public IHttpActionResult ProfessionalPaymentRate(PaymentRateRequestModel oPaymentRate)
{
string sIPAddress = Request.GetOwinContext().Request.RemoteIpAddress;
try
{
PaymentRateReturnModel oPaymentRateReturn = oPaymentCalc.CalculateProfessionalPaymentRate(oPaymentRate);
oLogger.LogData("ROUTE: api/MPFS/ProfessionalPaymentRate; METHOD: POST; IP_ADDRESS: " + sIPAddress);
return(Json <PaymentRateReturnModel>(oPaymentRateReturn));
}
catch (Exception ex)
{
oLogger.LogData("ROUTE: api/MPFS/ProfessionalPaymentRate; METHOD: POST; IP_ADDRESS: " + sIPAddress + "; EXCEPTION: " + ex.Message + "; INNER EXCEPTION: " + ex.InnerException);
return(InternalServerError());
}
}
public List <CaseSummaryReturnModel> GetCaseSummary(List <CaseCode> lstCaseCodes, CaseSummaryRequestModel oCaseSummary)
{
List <CaseSummaryReturnModel> lstCaseReturn = new List <CaseSummaryReturnModel>();
foreach (var caseCode in lstCaseCodes)
{
CaseSummaryReturnModel oCaseReturn = new CaseSummaryReturnModel();
PaymentRateReturnModel oPaymentRateReturn = new PaymentRateReturnModel();
PaymentRateRequestModel oPaymentRateRequest = new PaymentRateRequestModel();
PaymentRateCalculations oPaymentCalculations = new PaymentRateCalculations();
if (oCaseSummary.treatment_setting.Equals("Hospital"))
{
var OppsByCPT = oOPPSRepo.GetOPPSCByCPT(caseCode.CaseCode1).FirstOrDefault();
if (OppsByCPT.Payment_Rate_ == 0 || OppsByCPT.Payment_Rate_ == null)
{
oCaseReturn.payment_rate = 0;
}
else
{
oCaseReturn.payment_rate = Convert.ToDouble(OppsByCPT.Payment_Rate_);
}
oCaseReturn.cpt_code = OppsByCPT.HCPCS_Code;
oCaseReturn.number_of_treatments = 0;
oCaseReturn.treatment_cost = oCaseReturn.payment_rate * oCaseReturn.number_of_treatments;
oCaseReturn.treatment_setting = oCaseSummary.treatment_setting;
lstCaseReturn.Add(oCaseReturn);
}
if (oCaseSummary.treatment_setting.Equals("Global"))
{
oPaymentRateRequest.CPTCode = caseCode.CaseCode1;
oPaymentRateRequest.Locale = oCaseSummary.locality;
oPaymentRateRequest.PaymentRateScope = oCaseSummary.scope;
var GlobalCalculation = oPaymentCalculations.CalculateGlobalPaymentRate(oPaymentRateRequest);
oCaseReturn.cpt_code = GlobalCalculation.CPTCode;
oCaseReturn.number_of_treatments = 0;
oCaseReturn.treatment_setting = oCaseSummary.treatment_setting;
oCaseReturn.payment_rate = GlobalCalculation.PaymentRate;
oCaseReturn.treatment_cost = oCaseReturn.payment_rate * oCaseReturn.number_of_treatments;
lstCaseReturn.Add(oCaseReturn);
}
if (oCaseSummary.treatment_setting.Equals("Professional"))
{
oPaymentRateRequest.CPTCode = caseCode.CaseCode1;
oPaymentRateRequest.Locale = oCaseSummary.locality;
oPaymentRateRequest.PaymentRateScope = oCaseSummary.scope;
var ProfessionalCalculation = oPaymentCalculations.CalculateProfessionalPaymentRate(oPaymentRateRequest);
oCaseReturn.cpt_code = ProfessionalCalculation.CPTCode;
oCaseReturn.number_of_treatments = 0;
oCaseReturn.treatment_setting = oCaseSummary.treatment_setting;
oCaseReturn.payment_rate = ProfessionalCalculation.PaymentRate;
oCaseReturn.treatment_cost = oCaseReturn.payment_rate * oCaseReturn.number_of_treatments;
lstCaseReturn.Add(oCaseReturn);
}
if (oCaseSummary.treatment_setting.Equals("Technical"))
{
oPaymentRateRequest.CPTCode = caseCode.CaseCode1;
oPaymentRateRequest.Locale = oCaseSummary.locality;
oPaymentRateRequest.PaymentRateScope = oCaseSummary.scope;
var TechnicalCalculation = oPaymentCalculations.CalculateTechnicalPaymentRate(oPaymentRateRequest);
oCaseReturn.cpt_code = TechnicalCalculation.CPTCode;
oCaseReturn.number_of_treatments = 0;
oCaseReturn.treatment_setting = oCaseSummary.treatment_setting;
oCaseReturn.payment_rate = TechnicalCalculation.PaymentRate;
oCaseReturn.treatment_cost = oCaseReturn.payment_rate * oCaseReturn.number_of_treatments;
lstCaseReturn.Add(oCaseReturn);
}
}
return(lstCaseReturn);
}
