[613] | 1 | IBARXEU0 ;AAS/ALB - RX EXEMPTION UTILITY ROUTINE ; 2-NOV-92
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| 2 | ;;2.0;INTEGRATED BILLING;**139**; 21-MAR-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 | ;
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| 6 | RXEXMT(DFN,IBDT) ; -- Check income exemption status of patient
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| 7 | ; -- Warning, this function may cause new entries to be created
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| 8 | ; when no data exists of new entry for current caledar year exists.
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| 9 | ;
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| 10 | ; input = : dfn = patient file pointer
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| 11 | ; ibdt = date to check for
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| 12 | ; returns :
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| 13 | ; 0 if not exempt
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| 14 | ; 1 if exempt^text^reason code^reason^date of test
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| 15 | ;
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| 16 | ;*** START RT CLOCK
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| 17 | ;S XRTN="ADD EXEMPTION",XRTL=$ZU(0) D T0^%ZOSV
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| 18 | ;
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| 19 | N X,Y,IBON,IBX,IBJOB,IBEXERR,IBWHER,DA,DR,DIC,DIE
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| 20 | ;
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| 21 | S IBON=$$ON I IBON<1 Q IBON
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| 22 | ;
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| 23 | S IBX="",IBJOB=14,IBEXERR=""
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| 24 | I '$G(IBDT) S IBDT=DT
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| 25 | I IBDT>DT S IBDT=DT ; no future dates
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| 26 | ;
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| 27 | ; -- date before legislation
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| 28 | I IBDT<$$STDATE^IBARXEU S IBX="0^NON-EXEMPT^^Date is prior to legislation^" G RXEXMTQ
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| 29 | ;
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| 30 | S X=$G(^IBA(354,DFN,0))
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| 31 | ;
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| 32 | ; -- if current patient, current request, get data and quit
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| 33 | I IBDT'<$P(X,"^",3),IBDT'>$$PLUS($P(X,"^",3)),$P(X,"^",4)'="" S IBX=$$IBX(DFN,IBDT) G RXEXMTQ
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| 34 | ;
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| 35 | ; -- if no patient add one
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| 36 | I '+X D ADDP^IBAUTL6 S X=$G(^IBA(354,DFN,0)) G:$G(IBEXERR) RXEXMTQ D AEX(DFN,IBDT) S IBX=$$IBX(DFN,IBDT) G RXEXMTQ
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| 37 | ;
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| 38 | ; -- if current exemption older than 365 days add new one
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| 39 | I IBDT'<$P(X,"^",3),IBDT>$$PLUS($P(X,"^",3)) D AEX(DFN,IBDT) S IBX=$$IBX(DFN,IBDT) G RXEXMTQ
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| 40 | ;
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| 41 | ; -- if ibdt less than current date need old exemption data
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| 42 | I IBDT<$P(X,"^",3) D
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| 43 | .;
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| 44 | .;find status of prior year
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| 45 | .S Y=$G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(IBDT+.0001))),0)),0))
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| 46 | .; -- no data
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| 47 | .I Y="" D AEX(DFN,IBDT)
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| 48 | .;
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| 49 | .; -- old data too old need to insert exemption
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| 50 | .I IBDT>$$PLUS(+Y) D AEX(DFN,IBDT)
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| 51 | .;
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| 52 | .; -- if old exemption is current for this copay date
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| 53 | .S IBX=$$IBXOLD(DFN,IBDT)
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| 54 | .Q
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| 55 | ;
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| 56 | ;*** STOP RT CLOCK
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| 57 | RXEXMTQ ;I $D(XRT0),$D(XRTN) D T1^%ZOSV
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| 58 | ;
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| 59 | Q IBX
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| 60 | ;
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| 61 | ;
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| 62 | AEX(DFN,IBDT) ; -- add exemption
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| 63 | ; set exemption effective date to means test dates
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| 64 | ;
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| 65 | N X
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| 66 | S X=$$STATUS^IBARXEU1(DFN,IBDT)
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| 67 | D ADDEX^IBAUTL6(+X,$P(X,"^",2))
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| 68 | Q
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| 69 | ;
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| 70 | IBX(DFN,IBDT) ; -- format output from current status
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| 71 | N X,Y
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| 72 | S X=$G(^IBA(354,DFN,0)),Y=$$LST(DFN,IBDT)
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| 73 | Q +$P(X,"^",4)_"^"_$$TEXT(+$P(X,"^",4))_"^"_$$ACODE(Y)_"^"_$$REASON(Y)_"^"_+Y
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| 74 | ;
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| 75 | IBXOLD(DFN,IBDT) ; -- format output from old exemption
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| 76 | N X,Y
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| 77 | S Y=$$LST(DFN,IBDT)
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| 78 | S X=$G(^IBE(354.2,+$P(Y,"^",5),0)) ; exemption reason node
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| 79 | Q +$P(X,"^",4)_"^"_$$TEXT(+$P(X,"^",4))_"^"_$$ACODE(Y)_"^"_$$REASON(Y)_"^"_+Y
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| 80 | ;
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| 81 | ;
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| 82 | ON() ; -- is copay exemption testing on
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| 83 | ; output 1 = exemption testing is active
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| 84 | ; 0 = exemption testing is inactive (everybody non-exempt)
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| 85 | ; -1 = copay is off (everybody exempt)
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| 86 | Q 1
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| 87 | ;Q "0^NON-EXEMPT^0^Medication Copay Exemption Testing turned off^"_DT
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| 88 | ;Q "-1^EXEMPT^0^Medication Copayment has been turned off^"_DT
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| 89 | ;
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| 90 | PLUS(X1) ; -- computes plus 1 year (into future)
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| 91 | ; if x1=2920930 + 1 year = +10000 = 2930930
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| 92 | I $E(X1,4,7)="0229" Q X1+10072 ;makes the anniversary date March 1
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| 93 | Q X1+10000
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| 94 | ;
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| 95 | MINUS(X1) ; -- computes minus 1 year (into past)
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| 96 | Q X1-10000
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| 97 | ;
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| 98 | ACODE(Y) ; -- return lookup code of reason, input zeroth node of exemption
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| 99 | Q $P($G(^IBE(354.2,+$P($G(Y),"^",5),0)),"^",5)
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| 100 | ;
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| 101 | REASON(Y) ; -- return reason description, input zeroth node of exemption
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| 102 | Q $P($G(^IBE(354.2,+$P($G(Y),"^",5),0)),"^",2)
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| 103 | ;
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| 104 | TEXT(X) ; -- convert 0 or 1 to text
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| 105 | Q $S(X=1:"EXEMPT",X=0:"NON-EXEMPT",1:"UNKNOWN")
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| 106 | ;
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| 107 | LST(DFN,IBDT) ; -- returns last exemption entry before date x
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| 108 | ;
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| 109 | ; -- returns zeroth node of last test before date
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| 110 | ;
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| 111 | I '$G(IBDT) S IBDT=DT
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| 112 | Q $G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(IBDT+.00001))),0)),0))
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| 113 | ;
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| 114 | LSTAC(DFN) ; -- computes last reason code and date for a patient
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| 115 | ; -- returns exemption reason ^ exemption date
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| 116 | N X1
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| 117 | S X1=$G(^IBA(354.1,+$O(^(+$O(^IBA(354.1,"AIVDT",1,DFN,-(DT+.00001))),0)),0))
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| 118 | Q $P($G(^IBE(354.2,+$P(X1,"^",5),0)),"^",5)_"^"_+X1
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