IBOSTUS1 ;ALB/SGD-MCCR BILL STATUS REPORT ;25 MAY 88 14:19
;;2.0;INTEGRATED BILLING;**31,118,128,153,137,161,183,155**;21-MAR-94
;
;MAP TO DGCROST1
;
EN ; - Entry point from IBOSTUS.
N IBSUB,IBHDR,IBST1,IBST2,IBCAT,IBAMT,IBBEF,IBCRT,IBQUIT,IBMTCT,DFN,REJFLG
S IBBEF="",IBQUIT=0,IBCRT=$S($E($G(IOST),1,2)="C-":1,1:0)
I IBDTP="Entered" S IBSUB="APD",IBHDR=1
I IBDTP="Bill" S IBSUB="AP",IBHDR=1
I IBDTP="Event" S IBSUB="D",IBHDR=0
I IBDTP="MRA Request" S IBSUB="APM",IBHDR=0
I 'IBSUM D HEAD
;
PROC ; - Get data for report(s).
S X1=IBBEG\1,X2=-1 D C^%DTC S IBNEX=X_.2359,X=132 X ^%ZOSF("RM")
F S IBNEX=$O(^DGCR(399,IBSUB,IBNEX)) Q:'IBNEX!(IBNEX>(IBEND\1_.2359))!(IBQUIT) D Q:IBQUIT
.I $Y>$S($D(IOSL):(IOSL-$S(IBCRT:4,1:9)),1:20) D HEAD Q:IBQUIT
.I IBHDR,'IBSUM D SUBHDR
.S IBIFN="" F J=0:0 S IBIFN=$O(^DGCR(399,IBSUB,IBNEX,IBIFN)) Q:'IBIFN!IBQUIT D SET S IBBEF=IBNEX
I 'IBQUIT D
.I '$D(IBF) W !!,?10,"*** No matches found ***"
.E D SUM^IBOSTUS
;
Q I $D(ZTQUEUED) S ZTREQ="@"
Q
;
SET ; This section is called for a single bill - IBIFN
S IBS=$G(^DGCR(399,IBIFN,"S")),IBAPP=1
I $P(IBS,U,17)'="" S IBBS=" CANCELLED",IBBSDT=$P(IBS,U,17),IBBSBY=$P(IBS,U,18) D:IBBST="C" PRINT G ALL
I $P(IBS,U,14)'="" S IBBS=" PRNT/TXMT",IBBSDT=$P(IBS,U,12),IBBSBY=$P(IBS,U,13) D:IBBST="P" PRINT G ALL
I $P(IBS,U,10)'="" S IBBS="* AUTHORIZED",IBAPP=$P(IBS,U,9),IBBSDT=$P(IBS,U,10),IBBSBY=$P(IBS,U,11) D:IBBST="A" PRINT G ALL
I $P(IBS,U,7)'="" S IBBS="* REQUEST MRA",IBBSDT=$P(IBS,U,7),IBBSBY=$P(IBS,U,8) D:IBBST="R" G ALL
. ; if user answered No to 'print Bills with No MRA Received and No Rejection messages', print report as usual
. I 'IBNOEOB D PRINT Q
. ; if user answered Yes (IBNOEOB=1), check two things before printing:
. ; 1) if MRA on file, don't print
. I $$CHK^IBCEMU1(IBIFN) Q
. ; 2) if the most recent transmission for this claim was rejected, don't print
. D TXSTS^IBCEMU2(IBIFN,,.REJFLG)
. I REJFLG Q
. ;
. ; otherwise, print bill
. D PRINT
;
S IBBS="* ENTERED",IBBSDT=$P(IBS,U),IBBSBY=$P(IBS,U,2) D:IBBST="E" PRINT
ALL Q:IBQUIT I IBBST="ALL" D PRINT
Q
;
PRINT ; - Print detail report, if necessary.
NEW LINE
I $Y>$S($D(IOSL):(IOSL-$S(IBCRT:4,1:6)),1:6) D HEAD Q:IBQUIT D SUBHDR:(IBBEF=IBNEX)&IBHDR
S IBF=1,IB0=$G(^DGCR(399,IBIFN,0))
S IBCAT=$S($D(^DGCR(399.3,+$P(IB0,U,7),0)):$P(^(0),U,4),1:"UNSPECIFIED")_$S($P(IB0,U,5)>2:"-OPT",1:"-INPT")
S IBU1=$G(^DGCR(399,IBIFN,"U1")),IBAMT=$S(IBU1="":0,$P(IBU1,U,2)]"":$P(IBU1,U)-$P(IBU1,U,2),1:$P(IBU1,U))
I IBSUM D ADD Q ; Printing summary ONLY.
;
S DFN=$P(IB0,U,2) D PID^VADPT6 W !,$P(IB0,U),?10,$E($P(^DPT($P(IB0,U,2),0),U),1,20),?31,VA("BID"),?39,$E($P(IB0,U,3),4,5),"/",$E($P(IB0,U,3),6,7),"/",$E($P(IB0,U,3),2,3)
S IBBY=$P(IBS,U,2) W:IBBY ?50,$E($S($D(^VA(200,IBBY,0)):$P(^(0),U,2),1:"UNKN"),1,4) W ?57,IBCAT
;
; - MT status as of event date.
S IBMTCT=$P($$LST^DGMTU(DFN,$P(IB0,U,3)),U,4)
S IBMTCT=$S(IBMTCT="C":"YES",IBMTCT="P":"PEN",IBMTCT="R":"REQ",IBMTCT="G":"GMT",1:"NO")
W ?72,IBMTCT
;
S X=IBAMT,X2="2$" D COMMA^%DTC W ?77,$J(X,10)
W ?90,IBBS,$S('IBAPP:"/DISAPP",1:"")," ",$E(IBBSDT,4,5),"/",$E(IBBSDT,6,7),"/",$E(IBBSDT,2,3)," (",$S($D(^VA(200,+IBBSBY,0)):$P(^(0),U,2),1:"UNKN USER"),"/",IBBSBY,")" K VA("BID"),VA("PID")
;
; If the user chose to print the ClaimsManager comments, then show
; them all here. Also do the appropriate $Y checks for the next page.
;
I 'IBCICOMM G SKPCMM ; user doesn't want comments
I '$D(^IBA(351.9,IBIFN,2)) G SKPCMM ; no comments exist
;
W !!?8,$$CMTINFO^IBCIUT5(IBIFN)
S LINE=0
F S LINE=$O(^IBA(351.9,IBIFN,2,LINE)) Q:'LINE D Q:IBQUIT
. I $Y>(IOSL-$S(IBCRT:4,1:6)) D HEAD Q:IBQUIT
. W !?10,$G(^IBA(351.9,IBIFN,2,LINE,0))
. Q
Q:IBQUIT
W !
;
SKPCMM ; skip to here if we're not printing ClaimsManager comments
;
D ADD
Q
;
HEAD ; - Print report header.
I $G(IBPAGE)>0,IBCRT S DIR(0)="E" D ^DIR K DIR I $D(DTOUT)!($D(DUOUT)) S IBQUIT=1 Q
S IBPAGE=$G(IBPAGE)+1,$P(IBL,"=",IOM)="",Y=IBBEG X ^DD("DD")
W @IOF,!,"MCCR Bill Status ",$S(IBSUM:"Statistics",1:"Report")," for ",$S(IBBEG'=IBEND:"period covering ",1:"")_Y
I IBBEG<IBEND S Y=IBEND X ^DD("DD") W " thru "_Y
I '$D(IBRUN) D NOW^%DTC S Y=$E(%,1,12) X ^DD("DD") S IBRUN=Y
I 'IBSUM W ?100,IBRUN,?123,"Page ",$J(IBPAGE,3)
W ! I $D(IBHD) W "Bill Status: ",IBHD," "
I 'IBSUM W:IBBST'="C"&(IBBST'="P") "* Denotes that the bill status is not Printed or Cancelled" W:IBCICOMM ?106,"ClaimsManager Comments ON"
E W "Run Date: ",IBRUN
; if user answered Yes to 'No MRA Received and No Rejection messages' question, print this line in header
I IBNOEOB W !,"**** Bills with No MRA Received and No current CSA Rejection messages ****"
I 'IBSUM D
.W !!?39,"EVENT",?49,"ENTRD",?73,"MT",!,"BILL NO.",?10,"PATIENT NAME"
.W ?31,"PT.ID",?39,"DATE",?50,"BY",?57,"RATE TYPE",?70,"STATUS"
.W ?81,"CHARGES",?94,"BILL STATUS"
;
W !,IBL W:IBSUM ! K IBL
Q
;
SUBHDR W !!?3,IBDTP_" Date: "_$$DAT1^IBOUTL(IBNEX)
Q
;
ADD ; - For summary statistics.
S IBST1(IBCAT,"C")=1+$G(IBST1(IBCAT,"C"))
S IBST1(IBCAT,"$")=IBAMT+$G(IBST1(IBCAT,"$"))
S:IBBS["* " IBBS=$P(IBBS,"* ",2)
S:IBBS[" " IBBS=$P(IBBS," ",2)
S:IBBS="" IBBS="UNKNOWN"
S IBST2(IBBS,"C")=1+$G(IBST2(IBBS,"C"))
S IBST2(IBBS,"$")=IBAMT+$G(IBST2(IBBS,"$"))
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBOSTUS1 5389 printed Dec 13, 2024@02:26:08 Page 2
IBOSTUS1 ;ALB/SGD-MCCR BILL STATUS REPORT ;25 MAY 88 14:19
+1 ;;2.0;INTEGRATED BILLING;**31,118,128,153,137,161,183,155**;21-MAR-94
+2 ;
+3 ;MAP TO DGCROST1
+4 ;
EN ; - Entry point from IBOSTUS.
+1 NEW IBSUB,IBHDR,IBST1,IBST2,IBCAT,IBAMT,IBBEF,IBCRT,IBQUIT,IBMTCT,DFN,REJFLG
+2 SET IBBEF=""
SET IBQUIT=0
SET IBCRT=$SELECT($EXTRACT($GET(IOST),1,2)="C-":1,1:0)
+3 IF IBDTP="Entered"
SET IBSUB="APD"
SET IBHDR=1
+4 IF IBDTP="Bill"
SET IBSUB="AP"
SET IBHDR=1
+5 IF IBDTP="Event"
SET IBSUB="D"
SET IBHDR=0
+6 IF IBDTP="MRA Request"
SET IBSUB="APM"
SET IBHDR=0
+7 IF 'IBSUM
DO HEAD
+8 ;
PROC ; - Get data for report(s).
+1 SET X1=IBBEG\1
SET X2=-1
DO C^%DTC
SET IBNEX=X_.2359
SET X=132
XECUTE ^%ZOSF("RM")
+2 FOR
SET IBNEX=$ORDER(^DGCR(399,IBSUB,IBNEX))
if 'IBNEX!(IBNEX>(IBEND\1_.2359))!(IBQUIT)
QUIT
Begin DoDot:1
+3 IF $Y>$SELECT($DATA(IOSL):(IOSL-$SELECT(IBCRT:4,1:9)),1:20)
DO HEAD
if IBQUIT
QUIT
+4 IF IBHDR
IF 'IBSUM
DO SUBHDR
+5 SET IBIFN=""
FOR J=0:0
SET IBIFN=$ORDER(^DGCR(399,IBSUB,IBNEX,IBIFN))
if 'IBIFN!IBQUIT
QUIT
DO SET
SET IBBEF=IBNEX
End DoDot:1
if IBQUIT
QUIT
+6 IF 'IBQUIT
Begin DoDot:1
+7 IF '$DATA(IBF)
WRITE !!,?10,"*** No matches found ***"
+8 IF '$TEST
DO SUM^IBOSTUS
End DoDot:1
+9 ;
Q IF $DATA(ZTQUEUED)
SET ZTREQ="@"
+1 QUIT
+2 ;
SET ; This section is called for a single bill - IBIFN
+1 SET IBS=$GET(^DGCR(399,IBIFN,"S"))
SET IBAPP=1
+2 IF $PIECE(IBS,U,17)'=""
SET IBBS=" CANCELLED"
SET IBBSDT=$PIECE(IBS,U,17)
SET IBBSBY=$PIECE(IBS,U,18)
if IBBST="C"
DO PRINT
GOTO ALL
+3 IF $PIECE(IBS,U,14)'=""
SET IBBS=" PRNT/TXMT"
SET IBBSDT=$PIECE(IBS,U,12)
SET IBBSBY=$PIECE(IBS,U,13)
if IBBST="P"
DO PRINT
GOTO ALL
+4 IF $PIECE(IBS,U,10)'=""
SET IBBS="* AUTHORIZED"
SET IBAPP=$PIECE(IBS,U,9)
SET IBBSDT=$PIECE(IBS,U,10)
SET IBBSBY=$PIECE(IBS,U,11)
if IBBST="A"
DO PRINT
GOTO ALL
+5 IF $PIECE(IBS,U,7)'=""
SET IBBS="* REQUEST MRA"
SET IBBSDT=$PIECE(IBS,U,7)
SET IBBSBY=$PIECE(IBS,U,8)
if IBBST="R"
Begin DoDot:1
+6 ; if user answered No to 'print Bills with No MRA Received and No Rejection messages', print report as usual
+7 IF 'IBNOEOB
DO PRINT
QUIT
+8 ; if user answered Yes (IBNOEOB=1), check two things before printing:
+9 ; 1) if MRA on file, don't print
+10 IF $$CHK^IBCEMU1(IBIFN)
QUIT
+11 ; 2) if the most recent transmission for this claim was rejected, don't print
+12 DO TXSTS^IBCEMU2(IBIFN,,.REJFLG)
+13 IF REJFLG
QUIT
+14 ;
+15 ; otherwise, print bill
+16 DO PRINT
End DoDot:1
GOTO ALL
+17 ;
+18 SET IBBS="* ENTERED"
SET IBBSDT=$PIECE(IBS,U)
SET IBBSBY=$PIECE(IBS,U,2)
if IBBST="E"
DO PRINT
ALL if IBQUIT
QUIT
IF IBBST="ALL"
DO PRINT
+1 QUIT
+2 ;
PRINT ; - Print detail report, if necessary.
+1 NEW LINE
+2 IF $Y>$SELECT($DATA(IOSL):(IOSL-$SELECT(IBCRT:4,1:6)),1:6)
DO HEAD
if IBQUIT
QUIT
if (IBBEF=IBNEX)&IBHDR
DO SUBHDR
+3 SET IBF=1
SET IB0=$GET(^DGCR(399,IBIFN,0))
+4 SET IBCAT=$SELECT($DATA(^DGCR(399.3,+$PIECE(IB0,U,7),0)):$PIECE(^(0),U,4),1:"UNSPECIFIED")_$SELECT($PIECE(IB0,U,5)>2:"-OPT",1:"-INPT")
+5 SET IBU1=$GET(^DGCR(399,IBIFN,"U1"))
SET IBAMT=$SELECT(IBU1="":0,$PIECE(IBU1,U,2)]"":$PIECE(IBU1,U)-$PIECE(IBU1,U,2),1:$PIECE(IBU1,U))
+6 ; Printing summary ONLY.
IF IBSUM
DO ADD
QUIT
+7 ;
+8 SET DFN=$PIECE(IB0,U,2)
DO PID^VADPT6
WRITE !,$PIECE(IB0,U),?10,$EXTRACT($PIECE(^DPT($PIECE(IB0,U,2),0),U),1,20),?31,VA("BID"),?39,$EXTRACT($PIECE(IB0,U,3),4,5),"/",$EXTRACT($PIECE(IB0,U,3),6,7),"/",$EXTRACT($PIECE(IB0,U,3),2,3)
+9 SET IBBY=$PIECE(IBS,U,2)
if IBBY
WRITE ?50,$EXTRACT($SELECT($DATA(^VA(200,IBBY,0)):$PIECE(^(0),U,2),1:"UNKN"),1,4)
WRITE ?57,IBCAT
+10 ;
+11 ; - MT status as of event date.
+12 SET IBMTCT=$PIECE($$LST^DGMTU(DFN,$PIECE(IB0,U,3)),U,4)
+13 SET IBMTCT=$SELECT(IBMTCT="C":"YES",IBMTCT="P":"PEN",IBMTCT="R":"REQ",IBMTCT="G":"GMT",1:"NO")
+14 WRITE ?72,IBMTCT
+15 ;
+16 SET X=IBAMT
SET X2="2$"
DO COMMA^%DTC
WRITE ?77,$JUSTIFY(X,10)
+17 WRITE ?90,IBBS,$SELECT('IBAPP:"/DISAPP",1:"")," ",$EXTRACT(IBBSDT,4,5),"/",$EXTRACT(IBBSDT,6,7),"/",$EXTRACT(IBBSDT,2,3)," (",$SELECT($DATA(^VA(200,+IBBSBY,0)):$PIECE(^(0),U,2),1:"UNKN USER"),"/",IBBSBY,")"
KILL VA("BID"),VA("PID")
+18 ;
+19 ; If the user chose to print the ClaimsManager comments, then show
+20 ; them all here. Also do the appropriate $Y checks for the next page.
+21 ;
+22 ; user doesn't want comments
IF 'IBCICOMM
GOTO SKPCMM
+23 ; no comments exist
IF '$DATA(^IBA(351.9,IBIFN,2))
GOTO SKPCMM
+24 ;
+25 WRITE !!?8,$$CMTINFO^IBCIUT5(IBIFN)
+26 SET LINE=0
+27 FOR
SET LINE=$ORDER(^IBA(351.9,IBIFN,2,LINE))
if 'LINE
QUIT
Begin DoDot:1
+28 IF $Y>(IOSL-$SELECT(IBCRT:4,1:6))
DO HEAD
if IBQUIT
QUIT
+29 WRITE !?10,$GET(^IBA(351.9,IBIFN,2,LINE,0))
+30 QUIT
End DoDot:1
if IBQUIT
QUIT
+31 if IBQUIT
QUIT
+32 WRITE !
+33 ;
SKPCMM ; skip to here if we're not printing ClaimsManager comments
+1 ;
+2 DO ADD
+3 QUIT
+4 ;
HEAD ; - Print report header.
+1 IF $GET(IBPAGE)>0
IF IBCRT
SET DIR(0)="E"
DO ^DIR
KILL DIR
IF $DATA(DTOUT)!($DATA(DUOUT))
SET IBQUIT=1
QUIT
+2 SET IBPAGE=$GET(IBPAGE)+1
SET $PIECE(IBL,"=",IOM)=""
SET Y=IBBEG
XECUTE ^DD("DD")
+3 WRITE @IOF,!,"MCCR Bill Status ",$SELECT(IBSUM:"Statistics",1:"Report")," for ",$SELECT(IBBEG'=IBEND:"period covering ",1:"")_Y
+4 IF IBBEG<IBEND
SET Y=IBEND
XECUTE ^DD("DD")
WRITE " thru "_Y
+5 IF '$DATA(IBRUN)
DO NOW^%DTC
SET Y=$EXTRACT(%,1,12)
XECUTE ^DD("DD")
SET IBRUN=Y
+6 IF 'IBSUM
WRITE ?100,IBRUN,?123,"Page ",$JUSTIFY(IBPAGE,3)
+7 WRITE !
IF $DATA(IBHD)
WRITE "Bill Status: ",IBHD," "
+8 IF 'IBSUM
if IBBST'="C"&(IBBST'="P")
WRITE "* Denotes that the bill status is not Printed or Cancelled"
if IBCICOMM
WRITE ?106,"ClaimsManager Comments ON"
+9 IF '$TEST
WRITE "Run Date: ",IBRUN
+10 ; if user answered Yes to 'No MRA Received and No Rejection messages' question, print this line in header
+11 IF IBNOEOB
WRITE !,"**** Bills with No MRA Received and No current CSA Rejection messages ****"
+12 IF 'IBSUM
Begin DoDot:1
+13 WRITE !!?39,"EVENT",?49,"ENTRD",?73,"MT",!,"BILL NO.",?10,"PATIENT NAME"
+14 WRITE ?31,"PT.ID",?39,"DATE",?50,"BY",?57,"RATE TYPE",?70,"STATUS"
+15 WRITE ?81,"CHARGES",?94,"BILL STATUS"
End DoDot:1
+16 ;
+17 WRITE !,IBL
if IBSUM
WRITE !
KILL IBL
+18 QUIT
+19 ;
SUBHDR WRITE !!?3,IBDTP_" Date: "_$$DAT1^IBOUTL(IBNEX)
+1 QUIT
+2 ;
ADD ; - For summary statistics.
+1 SET IBST1(IBCAT,"C")=1+$GET(IBST1(IBCAT,"C"))
+2 SET IBST1(IBCAT,"$")=IBAMT+$GET(IBST1(IBCAT,"$"))
+3 if IBBS["* "
SET IBBS=$PIECE(IBBS,"* ",2)
+4 if IBBS[" "
SET IBBS=$PIECE(IBBS," ",2)
+5 if IBBS=""
SET IBBS="UNKNOWN"
+6 SET IBST2(IBBS,"C")=1+$GET(IBST2(IBBS,"C"))
+7 SET IBST2(IBBS,"$")=IBAMT+$GET(IBST2(IBBS,"$"))
+8 QUIT
