2=Z_"I",IBSEL1=IBSEL1_Z2_",",Y(Z2)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(1),1:D(1))
88 ...;
89 ...; - Date activated.
90 ...I Y=3 D:Z(2) Q
91 ....S D(2)=$$FMDIFF^XLFDT(Z(2),Z(1)) I $$DL(9,Z(2)) S IBSEL1=IBSEL1_"9,",Y(9)=$S(IBRPT="D":Z(1)_U_Z(2)_U_D(2),1:D(2))
92 ...;
93 ...; - Payment date.
94 ...I Y=4 D:Z(2) Q
95 ....S D(3)=$$FMDIFF^XLFDT(Z(2),Z(1)),D(6)=$$FMDIFF^XLFDT(Z(2),+X)
96 ....F Z=$S(IBTY="IN":7,1:3),10 I $$DL(Z,Z(2)) D
97 .....S Z1=$S(IBPOL1&(Z<10):Z_"I",1:Z),Z2=$S(Z<10:6,1:3)
98 .....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))
99 .....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))
100 ...;
101 ...; - Date closed.
102 ...I Z(2) D
103 ....S D(4)=$$FMDIFF^XLFDT(Z(2),Z(1)),D(5)=$$FMDIFF^XLFDT(Z(2),+X)
104 ....F Z=$S(IBTY="IN":8,1:4),11 I $$DL(Z,Z(2)) D
105 .....S Z1=$S(IBPOL1&(Z<11):Z_"I",1:Z),Z2=$S(Z<11:5,1:4)
106 .....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))
107 .....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))
108 ..;
109 ..; - Save data for detail or summary report(s).
110 ..F Y=1:1 S Z=$P(IBSEL1,",",Y) Q:'Z D
111 ...I IBRPT="D" D
112 ....S Y(Z)=$P(IBN0,U)_U_Y(Z)_U_$S(IBPOL1:"*",1:""),Y1(Z)=$G(Y1(Z))+1
113 ....S ^TMP("IBJDB1",$J,IBDIV,IBTY,Z,$P(IBDFN,U)_"@@"_$P(IBDFN,U,9),Y1(Z))=Y(Z)
114 ...E S IBCT(IBDIV,IBTY,Z)=IBCT(IBDIV,IBTY,Z)+1,IBTL(IBDIV,IBTY,Z)=IBTL(IBDIV,IBTY,Z)+Y(Z)
115 ;
116 Q
117 ;
118INIT(X) ; - Initialize summary accumulators/detail division nodes.
119 I IBRPT="D" S ^TMP("IBJDB1",$J,X)="" Q
120 F Y=1:1:4,9,10,11,"2I","3I","4I" S (IBCT(X,"OP",Y),IBTL(X,"OP",Y))=0
121 F Y=5:1:11,"6I","7I","8I" S (IBCT(X,"IN",Y),IBTL(X,"IN",Y))=0
122 Q
123 ;
124AUTH(IBN) ; - Is this an authorized claim?
125 ; Input: IBN=Pointer to the AR in file #430
126 ; Output: VAL=1^2^3^4^5, where:
127 ; 1=1-Authorized claim
128 ; 0-Not an authorized claim
129 ; 2=Date AR was authorized
130 ; 3=Date AR was activated
131 ; 4=AR first payment date
132 ; 5=Date AR was closed
133 ;
134 N IBPAY,IBT,IBT0,IBT1,VAL,X
135 S VAL=0 I '$G(IBN) G AUTHQ
136 ;
137 ; - Get date authorized (required).
138 S X=$P($G(^DGCR(399,IBN,"S")),U,10) G:'X AUTHQ S VAL="1^"_X
139 ;
140 ; - Get date activated, if available.
141 S X=$P($G(^PRCA(430,IBN,6)),U,21) I X S $P(VAL,U,3)=X\1 G FP
142 S X=$P($G(^PRCA(430,IBN,9)),U,3) I X S $P(VAL,U,3)=X\1 G FP
143 S X=$P($G(^PRCA(430,IBN,0)),U,10) I X S $P(VAL,U,3)=X\1
144 ;
145FP ; - Get first payment date, if available.
146 I '$P($G(^PRCA(430,IBN,7)),U,7) G CL ; No payments made.
147 S (IBPAY,IBT)=0 F S IBT=$O(^PRCA(433,"C",IBN,IBT)) Q:'IBT D Q:IBPAY
148 .S IBT0=$G(^PRCA(433,IBT,0)),IBT1=$G(^(1))
149 .I $P(IBT0,U,4)'=2 Q ; Not complete.
150 .I $P(IBT1,U,2)'=2,$P(IBT1,U,2)'=34 Q ; Not a payment.
151 .S X=$S(+IBT1:+IBT1,1:$P(IBT1,U,9)\1),$P(VAL,U,4)=X,IBPAY=1
152 ;
153CL ; - Get date AR closed.
154 S X=$$CLO^PRCAFN(IBN) I X>0 S $P(VAL,U,5)=X
155 ;
156 ; - Is there a payment date AND a closed date for this claim?
157 I '$P(VAL,U,4),$P(VAL,U,5) S $P(VAL,U)=0
158 ;
159AUTHQ Q VAL
160 ;
161DL(X,X1) ; - Is line item date valid for report?
162 ; Input: X=Line item number (or 0), X1=Line item date
163 ; Output: 1=valid, 0=invalid
164 ; *Requires pre-defined variables IBBDT, IBEDT, and IBSEL
165 S X2=0 I 'X1 G DLQ
166 I 'X S:X1'<IBBDT&(X1'>IBEDT) X2=1 G DLQ
167 I IBSEL[(","_X_","),X1'<IBBDT,X1'>IBEDT S X2=1
168DLQ Q X2
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