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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