forked from sahilsinha/openemr
-
Notifications
You must be signed in to change notification settings - Fork 0
/
sl_convert.php
345 lines (304 loc) · 12.5 KB
/
sl_convert.php
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
<?php
// Copyright (C) 2008-2010 Rod Roark <rod@sunsetsystems.com>
//
// This program is free software; you can redistribute it and/or
// modify it under the terms of the GNU General Public License
// as published by the Free Software Foundation; either version 2
// of the License, or (at your option) any later version.
//
// This may be run after an upgraded OpenEMR has been installed.
// Its purpose is to extract A/R information from SQL-Ledger and
// convert it to the OpenEMR tables that maintain A/R internally,
// thus eliminating SQL-Ledger.
// Significant changes were made around November 2009: SQL-Ledger
// data is now considered authoritative, and the billing table is
// modified to reflect that. This is so that financial reports in
// the new system will (hopefully) match up with the old system.
// Discrepancies are logged to the display during conversion.
// Disable PHP timeout. This will not work in safe mode.
ini_set('max_execution_time', '0');
$ignoreAuth=true; // no login required
require_once('interface/globals.php');
require_once('library/sql-ledger.inc');
require_once('library/invoice_summary.inc.php');
require_once('library/sl_eob.inc.php');
// Set this to true to skip all database changes.
$dry_run = false;
if (!$dry_run) {
$tmp = sqlQuery("SELECT count(*) AS count FROM ar_activity");
if ($tmp['count']) die("ar_activity and ar_session must be empty to run this script!");
}
?>
<html>
<head>
<title>OpenEMR Conversion from SQL-Ledger</title>
<link rel='STYLESHEET' href='interface/themes/style_blue.css'>
</head>
<body>
<span class='title'>OpenEMR Conversion from SQL-Ledger</span>
<br><br>
<span class='text'>
<?php
SLConnect();
echo "<p>Be patient, this will take a while...</p>";
flush();
// This marker will eventually tell us which encounters have no
// matching invoice.
if (!$dry_run) {
sqlStatement("UPDATE form_encounter SET last_level_billed = -1");
}
$invoice_count = 0;
$activity_count = 0;
$res = SLQuery("SELECT id, invnumber, transdate, shipvia, intnotes " .
"FROM ar WHERE invnumber LIKE '%.%' ORDER BY id");
for ($irow = 0; $irow < SLRowCount($res); ++$irow) {
$row = SLGetRow($res, $irow);
list($pid, $encounter) = explode(".", $row['invnumber']);
$tmp = sqlQuery("SELECT count(*) AS count FROM form_encounter WHERE " .
"pid = '$pid' AND encounter = '$encounter'");
if ($tmp['count'] == 0) {
echo "SQL-Ledger invoice $pid.$encounter has no matching encounter " .
"and is ignored. This will affect financial reports!<br />\n";
continue;
}
$billing = array();
$provider_id = 0;
$last_biller = 0;
$svcdate = $row['transdate'];
if (!$dry_run) {
// Delete any TAX rows from billing for encounters in SQL-Ledger.
sqlStatement("UPDATE billing SET activity = 0 WHERE " .
"pid = '$pid' AND encounter = '$encounter' AND " .
"code_type = 'TAX'");
}
// Get all billing table items with money for this encounter, and
// compute provider ID and billing status.
$bres = sqlStatement("SELECT * FROM billing WHERE " .
"pid = '$pid' AND encounter = '$encounter' AND activity = 1 " .
"AND code_type != 'TAX' AND fee != 0 ORDER BY fee DESC");
while ($brow = sqlFetchArray($bres)) {
if (!$provider_id) $provider_id = $brow['provider_id'];
if (!$last_biller && $brow['billed'] && !empty($brow['payer_id']))
$last_biller = $brow['payer_id'];
$billing[$brow['id']] = $brow;
}
// Get invoice details.
$invlines = get_invoice_summary($row['id'], true);
// print_r($invlines); // debugging
ksort($invlines);
// For each line item or payment from the invoice...
foreach ($invlines as $codekey => $codeinfo) {
ksort($codeinfo['dtl']);
$code = strtoupper($codekey);
if ($code == 'CO-PAY' || $code == 'UNKNOWN') $code = '';
$is_product = substr($code, 0, 5) == 'PROD:';
$codeonly = $code;
$modifier = '';
$tmp = explode(":", $code);
if (!empty($tmp[1])) {
$codeonly = $tmp[0];
$modifier = $tmp[1];
}
foreach ($codeinfo['dtl'] as $dtlkey => $dtlinfo) {
$dtldate = trim(substr($dtlkey, 0, 10));
if (empty($dtldate)) { // if this is a charge
$charge = $dtlinfo['chg'];
// Zero charges don't matter.
if ($charge == 0) continue;
// Insert taxes but ignore other charges.
if ($code == 'TAX') {
if (!$dry_run) {
sqlInsert("INSERT INTO billing ( date, encounter, code_type, code, code_text, " .
"pid, authorized, user, groupname, activity, billed, provider_id, " .
"modifier, units, fee, ndc_info, justify ) values ( " .
"'$svcdate 00:00:00', '$encounter', 'TAX', 'TAX', '" .
addslashes($dtlinfo['dsc']) . "', " .
"'$pid', '1', '$provider_id', 'Default', 1, 1, 0, '', '1', " .
"'$charge', '', '' )");
}
}
else {
// Non-tax charges for products are in the drug_sales table.
// We won't bother trying to make sure they match the invoice.
if ($is_product) continue;
// Look up this charge in the $billing array.
// If found, remove it from the array and skip to the next detail item.
// Otherwise add it to the billing table and log the discrepancy.
$posskey = 0;
foreach ($billing as $key => $brow) {
$bcode = strtoupper($brow['code']);
$bcodeonly = $bcode;
if ($brow['modifier']) $bcode .= ':' . strtoupper($brow['modifier']);
if ($bcode === $code && $brow['fee'] == $charge) {
unset($billing[$key]);
continue 2; // done with this detail item
}
else if (($bcodeonly === $codeonly || (empty($codeonly) && $charge != 0)) && $brow['fee'] == $charge) {
$posskey = $key;
}
}
if ($posskey) {
// There was no exact match, but there was a match if the modifiers
// are ignored or if the SL code is empty. Good enough.
unset($billing[$posskey]);
continue;
}
// This charge is not in the billing table!
$codetype = preg_match('/^[A-V]/', $code) ? 'HCPCS' : 'CPT4';
// Note that get_invoice_summary() loses the code type. The above
// statement works for normal U.S. clinics, but sites that have
// charges other than CPT4 and HCPCS will need to have their code
// types for these generated entries, if any, fixed.
if (!$dry_run) {
sqlInsert("INSERT INTO billing ( date, encounter, code_type, code, code_text, " .
"pid, authorized, user, groupname, activity, billed, provider_id, " .
"modifier, units, fee, ndc_info, justify ) values ( " .
"'$svcdate 00:00:00', '$encounter', '$codetype', '$codeonly',
'Copied from SQL-Ledger by sl_convert.php', " .
"'$pid', '1', '$provider_id', 'Default', 1, 1, 0, '$modifier', '1', " .
"'$charge', '', '' )");
}
echo "Billing code '$code' with charge \$$charge was copied from " .
"SQL-Ledger invoice $pid.$encounter.<br />\n";
flush();
} // end non-tax charge
// End charge item logic. Continue to the next invoice detail item.
continue;
} // end if charge
$payer_id = empty($dtlinfo['ins']) ? 0 : $dtlinfo['ins'];
$session_id = 0;
// Compute a reasonable "source" value. For payments this will
// commonly be a check number, for adjustments we have none.
$source = empty($dtlinfo['src']) ? '' : $dtlinfo['src'];
$source = preg_replace('!^Ins[123]/!i', '', $source);
$source = preg_replace('!^Pt/!i', '', $source);
if ($source == '' && empty($dtlinfo['pmt'])) {
$source = 'From SQL-Ledger';
}
// For insurance payers look up or create the session table entry.
if ($payer_id) {
if (!$dry_run) {
$session_id = arGetSession($payer_id, addslashes($source), $dtldate);
}
}
// For non-insurance payers deal with copay duplication.
else if ($code == '') {
if (!empty($dtlinfo['pmt'])) {
// Skip payments that are already present in the billing table as copays.
foreach ($billing as $key => $brow) {
if ($brow['code_type'] == 'COPAY' && (0 - $brow['fee']) == $dtlinfo['pmt']) {
unset($billing[$key]);
continue 2; // done with this detail item
}
}
} // end if payment
} // end not insurance
$payer_type = 0;
if (!empty($dtlinfo['pmt'])) { // it's a payment
$tmp = strtolower($dtlinfo['src']);
for ($i = 1; $i <= 3; ++$i) {
if (strpos($tmp, "ins$i") !== false) $payer_type = $i;
}
if (!$dry_run) {
arPostPayment($pid, $encounter, $session_id, $dtlinfo['pmt'], $code,
$payer_type, addslashes($source), 0, "$dtldate 00:00:00");
if ($session_id) {
sqlStatement("UPDATE ar_session SET pay_total = pay_total + '" .
$dtlinfo['pmt'] . "' WHERE session_id = '$session_id'");
}
}
}
else { // it's an adjustment
$tmp = strtolower($dtlinfo['rsn']);
for ($i = 1; $i <= 3; ++$i) {
if (strpos($tmp, "ins$i") !== false) $payer_type = $i;
}
if (!$dry_run) {
arPostAdjustment($pid, $encounter, $session_id, 0 - $dtlinfo['chg'],
$code, $payer_type, addslashes($dtlinfo['rsn']), 0, "$dtldate 00:00:00");
}
}
++$activity_count;
} // end detail item
} // end code
// Compute last insurance level billed.
$last_level_billed = 0;
if ($last_biller) {
$invdate = $row['transdate'];
$tmp = sqlQuery("SELECT type FROM insurance_data WHERE " .
"pid = '$pid' AND provider = '$last_biller' AND " .
"date <= '$invdate' ORDER BY date DESC, id ASC LIMIT 1");
$last_level_billed = ($tmp['type'] == 'tertiary') ?
3 : (($tmp['type'] == 'secondary') ? 2 : 1);
}
// Compute last insurance level closed.
$last_level_closed = 0;
$tmp = strtolower($row['shipvia']);
for ($i = 1; $i <= 3; ++$i) {
if (strpos($tmp, "ins$i") !== false) $last_level_closed = $i;
}
// Compute last statement date and number of statements sent.
$last_stmt_date = "NULL";
$stmt_count = 0;
$i = 0;
$tmp = strtolower($row['intnotes']);
while (($i = strpos($tmp, 'statement sent ', $i)) !== false) {
$i += 15;
$last_stmt_date = "'" . substr($tmp, $i, 10) . "'";
++$stmt_count;
}
if (!$dry_run) {
sqlStatement("UPDATE form_encounter SET " .
"last_level_billed = '$last_level_billed', " .
"last_level_closed = '$last_level_closed', " .
"last_stmt_date = $last_stmt_date, " .
"stmt_count = '$stmt_count' " .
"WHERE pid = '$pid' AND encounter = '$encounter'");
}
// Delete and show a warning for any unmatched copays or charges.
foreach ($billing as $key => $brow) {
if (!$dry_run) {
sqlStatement("UPDATE billing SET activity = 0 WHERE id = '$key'");
}
if ($brow['code_type'] == 'COPAY') {
echo "Patient payment of \$" . sprintf('%01.2f', 0 - $brow['fee']);
}
else {
echo "Charge item '" . $brow['code'] . "' with amount \$" .
sprintf('%01.2f', $brow['fee']);
}
echo " was not found in SQL-Ledger invoice $pid.$encounter " .
"and has been removed from the encounter.<br />\n";
flush();
}
++$invoice_count;
} // end invoice
SLClose();
if (!$dry_run) {
$feres = sqlStatement("SELECT * FROM form_encounter WHERE " .
"last_level_billed = -1 ORDER BY pid, encounter");
while ($ferow = sqlFetchArray($feres)) {
$pid = 0 + $ferow['pid'];
$encounter = 0 + $ferow['encounter'];
$tmp = sqlQuery("SELECT sum(fee) AS sum FROM billing WHERE " .
"pid = '$pid' AND encounter = '$encounter' AND " .
"activity = 1 AND billed = 1");
if ($tmp['sum'] != 0) {
$sum = sprintf('%0.2f', 0 + $tmp['sum']);
arPostAdjustment($pid, $encounter, 0, $sum,
'', 0, 'Missing SL invoice', 0, date('Y-m-d') . ' 00:00:00');
echo "Adjustment amount $sum was applied to write off billed " .
"items in encounter $pid.$encounter because it has no matching " .
"invoice.<br />\n";
}
sqlStatement("UPDATE form_encounter SET last_level_billed = 0 " .
"WHERE id = '" . $ferow['id'] . "'");
}
}
echo "<br />\n";
echo "$invoice_count SQL-Ledger invoices were processed.<br />\n";
echo "$activity_count payments and adjustments were posted.<br />\n";
?>
</span>
</body>
</html>