/**
* \brief <b>Brief Description</b> - Billing<b> <i>class method</i></b> - This will analyze the response file sent from the Ministry of Health.
* \details <b>Details</b>
*
* The Ministry of Health will provide a response file to any submitted MonthlyBillingFile. The file will be analyzed to look for
* codes sent back from the ministry. It will look for codes; <i>PAID</i>, <i>DECL(Declined)</i>, <i>FHCV(Failed Validation)</i>, <i>CMOH(Contact MoH)</i>.
* It will update the monthly summary and will also flag the appointments for review if the code sent back is <b>FHCV</b> or <b>CMOH</b>.
*
* \return - <b>List<string></string></b> - this method will return the summarized monthly bill summary
*/
public List <string> ReconcileMonthlyBilling(string monthFilePath = "govFile.txt")
{
string[] fn = monthFilePath.Split('\\');
string tmpYear = fn.Last().Substring(0, 4);
string tmpMonth = fn.Last().Substring(4, 2);
double totalBilled = 0;
double totalRcvd = 0;
int totalFlagged = 0;
Dictionary <string, string[]> reconciledAppointment = FileIO.GetTableFromFile(monthFilePath, FileIO.FileInputFormat.GovernmentResponse);
Dictionary <string, double> theSummary = new Dictionary <string, double>();
List <string> theSummaryDisplayed = new List <string>();
theSummary.Add("TotalEncounters", reconciledAppointment.Count);
foreach (KeyValuePair <string, string[]> data in reconciledAppointment)
{
try
{
totalBilled = totalBilled + (Convert.ToDouble(data.Value[4]));
if (data.Value[5] == "PAID")
{
totalRcvd = totalRcvd + (Convert.ToDouble(data.Value[4]));
}
else if (data.Value[5] == "FHCV" || data.Value[5] == "CMOH")
{
totalFlagged++;
flaggedEncounters.Add(data.Value);
}
}
catch (FormatException f) { Logging.Log(f, "Billing", "ReconcileMonthlyBilling", "FAILED CONVERTING STRING TO DOUBLE - EXCEPTION"); }
catch (OverflowException o) { Logging.Log(o, "Billing", "ReconcileMonthlyBilling", "FAILED CONVERTING STRING TO DOUBLE - EXCEPTION"); }
}
totalBilled = totalBilled / 10000;
totalRcvd = totalRcvd / 10000;
theSummary.Add("TotalBilled", totalBilled);
theSummaryDisplayed.Add("Total Billed : " + totalBilled.ToString("C2", CultureInfo.CurrentCulture));
theSummary.Add("TotalReceived", totalRcvd);
theSummaryDisplayed.Add("Total Received : " + totalRcvd.ToString("C2", CultureInfo.CurrentCulture));
theSummary.Add("ReceivedPercentage", ((totalRcvd / totalBilled) * 100));
theSummaryDisplayed.Add("Received Percentage : " + ((totalRcvd / totalBilled) * 100).ToString("C2", CultureInfo.CurrentCulture));
theSummary.Add("AverageBilling", (totalRcvd / reconciledAppointment.Count));
theSummaryDisplayed.Add("Average Billing : " + (totalRcvd / reconciledAppointment.Count).ToString("C2", CultureInfo.CurrentCulture));
theSummary.Add("NumberOfFollowUps", totalFlagged);
theSummaryDisplayed.Add("Number of Follow Ups : " + totalFlagged.ToString());
Demographics demographics = new Demographics();
foreach (string[] s in flaggedEncounters)
{
Patient p = demographics.GetPatientByHCN(s[1]);
if (p != null)
{
theSummaryDisplayed.Add(string.Format("{0} - {1},{2} - {3}", s[0], p.LastName, p.FirstName, s[3]));
}
}
Logging.Log("Billing", "ReconcileMonthlyBilling", ("Summary displayed for Month: " + tmpMonth + " Year: " + tmpYear));
return(theSummaryDisplayed);
}
