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Routine: IBJDF2

IBJDF2.m

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  1. IBJDF2 ;ALB/CPM - THIRD PARTY FOLLOW-UP SUMMARY REPORT ;Feb 09, 2018@10:11:43
  1. ;;2.0;INTEGRATED BILLING;**69,91,100,118,133,205,554,597,568,618,663**;21-MAR-94;Build 27
  1. ;;Per VA Directive 6402, this routine should not be modified.
  1. ;
  1. EN ; - Option entry point.
  1. ;
  1. W !!,"This report provides a summary of all outstanding Third Party receivables.",!
  1. ;
  1. DATE ; - Choose date to use for calculation
  1. W !!,"Calculate report using (D)ATE OF CARE or (A)CTIVE IN AR (days): (A)CTIVE IN AR// " R X:DTIME
  1. G:'$T!(X["^") ENQ S:X="" X="A" S X=$E(X)
  1. I "ADad"'[X S IBOFF=99 D HELP^IBJDF1H G DATE
  1. W " ",$S("Dd"[X:"DATE OF CARE",1:"(DAYS) ACTIVE IN AR")
  1. S IBSDATE=$S("Dd"[X:"D",1:"A")
  1. ;
  1. ; - Sort by division.
  1. S DIR(0)="Y",DIR("B")="NO"
  1. S DIR("A")="Do you wish to sort this report by division"
  1. S DIR("?")="^D DHLP^IBJDF2"
  1. D ^DIR K DIR I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ
  1. S IBSORT=+Y K DIROUT,DTOUT,DUOUT,DIRUT
  1. ;
  1. ; - Issue prompt for division.
  1. I IBSORT D PSDR^IBODIV G:Y<0 ENQ
  1. ;
  1. TYP ; - Select type of summaries to print.
  1. ; IB*2.0*554 DRF 10/19/2015 Add Non-VA care
  1. W !!,"Choose which type of summaries to print:",!
  1. S DIR(0)="LO^1:5^K:+$P(X,""-"",2)>5 X"
  1. S DIR("A",1)=" 1 - INPATIENT RECEIVABLES"
  1. S DIR("A",2)=" 2 - OUTPATIENT RECEIVABLES"
  1. S DIR("A",3)=" 3 - PHARMACY REFILL RECEIVABLES"
  1. S DIR("A",4)=" 4 - COMMUNITY CARE RECEIVABLES"
  1. S DIR("A",5)=" 5 - ALL RECEIVABLES"
  1. S DIR("A",6)="",DIR("A")="Select",DIR("B")=5
  1. D ^DIR K DIR I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ
  1. S IBSEL=Y K DIROUT,DTOUT,DUOUT,DIRUT
  1. ;
  1. W !!,"This report only requires an 80 column printer."
  1. W !!,"Note: This report requires a search through all active receivables."
  1. W !?6,"You should queue this report to run after normal business hours.",!
  1. ;
  1. ; - Select a device.
  1. S %ZIS="QM" D ^%ZIS G:POP ENQ
  1. I $D(IO("Q")) D G ENQ
  1. .S ZTRTN="DQ^IBJDF2",ZTDESC="IB - FOLLOW-UP SUMMARY REPORT"
  1. .F I="IBSEL","IBSDATE","IBSORT","VAUTD","VAUTD(" S ZTSAVE(I)=""
  1. .D ^%ZTLOAD
  1. .W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
  1. .K ZTSK,IO("Q") D HOME^%ZIS
  1. ;
  1. U IO
  1. ;
  1. DQ ; - Tasked entry point.
  1. ;
  1. I $G(IBXTRACT) D E^IBJDE(9,1) ; Change extract status.
  1. ;
  1. K IB F I=1,2,3,4,5 I IBSEL[I D
  1. .I 'IBSORT D Q
  1. ..F J=1:1:9 S IB(0,I,J)=""
  1. .I 'VAUTD D Q
  1. ..S J=0 F S J=$O(VAUTD(J)) Q:'J F K=1:1:9 S IB(J,I,K)=""
  1. .S J=0 F S J=$O(^DG(40.8,J)) Q:'J F K=1:1:9 S IB(J,I,K)=""
  1. ;
  1. ; - Find data required for the report.
  1. S (IBQ,IBA)=0 F S IBA=$O(^PRCA(430,"AC",16,IBA)) Q:'IBA D Q:IBQ
  1. .;
  1. .I IBA#100=0 S IBQ=$$STOP^IBOUTL("Third Party Follow-Up Summary Report") Q:IBQ
  1. .;
  1. .;IB*2.0*618 moved ahead of AR Cat check to ensure bill exists before performing lookup in CHKARNUM
  1. .S:"Aa"[IBSDATE IBARD=$$ACT(IBA) S:"Dd"[IBSDATE IBARD=$$DATE1(IBA) I 'IBARD Q ; No activation date.
  1. .I '$D(^DGCR(399,IBA,0)) Q ; No corresponding claim to this AR.
  1. .;
  1. .S IBAR=$G(^PRCA(430,IBA,0))
  1. .;**IB*2.0*618 - Change add new AR Categories and AR Category/
  1. .; Rate Types
  1. .S IBARNUM=$$GET1^DIQ(430.2,$P(IBAR,U,2)_",",6) ; Get AR Cat Num
  1. .Q:'$$CHKARNUM^IBJDF11(IBARNUM) ;Confirm RI Bill, quit if not
  1. .;
  1. .; - Get division if necessary.
  1. .I 'IBSORT S IBDIV=0
  1. .E S IBDIV=$$DIV(IBA) I 'IBDIV S IBDIV=+$$PRIM^VASITE()
  1. .I IBSORT,'VAUTD Q:'$D(VAUTD(IBDIV)) ; Not a selected division.
  1. .;
  1. .; - Determine whether bill is inpatient, outpatient, or RX refill.
  1. .S IBTYP=$P($G(^DGCR(399,IBA,0)),U,5),IBTYP=$S(IBTYP>2:2,1:1)
  1. .S:$D(^IBA(362.4,"C",IBA)) IBTYP=3
  1. .I $P(IBAR,U,2)=45 S IBTYP=4 ;IB*2*554/DRF Look for Non-VA
  1. .S IBTYP=$S(IBARNUM=50:4,IBARNUM=51:4,IBARNUM=52:4,IBARNUM=53:4,1:IBTYP) ;CC types
  1. .I IBSEL'[IBTYP,IBSEL'[5 Q
  1. .;
  1. .; - Handle claims referred to Regional Counsel.
  1. .S IBOUT=+$G(^PRCA(430,IBA,7))
  1. .I $P($G(^PRCA(430,IBA,6)),U,4) D Q
  1. ..F I=IBTYP,5 I IBSEL[I D
  1. ...S $P(IB(IBDIV,I,8),U)=+IB(IBDIV,I,8)+1
  1. ...S $P(IB(IBDIV,I,8),U,2)=$P(IB(IBDIV,I,8),U,2)+IBOUT
  1. .;
  1. .; - Determine age and outstanding balance.
  1. .S IBAGE=$$FMDIFF^XLFDT(DT,IBARD),IBCAT=$$CAT(IBAGE)
  1. .;
  1. .F I=IBTYP,5 I IBSEL[I D
  1. ..S $P(IB(IBDIV,I,IBCAT),U)=+IB(IBDIV,I,IBCAT)+1
  1. ..S $P(IB(IBDIV,I,IBCAT),U,2)=$P(IB(IBDIV,I,IBCAT),U,2)+IBOUT
  1. ;
  1. I IBQ G ENQ
  1. ;
  1. ; - Extract summary data.
  1. ; *597 fix array subscripts for all types
  1. I $G(IBXTRACT) D G ENQ
  1. .F I=1:1:8 D
  1. ..F J=1,2 S $P(IB(0,5,9),U,J)=$P(IB(0,5,9),U,J)+$P(IB(0,5,I),U,J)
  1. .S I=0 F J=1:1:9 D
  1. ..S I=I+1,IB(I)=+IB(0,5,J),I=I+1,IB(I)=$J(+$P(IB(0,5,J),U,2),0,2)
  1. .D E^IBJDE(9,0)
  1. ;
  1. ; - Print the reports.
  1. S (IBPAG,IBQ)=0 D NOW^%DTC S IBRUN=$$DAT2^IBOUTL(%)
  1. I 'IBSORT D SUM(0) G ENQ
  1. ;
  1. S IBDIV=0 F S IBDIV=$O(IB(IBDIV)) Q:'IBDIV D SUM(IBDIV) Q:IBQ
  1. ;
  1. ENQ I $D(ZTQUEUED) S ZTREQ="@" G ENQ1
  1. ;
  1. D ^%ZISC
  1. ENQ1 K IB,IBOFF,IBQ,IBSDATE,IBSEL,IBSORT,IBTEXT,IBA,IBAR,IBARD,IBDIV,IBAGE,IBOUT,IBCAT,IBPAG,IBRUN
  1. K IBDH,IBTYP,IBTYPH,%,%ZIS,DFN,I,J,K,POP,VAUTD,X,Y,Z,ZTDESC,ZTRTN,ZTSAVE,IBARNUM
  1. K DIROUT,DTOUT,DUOUT,DIRUT
  1. Q
  1. ;
  1. SUM(IBDIV) ; - Print the report.
  1. ; Input: IBDIV=Pointer to the division in file #40.8
  1. ;
  1. S IBTYP=0 F S IBTYP=$O(IB(IBDIV,IBTYP)) Q:'IBTYP D Q:IBQ
  1. .I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
  1. .S IBPAG=IBPAG+1 I $E(IOST,1,2)'="C-" W !?68,"Page: ",IBPAG
  1. .W !!?22,"THIRD PARTY FOLLOW-UP SUMMARY REPORT"
  1. .S IBTYPH=$S(IBTYP=1:"INPATIENT",IBTYP=2:"OUTPATIENT",IBTYP=3:"RX REFILL",IBTYP=4:"NON-VA",1:"ALL REIMBURSABLE")_" RECEIVABLES"_$S(IBSDATE="D":" ( date of care )",1:" ( days in AR )")
  1. .W !?(80-$L(IBTYPH))\2,IBTYPH
  1. .I IBDIV S IBDH="Division: "_$P($G(^DG(40.8,IBDIV,0)),U) W !?(80-$L(IBDH)\2),IBDH
  1. .W !!?24,"Run Date: ",IBRUN,!?24,$$DASH(31),!!
  1. .;
  1. .; - Calculate totals first.
  1. .F I=1:1:8 F J=1,2 S $P(IB(IBDIV,IBTYP,9),U,J)=$P(IB(IBDIV,IBTYP,9),U,J)+$P(IB(IBDIV,IBTYP,I),U,J)
  1. .;
  1. .W "AR Category",?31,"# Receivables",?52,"Total Outstanding Balance"
  1. .W !,"-----------",?31,"-------------",?52,"-------------------------",!
  1. .;
  1. .I 'IB(IBDIV,IBTYP,9) W !,"There are no active receivables",$S(IBDIV:" for this division",1:""),"." D PAUSE Q
  1. .;
  1. .; - Primary loop to write results.
  1. .S Y=$P(IB(IBDIV,IBTYP,9),U,2) F I=1:1:9 S X=$P($T(CATN+I),";;",2,99) D
  1. ..W:I=9 ! W !,X,?30,$J(+IB(IBDIV,IBTYP,I),6)
  1. ..W " (",$J(+IB(IBDIV,IBTYP,I)/+IB(IBDIV,IBTYP,9)*100,0,$S(I=9:0,1:2)),"%)"
  1. ..S Z=$FN($P(IB(IBDIV,IBTYP,I),U,2),",",2)
  1. ..W ?52,$J($S(I=1!(I=9):"$",1:"")_Z,15)
  1. ..W " (",$J($S('Y:0,1:$P(IB(IBDIV,IBTYP,I),U,2)/Y*100),0,$S(I=9:0,1:2)),"%)"
  1. .;
  1. .D PAUSE
  1. ;
  1. SUMQ Q
  1. ;
  1. DASH(X) ; - Return a dashed line.
  1. Q $TR($J("",X)," ","=")
  1. ;
  1. PAUSE ; - Page break.
  1. I $E(IOST,1,2)'="C-" Q
  1. N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
  1. F IBX=$Y:1:(IOSL-3) W !
  1. S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
  1. Q
  1. ;
  1. DHLP ; - 'Display Registration User' help.
  1. W !,"Enter <CR> to summarize all receivables without regard to division,"
  1. W !,"or YES to select those divisions for which a separate report should"
  1. W !,"be created."
  1. Q
  1. ;
  1. CAT(X) ; - Determine category to place receivable.
  1. Q $S($G(X)<31:1,X<61:2,X<91:3,X<121:4,X<181:5,X<366:6,1:7)
  1. ;
  1. ACT(X) ; - Determine the activation date for a receivable.
  1. N Y S Y=0 I '$G(X) G ACTQ
  1. S Y=$P($G(^PRCA(430,X,6)),U,21) I Y G ACTQ
  1. S Y=$P($G(^PRCA(430,X,9)),U,3) I Y G ACTQ
  1. S Y=$P($G(^PRCA(430,X,0)),U,10)
  1. ACTQ Q Y
  1. ;
  1. DATE1(X) ; - Determine the Date of Care
  1. N Y S Y=0 I '$G(X) G DATEQ
  1. S Y=$P($G(^DGCR(399,X,"U")),U,2) I Y G DATEQ
  1. DATEQ Q Y
  1. ;
  1. DIV(IBX) ; - Determine the division for a claim.
  1. ; Input: IBX=Pointer to a claim in file #399
  1. ; Output: IBY=Pointer to a division in file #40.8,
  1. ; or 0 if not determined
  1. ;
  1. N DFN,IBADM,IBEV,IBD,IBPTF,IBU,IBY,IBC,IBTY,VAINDT,VADMVT
  1. S IBY=0,IBC=$G(^DGCR(399,+$G(IBX),0)) I $P(IBC,U)="" G DIVQ
  1. S DFN=+$P(IBC,U,2),IBEV=+$P(IBC,U,3)\1,IBTY=$P(IBC,U,5)
  1. ;
  1. S IBY=+$P(IBC,U,22) I +IBY G DIVQ ; use bill default division if defined
  1. ;
  1. ; - For Pharmacy or Prosthetics claims, use the primary division.
  1. I $D(^IBA(362.4,"AIFN"_IBX))!$D(^IBA(362.5,"AIFN"_IBX)) D G DIVQ
  1. .S IBY=$$PRIM^VASITE(DT) S:IBY'>0 IBY=0
  1. ;
  1. ; - Check all visit dates if outpatient claim.
  1. I IBTY>2 D G DIVQ
  1. .S IBY=$$OPT(IBEV,DFN) Q:IBY
  1. .S IBD=0 F S IBD=$O(^DGCR(399,IBX,"OP",IBD)) Q:'IBD S IBY=$$OPT(IBD,DFN) Q:IBY
  1. ;
  1. ; - Check inpatient claim.
  1. S IBPTF=+$P(IBC,U,8),IBU=$G(^DGCR(399,IBX,"U"))
  1. I IBPTF S IBADM=$O(^DGPM("APTF",IBPTF,0)) I IBADM S IBY=$$INP(IBADM) G:IBY DIVQ
  1. S VAINDT=+IBU\1_.23 D ADM^VADPT2 I VADMVT S IBY=$$INP(VADMVT) G:IBY DIVQ
  1. S VAINDT=$S($P(IBEV,".",2):IBEV,1:+IBEV\1_.23) D ADM^VADPT2 I VADMVT S IBY=$$INP(VADMVT)
  1. ;
  1. DIVQ ; - If a division cannot be determined, use the primary division.
  1. I 'IBY S IBY=$$PRIM^VASITE(DT) S:IBY'>0 IBY=0
  1. Q IBY
  1. ;
  1. INP(X) ; - Return division for a movement.
  1. Q +$P($G(^DIC(42,+$P($G(^DGPM(+$G(X),0)),U,6),0)),U,11)
  1. ;
  1. OPT(X,DFN) ; - Return division for a patient's outpatient visit date.
  1. N IBFR,IBTO,IBY,IBY1,IBZ,IBZERR
  1. S IBY=0 I '$G(X) G OPTQ
  1. S IBFR=X,IBTO=X\1_".99"
  1. F S IBZ=$$EXOE^SDOE(DFN,IBFR,IBTO,,"IBZERR") K IBZERR Q:'IBZ S IBY1=$$SCE^IBSDU(IBZ) D Q:IBY
  1. .I $P(IBY1,U,11) S IBY=$P(IBY1,U,11) Q
  1. .S IBFR=IBY1+.000001
  1. OPTQ Q IBY
  1. ;
  1. CATN ; - List of category names.
  1. ;;Less than 30 days old
  1. ;;31-60 days
  1. ;;61-90 days
  1. ;;91-120 days
  1. ;;121-180 days
  1. ;;181-365 days
  1. ;;Over 365 days
  1. ;;Referred to Regional Counsel
  1. ;;Total Third Party Receivables