VistA-FOIAVistA/r/FEE_BASIS-FB/FBCHSL1.m

79 lines
3.8 KiB
Mathematica

FBCHSL1 ;AISC/DMK-PRINT SUSPENSION LETTERS CONTINUED ;7/NOV/2006
;;3.5;FEE BASIS;**23,69,101**;JAN 30, 1995;Build 2
;;Per VHA Directive 2004-038, this routine should not be modified.
N FBACRR,FBSCDT
F K=0:0 S K=$O(^FBAAI("AI",K)) Q:K'>0 I $S($G(IFN):IFN=K,1:1) S FBSW=1,FBDT=BEGDATE-.001 F ZZ=0:0 S FBDT=$O(^FBAAI("AI",K,FBDT)) D WPBOT:FBDT'>0&(FBSW=0)!(FBDT>ENDDATE)&(FBSW=0) Q:FBDT'>0!(FBDT>ENDDATE) S FBSCDT=FBDT D MORE
K FBCHAD,FBCHDT,FBAMTC,FBAMTP,FBAMTS Q
MORE F J=0:0 S J=$O(^FBAAI("AI",K,FBDT,J)) Q:J'>0 I $S($G(DFN):DFN=J,1:1) D:$D(^DPT(J,0)) GOTP^FBAASLP I $D(^FBAAV(K,0)) D MID
Q
GOTV S Y(0)=^FBAAV(K,0),VNAM=$P(Y(0),"^",1),FBSW=0
I VNAM["," S VNAM=$P(VNAM,",",2)_" "_$P(VNAM,",",1)
S VST1=$P(Y(0),"^",3),VST2=$P(Y(0),"^",14),VCITY=$P(Y(0),"^",4),VSTATE=$S($D(^DIC(5,+$P(Y(0),"^",5),0)):$P(^(0),"^",2),1:" "),VZIP=$P(Y(0),"^",6)
W @IOF,!!!!!!!,?5,VNAM,!,?5,VST1,! I VST2]"" W ?5,VST2,!
W ?5,VCITY," ",VSTATE," ",VZIP,!!!!
WPBEG S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
I $D(^FBAA(161.3,FBLET,1,1)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
D HED
Q
MID S FBA=0 F FBAA=0:0 S FBA=$O(^FBAAI("AI",K,FBDT,J,FBA)) Q:FBA="" I $S(FBSLW=0:1,FBSLW=1&($D(FBAAS(FBA))):1,1:0) D MORE2
Q
MORE2 F L=0:0 S L=$O(^FBAAI("AI",K,FBDT,J,FBA,L)) Q:L'>0 I $D(^FBAAI(L,0)) S Z(0)=^(0) D BOT
Q
WPBOT D:$D(FBACRR) ACT^FBAASLP K FBACRR
S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W") W !!
I $D(^FBAA(161.3,FBLET,2)) F FBRR=0:0 S FBRR=$O(^FBAA(161.3,FBLET,2,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
Q
BOT Q:$S($G(FBDEN):$P(Z(0),U,9)>0,1:0) ;quit if not den (if prn den's only)
N FBY3,FBFPPSC
S FBY3=$G(^FBAAI(L,3))
S FBFPPSC=$P(FBY3,U,1) ; fpps claim id
Q:$S(FBENA=2&(FBFPPSC]""):1,FBENA=1&(FBFPPSC=""):1,1:0)
N FBCSID,FBFPPSL,FBX,FBADJLR,FBADJLA,FBRRMKL,T,TAMT
S FBCSID=$P($G(^FBAAI(L,2)),U,11) ; patient control number
S FBFPPSL=$P(FBY3,U,2) ; fpps line item
S FBX=$$ADJLRA^FBCHFA(L_",")
S T=$P(Z(0),U,11)
I T]"" S T=$P($G(^FBAA(161.27,+T,0)),U)
S TAMT=$FN($P(Z(0),U,10),"",2)
S FBADJLR=$P(FBX,U)
S:FBADJLR]"" FBACRR(FBADJLR)=""
S FBADJLA=$P(FBX,U,2)
S FBRRMKL=$$RRL^FBCHFR(L_",")
I FBSW=1 D GOTV^FBAASLP,HED S FBSW=0,FBGOT=1
S Y=$P(Z(0),"^",7) D PDATE^FBAAUTL S FBCHDT=FBPDT,Y=$P(Z(0),"^",6) D PDATE^FBAAUTL S FBCHAD=FBPDT,FBAMTC=$P(Z(0),"^",8),FBAMTP=$P(Z(0),"^",9),FBAMTS=$P(Z(0),"^",10)
I $Y+4>IOSL W @IOF D HED
W !!,PNAME,?32,PSSN,?56,FBCHAD
W !,FBCSID,?24,FBCHDT,?44,"$ ",FBAMTC,?61,"$ ",FBAMTP,!
; write adjustment reasons, if null then write suspend code
W ?4,$S(FBADJLR]"":FBADJLR,1:T)
; write adjustment amounts, if null then write amount suspended
W ?32,"$ ",$S(FBADJLA]"":FBADJLA,1:TAMT)
W ?59,FBRRMKL
I FBFPPSC]"" W !,?4,"FPPS Claim ID: ",FBFPPSC,?32,"FPPS Line Item: ",FBFPPSL,!
I FBADJLR="" G:FBA=4&($D(^FBAAI(L,1,0))) WPFT D
. S DIWL=1,DIWF="WC79",FBI=FBA K ^UTILITY($J,"W")
. F FBRR=0:0 S FBRR=$O(^FBAA(161.27,FBI,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
. D ^DIWW:$D(FBXX) K FBXX
Q
HED W !,"PATIENT NAME",?36,"SSN",?53,"ADMISSION DATE"
W !,"PATIENT CONTROL #",?22,"DISCHARGE DATE",?42,"AMOUNT CLAIMED",?59,"AMOUNT PAID"
W !,"ADJUSTMENT CODE",?29,"ADJUSTMENT AMOUNT",?54,"MEDICARE REMITTANCE REMARK"
W !,UL,! Q
;
GOTP ; Utilize new API for Name Standardization
;
S Y(0)=^DPT(J,0),PNAME=$$NAME^FBCHREQ2(J)
S PSSN=$TR($$SSNL4^FBAAUTL($$SSN^FBAAUTL(J)),"-","")
I PNAME["," D
.N FBNAMES
.S FBNAMES("FILE")=2,FBNAMES("IENS")=J_",",FBNAMES("FIELD")=.01
.S PNAME=$$NAMEFMT^XLFNAME(.FBNAMES)
Q
WPFT S DIWL=1,DIWF="WC79" K ^UTILITY($J,"W")
F FBRR=0:0 S FBRR=$O(^FBAAI(L,1,FBRR)) Q:FBRR'>0 S FBXX=^(FBRR,0),X=FBXX D ^DIWP
D ^DIWW:$D(FBXX) K FBXX
Q
HELP W !,"Answer 'Yes' to print suspension letters for all suspension",!,"codes, otherwise answer 'No' to select specific codes." G RDCODE^FBAASLP