RCDMCR8B ;ALB/LB - Pension Report Exempt Charge Reconciliation Report - Input/output; Jun 16, 2021@14:23
;;4.5;Accounts Receivable;**384**;JUN 16, 2021;Build 29
;;Per VA Directive 6402, this routine should not be modified.
;
; Reference to PATIENT in ICR #7277
; Reference to INTEGRATED BILLING ACTION in ICR #4541
;
; See RCDMCR8A for detailed description
;
COLLECT(STOPIT,ARTYPE) ; Get the report data
;Input
; STOPIT - Passed Variable to determine if process is to be terminated
; ARTYPE - AR Type 1:Active;2:Open;3:Suspended;4:Collected/Closed;5:On-Hold;6:Write Off;7:All
;Output
; STOPIT - Passed Variable set to 1 if process is to be terminated
; ^TMP($J,"RCDMCR8") with report data and summary data
;Get Rated Disability Data within passed RD change time frame
;*** call API to get all RD change data for given date period
N ZR,DEBTPT,WZH,DEBTCNT,DEBTOR,RCDFN,DFN,DMCELIG,ELIG,EXEMPTDT,SZH,VAEL,VAERR,VADM,ARIEN,CTR
N BILLNO,IBDATA,IBCNT,IBIEN,NAME,SSN,OUT,STATUS,ELIGTYP,PARENT,ADMDT,RESULT,IPSTART,PNTERMDT
S DEBTPT=0,WZH=$H*86400+$P($H,",",2)+60,SZH=WZH W !
F DEBTCNT=0:1 S DEBTPT=$O(^RCD(340,"B",DEBTPT)) Q:DEBTPT="" I DEBTPT[";DPT(" D
. ;Get AR Debtor info from file 340
. S DEBTOR=0,RCDFN=$P(DEBTPT,";")
. F S DEBTOR=$O(^RCD(340,"B",DEBTPT,DEBTOR)) Q:DEBTOR'>0 D Q:$G(STOPIT)>0
. . S DFN=RCDFN
. . S DMCELIG=$$DMCELIG^RCDMCUT1(RCDFN)
. . Q:'DMCELIG
. . S ELIG=$S($P(DMCELIG,U,2)'="":"SC"_$P(DMCELIG,U,2),$P(DMCELIG,U,3)'="":"Pension",$P(DMCELIG,U,4)'="":"A&A",$P(DMCELIG,U,5)'="":"HouseBnd",1:"")
. . Q:ELIG?1"SC".E
. . S ELIGTYP=$S(ELIG="Pension":"PEN",ELIG="A&A":ELIG,ELIG="HouseBnd":"HSB",1:"")
. . Q:ELIGTYP'="PEN" ; 8/11/2021 only include primary Eligibility type of Pension
. . D ELIG^VADPT I $P(VAEL(8),U,1)'="V" Q ;Quit if Eligibility status is not Verified
. . D KVAR^VADPT
. . ; Business decision: For Pension use PENSION AWARD EFFECTIVE DATE, File #2 field .3851 as the ECRMPTDT
. . I ELIGTYP="PEN" S EXEMPTDT=$$GET1^DIQ(2,DFN_",",.3851,"I") ;8/11/2021
. . I ELIGTYP="PEN" S PNTERMDT=$$GET1^DIQ(2,DFN_",",.3853,"I") ;9/28/2021
. . I DFN'>0 D KVAR^VADPT Q
. . D DEM^VADPT
. . I $G(VAERR)>0 D KVAR^VADPT Q
. . S NAME=$G(VADM(1))
. . I NAME']"" D KVAR^VADPT Q
. . S SSN=$P(VADM(2),U,1)
. . D KVAR^VADPT
. . ;Get AR Bill Data that is within the last BEGDT time period
. . ;for Bill's with a current status of ACTIVE, OPEN, SUSPENDED, WRITE-OFF, COLLECTED/CLOSED, CANCELLATION or IB Status of ON-HOLD
. . K ^TMP($J,"RCDMCR8","ARIB")
. . I $H*86400+$P($H,",",2)>WZH S WZH=$H*86400+$P($H,",",2)+30,$X=0 W *13,$FN(DEBTCNT*100/$P(^RCD(340,0),U,4),",",2),"% done in ",WZH-SZH," seconds"
. . S ARIEN=0
. . I ARTYPE'=5 F S ARIEN=$O(^PRCA(430,"C",DEBTOR,ARIEN)) Q:ARIEN'>0 D Q:$G(STOPIT)>0
. . . N ARCAT
. . . S ARCAT=$$GET1^DIQ(430,ARIEN_",",2,"E") Q:ARCAT="CC URGENT CARE"
. . . S CTR=$G(CTR)+1 ;Counter
. . . I CTR#500=0 S STOPIT=$$STOPIT^RCDMCUT2() Q:STOPIT
. . . ; only look at 1st party bills
. . . I '$$FIRSTPAR^RCDMCUT1(ARIEN) Q
. . . ;Bill Number
. . . S BILLNO=$$GET1^DIQ(430,ARIEN_",",.01)
. . . I BILLNO']""!($TR(BILLNO," ","")="") Q ;This line quits if no Bill Number in AR
. . . S STATUS=$$GET1^DIQ(430,ARIEN_",",8,"E") ; Need to check IB status from 350 for "On-Hold"
. . . I STATUS="ACTIVE",ARTYPE'["1",ARTYPE'[7 Q
. . . I STATUS="OPEN",ARTYPE'["2",ARTYPE'[7 Q
. . . I STATUS="SUSPENDED",ARTYPE'["3",ARTYPE'[7 Q
. . . I STATUS="COLLECTED/CLOSED",ARTYPE'["4",ARTYPE'[7 Q
. . . I STATUS="WRITE-OFF",ARTYPE'["6",ARTYPE'[7 Q
. . . I STATUS="CANCELLATION",ARTYPE'=7 Q
. . . I ARTYPE[7,"^ACTIVE^OPEN^SUSPENDED^WRITE-OFF^COLLECTED/CLOSED^CANCELLATION^"'[(U_STATUS_U) Q
. . . ;if ARTYPE=5 or 7 need to check IB status of "ON HOLD"
. . . K IBDATA S IBDATA=0 S OUT=""
. . . S IBIEN=""
. . . F S IBIEN=$O(^IB("ABIL",BILLNO,IBIEN)) Q:'IBIEN S OUT=$$GETIB^RCDMCR8C(IBIEN,0) I OUT D
. . . . S IPSTART=$$GETSTRT(IBIEN) S $P(OUT,U,10)=IPSTART ;Add inpatient bill start date to OUT
. . . . I $P(OUT,U,5)'=10 S IBDATA=IBDATA+1,IBDATA(IBDATA)=OUT
. . . . I 'IBDATA Q
. . . . M ^TMP($J,"RCDMCR8","ARIB",BILLNO,"IBDATA")=IBDATA
. . . . S ^TMP($J,"RCDMCR8","ARIB",BILLNO,"STATUS")=STATUS
. . S IBIEN=""
. . I ARTYPE[5!(ARTYPE[7) F S IBIEN=$O(^IB("AH",RCDFN,IBIEN)) Q:IBIEN="" D Q:$G(STOPIT)>0
. . . K IBDATA S IBDATA=0
. . . S CTR=$G(CTR)+1 ;Counter
. . . I CTR#500=0 S STOPIT=$$STOPIT^RCDMCUT2() Q:STOPIT
. . . S BILLNO="/"_IBIEN
. . . S OUT=$$GETIB^RCDMCR8C(IBIEN,1) Q:'OUT I OUT D
. . . . S IPSTART=$$GETSTRT(IBIEN) S $P(OUT,U,10)=IPSTART ;Add inpatient bill start date to OUT
. . . S IBDATA=1,IBDATA(1)=OUT
. . . M ^TMP($J,"RCDMCR8","ARIB",BILLNO,"IBDATA")=IBDATA
. . . S ^TMP($J,"RCDMCR8","ARIB",BILLNO,"STATUS")="ON HOLD"
. . S BILLNO=""
. . F S BILLNO=$O(^TMP($J,"RCDMCR8","ARIB",BILLNO)) Q:BILLNO="" D ;Quits if no billno number eliminating IB that have not been billed
. . . K IBDATA M IBDATA=^TMP($J,"RCDMCR8","ARIB",BILLNO,"IBDATA")
. . . S STATUS=^TMP($J,"RCDMCR8","ARIB",BILLNO,"STATUS")
. . . F IBCNT=1:1:IBDATA D
. . . . N OPTDT,DISCHDT,SERVDT,RXDT,RXNUM,RXNAM,DSTATUS,EOCDT,IPFRMDT
. . . . ;IBDATA - Array of 1 ^ Outpatient Date ^ Discharge Date ^ RX/Refill Date ^ IB Status ^ RX NUM ^ RX Name ^ CHGAMT^^In Patient Date Billed From
. . . . S OPTDT=$P(IBDATA(IBCNT),U,2)
. . . . S DISCHDT=$P(IBDATA(IBCNT),U,3)
. . . . S IPFRMDT=$P(IBDATA(IBCNT),U,10)
. . . . S SERVDT=$S(IPFRMDT'="":IPFRMDT,OPTDT'="":OPTDT,1:"")
. . . . S RXDT=$P(IBDATA(IBCNT),U,4)
. . . . S RXNUM=$P(IBDATA(IBCNT),U,6)
. . . . S RXNAM=$P(IBDATA(IBCNT),U,7)
. . . . S DSTATUS=STATUS
. . . . ; Get EOC date and verify that it is later than Patient Effective Date
. . . . S EOCDT=""
. . . . I OPTDT>EOCDT S EOCDT=OPTDT
. . . . I DISCHDT>EOCDT S EOCDT=DISCHDT
. . . . I RXDT>EOCDT S EOCDT=RXDT
. . . . I EXEMPTDT="" S ^TMP($J,"RCDMCR8","DETAIL",NAME,SSN," ",1)=U_U_ELIG_U_"NODATE"_U_U_U_U_ELIGTYP Q
. . . . S EOCDT=EOCDT\1
. . . . I EOCDT<EXEMPTDT Q
. . . . S DSTATUS=$S(DSTATUS="CANCELLATION":"ARCXLD",DSTATUS="COLLECTED/CLOSED":"C/C",1:DSTATUS)
. . . . S ^TMP($J,"RCDMCR8","DETAIL",NAME,SSN,BILLNO,IBCNT)=SERVDT_U_RXDT_U_ELIG_U_EXEMPTDT_U_RXNUM_U_RXNAM_U_DSTATUS_U_ELIGTYP_U_PNTERMDT_U_IPFRMDT_U_DISCHDT
K ^TMP($J,"RCDMCR8","ARIB")
Q
;
GETSTRT(IBIEN) ; Get start date for InPatient / LTC
N IBSDT,RESULT S IBSDT="",RESULT=""
S RESULT=$P(^IB(IBIEN,0),U,4)
I +RESULT=405!(+RESULT=45) S IBSDT=$$GET1^DIQ(350,IBIEN_",",.14,"I")
Q IBSDT
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HRCDMCR8B 6589 printed Apr 09, 2024@20:45:56 Page 2
RCDMCR8B ;ALB/LB - Pension Report Exempt Charge Reconciliation Report - Input/output; Jun 16, 2021@14:23
+1 ;;4.5;Accounts Receivable;**384**;JUN 16, 2021;Build 29
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; Reference to PATIENT in ICR #7277
+5 ; Reference to INTEGRATED BILLING ACTION in ICR #4541
+6 ;
+7 ; See RCDMCR8A for detailed description
+8 ;
COLLECT(STOPIT,ARTYPE) ; Get the report data
+1 ;Input
+2 ; STOPIT - Passed Variable to determine if process is to be terminated
+3 ; ARTYPE - AR Type 1:Active;2:Open;3:Suspended;4:Collected/Closed;5:On-Hold;6:Write Off;7:All
+4 ;Output
+5 ; STOPIT - Passed Variable set to 1 if process is to be terminated
+6 ; ^TMP($J,"RCDMCR8") with report data and summary data
+7 ;Get Rated Disability Data within passed RD change time frame
+8 ;*** call API to get all RD change data for given date period
+9 NEW ZR,DEBTPT,WZH,DEBTCNT,DEBTOR,RCDFN,DFN,DMCELIG,ELIG,EXEMPTDT,SZH,VAEL,VAERR,VADM,ARIEN,CTR
+10 NEW BILLNO,IBDATA,IBCNT,IBIEN,NAME,SSN,OUT,STATUS,ELIGTYP,PARENT,ADMDT,RESULT,IPSTART,PNTERMDT
+11 SET DEBTPT=0
SET WZH=$HOROLOG*86400+$PIECE($HOROLOG,",",2)+60
SET SZH=WZH
WRITE !
+12 FOR DEBTCNT=0:1
SET DEBTPT=$ORDER(^RCD(340,"B",DEBTPT))
if DEBTPT=""
QUIT
IF DEBTPT[";DPT("
Begin DoDot:1
+13 ;Get AR Debtor info from file 340
+14 SET DEBTOR=0
SET RCDFN=$PIECE(DEBTPT,";")
+15 FOR
SET DEBTOR=$ORDER(^RCD(340,"B",DEBTPT,DEBTOR))
if DEBTOR'>0
QUIT
Begin DoDot:2
+16 SET DFN=RCDFN
+17 SET DMCELIG=$$DMCELIG^RCDMCUT1(RCDFN)
+18 if 'DMCELIG
QUIT
+19 SET ELIG=$SELECT($PIECE(DMCELIG,U,2)'="":"SC"_$PIECE(DMCELIG,U,2),$PIECE(DMCELIG,U,3)'="":"Pension",$PIECE(DMCELIG,U,4)'="":"A&A",$PIECE(DMCELIG,U,5)'="":"HouseBnd",1:"")
+20 if ELIG?1"SC".E
QUIT
+21 SET ELIGTYP=$SELECT(ELIG="Pension":"PEN",ELIG="A&A":ELIG,ELIG="HouseBnd":"HSB",1:"")
+22 ; 8/11/2021 only include primary Eligibility type of Pension
if ELIGTYP'="PEN"
QUIT
+23 ;Quit if Eligibility status is not Verified
DO ELIG^VADPT
IF $PIECE(VAEL(8),U,1)'="V"
QUIT
+24 DO KVAR^VADPT
+25 ; Business decision: For Pension use PENSION AWARD EFFECTIVE DATE, File #2 field .3851 as the ECRMPTDT
+26 ;8/11/2021
IF ELIGTYP="PEN"
SET EXEMPTDT=$$GET1^DIQ(2,DFN_",",.3851,"I")
+27 ;9/28/2021
IF ELIGTYP="PEN"
SET PNTERMDT=$$GET1^DIQ(2,DFN_",",.3853,"I")
+28 IF DFN'>0
DO KVAR^VADPT
QUIT
+29 DO DEM^VADPT
+30 IF $GET(VAERR)>0
DO KVAR^VADPT
QUIT
+31 SET NAME=$GET(VADM(1))
+32 IF NAME']""
DO KVAR^VADPT
QUIT
+33 SET SSN=$PIECE(VADM(2),U,1)
+34 DO KVAR^VADPT
+35 ;Get AR Bill Data that is within the last BEGDT time period
+36 ;for Bill's with a current status of ACTIVE, OPEN, SUSPENDED, WRITE-OFF, COLLECTED/CLOSED, CANCELLATION or IB Status of ON-HOLD
+37 KILL ^TMP($JOB,"RCDMCR8","ARIB")
+38 IF $HOROLOG*86400+$PIECE($HOROLOG,",",2)>WZH
SET WZH=$HOROLOG*86400+$PIECE($HOROLOG,",",2)+30
SET $X=0
WRITE *13,$FNUMBER(DEBTCNT*100/$PIECE(^RCD(340,0),U,4),",",2),"% done in ",WZH-SZH," seconds"
+39 SET ARIEN=0
+40 IF ARTYPE'=5
FOR
SET ARIEN=$ORDER(^PRCA(430,"C",DEBTOR,ARIEN))
if ARIEN'>0
QUIT
Begin DoDot:3
+41 NEW ARCAT
+42 SET ARCAT=$$GET1^DIQ(430,ARIEN_",",2,"E")
if ARCAT="CC URGENT CARE"
QUIT
+43 ;Counter
SET CTR=$GET(CTR)+1
+44 IF CTR#500=0
SET STOPIT=$$STOPIT^RCDMCUT2()
if STOPIT
QUIT
+45 ; only look at 1st party bills
+46 IF '$$FIRSTPAR^RCDMCUT1(ARIEN)
QUIT
+47 ;Bill Number
+48 SET BILLNO=$$GET1^DIQ(430,ARIEN_",",.01)
+49 ;This line quits if no Bill Number in AR
IF BILLNO']""!($TRANSLATE(BILLNO," ","")="")
QUIT
+50 ; Need to check IB status from 350 for "On-Hold"
SET STATUS=$$GET1^DIQ(430,ARIEN_",",8,"E")
+51 IF STATUS="ACTIVE"
IF ARTYPE'["1"
IF ARTYPE'[7
QUIT
+52 IF STATUS="OPEN"
IF ARTYPE'["2"
IF ARTYPE'[7
QUIT
+53 IF STATUS="SUSPENDED"
IF ARTYPE'["3"
IF ARTYPE'[7
QUIT
+54 IF STATUS="COLLECTED/CLOSED"
IF ARTYPE'["4"
IF ARTYPE'[7
QUIT
+55 IF STATUS="WRITE-OFF"
IF ARTYPE'["6"
IF ARTYPE'[7
QUIT
+56 IF STATUS="CANCELLATION"
IF ARTYPE'=7
QUIT
+57 IF ARTYPE[7
IF "^ACTIVE^OPEN^SUSPENDED^WRITE-OFF^COLLECTED/CLOSED^CANCELLATION^"'[(U_STATUS_U)
QUIT
+58 ;if ARTYPE=5 or 7 need to check IB status of "ON HOLD"
+59 KILL IBDATA
SET IBDATA=0
SET OUT=""
+60 SET IBIEN=""
+61 FOR
SET IBIEN=$ORDER(^IB("ABIL",BILLNO,IBIEN))
if 'IBIEN
QUIT
SET OUT=$$GETIB^RCDMCR8C(IBIEN,0)
IF OUT
Begin DoDot:4
+62 ;Add inpatient bill start date to OUT
SET IPSTART=$$GETSTRT(IBIEN)
SET $PIECE(OUT,U,10)=IPSTART
+63 IF $PIECE(OUT,U,5)'=10
SET IBDATA=IBDATA+1
SET IBDATA(IBDATA)=OUT
+64 IF 'IBDATA
QUIT
+65 MERGE ^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"IBDATA")=IBDATA
+66 SET ^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"STATUS")=STATUS
End DoDot:4
End DoDot:3
if $GET(STOPIT)>0
QUIT
+67 SET IBIEN=""
+68 IF ARTYPE[5!(ARTYPE[7)
FOR
SET IBIEN=$ORDER(^IB("AH",RCDFN,IBIEN))
if IBIEN=""
QUIT
Begin DoDot:3
+69 KILL IBDATA
SET IBDATA=0
+70 ;Counter
SET CTR=$GET(CTR)+1
+71 IF CTR#500=0
SET STOPIT=$$STOPIT^RCDMCUT2()
if STOPIT
QUIT
+72 SET BILLNO="/"_IBIEN
+73 SET OUT=$$GETIB^RCDMCR8C(IBIEN,1)
if 'OUT
QUIT
IF OUT
Begin DoDot:4
+74 ;Add inpatient bill start date to OUT
SET IPSTART=$$GETSTRT(IBIEN)
SET $PIECE(OUT,U,10)=IPSTART
End DoDot:4
+75 SET IBDATA=1
SET IBDATA(1)=OUT
+76 MERGE ^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"IBDATA")=IBDATA
+77 SET ^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"STATUS")="ON HOLD"
End DoDot:3
if $GET(STOPIT)>0
QUIT
+78 SET BILLNO=""
+79 ;Quits if no billno number eliminating IB that have not been billed
FOR
SET BILLNO=$ORDER(^TMP($JOB,"RCDMCR8","ARIB",BILLNO))
if BILLNO=""
QUIT
Begin DoDot:3
+80 KILL IBDATA
MERGE IBDATA=^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"IBDATA")
+81 SET STATUS=^TMP($JOB,"RCDMCR8","ARIB",BILLNO,"STATUS")
+82 FOR IBCNT=1:1:IBDATA
Begin DoDot:4
+83 NEW OPTDT,DISCHDT,SERVDT,RXDT,RXNUM,RXNAM,DSTATUS,EOCDT,IPFRMDT
+84 ;IBDATA - Array of 1 ^ Outpatient Date ^ Discharge Date ^ RX/Refill Date ^ IB Status ^ RX NUM ^ RX Name ^ CHGAMT^^In Patient Date Billed From
+85 SET OPTDT=$PIECE(IBDATA(IBCNT),U,2)
+86 SET DISCHDT=$PIECE(IBDATA(IBCNT),U,3)
+87 SET IPFRMDT=$PIECE(IBDATA(IBCNT),U,10)
+88 SET SERVDT=$SELECT(IPFRMDT'="":IPFRMDT,OPTDT'="":OPTDT,1:"")
+89 SET RXDT=$PIECE(IBDATA(IBCNT),U,4)
+90 SET RXNUM=$PIECE(IBDATA(IBCNT),U,6)
+91 SET RXNAM=$PIECE(IBDATA(IBCNT),U,7)
+92 SET DSTATUS=STATUS
+93 ; Get EOC date and verify that it is later than Patient Effective Date
+94 SET EOCDT=""
+95 IF OPTDT>EOCDT
SET EOCDT=OPTDT
+96 IF DISCHDT>EOCDT
SET EOCDT=DISCHDT
+97 IF RXDT>EOCDT
SET EOCDT=RXDT
+98 IF EXEMPTDT=""
SET ^TMP($JOB,"RCDMCR8","DETAIL",NAME,SSN," ",1)=U_U_ELIG_U_"NODATE"_U_U_U_U_ELIGTYP
QUIT
+99 SET EOCDT=EOCDT\1
+100 IF EOCDT<EXEMPTDT
QUIT
+101 SET DSTATUS=$SELECT(DSTATUS="CANCELLATION":"ARCXLD",DSTATUS="COLLECTED/CLOSED":"C/C",1:DSTATUS)
+102 SET ^TMP($JOB,"RCDMCR8","DETAIL",NAME,SSN,BILLNO,IBCNT)=SERVDT_U_RXDT_U_ELIG_U_EXEMPTDT_U_RXNUM_U_RXNAM_U_DSTATUS_U_ELIGTYP_U_PNTERMDT_U_IPFRMDT_U_DISCHDT
End DoDot:4
End DoDot:3
End DoDot:2
if $GET(STOPIT)>0
QUIT
End DoDot:1
+103 KILL ^TMP($JOB,"RCDMCR8","ARIB")
+104 QUIT
+105 ;
GETSTRT(IBIEN) ; Get start date for InPatient / LTC
+1 NEW IBSDT,RESULT
SET IBSDT=""
SET RESULT=""
+2 SET RESULT=$PIECE(^IB(IBIEN,0),U,4)
+3 IF +RESULT=405!(+RESULT=45)
SET IBSDT=$$GET1^DIQ(350,IBIEN_",",.14,"I")
+4 QUIT IBSDT
+5 ;
