[613] | 1 | IVMUFNC5 ;ALB/AEG - IVM UTILITIES CONTINUED ; 8/10/05 1:39pm
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| 2 | ;;2.0;INCOME VERIFICATION MATCH;**55,109**;5-10-2002
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| 3 | ;
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| 4 | AGE(DT) ;
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| 5 | N Y
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| 6 | S Y=$E(DT,1,3)-1_"0000",Y=Y-10000
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| 7 | Q Y
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| 8 | ;
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| 9 | INCY(IVMMTDT) ;
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| 10 | N Y
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| 11 | S Y=$E(IVMMTDT,1,3)_"0000",Y=Y-10000
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| 12 | Q Y
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| 13 | ;
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| 14 | CATC(DATA) ;
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| 15 | ; Extrinsic function to determine is incoming ZMT1 segment meets
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| 16 | ; one of the following groups:
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| 17 | ; 1. Cat C or Pending Adj. / Provided income info / test date
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| 18 | ; is 10/6/99 or later and Agreed to Pay is YES.
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| 19 | ; OR
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| 20 | ;
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| 21 | ; 2. Category C based upon declination to provide income info
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| 22 | ; but agreed to pay deductible.
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| 23 | ;
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| 24 | ; Input(s): $G(^TMP($J,"IVMCM","ZMT1")) global node - Incoming ZMT
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| 25 | ; segment.
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| 26 | ;
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| 27 | ; Output(s): Function Value. 1 = Yes patient meets one of the criteria
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| 28 | ; 0 = NO test does not meet criteria.
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| 29 | N MTDAT,RETV
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| 30 | S RETV=0
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| 31 | Q:'$D(DATA) 0
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| 32 | S MTDAT("DT")=$P($G(DATA),U,2),MTDAT("MTS")=$P($G(DATA),U,3)
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| 33 | S MTDAT("APD")=$P($G(DATA),U,7),MTDAT("DCLI")=$P($G(DATA),U,16)
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| 34 | ; Patient Provided income information.
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| 35 | I '+$G(MTDAT("DCLI")) D
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| 36 | .; If Cat C or Pending Adjudication test date on or after 10/6/99
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| 37 | .; Provided Income info and Agreed to Pay.
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| 38 | .;
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| 39 | .I $G(MTDAT("MTS"))="C",$G(MTDAT("DT"))'<2991006,$G(MTDAT("APD"))=1 S RETV=1 Q
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| 40 | .I $G(MTDAT("MTS"))="P",$G(MTDAT("DT"))'<2991006,$G(MTDAT("APD"))=1 S RETV=1 Q
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| 41 | ;
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| 42 | ; Patient Declined to provide income information.
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| 43 | I +$G(MTDAT("DCLI")) D
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| 44 | .; Cat C and Agreed to Pay - No date restriction
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| 45 | .I $G(MTDAT("MTS"))="C",+$G(MTDAT("APD")) S RETV=1 Q
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| 46 | ;
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| 47 | Q RETV
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| 48 | ;
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| 49 | ELIG(DFN) ; Eligibility Check for Cat C uploads older than previous
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| 50 | ; income year data.
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| 51 | ;
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| 52 | ; Input: DFN - Patient IEN
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| 53 | ; Output: Function Value 0 if Z10 upload not appropriate
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| 54 | ;
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| 55 | N IVMELI
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| 56 | S IVMELI=0
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| 57 | ; Check primary eligibility
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| 58 | I $D(^DPT(DFN,.36)) S X=^(.36) D
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| 59 | .; If NSC or SC < 50 0% appropriate to upload old test.
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| 60 | .I $P($G(^DIC(8,+X,0)),U,9)=5!($$SC(DFN)) S IVMELI=1
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| 61 | .I $P(X,U,12)=1 S IVMELI=0
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| 62 | .I $P(X,U,13)=1 S IVMELI=0
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| 63 | .K X
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| 64 | ; If deceased patient --- don't upload.
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| 65 | I +$$GET1^DIQ(2,DFN_",",.351,"I") S IVMELI=0
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| 66 | ; If eligible for medicaid, don't upload.
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| 67 | I +$$GET1^DIQ(2,DFN_",",.381,"I") S IVMELI=0
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| 68 | ; Check PH status.
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| 69 | I $P($G(^DPT(DFN,.53)),U)="Y" S IVMELI=0
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| 70 | Q IVMELI
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| 71 | ;
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| 72 | SC(DFN) ; Check to see if patient is SC 0% non-compensable.
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| 73 | ; Input -- DFN Patient IEN
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| 74 | ; Output -- Function value 1=Yes or 0=No
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| 75 | ;
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| 76 | N IVMG,IVME,IVMF,IVMY
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| 77 | S IVMY=0
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| 78 | ; Primary Eligibility is SC < 50 %
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| 79 | I $D(^DPT(DFN,.36)),$P($G(^DIC(8,+X,0)),U,9)=3 S IVMY=1
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| 80 | G:'IVMY SCQ
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| 81 | ; Service Connected percentage = 0
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| 82 | I $P($G(^DPT(DFN,.3)),U,2)'=0 S IVMY=0 G SCQ
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| 83 | ; No Total annual VA Check amount
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| 84 | I $P($G(^DPT(DFN,.362)),U,20) S IVMY=0 G SCQ
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| 85 | ; POW Status indicated.
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| 86 | I $P($G(^DPT(DFN,.52)),U,5)="Y" S IVMY=0 G SCQ
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| 87 | ; Purple Heart Indicated.
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| 88 | I $P($G(^DPT(DFN,.53)),U)="Y" S IVMY=0 G SCQ
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| 89 | ; Check Secondary Eligibilities.
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| 90 | F IVMG=2,4,15:1:18 S IVME(IVMG)=""
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| 91 | S IVMG=0 F S IVMG=$O(^DPT(DFN,"E","B",IVMG)) Q:'IVMG D SEL I IVMF,$D(IVME(+IVMF)) S IVMY=0 Q
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| 92 | SCQ Q +$G(IVMY)
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| 93 | ;
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| 94 | SEL ;
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| 95 | S IVMF=$G(^DIC(8,+IVMG,0)) I IVMF="" Q
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| 96 | S IVMF=$P(IVMF,U,9)
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| 97 | I IVMF=""!('$D(^DIC(8.1,+IVMF,0))) D
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| 98 | .S IVMF=""
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| 99 | .Q
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| 100 | Q
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