IBOEMP1 ;ALB/ARH - EMPLOYER REPORT (SEARCH) ; 6/19/92
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
;
I IBCH="OPT" G OPT
;
INPT ;search for outpatient admissions (patient movement file)
S IBB=IBBEG-.001,IBE=IBEND+.3,IBHDR=IBHDR_" FOR INPATIENT ADMISSIONS ",IBQ=0
F S IBB=$O(^DGPM("AMV1",IBB)) Q:'IBB!(IBB>IBE)!(IBQ) D S IBQ=$$STOP^IBOEMP2
. S IBDFN="" F S IBDFN=$O(^DGPM("AMV1",IBB,IBDFN)) Q:'IBDFN D
.. Q:$D(^TMP("IBEMP",$J,IBDFN)) S Y=IBB D DD^%DT S IBAPDT=$P(Y,"@",1),IBPM=""
.. F S IBPM=$O(^DGPM("AMV1",IBB,IBDFN,IBPM)) Q:IBPM="" S IBAPTYP=$P(^DGPM(IBPM,0),"^",2),IBAPTYP=$P($G(^DG(405.3,IBAPTYP,0)),"^",1)
.. S IBAPDT=IBAPDT D PAT
K IBB,IBE,IBDFN,IBAPDT,IBAPTYP,IBPM,X,Y
Q
;
OPT ;search for outpatient visits
;find ALL outpatient visits within the date range and division
;this includes registrations (2,1000), scheduled appointments (44,1900), and unscheduled appointments (409.5)
;
DIS ;find all dispositions (2,1000) within the date range
; - (2,1000,1) that are not 2-APPLICATION WITHOUT EXAM
S IBB=IBBEG-.0001,IBE=IBEND+.9,IBHDR=IBHDR_" FOR OUTPATIENT VISITS ",IBQ=0
F S IBB=$O(^DPT("ADIS",IBB)) Q:'IBB!(IBB>IBE)!(IBQ) S IBDFN=0 D S IBQ=$$STOP^IBOEMP2
. F S IBDFN=$O(^DPT("ADIS",IBB,IBDFN)) Q:'IBDFN S IBY=0 I '$D(^TMP("IBEMP",$J,IBDFN)) D
.. F S IBY=$O(^DPT("ADIS",IBB,IBDFN,IBY)) Q:'IBY S IBX=$G(^DPT(IBDFN,"DIS",IBY,0)) I +IBX,$P(IBX,U,2)<2,(VAUTD=1!($D(VAUTD(+$P(IBX,"^",4))))) D
... S IBAPTYP="DISPOSITION",IBAPDT=IBB\1
... D PAT
;
;
APPT ;outpatient: find all scheduled appointments (44,1900 -> 2,1900)
; - must be clinic appointments (44,2.1 -> "AC" x-ref)
; - (2,1900,3) that are outpatient, have not been canceled or no-showed etc.
S IBE=IBEND+.3,IBCLN=0
F S IBCLN=$O(^SC("AC","C",IBCLN)) Q:'IBCLN!(IBQ) D S IBQ=$$STOP^IBOEMP2
. I VAUTD'=1,'$D(VAUTD(+$P($G(^SC(IBCLN,0)),"^",15))) Q ; check division
. S IBB=IBBEG-.0001 F S IBB=$O(^SC(IBCLN,"S",IBB)) Q:'IBB!(IBB>IBE) D
.. S IBY=0 F S IBY=$O(^SC(IBCLN,"S",IBB,1,IBY)) Q:'IBY S IBX=$G(^SC(IBCLN,"S",IBB,1,IBY,0)) I +IBX D
... S IBDFN=+IBX I $D(^TMP("IBEMP",$J,IBDFN)) Q
... S IBXP=$G(^DPT(IBDFN,"S",IBB,0)) I +IBXP'=IBCLN,$P(IBXP,U,2)'="" Q
... S IBAPTYP=$P($G(^SD(409.1,+$P(IBXP,U,16),0)),U,1),IBAPDT=IBB\1
... D PAT
;
;
STOP ;outpatient: find all unscheduled outpatient appointments (409.5, add/edit) for the patient
S IBB=IBBEG-.001,IBE=IBEND+.3
F S IBB=$O(^SDV(IBB)) Q:'IBB!(IBB>IBE)!(IBQ) D S IBQ=$$STOP^IBOEMP2
. S IBX=$G(^SDV(IBB,0)) I IBX'="",(VAUTD=1!($D(VAUTD(+$P(IBX,"^",3))))) S IBDFN=+$P(IBX,"^",2) D
.. Q:$D(^TMP("IBEMP",$J,IBDFN)) S Y=IBB D DD^%DT S IBAPDT=$P(Y,"@",1)
.. S IBAPTYP=$O(^SDV(IBB,"CS",0)),IBAPTYP=$P($G(^SDV(IBB,"CS",+IBAPTYP,0)),"^",5),IBAPTYP=$P($G(^SD(409.1,+IBAPTYP,0)),"^",1)
.. D PAT
K IBB,IBE,IBX,IBY,IBCLN,IBXP,IBDFN,IBAPDT,IBAPTYP,X,Y
Q
;
;Input: IBB,IBDFN,IBAPTYP,IBAPDT
PAT ;gather data on patients with no insurance at time of care
N IBX,IBY
I $D(^TMP("IBEMP",$J,IBDFN)) G PEND ; quit if this patient has already been processed
S ^TMP("IBEMP",$J,IBDFN)="" ; once a pt is checked don't check again
S DFN=IBDFN,IBINDT=IBB D ^IBCNS G:IBINS PEND ; quit if patient has insurance
D DEM^VADPT G:+VADM(6) PEND ; quit if patient is dead
D ELIG^VADPT S IBPELG=$G(^DIC(8,+VAEL(1),0)),IBPELG=$S($P(IBPELG,"^",3)'="":$P(IBPELG,"^",3),1:$E($P(VAEL(1),"^",2),1,4)) K VAEL
D OPD^VADPT S IBSES=$P($G(^DPT(DFN,.25)),"^",15) ; spouses employment status
;
;get patient and spouse's employer data
;add to report if patient or spouse employment status is employed or the patients or spouse employer name is defined
S DFN=IBDFN F Z=5,6 S VAOA("A")=Z D OAD^VADPT I VAOA(9)'=""!(Z=5&("1245"[+VAPD(7)))!(Z=6&("1245"[+IBSES)) D K VAOA
. S IBZ=$S(VAOA("A")=5:"P",1:"S"),IBADD="",IBADDN=VAOA(9),VAOA(5)=$P(VAOA(5),"^",2),IBX=0
. S IBY=$A(IBADDN) I IBY>96,IBY<123 S IBY=IBY-82 ; deal with lower case
. I IBY<IBRGB!(IBY>IBRGE) Q ; is employer name within range?
. I IBADDN="" S (VAOA(9),IBADDN)="{EMPLOYER NOT SPECIFIED}"
. F IBI=9,1:1:6,8 S IBX=IBX+1 I VAOA(IBI)'="" S $P(IBADD,"^",IBX)=VAOA(IBI)
. S IBY="",IBX=1
. I $D(^TMP("IBEMP",$J,"E",IBADDN)) F S IBY=$O(^TMP("IBEMP",$J,"E",IBADDN,IBY)) Q:IBY="" Q:^TMP("IBEMP",$J,"E",IBADDN,IBY)=IBADD S IBX=IBX+1
. S ^TMP("IBEMP",$J,"E",IBADDN)=+$G(^TMP("IBEMP",$J,"E",IBADDN))+1
. S ^TMP("IBEMP",$J,"E",IBADDN,IBX)=IBADD
. S ^TMP("IBEMP",$J,"E",IBADDN,IBX,VADM(1),IBDFN,IBZ)=""
. S ^TMP("IBEMP",$J,IBDFN)=VADM(1)_"^"_$P(VADM(2),U,2)_"^"_IBAPDT_"^"_IBAPTYP_"^"_IBPELG
. I IBZ="P" D OPD^VADPT S ^TMP("IBEMP",$J,IBDFN,IBZ)=VADM(1)_"^"_VAPD(6)_"^"_$P(IBES,"^",+VAPD(7))_"^"_$P(VADM(2),"^",2) Q
. D GETREL^DGMTU11(DFN,IBZ,IBEND) S IBY=$G(DGREL("S"))
. S ^TMP("IBEMP",$J,IBDFN,IBZ)=$$NAME^DGMTU1(+IBY)_"^"_$P($G(^DPT(DFN,.25)),"^",14)_"^"_$P(IBES,"^",+IBSES)_"^"_$$SSN^DGMTU1(+IBY)
PEND K VAIP,VADM,VAEL,VAPD,VAOA,DGREL,IBINDT,IBINS,DFN,IBPELG,IBSES,IBPAT,IBADD,IBADDN,IBI,IBX,IBY,IBZ,Z
Q
IBOEMP1 ;ALB/ARH - EMPLOYER REPORT (SEARCH) ; 6/19/92
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 ;
+3 IF IBCH="OPT"
GOTO OPT
+4 ;
INPT ;search for outpatient admissions (patient movement file)
+1 SET IBB=IBBEG-.001
SET IBE=IBEND+.3
SET IBHDR=IBHDR_" FOR INPATIENT ADMISSIONS "
SET IBQ=0
+2 FOR
SET IBB=$ORDER(^DGPM("AMV1",IBB))
IF 'IBB!(IBB>IBE)!(IBQ)
QUIT
Begin DoDot:1
+3 SET IBDFN=""
FOR
SET IBDFN=$ORDER(^DGPM("AMV1",IBB,IBDFN))
IF 'IBDFN
QUIT
Begin DoDot:2
+4 IF $DATA(^TMP("IBEMP",$JOB,IBDFN))
QUIT
SET Y=IBB
DO DD^%DT
SET IBAPDT=$PIECE(Y,"@",1)
SET IBPM=""
+5 FOR
SET IBPM=$ORDER(^DGPM("AMV1",IBB,IBDFN,IBPM))
IF IBPM=""
QUIT
SET IBAPTYP=$PIECE(^DGPM(IBPM,0),"^",2)
SET IBAPTYP=$PIECE($GET(^DG(405.3,IBAPTYP,0)),"^",1)
+6 SET IBAPDT=IBAPDT
DO PAT
End DoDot:2
End DoDot:1
SET IBQ=$$STOP^IBOEMP2
+7 KILL IBB,IBE,IBDFN,IBAPDT,IBAPTYP,IBPM,X,Y
+8 QUIT
+9 ;
OPT ;search for outpatient visits
+1 ;find ALL outpatient visits within the date range and division
+2 ;this includes registrations (2,1000), scheduled appointments (44,1900), and unscheduled appointments (409.5)
+3 ;
DIS ;find all dispositions (2,1000) within the date range
+1 ; - (2,1000,1) that are not 2-APPLICATION WITHOUT EXAM
+2 SET IBB=IBBEG-.0001
SET IBE=IBEND+.9
SET IBHDR=IBHDR_" FOR OUTPATIENT VISITS "
SET IBQ=0
+3 FOR
SET IBB=$ORDER(^DPT("ADIS",IBB))
IF 'IBB!(IBB>IBE)!(IBQ)
QUIT
SET IBDFN=0
Begin DoDot:1
+4 FOR
SET IBDFN=$ORDER(^DPT("ADIS",IBB,IBDFN))
IF 'IBDFN
QUIT
SET IBY=0
IF '$DATA(^TMP("IBEMP",$JOB,IBDFN))
Begin DoDot:2
+5 FOR
SET IBY=$ORDER(^DPT("ADIS",IBB,IBDFN,IBY))
IF 'IBY
QUIT
SET IBX=$GET(^DPT(IBDFN,"DIS",IBY,0))
IF +IBX
IF $PIECE(IBX,U,2)<2
IF (VAUTD=1!($DATA(VAUTD(+$PIECE(IBX,"^",4)))))
Begin DoDot:3
+6 SET IBAPTYP="DISPOSITION"
SET IBAPDT=IBB\1
+7 DO PAT
End DoDot:3
End DoDot:2
End DoDot:1
SET IBQ=$$STOP^IBOEMP2
+8 ;
+9 ;
APPT ;outpatient: find all scheduled appointments (44,1900 -> 2,1900)
+1 ; - must be clinic appointments (44,2.1 -> "AC" x-ref)
+2 ; - (2,1900,3) that are outpatient, have not been canceled or no-showed etc.
+3 SET IBE=IBEND+.3
SET IBCLN=0
+4 FOR
SET IBCLN=$ORDER(^SC("AC","C",IBCLN))
IF 'IBCLN!(IBQ)
QUIT
Begin DoDot:1
+5 ; check division
IF VAUTD'=1
IF '$DATA(VAUTD(+$PIECE($GET(^SC(IBCLN,0)),"^",15)))
QUIT
+6 SET IBB=IBBEG-.0001
FOR
SET IBB=$ORDER(^SC(IBCLN,"S",IBB))
IF 'IBB!(IBB>IBE)
QUIT
Begin DoDot:2
+7 SET IBY=0
FOR
SET IBY=$ORDER(^SC(IBCLN,"S",IBB,1,IBY))
IF 'IBY
QUIT
SET IBX=$GET(^SC(IBCLN,"S",IBB,1,IBY,0))
IF +IBX
Begin DoDot:3
+8 SET IBDFN=+IBX
IF $DATA(^TMP("IBEMP",$JOB,IBDFN))
QUIT
+9 SET IBXP=$GET(^DPT(IBDFN,"S",IBB,0))
IF +IBXP'=IBCLN
IF $PIECE(IBXP,U,2)'=""
QUIT
+10 SET IBAPTYP=$PIECE($GET(^SD(409.1,+$PIECE(IBXP,U,16),0)),U,1)
SET IBAPDT=IBB\1
+11 DO PAT
End DoDot:3
End DoDot:2
End DoDot:1
SET IBQ=$$STOP^IBOEMP2
+12 ;
+13 ;
STOP ;outpatient: find all unscheduled outpatient appointments (409.5, add/edit) for the patient
+1 SET IBB=IBBEG-.001
SET IBE=IBEND+.3
+2 FOR
SET IBB=$ORDER(^SDV(IBB))
IF 'IBB!(IBB>IBE)!(IBQ)
QUIT
Begin DoDot:1
+3 SET IBX=$GET(^SDV(IBB,0))
IF IBX'=""
IF (VAUTD=1!($DATA(VAUTD(+$PIECE(IBX,"^",3)))))
SET IBDFN=+$PIECE(IBX,"^",2)
Begin DoDot:2
+4 IF $DATA(^TMP("IBEMP",$JOB,IBDFN))
QUIT
SET Y=IBB
DO DD^%DT
SET IBAPDT=$PIECE(Y,"@",1)
+5 SET IBAPTYP=$ORDER(^SDV(IBB,"CS",0))
SET IBAPTYP=$PIECE($GET(^SDV(IBB,"CS",+IBAPTYP,0)),"^",5)
SET IBAPTYP=$PIECE($GET(^SD(409.1,+IBAPTYP,0)),"^",1)
+6 DO PAT
End DoDot:2
End DoDot:1
SET IBQ=$$STOP^IBOEMP2
+7 KILL IBB,IBE,IBX,IBY,IBCLN,IBXP,IBDFN,IBAPDT,IBAPTYP,X,Y
+8 QUIT
+9 ;
+10 ;Input: IBB,IBDFN,IBAPTYP,IBAPDT
PAT ;gather data on patients with no insurance at time of care
+1 NEW IBX,IBY
+2 ; quit if this patient has already been processed
IF $DATA(^TMP("IBEMP",$JOB,IBDFN))
GOTO PEND
+3 ; once a pt is checked don't check again
SET ^TMP("IBEMP",$JOB,IBDFN)=""
+4 ; quit if patient has insurance
SET DFN=IBDFN
SET IBINDT=IBB
DO ^IBCNS
IF IBINS
GOTO PEND
+5 ; quit if patient is dead
DO DEM^VADPT
IF +VADM(6)
GOTO PEND
+6 DO ELIG^VADPT
SET IBPELG=$GET(^DIC(8,+VAEL(1),0))
SET IBPELG=$SELECT($PIECE(IBPELG,"^",3)'="":$PIECE(IBPELG,"^",3),1:$EXTRACT($PIECE(VAEL(1),"^",2),1,4))
KILL VAEL
+7 ; spouses employment status
DO OPD^VADPT
SET IBSES=$PIECE($GET(^DPT(DFN,.25)),"^",15)
+8 ;
+9 ;get patient and spouse's employer data
+10 ;add to report if patient or spouse employment status is employed or the patients or spouse employer name is defined
+11 SET DFN=IBDFN
FOR Z=5,6
SET VAOA("A")=Z
DO OAD^VADPT
IF VAOA(9)'=""!(Z=5&("1245"[+VAPD(7)))!(Z=6&("1245"[+IBSES))
Begin DoDot:1
+12 SET IBZ=$SELECT(VAOA("A")=5:"P",1:"S")
SET IBADD=""
SET IBADDN=VAOA(9)
SET VAOA(5)=$PIECE(VAOA(5),"^",2)
SET IBX=0
+13 ; deal with lower case
SET IBY=$ASCII(IBADDN)
IF IBY>96
IF IBY<123
SET IBY=IBY-82
+14 ; is employer name within range?
IF IBY<IBRGB!(IBY>IBRGE)
QUIT
+15 IF IBADDN=""
SET (VAOA(9),IBADDN)="{EMPLOYER NOT SPECIFIED}"
+16 FOR IBI=9,1:1:6,8
SET IBX=IBX+1
IF VAOA(IBI)'=""
SET $PIECE(IBADD,"^",IBX)=VAOA(IBI)
+17 SET IBY=""
SET IBX=1
+18 IF $DATA(^TMP("IBEMP",$JOB,"E",IBADDN))
FOR
SET IBY=$ORDER(^TMP("IBEMP",$JOB,"E",IBADDN,IBY))
IF IBY=""
QUIT
IF ^TMP("IBEMP",$JOB,"E",IBADDN,IBY)=IBADD
QUIT
SET IBX=IBX+1
+19 SET ^TMP("IBEMP",$JOB,"E",IBADDN)=+$GET(^TMP("IBEMP",$JOB,"E",IBADDN))+1
+20 SET ^TMP("IBEMP",$JOB,"E",IBADDN,IBX)=IBADD
+21 SET ^TMP("IBEMP",$JOB,"E",IBADDN,IBX,VADM(1),IBDFN,IBZ)=""
+22 SET ^TMP("IBEMP",$JOB,IBDFN)=VADM(1)_"^"_$PIECE(VADM(2),U,2)_"^"_IBAPDT_"^"_IBAPTYP_"^"_IBPELG
+23 IF IBZ="P"
DO OPD^VADPT
SET ^TMP("IBEMP",$JOB,IBDFN,IBZ)=VADM(1)_"^"_VAPD(6)_"^"_$PIECE(IBES,"^",+VAPD(7))_"^"_$PIECE(VADM(2),"^",2)
QUIT
+24 DO GETREL^DGMTU11(DFN,IBZ,IBEND)
SET IBY=$GET(DGREL("S"))
+25 SET ^TMP("IBEMP",$JOB,IBDFN,IBZ)=$$NAME^DGMTU1(+IBY)_"^"_$PIECE($GET(^DPT(DFN,.25)),"^",14)_"^"_$PIECE(IBES,"^",+IBSES)_"^"_$$SSN^DGMTU1(+IBY)
End DoDot:1
KILL VAOA
PEND KILL VAIP,VADM,VAEL,VAPD,VAOA,DGREL,IBINDT,IBINS,DFN,IBPELG,IBSES,IBPAT,IBADD,IBADDN,IBI,IBX,IBY,IBZ,Z
+1 QUIT
