IBARXEU5 ;AAS/ALB - RX EXEMPTION UTILITY ROUTINE (CONT.) ; 2-NOV-92
;;2.0;INTEGRATED BILLING;**20,112,153**;21-MAR-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
DIFF ; -- supported call for mas
; -- compare current exemption reason and date with what currently
; computes from the patient record. Automatically update if needed.
; input: dfn = patient to update
; Ibdt = date of change (optional, default is dt)
; output: none
;
N I,J,X,Y,IBADDE,IBEXDA,IBMESS,IBDT,IBX,IBEXREAN,IBEXREAO,IBFORCE,IBOLDAUT,IBJOB,IBWHER
S IBJOB=16,IBWHER=14
G:'$G(DFN) DIFFQ
I $G(IBDT)'?7N S IBDT=DT
;
; -- if not already in file, wait until an rx is issued
I '$G(^IBA(354,DFN,0)) G DIFFQ
;
; -- compute old exemption reason, exemption date
S IBX=$G(^IBA(354,DFN,0)),IBEXREAO=$P(IBX,"^",5)_"^"_$P(IBX,"^",3)
I $P($G(^IBE(354.2,+IBEXREAO,0)),"^",5)=2010 G DIFFQ ; is hardship don't update
; -- compute new exemption reason
S IBEXREAN=$$STATUS^IBARXEU1(DFN,IBDT)
;
; -- quit if not current exemption
I $$PLUS^IBARXEU0($P(IBEXREAN,"^",2))
2 D OLDAUT^IBARXEX1(IBEXREAN)
;S IBFORCE=$P(IBEXREAN,"^",2)
;D MOSTR($P(IBEXREAN,"^",2),+IBEXREAN)
;D ADDEX^IBAUTL6(+IBEXREAN,$P(IBEXREAN,"^",2),1,1,IBOLDAUT)
;
DIFFQ Q
;
MTCOMP(STATUS,IBDATA) ; -- compare income determination with current mt status
;
I '$$NETW^IBARXEU1 G MTCOMP ; don't use net worth in computation
;
N IBEXREA,CODE S IBEXREA=""
;
; -- incomplete and required tests are no data
;I CODE="I"!(CODE="R") S IBEXREA=210 G MTDONE
S X=$P(IBDATA,"^",3) I X=1!(X=3)!(X=9)!(X=10)!($P(IBDATA,"^",14)) S IBEXREA=$S($P(IBDATA,"^",14):110,1:210) G MTDONE
;
; -- quit if not pending adjuducation
I +STATUS'=3 G MTCOMPQ
;
S CODE=$$CODE^IBAMTED1(IBDATA)
;
; -- see if mt or income test was adjudicated
; if not sent to ajudication is non-exempt
; if made exempt or cat a is hardship
I $P(IBDATA,"^",10)="",$P(IBDATA,"^",19)=1 S IBEXREA=$S(CODE="P":130,CODE="C":110,CODE="A":2010,1:"") ; means test logic
;
I $P(IBDATA,"^",10)="",$P(IBDATA,"^",19)=2 S IBEXREA=$S(CODE="P":130,CODE="N":110,CODE="E":2010,1:"") ; income test logic
;
; -- if adjudicated cat a set to exempt if means test set to non-exempt
I 'IBEXREA,$P(IBDATA,"^",19)=1 S IBEXREA=$S($$CODE^IBAMTED1(IBDATA)="A":150,$$CODE^IBAMTED1(IBDATA)="C":140,1:"") ; means test logic
;
I 'IBEXREA,$P(IBDATA,"^",19)=2 S IBEXREA=$S($$CODE^IBAMTED1(IBDATA)="E":150,$$CODE^IBAMTED1(IBDATA)="N":140,1:"") ; income test logic
;
MTDONE I IBEXREA S $P(STATUS,"^",3)=$O(^IBE(354.2,"ACODE",+IBEXREA,0))
;
MTCOMPQ Q $P(STATUS,"^",3)_"^"_$P(STATUS,"^",2)
;
MOSTR(X1,IBEXREA) ; -- if status date is most recent but last exemption date
; is later, inactivate last exemption
;
; -- input X1 = date of most recent status (+dgmta from event driver)
; IBEXREA= point to 354.2 for new exemption
;
; -- will define IBOLDAUT if not already defined
;
Q:+$G(X1)'?7N
Q:$G(IBOLDAUT)?7N
Q:$L($P($G(^IBE(354.2,+IBEXREA,0)),"^",5))'=3 ; only for income exemptions
N X
S X=$$LSTAC^IBARXEU0(DFN) ; x =most recent exemption reason ^ date
Q:+X1'<$P(X,"^",2) ;test date is less than most recent exemption date
Q:+X1'>$$MINUS^IBARXEU0(DT) ; exemption date > year ago - don't inactivate more recent exemptions
;
; -- get last test date
S Y=$G(^DGMT(408.31,+$$LST^DGMTCOU1(DFN,DT,3),0))
;
; -- if most recent test date is this test inactivate exemption
I +X1=+Y S IBOLDAUT=$P(X,"^",2)
Q
;
REGAUTO ; -- will automatically update in background autoexempt
; called from registration
;
S ZTREQ="@" ; always called as task, delete task
G:'$G(DFN) REGQ
N I,J,X,Y,IBEXREA,IBNSTAT,IBFORCE,IBOLDAUT,IBJOB
S IBJOB=16
S IBEXREA=$P($G(^IBA(354,DFN,0)),"^",5)
I $P($G(^IBE(354.2,+IBEXREA,0)),"^",5)=2010 G REGQ ; don't overwrite hardships
S IBNSTAT=$$STATUS^IBARXEU1(DFN,DT)
I IBEXREA=+IBNSTAT G REGQ ; computes to same as on file
;
; -- not same must force new entry
L +^IBA(354,DFN)
D OLDAUT^IBARXEX1(IBNSTAT)
S IBFORCE=$P(IBNSTAT,"^",2)
D ADDEX^IBAUTL6(+IBNSTAT,$P(IBNSTAT,"^",2),1,1,$G(IBOLDAUT))
L -^IBA(354,DFN)
REGQ Q