updated rmspec

spec/rm-care-month-spec.txt

@@ -8,55 +8,89 @@
 			BOTH the MCP and the RME/RMM are prompted to sign off.
 		
 			--> we have to somehow make sure MCP time billed >= 30.
-			--> we have to somehow make sure non-MCP time >= 20.
+			--> we have to somehow make sure EXTRA time >= 20.
 
 		3. THE EASIEST WAY to do this is going to be by enabling a stamp feature on measurements.
 
-			class MeasurementStamp
+			// stamp all within safe range on UI
+
+			class MeasurementStamp // have to be done within that month...
 				Measurement measurement;
 				Pro pro;
-				String memo;
-				Boolean spokeToPatient;
-	
+				String memo; // auto-suggest
+				Boolean communicatedToPatient; // 
+
+					// NOT OKAY!!!!! FIRST TIME REQUIRED - after first time, no forcing - in order to click this checkbox, you first have to fire off an email or text message to the patient - autosuggested message: "Hi {name}! Your weight looks normal, keep it up!".
+
+					// THIS REQUIRES A PHONE-CALL ATTESTATION BY NON-HCP.
+
 			ALTER TABLE measurement ADD COLUMN has_been_stamped_by_mcp BOOLEAN DEFAULT FALSE;
 			ALTER TABLE measurement ADD COLUMN has_been_stamped_by_non_hcp BOOLEAN DEFAULT FALSE;
+			
+			** For curiosity sake...
 			ALTER TABLE measurement ADD COLUMN has_been_stamped_by_rme BOOLEAN DEFAULT FALSE;
 			ALTER TABLE measurement ADD COLUMN has_been_stamped_by_rmm BOOLEAN DEFAULT FALSE;
 
 		4. DISABLE THE CONVENTIONAL CRUD UI for 'care_month_entry' for anyone. 
-			
+	
 			We literally ONLY want the time they can bill each month to = 30 / 20 and it only becomes relevant if 16 measurement days.
 
-			* From now on, we will only submit RM30_HCP or RM30_HCP_PLUS_20NONHCP. We don't want to bill anything else.
+			* From now on, we will only submit RM30_HCP or RM30_HCP_PLUS_20EXTRA. We don't want to bill anything else.
 
-			Remember - it is stupid for a care_month to be billed unless there are 16 days anyway, so no sense in care_month_entries that are accruing time that won't be paid anyway.
+			Remember - it is not possible for a care_month to be billed unless 16 days anyway, so no sense in care_month_entries that are accruing time that won't be paid anyway.
 
-			So once you reach day 16, the UI magically appears for the MCP to care-month-entry their 30 mins.
+			So once you reach day 16, auto care-month-entry to reach MCP to 30 mins.
+				
 				*** BAD IDEA *** If there is also a MeasurementStamp by a non-HCP, then there is another prompt for any non-MCP to bill their 20 mins.
-					*** WE DON'T WANT THEM TO RMM to think in 'minutes', just measurement days and at least one stamp needs to be spokeToPatient = true.
+					*** WE DON'T WANT THEM TO RMM to think in 'minutes', just measurement days and at least one stamp needs to be communicatedToPatient = true.
 					*** So literally, for non-HCP it's just a scoreboard - hit 16 and get paid!!!
 			
-			There are two possibilities: MCP can bill 30 mins. but the non-MCP can't bill 20 mins. properly - because they did not have spokeToPatient. 
+			There are two possibilities: 
+				
+				MCP can bill 30 mins. but the non-MCP can or can't bill 20 mins. properly - because they did not have communicatedToPatient=true.
+
+			ONCE WE HAVE REACHED THE APPROPRIATE #16 measurement days and generated approp. MINUTES (30 HCP, and possibly 20 non-HCP extra IF there is a communicatedToPatient=true record), we auto-generate RM30_HCP_PLUS_EXTRA20 if possible OR... at the stroke of midnight EST on the next month start 1st of month (**or some weird logic for Feb. maybe), we generate RM30_HCP and digitize warning to the RMM.
+
+				*** so offline, what may happen in a bad case is: "Hey NA/RMM, did you guys not do anything? Oh - okay. Guess we will bill RM30_HCP, but next month please focus and let's do RM30_HCP_PLUS_EXTRA20 aka, you need to stamp and contact patient at least once on a month they measured 16 times!"
 
-			ONCE WE HAVE REACHED THE APPROPRIATE MINUTES (30 HCP, and possibly 20 non-HCP extra IF there is a spokeToPatient=true record), then WE AS ADMINS ARE prompted to create the appropriate bill UNLESS there are at least 16 days stamped by non-hcp and one is spokeToPatient=true. Then we auto-generate RM30_HCP_PLUS_NONHCP20.
+			For MCP:
 
-			*** WHY DON'T WE LET THEM CREATE THE BILL AS RM30_HCP? Simple: because maybe the NON-HCP forget to stamp and memo.
+				MCP sees a pending bill for them to sign, and they sign it.
 
-				*** so offline, what may happen in a bad case is: "Hey NA/RMM, did you guys not do anything? Oh - okay. Guess we will bill RM30_HCP, but next month please focus and let's do RM30_HCP_PLUS_NONHCP20 aka, you need to stamp and contact patient at least once on a month they measured 16 times!" THEN click a button that generates RM30_HCP and that's that.
+				The UI should not say "RM30_HCP" it should say simply "Billable time: 30 minutes, {{RM30_HCP rate}}"
 
-			HCP sees a pending bill for them to sign, and they sign it.
+			For RMM:
 
-			The UI should not say "RM30_HCP" it should say simply "Billable time: 30 minutes, {{RM30_HCP rate}}"
+				RMM sees a pending bill for them to sign, and they sign it.
 
-			For RM30_HCP_PLUS_NONHCP20... there is 
+				The UI should not say "RM30_HCP_PLUS_EXTRA20" it should say simply "Congrats! 16 days achieved. {{RM30_HCP rate for RMM}}"
 
 		5. TO PROCESS THESE CARE-MONTHS:
 
 			- understand that what we need flows like this:
 			
-				- VIGILENCE to make sure everyone reaches 16.
-				- AFTER 16, push them to document their 
+				- ENCOURAGE VIGILENCE to make sure everyone reaches 16.
 
-			There needs to be a simple UI similar to Note Resolver where you see the CareMonth including stamps and the ultra-important ONE or TWO care-month-entries that correlate to what bill to process. With one click - generate claim with lines as per spec. That's it.
+					- Pt. list with measurement days column, green row if >= 16.
+					- red row if 15...
+					- orange if 14...
+					- gray if dead... can't achieve 16 even if they want.
 
-			
+			FOR BILLERS: no work.
+
+				Auto-generate claim as per billable code.
+
+				There needs to be a simple UI similar to Note Resolver where you see the CareMonth including stamps and the ultra-important ONE or TWO care-month-entries that correlate to what bill to process. With one click - generate claim with lines as per spec. That's it.
+
+				FOR ICD:::
+
+					- ClientCmRmReason // ... limit to 4 per cm/rm
+					- CareMonthCmRmReason // ... TODO @Josh... make sure...
+
+					// NEEDED IN SYSTEM:
+
+						explicit crud on ClientCmRmReason && CareMonthCmRmReason
+
+						// Josh dev endpoint to generate...
+
+-------------------------------------------------------------------------------------