| 1 | IBARXEU ;AAS/ALB - RX EXEMPTION UTILITY ROUTINE ;2-NOV-92 | 
|---|
| 2 | ;;2.0;INTEGRATED BILLING;**20,222,293**;21-MAR-94;Build 1 | 
|---|
| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified. | 
|---|
| 4 | ; | 
|---|
| 5 | ; | 
|---|
| 6 | RXST(DFN,IBDT) ; -- Check rx income exemption status of patient | 
|---|
| 7 | ; | 
|---|
| 8 | ;  input = :  dfn  = patient file pointer | 
|---|
| 9 | ;             ibdt = date to check for (optional) default is today | 
|---|
| 10 | ; | 
|---|
| 11 | ;  returns :  -1 if no data   ^text^reason code^reason text^date of test | 
|---|
| 12 | ;              0 if non exempt | 
|---|
| 13 | ;              1 if exempt | 
|---|
| 14 | ; | 
|---|
| 15 | N X,Y,Z,IBX,IBON | 
|---|
| 16 | ; | 
|---|
| 17 | S IBON=$$ON^IBARXEU0 I IBON<1 Q IBON | 
|---|
| 18 | ; | 
|---|
| 19 | S IBX="" | 
|---|
| 20 | I '$G(IBDT) S IBDT=DT | 
|---|
| 21 | I IBDT>DT S IBDT=DT ; no future dates | 
|---|
| 22 | ; | 
|---|
| 23 | ; -- date before legislations | 
|---|
| 24 | I IBDT<$$STDATE S IBX="0^NON-EXEMPT^^Date is Prior to Legislation^" G RXSTQ ; nobody exempt prior to legislation | 
|---|
| 25 | ; | 
|---|
| 26 | ; -- if no data on patient quit | 
|---|
| 27 | S X=$G(^IBA(354,DFN,0)) | 
|---|
| 28 | I X=""!('$D(^IBA(354.1,"AP",DFN))) S IBX="-1^UNKNOWN^^Medication Copayment Exemption status never determined" G RXSTQ ; no data return -1 | 
|---|
| 29 | ; | 
|---|
| 30 | ; -- use current status if ibdt not less than current test and | 
|---|
| 31 | ;    not greater than current test date +365 | 
|---|
| 32 | I IBDT'<$P(X,U,3),IBDT'>$$PLUS^IBARXEU0($P(X,U,3)) S IBX=$$IBX^IBARXEU0(DFN,IBDT) G RXSTQ | 
|---|
| 33 | ; | 
|---|
| 34 | ; -- if ibdt not less than current date but greater than | 
|---|
| 35 | ;    current test +365 is into future | 
|---|
| 36 | I IBDT'<$P(X,U,3),IBDT>$$PLUS^IBARXEU0($P(X,U,3)) D | 
|---|
| 37 | .S Y=$$LST^IBARXEU0(DFN,IBDT) | 
|---|
| 38 | .; | 
|---|
| 39 | .; -- see if patient was SC>50, can't be updated so don't say previous | 
|---|
| 40 | .I $L($$ACODE^IBARXEU0(Y))<3 S IBX=+$P(X,U,4)_U_$$TEXT^IBARXEU0($P(X,U,4))_U_$$ACODE^IBARXEU0(Y)_U_$$REASON^IBARXEU0(X)_U_$P(X,U,3) Q | 
|---|
| 41 | .; | 
|---|
| 42 | .S IBX=+$P(X,U,4)_U_"Previously "_$$TEXT^IBARXEU0($P(X,U,4))_U_$$ACODE^IBARXEU0(Y)_U_"Requires new exemption. Previously "_$$REASON^IBARXEU0(X)_U_$P(X,U,3) | 
|---|
| 43 | ; | 
|---|
| 44 | ; -- if ibdt less than current date need old exemption data | 
|---|
| 45 | I IBDT<$P(X,U,3) D  G RXSTQ | 
|---|
| 46 | .; | 
|---|
| 47 | .; -- find status of prior test | 
|---|
| 48 | .S Y=$$LST^IBARXEU0(DFN,IBDT) | 
|---|
| 49 | .; | 
|---|
| 50 | .; -- no previous data | 
|---|
| 51 | .I Y="" D  Q | 
|---|
| 52 | ..S IBX="-1^UNKNOWN^^No data for date requested." | 
|---|
| 53 | ..Q | 
|---|
| 54 | .; | 
|---|
| 55 | .S Z=$G(^IBA(354,DFN,0)),Z=$P(Z,U,5)_U_$P(Z,U,3) ; get status & date | 
|---|
| 56 | .; | 
|---|
| 57 | .; -- if old exemption is current for copay date | 
|---|
| 58 | .I IBDT'>$$PLUS^IBARXEU0(+Y) D  Q | 
|---|
| 59 | ..S X=$G(^IBE(354.2,+$P(Y,U,5),0)) ; exemption reason node | 
|---|
| 60 | ..S IBX=+$P(X,U,4)_U_$$TEXT^IBARXEU0($P(X,U,4))_U_$$ACODE^IBARXEU0(Y)_U_$$REASON^IBARXEU0(X)_U_$P(X,U,3) | 
|---|
| 61 | ..Q | 
|---|
| 62 | .; | 
|---|
| 63 | .; -- if ibdt is greater than old exemption + 365 | 
|---|
| 64 | .;    report previous | 
|---|
| 65 | .I IBDT>$$PLUS^IBARXEU0(+Y) D  Q | 
|---|
| 66 | ..S X=$G(^IBE(354.2,+$P(Y,U,5),0)) ;exemption reason node | 
|---|
| 67 | ..; | 
|---|
| 68 | ..; -- see if patient was SC>50, can't be updated so don't say previous | 
|---|
| 69 | ..I $L($$ACODE^IBARXEU0(Y))<3 S IBX=+$P(X,U,4)_U_$$TEXT^IBARXEU0($P(X,U,4))_U_$$ACODE^IBARXEU0(Y)_U_$$REASON^IBARXEU0(X)_U_$P(X,U,3) Q | 
|---|
| 70 | ..; | 
|---|
| 71 | ..S IBX=+$P(X,U,4)_U_"Previously "_$$TEXT^IBARXEU0($P(X,U,4))_U_$$ACODE^IBARXEU0(Y)_U_"Requires new exemption. Previously "_$$REASON^IBARXEU0(X)_U_$P(X,U,3) | 
|---|
| 72 | ..Q | 
|---|
| 73 | .Q | 
|---|
| 74 | ; | 
|---|
| 75 | RXSTQ Q IBX | 
|---|
| 76 | ; | 
|---|
| 77 | DISP(DFN,IBDT,NO,NULL) ; -- formats text to display | 
|---|
| 78 | ; -- input =  dfn | 
|---|
| 79 | ;             ibdt = date to check for | 
|---|
| 80 | ;             no   = number of lines to print (1, 2, or 3) | 
|---|
| 81 | ;             null = if zero print unknown, if non-zero quit | 
|---|
| 82 | ; | 
|---|
| 83 | I '$G(IBDT) S IBDT=DT | 
|---|
| 84 | I '$D(NULL) S NULL=1 | 
|---|
| 85 | I IBDT>DT S IBDT=DT ; no future dates | 
|---|
| 86 | I '$G(NO) S NO=3 | 
|---|
| 87 | S X=$$RXST(DFN,IBDT) | 
|---|
| 88 | S IBON=$$ON^IBARXEU0 I IBON<1 S X=IBON | 
|---|
| 89 | I X<0&(NULL) G DISPQ | 
|---|
| 90 | W !,"Medication Copayment Exemption Status: ",$P(X,U,2) G:NO<2 DISPQ | 
|---|
| 91 | W !,$P(X,U,4) G:NO<3 DISPQ | 
|---|
| 92 | I $P(X,U,5) W !,"Last Rx Copay Exemption date: " S Y=$P(X,U,5) D DT^DIQ | 
|---|
| 93 | DISPQ Q | 
|---|
| 94 | ; | 
|---|
| 95 | STDATE() ; -- legislative start date for income exemption | 
|---|
| 96 | Q 2921030 | 
|---|
| 97 | ; | 
|---|
| 98 | ; | 
|---|
| 99 | ACTIVE(IBZ) ; -- SCREEN for active field of billing exemptions file | 
|---|
| 100 | ;    only one entry per effective date can be active | 
|---|
| 101 | ; | 
|---|
| 102 | N IBX,IBY,T | 
|---|
| 103 | S T=0 | 
|---|
| 104 | S IBZ=$S(IBZ=1:IBZ,$E(IBZ)="A":1,1:0) | 
|---|
| 105 | I 'IBZ S T=1 G ACTIVEQ | 
|---|
| 106 | S IBX=$G(^IBA(354.1,DA,0)) | 
|---|
| 107 | S IBY=$O(^IBA(354.1,"AIVDT",+$P(IBX,U,3),+$P(IBX,U,2),-$P(IBX,U),0)) | 
|---|
| 108 | I 'IBY!(IBY=DA) S T=1 | 
|---|
| 109 | W:$D(IBTALK) !!,"Another entry is already Active, You must inactivate it first",!! | 
|---|
| 110 | ACTIVEQ Q T | 
|---|