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