source: WorldVistAEHR/trunk/r/OUTPATIENT_PHARMACY-PSO-APSP-HUIP/PSOCIDC2.m@ 1305

PSOCIDC2 ;BIR/LE-continuation of Copay Correction of erroneous billed copays ;11/8/05 12:50pm
 ;;7.0;OUTPATIENT PHARMACY;**226**;DEC 1997
 ;External reference to ^XUSEC supported by DBIA 10076
 ;External reference to IBARX supported by DBIA 125
 ;External reference to $$PROD^XUPROD(1) supported by DBIA 4440
 ;
TOTAL ;
 N COUNT,COUNTED,UCOUNT,UCOUNTED,CCOUNT,CCOUNTED
 I '$D(PSOVETS) S PSOVETS=0
 N I,J
 F I=1:1:3 S (PSOCNT("YR2004",I),PSOCNT("YR2005",I),PSOCNT("YR2006",I))=0
 S PSODFN=0 F  S PSODFN=$O(^XTMP(NAMSP,"TOT REL",PSODFN)) Q:'PSODFN  D
 .S COUNTED=0
 .F J="YR2004","YR2005","YR2006" F I=1:1:3 S COUNT=$G(^XTMP(NAMSP,"TOT REL",PSODFN,J,I)) I COUNT>0 S:'$G(COUNTED) COUNTED=1,PSOVETS=PSOVETS+1 S PSOCNT(J,I)=PSOCNT(J,I)+COUNT
 F I=1:1:3 S PSOCNT=PSOCNT+$G(PSOCNT("YR2004",I))+$G(PSOCNT("YR2005",I))+$G(PSOCNT("YR2006",I))
 ;
 S (I,J)=-""
 I '$D(PSOCVETS) S PSOCVETS=0
 F I=1:1:3 S (PSOCCNT("YR2004",I),PSOCCNT("YR2005",I),PSOCCNT("YR2006",I))=0
 S PSODFN=0 F  S PSODFN=$O(^XTMP(NAMSP,"TOT CAN",PSODFN)) Q:'PSODFN  D
 .S CCOUNTED=0
 .F J="YR2004","YR2005","YR2006" F I=1:1:3 S CCOUNT=$G(^XTMP(NAMSP,"TOT CAN",PSODFN,J,I)) I CCOUNT>0 S:'$G(CCOUNTED) CCOUNTED=1,PSOCVETS=PSOCVETS+1 S PSOCCNT(J,I)=PSOCCNT(J,I)+CCOUNT
 F I=1:1:3 S PSOCCNT=PSOCCNT+$G(PSOCCNT("YR2004",I))+$G(PSOCCNT("YR2005",I))+$G(PSOCCNT("YR2006",I))
 ;
 S (I,J)=""
 I '$D(PSOUVETS) S PSOUVETS=0
 F I=1:1:3 S (PSOUCNT("YR2004",I),PSOUCNT("YR2005",I),PSOUCNT("YR2006",I))=0
 S PSOUDFN=0 F  S PSOUDFN=$O(^XTMP(NAMSP,"TOT UNREL",PSOUDFN)) Q:'PSOUDFN  D
 .S UCOUNTED=0
 .F J="YR2004","YR2005","YR2006" F I=1:1:3 S UCOUNT=$G(^XTMP(NAMSP,"TOT UNREL",PSOUDFN,J,I)) I UCOUNT>0 S:'$G(UCOUNTED) UCOUNTED=1,PSOUVETS=PSOUVETS+1 S PSOUCNT(J,I)=PSOUCNT(J,I)+UCOUNT
 F I=1:1:3 S PSOUCNT=PSOUCNT+$G(PSOUCNT("YR2004",I))+$G(PSOUCNT("YR2005",I))+$G(PSOUCNT("YR2006",I))
 ;
 Q
 ;
CHECK ;check for ICD and IB nodes
 ;
 N PSOREF,PSOIB,PSOOICD,PSOBILLD
 S PSOREF=YY
 S PSOOICD=$P($G(^PSRX(RXP,"ICD",1,0)),"^",2,8)
 ; see if bill already exists
 I PSOREF=0 D
 . I +$P($G(^PSRX(RXP,"IB")),"^",2)>0 D CHKIB^PSOCP1
 . S PSOREL=$P($G(^PSRX(RXP,2)),"^",13)
 I PSOREF>0 D
 . I +$G(^PSRX(RXP,1,PSOREF,"IB")) D CHKIB^PSOCP1
 . S PSOREL=$P($G(^PSRX(RXP,1,YY,0)),"^",18)
 I $G(PSOIB)=1!($G(PSOIB)=3) S PSOBILLD=1
 ;    if billed/RELEASED and no IBQ node for both sc<50 and nsc
 I $G(PSOBILLD)&('$D(^PSRX(RXP,"IBQ"))) D
 . I $TR(PSOOICD,"^")[1  S ^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)=$P(PSOREL,".")_"^"_PSODT_"^"_PSOSCP
 . I $TR(PSOOICD,"^")[0 S ^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)=$P(PSOREL,".")_"^"_PSODT_"^"_PSOSCP
 ;           find unbilled ones with an ICD node and no IBQ node.
 I '$G(PSOBILLD)&('$D(^PSRX(RXP,"IBQ"))) D
 . Q:$TR(PSOOICD,"^")=""
 . S ^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)=$P(PSOREL,".")_"^"_PSODT_"^"_PSOSCP
 I YY S PSOTRF=PSOTRF+1
 Q
 ;
CANCEL ;Cancel erroneous copays/set IBQ node if not there
 ;released rx's
 N PSOCAP,PSODIV,PSODV,PSOFILL,PSOLOG,PSONAM,PSOOUT,PSOPAR,PSOPAR7,PSOSITE
 N PSOSITE7,PSOSQ,PSOTOT,PSOYEAR,PSOYR,SSN,SAVCPUN,SAVREF,PSOIB,PSOOIBQ,PSONIBQ,PSOOICD,PSOOIB
 N I,IFN,PSOANSQ,PSOTYP,COM,CC,PREA,PSONW,PSOOLD,PSOREL,PSO,PSOCPUN,PSOFLD,PSOTYPE,CANCEL
 S PSOTYPE="CAN"
 S PSODFN=0 F CC=1:1 S PSODFN=$O(^XTMP(NAMSP,"CANCEL",PSODFN)) Q:'PSODFN  D  Q:STOP
 .I CC#100=0,$D(^XTMP(NAMSP,0,"STOP")) D  Q
 .. S $P(^XTMP(NAMSP,0,"LAST"),"^",1,2)="STOP^"_$$NOW^XLFDT,STOP=1
 .S (PSOCAP(304),PSOCAP(305),PSOCAP(306))=0 ; INITIAL ANNUAL CAP FOR 2004 & 2005
 .F RXP=0:0 S RXP=$O(^XTMP(NAMSP,"CANCEL",PSODFN,RXP)) Q:'RXP  D
 ..S (SAVCPUN,PSOCPUN)=($P(^PSRX(RXP,0),"^",8)+29)\30
 ..S YY="" F  S YY=$O(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)) Q:YY=""  D
 ...S (SAVREF,PSOREF)=YY
 ...;  verify again that it was billed and not already cancelled
 ...S PSOBILLD=0
 ...I YY=0,+$P($G(^PSRX(RXP,"IB")),"^",2)>0 D CHKIB^PSOCP1 I $G(PSOIB)=1!($G(PSOIB)=3) S PSOBILLD=1
 ...I YY>0,+$P($G(^PSRX(RXP,1,PSOREF,"IB")),"^")>0 D CHKIB^PSOCP1 I $G(PSOIB)=1!($G(PSOIB)=3) S PSOBILLD=1
 ...Q:'PSOBILLD
 ...S PSOREL=$P($G(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)),"^"),PSOFLD=$P($G(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)),"^",2),PSOSCP=$P($G(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)),"^",3)
 ...S PSO=3 D NOW^%DTC S PSODT=%,PSODA=RXP,PSOCOMM="-BKGD CIDC COPAY CANCEL",PSOOLD="",PSONW="",PREA=""
 ...D CHKACT
 ...S PSOIB="",PSOIB=$S(PSOREF>0:$G(^PSRX(RXP,1,YY,"IB")),'PSOREF:$G(^PSRX(PSODA,"IB")),1:"")
 ...S (PSOOIBQ,PSOOICD,PSOOIB)=""
 ...S PSOOICD=$P($G(^PSRX(RXP,"ICD",1,0)),"^",2,8),PSOOIB=$G(^PSRX(RXP,"IB")),PSOOIBQ=$G(^PSRX(RXP,"IBQ"))
 ...I PSOOIBQ=""&($TR(PSOOICD,"^")[0!($TR(PSOOICD,"^")[1)) D SETIBQ
 ...D SITE S PSOCOMM="-BKGD CIDC COPAY CANCEL" D RXED^PSOCPA S:PSOOICD[1&($D(^PSRX(RXP,"IB"))) $P(^PSRX(RXP,"IB"),"^")=""
 ...S PSOCPUN=SAVCPUN,PSOREF=SAVREF
 ...D ACCUM
 ;
 ;ICD NODES WITHOUT IBQ NODE; set IBQ node but only set 1st piece of IB node if unreleased.
 S PSOTYP="IBQ"
 S PSODFN=0 F CC=1:1 S PSODFN=$O(^XTMP(NAMSP,"NOIBQ",PSODFN)) Q:'PSODFN  D  Q:STOP
 .I CC#100=0,$D(^XTMP(NAMSP,0,"STOP")) D  Q
 .. S $P(^XTMP(NAMSP,0,"LAST"),"^",1,2)="STOP^"_$$NOW^XLFDT,STOP=1
 .S (PSOCAP(304),PSOCAP(305),PSOCAP(306))=0 ; INITIAL ANNUAL CAP FOR 2004 & 2005
 .F RXP=0:0 S RXP=$O(^XTMP(NAMSP,"NOIBQ",PSODFN,RXP)) Q:'RXP  D
 ..S (SAVCPUN,PSOCPUN)=($P(^PSRX(RXP,0),"^",8)+29)\30
 ..S YY="" F  S YY=$O(^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)) Q:YY=""  D
 ...S (SAVREF,PSOREF)=YY
 ...D SITE
 ...S PSOREL=$P($G(^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)),"^"),PSOFLD=$P($G(^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)),"^",2),PSOSCP=$P($G(^XTMP(NAMSP,"NOIBQ",PSODFN,RXP,YY)),"^",3)
 ...S (PSOOIBQ,PSOOICD,PSOOIB)=""
 ...S PSOOICD=$P($G(^PSRX(RXP,"ICD",1,0)),"^",2,8),PSOOIB=$G(^PSRX(RXP,"IB")),PSOOIBQ=$G(^PSRX(RXP,"IBQ"))
 ...I PSOOIBQ=""&($TR(PSOOICD,"^")[0!($TR(PSOOICD,"^")[1)) D SETIBQ D   ;don't want to set again if already did it as part of copay cancel
 ....S I="",IFN=0 F I=0:0 S I=$O(^PSRX(RXP,"A",I)) Q:'I  S IFN=I
 ....S COM=" BKGD CIDC UPDATE"
 ....D NOW^%DTC S IFN=IFN+1,^PSRX(RXP,"A",0)="^52.3DA^"_IFN_"^"_IFN,^PSRX(RXP,"A",IFN,0)=%_"^I^.5^"_YY_"^"_COM
 ....K DA
 ....S:PSOOICD[1&($D(^PSRX(RXP,"IB"))) $P(^PSRX(RXP,"IB"),"^")=""
 ...D:'$G(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY)) ACCUM
 ...S PSOCPUN=SAVCPUN,PSOREF=SAVREF
 Q
 ;
CHKACT ;check activity log for prev entry
 N ZACT,ZPSI,ZACTI
 S ZPSI=0 F  S ZPSI=$O(^PSRX(PSODA,"COPAY",ZPSI)) Q:ZPSI=""  S ZACTI="",ZACTI=$G(^PSRX(PSODA,"COPAY",ZPSI,0)) D  Q:$G(ZACT)
 . I ZACTI["BKGD CIDC COPAY CANCEL"&($P(ZACTI,"^",2)="R") S PSOOLD="",PSONW="",PREA="C",ZACT=1 Q
 I '$G(ZACT) S PSOOLD="Copay",PSONW="No Copay",PREA="R" K PSOREF D ACTLOG^PSOCPA S PSOREF=YY,PSOOLD="",PSONW="",PREA="C"
 Q
 ;
SETIBQ ; get data from IBQ node, set IBQ node, and 1st piece of IB node
 K PSOANSQ
 N PSONIBQ
 F PSOTYP=1:1:7 D
 . I PSOTYP=1 S PSOANSQ("VEH")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=2 S PSOANSQ("RAD")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=3 S PSOANSQ("SC")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=4 S PSOANSQ("PGW")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=5 S PSOANSQ("MST")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=6 S PSOANSQ("HNC")=$P(PSOOICD,"^",PSOTYP)
 . I PSOTYP=7 S PSOANSQ("CV")=$P(PSOOICD,"^",PSOTYP)
 S ^PSRX(RXP,"IBQ")=PSOANSQ("SC")_"^"_PSOANSQ("MST")_"^"_PSOANSQ("VEH")_"^"_PSOANSQ("RAD")_"^"_PSOANSQ("PGW")_"^"_PSOANSQ("HNC")_"^"_PSOANSQ("CV")
 Q
 ;
ACCUM ; ACCUMULATE TOTALS
 S (PSOTOT,PSOYR,PSOYEAR,PSOLOG,PSONAM,PSOCHRG)=""
 ; get finished, but unreleased totals
 I PSOREL="" S PSOYR=$E(PSOFLD,1,3) Q:PSOYR=""  D  S PSOYEAR="" Q
 .S PSOYEAR=$S(PSOYR="304":"YR2004",PSOYR="305":"YR2005",PSOYR="306":"YR2006",1:"") Q:PSOYEAR=""
 .S PSOCHRG=7
 .I PSOYEAR="YR2006" S PSOCHRG=8
 .S PSOTOT=$G(^XTMP(NAMSP,"TOT UNREL",PSODFN,PSOYEAR))
 .S ^XTMP(NAMSP,"TOT UNREL",PSODFN,PSOYEAR)=PSOTOT+(PSOCPUN*PSOCHRG)
 .S ^XTMP(NAMSP,"TOT UNREL",PSODFN,PSOYEAR,PSOCPUN)=$G(^XTMP(NAMSP,"TOT UNREL",PSODFN,PSOYEAR,PSOCPUN))+1
 .S PSONAM=$P($G(^DPT(PSODFN,0)),"^"),PSONAM=$P(PSONAM,",")
 .S PSONAM=$E(PSONAM,1,6)
 .S ^XTMP(NAMSP,"IBQ UPD",PSONAM,PSODFN,RXP,PSOREF)=PSOFLD
 ;for released ones
 S PSOYR=$E(PSOREL,1,3)
 S:PSOYR'="" PSOYEAR=$S(PSOYR="304":"YR2004",PSOYR="305":"YR2005",PSOYR="306":"YR2006",1:"")
 Q:PSOYEAR=""
 S PSOCHRG=7
 I PSOYEAR="YR2006" S PSOCHRG=8
 ;
 ;get Xtmp billing amt which would be IBAM tot + any previous refills
 S PSOTOT=$G(^XTMP(NAMSP,"TOT REL",PSODFN,PSOYEAR))
 ;
 ;if none yet then init to the IBAM total for the year
 I 'PSOTOT D
 .F PSOSQ=0:0 S PSOSQ=$O(^IBAM(354.7,PSODFN,1,PSOSQ)) Q:'PSOSQ  D
 ..S PSOLOG=$G(^IBAM(354.7,PSODFN,1,PSOSQ,0))
 ..I $E(PSOLOG,1,3)=PSOYR S PSOTOT=PSOTOT+$P(PSOLOG,"^",2)
 ;
 ;update Xtmp tot nodes with current fill amounts
 ;  note:  cancel copays and updated IBQ node released prescription are collected under TOT REL for the RPT^PSOCIDC3
 ;             routine.  Cancelled copays are denoted with an asterisk.
 S ^XTMP(NAMSP,"TOT REL",PSODFN,PSOYEAR)=PSOTOT+(PSOCPUN*PSOCHRG)
 S ^XTMP(NAMSP,"TOT REL",PSODFN,PSOYEAR,PSOCPUN)=$G(^XTMP(NAMSP,"TOT REL",PSODFN,PSOYEAR,PSOCPUN))+1
 ;
 ;indicate COPAY CANCEL for this fill 
 ;       ;by adding to Xtmp "BILLED"
 S PSONAM=$P($G(^DPT(PSODFN,0)),"^"),PSONAM=$P(PSONAM,",")
 S PSONAM=$E(PSONAM,1,6)
 S ^XTMP(NAMSP,"REL",PSONAM,PSODFN,RXP,PSOREF)=PSOREL
 ;
CAN I PSOTYPE="CAN"&($G(^XTMP(NAMSP,"CANCEL",PSODFN,RXP,YY))) N PSOFILL S CANCEL="" S PSOFILL=YY D CHK^PSOCIDC3 I CANCEL D
 . S ^XTMP(NAMSP,"TOT CAN",PSODFN,PSOYEAR)=PSOTOT+(PSOCPUN*PSOCHRG)
 . S ^XTMP(NAMSP,"TOT CAN",PSODFN,PSOYEAR,PSOCPUN)=$G(^XTMP(NAMSP,"TOT CAN",PSODFN,PSOYEAR,PSOCPUN))+1
 Q
 ;
SITE ; SET UP VARIABLES NEEDED BY BILLING
 S PSOSITE=$S(YY=0:$P(^PSRX(RXP,2),"^",9),1:$P($G(^PSRX(RXP,1,YY,0)),"^",9))
 Q:PSOSITE=""
 S PSOPAR=$G(^PS(59,PSOSITE,1))
 S PSOPAR7=$G(^PS(59,PSOSITE,"IB"))
 S PSOSITE7=$P($G(^PS(59,PSOSITE,"IB")),"^")
 Q
 ;