[613] | 1 | IBTODD ;ALB/AAS - CLAIMS TRACKING DENIED DAYS REPORT ; 27-OCT-93
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| 2 | ;;Version 2.0 ; INTEGRATED BILLING ;**32**; 21-MAR-94
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| 3 | ;
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| 4 | % I '$D(DT) D DT^DICRW
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| 5 | W !!,"Denied Days Report",!!
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| 6 | ;
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| 7 | S IBSORT="P"
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| 8 | N DIR
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| 9 | S DIR("?")="Answer YES if you only want to print a summary or answer NO if you want a detailed listing plus the summary."
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| 10 | S DIR(0)="Y",DIR("A")="Print Summary Only",DIR("B")="YES" D ^DIR K DIR
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| 11 | I $D(DIRUT) G END
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| 12 | S IBSUM=Y
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| 13 | G:IBSUM DATE
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| 14 | ;
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| 15 | ; -- ask how they want it sorted
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| 16 | D SORT^IBTODD2 I IBSORT<0 G END
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| 17 | ;
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| 18 | DATE ; -- select date range
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| 19 | W ! D DATE^IBOUTL
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| 20 | I IBBDT=""!(IBEDT="") G END
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| 21 | ;
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| 22 | DEV ; -- select device, run option
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| 23 | W !
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| 24 | I 'IBSUM W !!,"You will need a 132 column printer for this report!",!
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| 25 | S %ZIS="QM" D ^%ZIS G:POP END
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| 26 | I $D(IO("Q")) S ZTRTN="DQ^IBTODD",ZTSAVE("IB*")="",ZTDESC="IB - Denied Days Report" D ^%ZTLOAD K IO("Q"),ZTSK D HOME^%ZIS G END
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| 27 | ;
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| 28 | U IO
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| 29 | D DQ G END
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| 30 | Q
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| 31 | ;
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| 32 | END ; -- Clean up
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| 33 | W ! K ^TMP($J,"IBTODD")
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| 34 | I $D(ZTQUEUED) S ZTREQ="@" Q
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| 35 | D ^%ZISC
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| 36 | K I,J,X,X2,Y,DFN,%ZIS,DGPM,VA,IBI,IBJ,IBTRN,IBTRND,IBTRND1,IBPAG,IBHDT,IBDISDT,IBETYP,IBQUIT,IBTAG,IBTRC,IBTRCD,IBDEN,IBDAY,IBTALL,IBADM,IBDISCH,IBMAX
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| 37 | K IBAPL,IBBBS,IBBDT,IBC,IBCDT,IBCNT,IBDT,IBD,IBDATA,IBEDT,IBNAM,IBPRIM,IBPROV,IBRATE,IBSECN,IBSERV,IBSORT,IBSPEC,IBSUM,IBSUBT,IBTOTL
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| 38 | D KVAR^VADPT
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| 39 | Q
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| 40 | DQ ; -- entry print from taskman
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| 41 | K ^TMP($J,"IBTODD")
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| 42 | S X=132 X ^%ZOSF("RM")
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| 43 | S IBPAG=0,IBHDT=$$HTE^XLFDT($H,1),IBQUIT=0
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| 44 | S IBDEN=$O(^IBE(356.7,"ACODE",20,0))
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| 45 | D BLD,PRINT^IBTODD1
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| 46 | I $D(ZTQUEUED) G END
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| 47 | Q
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| 48 | ;
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| 49 | BLD ; -- sort through data and build array to print from
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| 50 | ;
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| 51 | S IBTRC=0
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| 52 | F S IBTRC=$O(^IBT(356.2,"ACT",IBDEN,IBTRC)) Q:'IBTRC D
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| 53 | .N IBDAY S IBTRCD=$G(^IBT(356.2,+IBTRC,0))
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| 54 | .S IBTRN=$P(IBTRCD,"^",2),IBTRND=$G(^IBT(356,+IBTRN,0))
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| 55 | .Q:'$P(IBTRCD,"^",19) ; review is inactive
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| 56 | .Q:'$P(IBTRND,"^",20) ; parent CT entry is inactive
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| 57 | .S IBDDB=$P(IBTRCD,"^",15),IBDDE=$P(IBTRCD,"^",16)
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| 58 | .S IBTALL=$P($G(^IBT(356.2,+IBTRC,1)),"^",7)
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| 59 | .I IBDDB,IBDDE Q:(IBDDB>IBEDT)!(IBDDE<IBBDT) D
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| 60 | ..I IBDDB<IBBDT S IBDDB=IBBDT ; chk days denied in correct range
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| 61 | ..I IBDDE>IBEDT S IBDDE=IBEDT
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| 62 | ..S IBDAY=$$FMDIFF^XLFDT(IBDDE,IBDDB)+1 ; cals total denied days
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| 63 | .; if no days denied "to" and "from" and episode in range
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| 64 | .I (IBTALL),('$D(IBDAY)) S IBCDT=$$CDT^IBTODD1(IBTRN) D STRIP Q:('+IBCDT!(+IBCDT>IBEDT)) D
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| 65 | ..Q:'$P(IBTRND,U,5) ; quit if no link between ct and dgpm
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| 66 | ..; if the care date is >the report range there is no discharge add 1
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| 67 | ..I '$P(IBCDT,U,2)!($P(IBCDT,U,2)>IBEDT) S $P(IBCDT,U,2)=$$FMADD^XLFDT(IBEDT,1)
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| 68 | ..I +IBCDT<IBBDT S $P(IBCDT,U,1)=IBBDT
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| 69 | ..S IBDAY=$$FMDIFF^XLFDT($P(IBCDT,U,2),$P(IBCDT,U,1))
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| 70 | .Q:$G(IBDAY)<1
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| 71 | .S DFN=$P(IBTRCD,"^",5),IBNAM=$P($G(^DPT(+DFN,0)),"^") Q:IBNAM=""
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| 72 | .S IBD=$$PROV(DFN,IBTRCD,IBTRND,IBTALL),IBPROV=+IBD,IBSPEC=$P(IBD,"^",2),IBSERV=$P(IBD,"^",3)
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| 73 | .S IBBBS=$$BBS^IBTOSUM1($P(IBD,"^",2))
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| 74 | .S IBRATE=$$RATE^IBTOSUM1(IBBBS,+IBTRCD)
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| 75 | .D SET
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| 76 | K IBTRN,IBTRND,IBTRCD,DFN,IBDDB,IBDDE,IBCDT
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| 77 | Q
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| 78 | ;
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| 79 | SET ; -- set array to print from
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| 80 | ; -- ^tmp($j,"ibtodd",primary sort,secondary sort,ibtrc)=DFN ^ attending ^ treating specialty ^ service ^ billing bed section ^ billing rate^ no. days denied
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| 81 | S IBPRIM=$S(IBSORT="P":IBNAM,IBSORT="A":IBPROV,1:IBSERV)
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| 82 | S IBSECN=$S(IBSORT="P":IBPROV,1:IBNAM)
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| 83 | S:IBPRIM="" IBPRIM="UNKNOWN" S:IBSECN="" IBSECN="UNKNOWN"
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| 84 | S ^TMP($J,"IBTODD",IBPRIM,IBSECN,IBTRC)=DFN_"^"_IBPROV_"^"_IBSPEC_"^"_IBSERV_"^"_IBBBS_"^"_IBRATE_"^"_IBDAY
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| 85 | Q
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| 86 | ;
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| 87 | PROV(DFN,IBTRCD,IBTRND,IBTALL) ; Find attending/serv/spec during the denied period
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| 88 | ; Input: DFN -- Pointer to the patient in file #2
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| 89 | ; IBTRCD -- Zeroth node of insurance review in file #356.2
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| 90 | ; IBTRND -- Zeroth node of parent CT entry in file #356
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| 91 | ; IBTALL -- 1=> deny entire admission
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| 92 | ; Output: 1^2^3, where 1 => pointer to attending in file #200
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| 93 | ; 2 => pointer to treating spec. in file #45.7
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| 94 | ; 3 => service abbr. code
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| 95 | ;
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| 96 | N I,J,X,Y,DGPM,IBD,VA200,VAIN,VAIP,VAERR
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| 97 | ;
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| 98 | ; - determine date/time to calculate attending/serv/spec
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| 99 | S DGPM=+$P(IBTRND,"^",5),IBD=+$G(^DGPM(DGPM,0))
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| 100 | S:'IBD IBD=$P(IBTRND,"^",6)
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| 101 | I IBTALL S Y=IBD
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| 102 | I 'IBTALL D
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| 103 | .I $P(IBTRCD,"^",16)>$P(IBTRCD,"^",15) S Y=$P(IBTRCD,"^",15)_.2359 Q
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| 104 | .I $P(IBTRCD,"^",15)=(IBD\1) S Y=IBD Q
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| 105 | .S VAIP("D")=$P(IBTRCD,"^",15) D IN5^VADPT
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| 106 | .I +VAIP(16,1)\1=$P(IBTRCD,"^",15) S Y=+VAIP(16,1) Q
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| 107 | .S Y=$P(IBTRCD,"^",15)
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| 108 | S VA200="",VAINDT=Y D INP^VADPT
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| 109 | ;
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| 110 | S X=+VAIN(11)
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| 111 | S Y=$G(^IBT(356.94,+$O(^IBT(356.94,"ATP",+DGPM,1,0)),0))
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| 112 | S:$P(Y,"^",3) X=$P(Y,"^",3)
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| 113 | PROVQ Q X_"^"_+VAIN(3)_"^"_$P($G(^DIC(42.4,+$P($G(^DIC(45.7,+$G(VAIN(3)),0)),"^",2),0)),"^",3)
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| 114 | ;
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| 115 | STRIP ; -- strip time from dates (if report run same day time could produce incorrect results)
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| 116 | S $P(IBCDT,U,1)=$P(IBCDT,".",1),$P(IBCDT,U,2)=$P($P(IBCDT,U,2),".",1) Q
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