FBNHEP2 ;AISC/GRR - ENTER NURSING HOME PAYMENT ;7/1/2009
;;3.5;FEE BASIS;**108**;JAN 30, 1995;Build 115
;;Per VHA Directive 2004-038, this routine should not be modified.
NOBAT W !!,*7,"You do not have an open CNH Batch. You must have an open",!,"CNH type Batch before you can enter a payment!",!
D Q
Q
;
GETBAT ;
S FBAAMPI=$P($G(^FBAA(161.4,1,"FBNUM")),"^",5) ; max lines CNH batch
I FBAAMPI'>0 S FBAAMPI=61
S FBOUT=0,DIC="^FBAA(161.7,",DIC(0)="AEQM",DIC("S")="I $P(^(0),U,3)=""B9""&($P(^(0),U,5)=DUZ)&($P(^(0),U,15)="""")&($G(^(""ST""))=""O"")" W ! D ^DIC K DIC
I X=""!(X="^") S FBOUT=1 Q
G GETBAT:Y<0
I $$B9INVC(+Y)>(FBAAMPI-1) D G GETBAT
. W !!,"This Batch already has the maximum number of Payments!"
S FBBAT=+Y,FBCNH=1
Q
Q K FBYY,FBMM,FBDAYS,FBPAYDT,FBENDDT,Z,Y,DIC,FBRIFN,CNT,%DT,FBAABDT,FBAAEDT,FBAAPTC,FBDEFP,FBER,FBERR,FBHZ,FBINA,FBIRAT,FBPIFN,FBPREV,FBPROG,FBPRTR,FBSRAT,FBTRDYS,FBTYPE,FBVCAR,I,IFN,VAL,X,DA,DIE,DR,FBAAID,FBAAIN,FBNL,FBI7078,FBBAT,FBOUT
K DAT,F,FBAUT,FBDX,FBEDT,FBI,FBMULT,FBRR,FBTDT,FBXX,FTP,PI,PTYPE,T,ZZ,FB7078,FBAAOUT,FBASSOC,FBLOC,FBPOV,FBPSA,FBPT,FBTT,FBVEN,TA,FBCNH
D GETAUTHK^FBAAUTL1
Q
;
CKRAT ;check rates and fill gaps if needed
K FB S FBERR=0 N I,J,FBVIEN,FBCHFDT,FBCHTDT,FBCIEN,FBCNUM,FBDDT,FBEXDT,FBEXNDT,FBFND,FBRFDT,FBRTDT,FBRT,FBUNR S I=0
F S I=$O(^FBAA(161.23,"AC",FB7078,I)) Q:'I I $D(^FBAA(161.23,I,0)) S J=^(0) D
.S FBRT($P(J,U))=$P(J,U,5)_"^"_$P(J,U,2)
S FBRFDT=0,FBCHFDT=$S(FBAABDT<FBPAYDT:$E(FBPAYDT,1,5)_"01",1:FBAABDT),(FBCHTDT,FBDDT)=FBENDDT,I=DFN,FBVIEN=IFN
D GETRAT^FBNHRAT,CKFRDT^FBNHRAT
I $D(FBUNR) S FBERR=1 D ERR K FB Q
D GETRAT
Q
GETRAT N I,J,FBCK S I=0
F S I=$O(^FBAA(161.23,"AC",FB7078,I)) Q:'I I $D(^FBAA(161.23,I,0)) S J=^(0) D
.S FB($P(J,U,2))=$P(J,U,5)_"^"_$P(J,U)
I $O(FB(FBPAYDT+.9))="" S FBERR=1 D ERR Q
Q
;
CALC ;get dollar amount to pay when no movements in month.
;FBPAYS=# of days in month
;FBTRDYS=# of treatment days
;FBPAYDT=month of payment
;FBENDDT=last day of payment month or last day of authorization
S FBDEFP=0 N FBCT S FBCT=0
I $G(FBDAYS) S FBTRDYS=$S(FBTRDYS>FBDAYS:FBDAYS,1:FBTRDYS)
S X=$S(FBAABDT>(FBPAYDT):FBAABDT-1,1:FBPAYDT)
S Y=$O(FB(X)) I FBENDDT'>Y S FBDEFP=FBTRDYS*+FB(Y) Q
RATE S X1=$O(FB(X)),FBCT=FBCT+1 I 'X1 S FBERR=1 Q
S FBX1=($S(X1>(FBENDDT-$G(FBENDFLG)):(FBENDDT-$G(FBENDFLG)),1:X1)-X) S:FBCT'>0 FBX1=FBX1+1 S FBDEFP=FBDEFP+(FBX1*$P(FB(X1),U)) S X=X1
I FBENDDT>X G RATE
Q
;
ERR W !,"Insufficient Authorization Rate data on file for patient: ",$$NAME^FBCHREQ2(DFN) ;,!,"Use the Edit Authorization option prior to entering payment.",!!
W !,"Take the appropriate action prior to entering a payment:"
W !?3,"Use the Edit Authorization option to modify the authorization period or",!?3,"assure a contract with valid rates exists for the payment period before",!?8,"continuing with this payment entry.",!!
Q
;calculate dollars when at least one movement in month.
CALC1 S (I,J,Z,FBDEFP)=0
F S J=$O(FBZZ(J)) Q:'J D
.S I=$O(FBZZ(0)) Q:'I D
..F Q:'$D(FBZZ(I)) S X=$P(FBZZ(I),"^"),Y=$O(FB(X-.1)),X1=$O(FB(X-.1)) Q:'Y D
...I $P(FBZZ(I),"^",2)>Y S Z=1 D DEFP S Z=0 S $P(FBZZ(I),"^")=Y+1 Q
...S Y=$P(FBZZ(I),"^",2) D DEFP K FBZZ(I)
K I,J,X,Y,X1 Q
;
DEFP S FBDEFP=FBDEFP+(($S(FBAABDT=FBAAEDT:1,1:Y-X)+$P(FBZZ(I),"^",3)+Z)*+FB(X1))
Q
;
DAYS S (I,FBTRDYS)=0 K FBPREV,FBHI
S FBBEG=FBPAYDT+1
F S I=$O(FBZ(I)) Q:'I D
.I '$D(FBPREV),$P(FBZ(I),U,2) S FBBEG=$S($P(FBZ(I),U)>FBPAYDT:$P(FBZ(I),U),1:FBPAYDT),FBPREV=1
.I '$P(FBZ(I),U,2),$S('$D(FBHI):1,1:$P(FBZ(+FBHI),U,2)) S FBEND=$P(FBZ(I),U),FBTRDYS=FBTRDYS+($S(FBEND-FBBEG:FBEND-FBBEG,((FBAABDT<FBAAEDT)&(+$E(FBAAEDT,6,7)=1)):0,1:1))+$P(FBZ(I),U,2) S FBZZ(I)=FBBEG_"^"_FBEND
.I $D(FBHI),$P(FBZ(I),U,2) S FBBEG=$P(FBZ(I),U)
.S FBHI=I
I FBENDDT>$P(FBZ(FBHI),U),$P(FBZ(FBHI),U,2) S FBTRDYS=FBTRDYS+($S(FBENDDT-FBBEG:FBENDDT-FBBEG,1:1))+1,$P(FBZZ(FBHI),U,3)=1 I '+FBZZ(FBHI) S $P(FBZZ(FBHI),"^",1,2)=FBBEG_"^"_FBENDDT
I FBENDDT=$P(FBZ(FBHI),U),$P(FBZ(FBHI),U,2) S FBTRDYS=FBTRDYS+1 I '+$G(FBZZ(FBHI)) S $P(FBZZ(FBHI),"^",1,2)=FBBEG_"^"_FBENDDT
Q
CHECK N FBCK,FBCK1
S FBCK=$S(FBABD<FBPAYDT:($E(FBPAYDT,1,5)_"01"),1:FBABD),FBCK1=$O(FB(FBCK-.1)) I $P(FB(FBCK1),"^",2)>FBCK S FBERR=1 D ERR Q
Q
B9INVC(FBBAT) ; B9 Batch Invoice Count
; Input
; FBBAT = IEN of B9 type batch in file 161.7
; Returns count of invoices in batch
N FBCNT,FBDA
S FBCNT=0
I $G(FBBAT) D
. S FBDA=0
. F S FBDA=$O(^FBAAI("AC",FBBAT,FBDA)) Q:'FBDA S:$D(^FBAAI(FBDA,0)) FBCNT=FBCNT+1
Q FBCNT
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HFBNHEP2 4568 printed Apr 09, 2024@21:00:07 Page 2
FBNHEP2 ;AISC/GRR - ENTER NURSING HOME PAYMENT ;7/1/2009
+1 ;;3.5;FEE BASIS;**108**;JAN 30, 1995;Build 115
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
NOBAT WRITE !!,*7,"You do not have an open CNH Batch. You must have an open",!,"CNH type Batch before you can enter a payment!",!
+1 DO Q
+2 QUIT
+3 ;
GETBAT ;
+1 ; max lines CNH batch
SET FBAAMPI=$PIECE($GET(^FBAA(161.4,1,"FBNUM")),"^",5)
+2 IF FBAAMPI'>0
SET FBAAMPI=61
+3 SET FBOUT=0
SET DIC="^FBAA(161.7,"
SET DIC(0)="AEQM"
SET DIC("S")="I $P(^(0),U,3)=""B9""&($P(^(0),U,5)=DUZ)&($P(^(0),U,15)="""")&($G(^(""ST""))=""O"")"
WRITE !
DO ^DIC
KILL DIC
+4 IF X=""!(X="^")
SET FBOUT=1
QUIT
+5 if Y<0
GOTO GETBAT
+6 IF $$B9INVC(+Y)>(FBAAMPI-1)
Begin DoDot:1
+7 WRITE !!,"This Batch already has the maximum number of Payments!"
End DoDot:1
GOTO GETBAT
+8 SET FBBAT=+Y
SET FBCNH=1
+9 QUIT
Q KILL FBYY,FBMM,FBDAYS,FBPAYDT,FBENDDT,Z,Y,DIC,FBRIFN,CNT,%DT,FBAABDT,FBAAEDT,FBAAPTC,FBDEFP,FBER,FBERR,FBHZ,FBINA,FBIRAT,FBPIFN,FBPREV,FBPROG,FBPRTR,FBSRAT,FBTRDYS,FBTYPE,FBVCAR,I,IFN,VAL,X,DA,DIE,DR,FBAAID,FBAAIN,FBNL,FBI7078,FBBAT,FBOUT
+1 KILL DAT,F,FBAUT,FBDX,FBEDT,FBI,FBMULT,FBRR,FBTDT,FBXX,FTP,PI,PTYPE,T,ZZ,FB7078,FBAAOUT,FBASSOC,FBLOC,FBPOV,FBPSA,FBPT,FBTT,FBVEN,TA,FBCNH
+2 DO GETAUTHK^FBAAUTL1
+3 QUIT
+4 ;
CKRAT ;check rates and fill gaps if needed
+1 KILL FB
SET FBERR=0
NEW I,J,FBVIEN,FBCHFDT,FBCHTDT,FBCIEN,FBCNUM,FBDDT,FBEXDT,FBEXNDT,FBFND,FBRFDT,FBRTDT,FBRT,FBUNR
SET I=0
+2 FOR
SET I=$ORDER(^FBAA(161.23,"AC",FB7078,I))
if 'I
QUIT
IF $DATA(^FBAA(161.23,I,0))
SET J=^(0)
Begin DoDot:1
+3 SET FBRT($PIECE(J,U))=$PIECE(J,U,5)_"^"_$PIECE(J,U,2)
End DoDot:1
+4 SET FBRFDT=0
SET FBCHFDT=$SELECT(FBAABDT<FBPAYDT:$EXTRACT(FBPAYDT,1,5)_"01",1:FBAABDT)
SET (FBCHTDT,FBDDT)=FBENDDT
SET I=DFN
SET FBVIEN=IFN
+5 DO GETRAT^FBNHRAT
DO CKFRDT^FBNHRAT
+6 IF $DATA(FBUNR)
SET FBERR=1
DO ERR
KILL FB
QUIT
+7 DO GETRAT
+8 QUIT
GETRAT NEW I,J,FBCK
SET I=0
+1 FOR
SET I=$ORDER(^FBAA(161.23,"AC",FB7078,I))
if 'I
QUIT
IF $DATA(^FBAA(161.23,I,0))
SET J=^(0)
Begin DoDot:1
+2 SET FB($PIECE(J,U,2))=$PIECE(J,U,5)_"^"_$PIECE(J,U)
End DoDot:1
+3 IF $ORDER(FB(FBPAYDT+.9))=""
SET FBERR=1
DO ERR
QUIT
+4 QUIT
+5 ;
CALC ;get dollar amount to pay when no movements in month.
+1 ;FBPAYS=# of days in month
+2 ;FBTRDYS=# of treatment days
+3 ;FBPAYDT=month of payment
+4 ;FBENDDT=last day of payment month or last day of authorization
+5 SET FBDEFP=0
NEW FBCT
SET FBCT=0
+6 IF $GET(FBDAYS)
SET FBTRDYS=$SELECT(FBTRDYS>FBDAYS:FBDAYS,1:FBTRDYS)
+7 SET X=$SELECT(FBAABDT>(FBPAYDT):FBAABDT-1,1:FBPAYDT)
+8 SET Y=$ORDER(FB(X))
IF FBENDDT'>Y
SET FBDEFP=FBTRDYS*+FB(Y)
QUIT
RATE SET X1=$ORDER(FB(X))
SET FBCT=FBCT+1
IF 'X1
SET FBERR=1
QUIT
+1 SET FBX1=($SELECT(X1>(FBENDDT-$GET(FBENDFLG)):(FBENDDT-$GET(FBENDFLG)),1:X1)-X)
if FBCT'>0
SET FBX1=FBX1+1
SET FBDEFP=FBDEFP+(FBX1*$PIECE(FB(X1),U))
SET X=X1
+2 IF FBENDDT>X
GOTO RATE
+3 QUIT
+4 ;
ERR ;,!,"Use the Edit Authorization option prior to entering payment.",!!
WRITE !,"Insufficient Authorization Rate data on file for patient: ",$$NAME^FBCHREQ2(DFN)
+1 WRITE !,"Take the appropriate action prior to entering a payment:"
+2 WRITE !?3,"Use the Edit Authorization option to modify the authorization period or",!?3,"assure a contract with valid rates exists for the payment period before",!?8,"continuing with this payment entry.",!!
+3 QUIT
+4 ;calculate dollars when at least one movement in month.
CALC1 SET (I,J,Z,FBDEFP)=0
+1 FOR
SET J=$ORDER(FBZZ(J))
if 'J
QUIT
Begin DoDot:1
+2 SET I=$ORDER(FBZZ(0))
if 'I
QUIT
Begin DoDot:2
+3 FOR
if '$DATA(FBZZ(I))
QUIT
SET X=$PIECE(FBZZ(I),"^")
SET Y=$ORDER(FB(X-.1))
SET X1=$ORDER(FB(X-.1))
if 'Y
QUIT
Begin DoDot:3
+4 IF $PIECE(FBZZ(I),"^",2)>Y
SET Z=1
DO DEFP
SET Z=0
SET $PIECE(FBZZ(I),"^")=Y+1
QUIT
+5 SET Y=$PIECE(FBZZ(I),"^",2)
DO DEFP
KILL FBZZ(I)
End DoDot:3
End DoDot:2
End DoDot:1
+6 KILL I,J,X,Y,X1
QUIT
+7 ;
DEFP SET FBDEFP=FBDEFP+(($SELECT(FBAABDT=FBAAEDT:1,1:Y-X)+$PIECE(FBZZ(I),"^",3)+Z)*+FB(X1))
+1 QUIT
+2 ;
DAYS SET (I,FBTRDYS)=0
KILL FBPREV,FBHI
+1 SET FBBEG=FBPAYDT+1
+2 FOR
SET I=$ORDER(FBZ(I))
if 'I
QUIT
Begin DoDot:1
+3 IF '$DATA(FBPREV)
IF $PIECE(FBZ(I),U,2)
SET FBBEG=$SELECT($PIECE(FBZ(I),U)>FBPAYDT:$PIECE(FBZ(I),U),1:FBPAYDT)
SET FBPREV=1
+4 IF '$PIECE(FBZ(I),U,2)
IF $SELECT('$DATA(FBHI):1,1:$PIECE(FBZ(+FBHI),U,2))
SET FBEND=$PIECE(FBZ(I),U)
SET FBTRDYS=FBTRDYS+($SELECT(FBEND-FBBEG:FBEND-FBBEG,((FBAABDT<FBAAEDT)&(+$EXTRACT(FBAAEDT,6,7)=1)):0,1:1))+$PIECE(FBZ(I),U,2)
SET FBZZ(I)=FBBEG_"^"_FBEND
+5 IF $DATA(FBHI)
IF $PIECE(FBZ(I),U,2)
SET FBBEG=$PIECE(FBZ(I),U)
+6 SET FBHI=I
End DoDot:1
+7 IF FBENDDT>$PIECE(FBZ(FBHI),U)
IF $PIECE(FBZ(FBHI),U,2)
SET FBTRDYS=FBTRDYS+($SELECT(FBENDDT-FBBEG:FBENDDT-FBBEG,1:1))+1
SET $PIECE(FBZZ(FBHI),U,3)=1
IF '+FBZZ(FBHI)
SET $PIECE(FBZZ(FBHI),"^",1,2)=FBBEG_"^"_FBENDDT
+8 IF FBENDDT=$PIECE(FBZ(FBHI),U)
IF $PIECE(FBZ(FBHI),U,2)
SET FBTRDYS=FBTRDYS+1
IF '+$GET(FBZZ(FBHI))
SET $PIECE(FBZZ(FBHI),"^",1,2)=FBBEG_"^"_FBENDDT
+9 QUIT
CHECK NEW FBCK,FBCK1
+1 SET FBCK=$SELECT(FBABD<FBPAYDT:($EXTRACT(FBPAYDT,1,5)_"01"),1:FBABD)
SET FBCK1=$ORDER(FB(FBCK-.1))
IF $PIECE(FB(FBCK1),"^",2)>FBCK
SET FBERR=1
DO ERR
QUIT
+2 QUIT
B9INVC(FBBAT) ; B9 Batch Invoice Count
+1 ; Input
+2 ; FBBAT = IEN of B9 type batch in file 161.7
+3 ; Returns count of invoices in batch
+4 NEW FBCNT,FBDA
+5 SET FBCNT=0
+6 IF $GET(FBBAT)
Begin DoDot:1
+7 SET FBDA=0
+8 FOR
SET FBDA=$ORDER(^FBAAI("AC",FBBAT,FBDA))
if 'FBDA
QUIT
if $DATA(^FBAAI(FBDA,0))
SET FBCNT=FBCNT+1
End DoDot:1
+9 QUIT FBCNT
