1 | IVMUM6 ;ALB/SEK - COMPLETE MEANS TEST ; 23 MAY 94
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2 | ;;2.0;INCOME VERIFICATION MATCH;**1,3,17**;21-OCT-94
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3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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4 | ;
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5 | EN ; this routine will call MAS routines to determine the following:
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6 | ; total dependents
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7 | ; income
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8 | ; net worth
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9 | ; deductible expenses
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10 | ; thresholds
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11 | ; category
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12 | ;
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13 | ; the above will be added in the ANNUAL MEANS TEST file(#408.31)
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14 | ;
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15 | ; s dgcomf=1 to indicate completing means test which will update
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16 | ; means test ien (field 31) in individual annual income file (408.21)
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17 | ; when called SET^DGMTSCU2
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18 | S DGCOMF=1
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19 | ;
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20 | ; get DGMTPAR - annual means test parameters 0 node from ^DG(43,1,"MT"
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21 | ; if current year parameters are not available DGMTPAR will contain
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22 | ; previous year income parameters and DGMTPAR("PREV") will be defined
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23 | ; indicating such.
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24 | D PAR^DGMTSCU
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25 | ;
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26 | ; d set^dgmtscu2 will create the following variables to update
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27 | ; annual means test file (408.31):
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28 | ; dgmts - means test status(.03)
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29 | ; dgint - income(.04)
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30 | ; dgnwt - net worth(.05)
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31 | ; dgtha - threshold a(.12)
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32 | ; dgthb - threshold b(.13)
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33 | ; dgdet - deductible expenses(.15)
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34 | ; dgmtpar("prev") - previous years threshold(.16) (if defined)
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35 | ; dgnd - total dependents(.18)
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36 | ;
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37 | D SET^DGMTSCU2
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38 | ;
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39 | ; setup other variables for 408.31
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40 | S IVMDA1=IVMDAZ D GET^IVMUM1 ; get ZMT segment
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41 | S IVM1=$$FMDATE^HLFNC($P(IVMSEG,"^",10)) ; dt/time completed
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42 | S IVM2=$P(IVMSEG,"^",7) ; agree to pay deductible
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43 | S IVM3=$$FMDATE^HLFNC($P(IVMSEG,"^",15)) ; dt verified test sign
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44 | S IVM4=$P(IVMSEG,"^",16) ; declines to give income info field
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45 | S IVM5=$$FMDATE^HLFNC($P(IVMSEG,"^",6)) ; dt/time of adjudication
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46 | S IVM6=$$FMDATE^HLFNC($P(IVMSEG,"^",20)) ; dt ivm verified mt completed
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47 | S IVM7=$P(IVMSEG,"^",21) ; refuse to sign
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48 | S IVMSTAT=$P(IVMSEG,"^",3) ; means test status
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49 | ;
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50 | I IVM4 S DGCAT="C" D STA^DGMTSCU2 ; make cat C if declines to give income info
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51 | ;
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52 | I DGTYC="M",(DGNWT+DGINT-DGDET)>$P(DGMTPAR,"^",8) S DGCAT="C" D STA^DGMTSCU2 ; if cat A for income make cat C if high assets
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53 | ;
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54 | ; add to annual means test file
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55 | S:'$D(DGTHB) DGTHB=""
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56 | S DA=DGMTI,DIE="^DGMT(408.31,"
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57 | S DR=".03////^S X=DGMTS;.04////^S X=DGINT;.05////^S X=DGNWT;.06////^S X=DUZ;.07////^S X=IVM1;.11////^S X=IVM2;.12////^S X=DGTHA;.13////^S X=DGTHB;.14////^S X=IVM4;.15////^S X=DGDET;.18////^S X=DGND;.23////2;.24////^S X=IVM3"
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58 | I $D(DGMTPAR("PREV")) S DR=DR_";.16////1"
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59 | D ^DIE K DR
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60 | S DR=".1////^S X=IVM5;.25////^S X=IVM6;.26////^S X=IVM7"
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61 | D ^DIE K DA,DIE,DR
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62 | ;
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63 | ; if ivm mt cat diff then calculated cat or still cat a ack msg is
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64 | ; sent to ivm center
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65 | ; dgcat (mt cat) is also created by d set^dgmtscu2
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66 | I IVMSTAT'=DGCAT D G MTDRIVER
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67 | .S HLERR="Uploaded mt cat should be "_DGCAT
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68 | I DGCAT="A" D
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69 | .S HLERR="Uploaded mt cat is still A"
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70 | ;
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71 | MTDRIVER ; call means test event driver
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72 | S DGMTACT="UPL"
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73 | D AFTER^DGMTEVT
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74 | S DGMTINF=1 ; non-interactive flag
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75 | D EN^DGMTEVT
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76 | ;
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77 | ; close IVM case record for patient
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78 | D CLOSE^IVMPTRN1(DGLY,DFN,1,1)
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79 | ;
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80 | ; Get copay exemption status (IVMCEA) and means test status (IVMMTA
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81 | ; after upload. If different from before upload and send notification
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82 | ; mail message to the site. Also, send notification mail message if
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83 | ; patient doesn't agree to pay deductible.
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84 | S IVMCNTR=10
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85 | S IVMCEA=$P($$RXST^IBARXEU(DFN),"^",2)
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86 | I IVMCEA'=IVMCEB D
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87 | .S IVMTEXT(10)=""
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88 | .S IVMTEXT(11)="The patient is now "_IVMCEA_" from the prescription copayment."
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89 | .S IVMCNTR=12
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90 | S IVMMTA=$P($$LST^DGMTU(DFN),"^",3)
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91 | I IVMMTA'=IVMMTB D
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92 | .S IVMTEXT(IVMCNTR)=""
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93 | .S IVMTEXT(IVMCNTR+1)="The patient's current Means Test status is now "_IVMMTA_"."
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94 | .S IVMCNTR=IVMCNTR+2
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95 | I 'IVM2 D
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96 | .S IVMTEXT(IVMCNTR)=""
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97 | .I IVM2=0 D Q
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98 | ..S IVMTEXT(IVMCNTR+1)="The patient is CATEGORY C and doesn't agree to pay the deductible."
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99 | .S IVMTEXT(IVMCNTR+1)="The patient is CATEGORY C and didn't answer agree to pay the deductible."
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100 | D MTBULL,MAIL^IVMUFNC()
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101 | ;
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102 | ; cleanup
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103 | K DGCAT,DGCOMF,DGMTACT,DGMTI,DGMTINF,DGMTPAR,DGTHB
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104 | K IVM1,IVM2,IVM3,IVM4,IVM5,IVM6,IVM7,IVMCEA,IVMCEB,IVMMTA
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105 | Q
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106 | ;
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107 | MTBULL ; build mail message for transmission to IVM mail group notifying them
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108 | ; an IVM verified means test has been uploaded into DHCP for a patient.
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109 | ;
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110 | S IVMPAT=$$PT^IVMUFNC4(DFN)
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111 | S XMSUB="IVM - MEANS TEST UPLOAD for "_$P($P(IVMPAT,"^"),",")_" ("_$P(IVMPAT,"^",3)_")"
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112 | S IVMTEXT(1)="An Income Verification Match verified Means Test has been uploaded"
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113 | S IVMTEXT(2)="for the following patient:"
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114 | S IVMTEXT(3)=" "
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115 | S IVMTEXT(4)=" NAME: "_$P(IVMPAT,"^")
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116 | S IVMTEXT(5)=" ID: "_$P(IVMPAT,"^",2)
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117 | S Y=IVMMTDT X ^DD("DD")
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118 | S IVMTEXT(6)=" DATE OF TEST: "_Y
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119 | S IVMTEXT(7)=" PREV CATEGORY: "_$P($G(^DG(408.32,+$P(IVMMT31,"^",3),0)),"^",2)
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120 | S IVMTEXT(8)=" NEW CATEGORY: "_DGCAT
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121 | I IVM5 S Y=IVM5 X ^DD("DD") S IVMTEXT(9)=" DATE/TIME OF ADJUDICATION: "_Y
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122 | Q
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