IBARXEU0 ;AAS/ALB - RX EXEMPTION UTILITY ROUTINE ; 2-NOV-92 ;;2.0;INTEGRATED BILLING;**139**; 21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; ; RXEXMT(DFN,IBDT) ; -- Check income exemption status of patient ; -- Warning, this function may cause new entries to be created ; when no data exists of new entry for current caledar year exists. ; ; input = : dfn = patient file pointer ; ibdt = date to check for ; returns : ; 0 if not exempt ; 1 if exempt^text^reason code^reason^date of test ; ;*** START RT CLOCK ;S XRTN="ADD EXEMPTION",XRTL=$ZU(0) D T0^%ZOSV ; N X,Y,IBON,IBX,IBJOB,IBEXERR,IBWHER,DA,DR,DIC,DIE ; S IBON=$$ON I IBON<1 Q IBON ; S IBX="",IBJOB=14,IBEXERR="" I '$G(IBDT) S IBDT=DT I IBDT>DT S IBDT=DT ; no future dates ; ; -- date before legislation I IBDT<$$STDATE^IBARXEU S IBX="0^NON-EXEMPT^^Date is prior to legislation^" G RXEXMTQ ; S X=$G(^IBA(354,DFN,0)) ; ; -- if current patient, current request, get data and quit I IBDT'<$P(X,"^",3),IBDT'>$$PLUS($P(X,"^",3)),$P(X,"^",4)'="" S IBX=$$IBX(DFN,IBDT) G RXEXMTQ ; ; -- if no patient add one I '+X D ADDP^IBAUTL6 S X=$G(^IBA(354,DFN,0)) G:$G(IBEXERR) RXEXMTQ D AEX(DFN,IBDT) S IBX=$$IBX(DFN,IBDT) G RXEXMTQ ; ; -- if current exemption older than 365 days add new one I IBDT'<$P(X,"^",3),IBDT>$$PLUS($P(X,"^",3)) D AEX(DFN,IBDT) S IBX=$$IBX(DFN,IBDT) G RXEXMTQ ; ; -- if ibdt less than current date need old exemption data I IBDT<$P(X,"^",3) D .; .;find status of prior year .S Y=$G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(IBDT+.0001))),0)),0)) .; -- no data .I Y="" D AEX(DFN,IBDT) .; .; -- old data too old need to insert exemption .I IBDT>$$PLUS(+Y) D AEX(DFN,IBDT) .; .; -- if old exemption is current for this copay date .S IBX=$$IBXOLD(DFN,IBDT) .Q ; ;*** STOP RT CLOCK RXEXMTQ ;I $D(XRT0),$D(XRTN) D T1^%ZOSV ; Q IBX ; ; AEX(DFN,IBDT) ; -- add exemption ; set exemption effective date to means test dates ; N X S X=$$STATUS^IBARXEU1(DFN,IBDT) D ADDEX^IBAUTL6(+X,$P(X,"^",2)) Q ; IBX(DFN,IBDT) ; -- format output from current status N X,Y S X=$G(^IBA(354,DFN,0)),Y=$$LST(DFN,IBDT) Q +$P(X,"^",4)_"^"_$$TEXT(+$P(X,"^",4))_"^"_$$ACODE(Y)_"^"_$$REASON(Y)_"^"_+Y ; IBXOLD(DFN,IBDT) ; -- format output from old exemption N X,Y S Y=$$LST(DFN,IBDT) S X=$G(^IBE(354.2,+$P(Y,"^",5),0)) ; exemption reason node Q +$P(X,"^",4)_"^"_$$TEXT(+$P(X,"^",4))_"^"_$$ACODE(Y)_"^"_$$REASON(Y)_"^"_+Y ; ; ON() ; -- is copay exemption testing on ; output 1 = exemption testing is active ; 0 = exemption testing is inactive (everybody non-exempt) ; -1 = copay is off (everybody exempt) Q 1 ;Q "0^NON-EXEMPT^0^Medication Copay Exemption Testing turned off^"_DT ;Q "-1^EXEMPT^0^Medication Copayment has been turned off^"_DT ; PLUS(X1) ; -- computes plus 1 year (into future) ; if x1=2920930 + 1 year = +10000 = 2930930 I $E(X1,4,7)="0229" Q X1+10072 ;makes the anniversary date March 1 Q X1+10000 ; MINUS(X1) ; -- computes minus 1 year (into past) Q X1-10000 ; ACODE(Y) ; -- return lookup code of reason, input zeroth node of exemption Q $P($G(^IBE(354.2,+$P($G(Y),"^",5),0)),"^",5) ; REASON(Y) ; -- return reason description, input zeroth node of exemption Q $P($G(^IBE(354.2,+$P($G(Y),"^",5),0)),"^",2) ; TEXT(X) ; -- convert 0 or 1 to text Q $S(X=1:"EXEMPT",X=0:"NON-EXEMPT",1:"UNKNOWN") ; LST(DFN,IBDT) ; -- returns last exemption entry before date x ; ; -- returns zeroth node of last test before date ; I '$G(IBDT) S IBDT=DT Q $G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(IBDT+.00001))),0)),0)) ; LSTAC(DFN) ; -- computes last reason code and date for a patient ; -- returns exemption reason ^ exemption date N X1 S X1=$G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(DT+.00001))),0)),0)) Q $P($G(^IBE(354.2,+$P(X1,"^",5),0)),"^",5)_"^"_+X1