public function calculateFees($recompute = null)
{
// pass true or false to override visit.closed checking
if ($recompute === null) {
$recompute = $this->closed ? false : true;
}
$visitId = (int) $this->encounter_id;
$total = 0;
$discounted = 0;
$visitFlat = 0;
$visitPercentage = 0;
$codeFlat = 0;
$codePercentage = 0;
$discountApplied = array();
if ($recompute) {
$insuranceProgramId = (int) $this->activePayerId;
$dateOfVisit = date('Y-m-d', strtotime($this->date_of_treatment));
$statistics = PatientStatisticsDefinition::getPatientStatistics((int) $this->patient_id);
$familySize = isset($statistics['family_size']) ? $statistics['family_size'] : 0;
$monthlyIncome = isset($statistics['monthly_income']) ? $statistics['monthly_income'] : 0;
$retDiscount = DiscountTable::checkDiscount($insuranceProgramId, $dateOfVisit, $familySize, $monthlyIncome);
if ($retDiscount !== false) {
$discount = (double) $retDiscount['discount'];
switch ($retDiscount['discountType']) {
case DiscountTable::DISCOUNT_TYPE_FLAT_VISIT:
$discountApplied[] = 'Flat Visit: $' . $discount;
$visitFlat += $discount;
break;
case DiscountTable::DISCOUNT_TYPE_FLAT_CODE:
$discountApplied[] = 'Flat Code: $' . $discount;
$codeFlat += $discount;
break;
case DiscountTable::DISCOUNT_TYPE_PERC_VISIT:
$discountApplied[] = 'Percentage Visit: ' . $discount . '%';
$visitPercentage += $discount / 100;
break;
case DiscountTable::DISCOUNT_TYPE_PERC_CODE:
$discountApplied[] = 'Percentage Code: ' . $discount . '%';
$codePercentage += $discount / 100;
break;
}
}
} else {
$claimLineFees = array();
$iterator = ClaimLine::mostRecentClaims($visitId);
foreach ($iterator as $claimLine) {
$code = $claimLine->procedureCode;
if (!isset($claimLineFees[$code])) {
$claimLineFees[$code] = array('baseFee' => 0, 'adjustedFee' => 0);
}
$claimLineFees[$code]['baseFee'] += (double) $claimLine->baseFee;
$claimLineFees[$code]['adjustedFee'] += (double) $claimLine->adjustedFee;
}
}
$details = array();
$iterator = new PatientProcedureIterator();
$iterator->setFilters(array('visitId' => $visitId));
$firstProcedureId = null;
foreach ($iterator as $patientProcedure) {
$patientProcedureId = (int) $patientProcedure->patientProcedureId;
$code = $patientProcedure->code;
$quantity = (int) $patientProcedure->quantity;
$writeoff = 0;
if ($recompute) {
$fee = '-.--';
$feeDiscounted = '-.--';
$discountedRate = '';
$retFee = FeeSchedule::checkFee($insuranceProgramId, $dateOfVisit, $code);
if ($retFee !== false && (double) $retFee['fee'] != 0) {
$fee = (double) $retFee['fee'];
$tmpFee = 0;
for ($i = 1; $i <= 4; $i++) {
$modifier = 'modifier' . $i;
if (!strlen($patientProcedure->{$modifier}) > 0) {
continue;
}
switch ($patientProcedure->{$modifier}) {
case $retFee['modifier1']:
$tmpFee += (double) $retFee['modifier1fee'];
break 2;
case $retFee['modifier2']:
$tmpFee += (double) $retFee['modifier2fee'];
break 2;
case $retFee['modifier3']:
$tmpFee += (double) $retFee['modifier3fee'];
break 2;
case $retFee['modifier4']:
$tmpFee += (double) $retFee['modifier4fee'];
break 2;
}
}
if ($tmpFee > 0) {
$fee = $tmpFee;
}
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}
// calculate discounts
if ($codeFlat > 0) {
$tmpDiscount = $fee - $codeFlat;
if ($tmpDiscount < 0) {
$tmpDiscount = 0;
}
$feeDiscounted += $tmpDiscount;
$writeoff = $tmpDiscount;
}
if ($firstProcedureId !== null && $visitFlat > 0) {
$writeoff = $fee;
trigger_error('VISIT FLAT: ' . $visitFlat);
trigger_error('WRITEOFF: ' . $writeoff);
}
if ($codePercentage > 0) {
$tmpDiscount = $feeDiscounted * $codePercentage;
if ($tmpDiscount < 0) {
$tmpDiscount = 0;
}
$feeDiscounted += $tmpDiscount;
$writeoff = $tmpDiscount;
}
}
if ($firstProcedureId === null) {
$firstProcedureId = $patientProcedureId;
}
} else {
if (isset($claimLineFees[$code])) {
$fee = $claimLineFees[$code]['baseFee'];
$feeDiscounted = $claimLineFees[$code]['adjustedFee'];
} else {
$fee = $patientProcedure->baseFee;
$feeDiscounted = $patientProcedure->adjustedFee;
}
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}
}
/*$quantity = (int)$patientProcedure->quantity;
if ($quantity > 0) {
$fee *= $quantity;
$feeDiscounted *= $quantity;
}*/
$total += $fee;
$discounted += (double) $feeDiscounted;
$details[$patientProcedureId] = array();
$details[$patientProcedureId]['orm'] = $patientProcedure;
$details[$patientProcedureId]['fee'] = $fee;
$details[$patientProcedureId]['feeDiscounted'] = $feeDiscounted;
$details[$patientProcedureId]['writeoff'] = $writeoff;
}
if ($visitFlat > 0) {
$discounted += $visitFlat;
// update the first procedure
if ($firstProcedureId !== null) {
$details[$firstProcedureId]['feeDiscounted'] += $visitFlat;
$writeoff = $details[$firstProcedureId]['fee'] - $details[$firstProcedureId]['feeDiscounted'];
if ($writeoff < 0) {
$writeoff = 0;
}
$details[$firstProcedureId]['writeoff'] = $writeoff;
}
}
if ($visitPercentage > 0) {
$discounted += $discounted * $visitPercentage;
// update the first procedure
if ($firstProcedureId !== null) {
$details[$firstProcedureId]['feeDiscounted'] += $details[$firstProcedureId]['feeDiscounted'] * $visitFlat;
}
}
$row = array();
$row['discountApplied'] = $discountApplied;
$row['details'] = $details;
$row['total'] = $total;
$row['discounted'] = $discounted;
return $row;
}
public function listInsuranceProgramsAction()
{
$guid = $this->_getParam('id');
$discountTable = new DiscountTable();
$discountTable->guid = $guid;
$discountTable->populateByGuid();
$ids = array();
foreach (explode(',', $discountTable->insuranceProgramIds) as $id) {
$ids[$id] = $id;
}
$rows = array();
foreach (InsuranceProgram::getInsurancePrograms() as $id => $value) {
$checked = '';
if (isset($ids[$id])) {
$checked = '1';
}
$rows[] = array('id' => $id, 'data' => array($checked, $value), 'userdata' => array('program' => $value));
}
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct(array('rows' => $rows));
}
