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))<DT G DIFFQ
;
; -- quit if same exemption reason
I +IBEXREAN=+IBEXREAO G DIFFQ
;
; -- not same so update
D UP1^IBARXEPV
;I $L($P($G(^IBE(354.2,+IBEXREAN,0)),"^",5))>2 D OLDAUT^IBARXEX1(IBEXREAN)
;S IBFORCE=$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,$G(IBOLDAUT))
L -^IBA(354,DFN)
REGQ Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBARXEU5 4407 printed Dec 13, 2024@02:07:26 Page 2
IBARXEU5 ;AAS/ALB - RX EXEMPTION UTILITY ROUTINE (CONT.) ; 2-NOV-92
+1 ;;2.0;INTEGRATED BILLING;**20,112,153**;21-MAR-94
+2 ;;Per VHA Directive 10-93-142, this routine should not be modified.
+3 ;
DIFF ; -- supported call for mas
+1 ; -- compare current exemption reason and date with what currently
+2 ; computes from the patient record. Automatically update if needed.
+3 ; input: dfn = patient to update
+4 ; Ibdt = date of change (optional, default is dt)
+5 ; output: none
+6 ;
+7 NEW I,J,X,Y,IBADDE,IBEXDA,IBMESS,IBDT,IBX,IBEXREAN,IBEXREAO,IBFORCE,IBOLDAUT,IBJOB,IBWHER
+8 SET IBJOB=16
SET IBWHER=14
+9 if '$GET(DFN)
GOTO DIFFQ
+10 IF $GET(IBDT)'?7N
SET IBDT=DT
+11 ;
+12 ; -- if not already in file, wait until an rx is issued
+13 IF '$GET(^IBA(354,DFN,0))
GOTO DIFFQ
+14 ;
+15 ; -- compute old exemption reason, exemption date
+16 SET IBX=$GET(^IBA(354,DFN,0))
SET IBEXREAO=$PIECE(IBX,"^",5)_"^"_$PIECE(IBX,"^",3)
+17 ; is hardship don't update
IF $PIECE($GET(^IBE(354.2,+IBEXREAO,0)),"^",5)=2010
GOTO DIFFQ
+18 ; -- compute new exemption reason
+19 SET IBEXREAN=$$STATUS^IBARXEU1(DFN,IBDT)
+20 ;
+21 ; -- quit if not current exemption
+22 IF $$PLUS^IBARXEU0($PIECE(IBEXREAN,"^",2))<DT
GOTO DIFFQ
+23 ;
+24 ; -- quit if same exemption reason
+25 IF +IBEXREAN=+IBEXREAO
GOTO DIFFQ
+26 ;
+27 ; -- not same so update
+28 DO UP1^IBARXEPV
+29 ;I $L($P($G(^IBE(354.2,+IBEXREAN,0)),"^",5))>2 D OLDAUT^IBARXEX1(IBEXREAN)
+30 ;S IBFORCE=$P(IBEXREAN,"^",2)
+31 ;D MOSTR($P(IBEXREAN,"^",2),+IBEXREAN)
+32 ;D ADDEX^IBAUTL6(+IBEXREAN,$P(IBEXREAN,"^",2),1,1,IBOLDAUT)
+33 ;
DIFFQ QUIT
+1 ;
MTCOMP(STATUS,IBDATA) ; -- compare income determination with current mt status
+1 ;
+2 ; don't use net worth in computation
IF '$$NETW^IBARXEU1
GOTO MTCOMP
+3 ;
+4 NEW IBEXREA,CODE
SET IBEXREA=""
+5 ;
+6 ; -- incomplete and required tests are no data
+7 ;I CODE="I"!(CODE="R") S IBEXREA=210 G MTDONE
+8 SET X=$PIECE(IBDATA,"^",3)
IF X=1!(X=3)!(X=9)!(X=10)!($PIECE(IBDATA,"^",14))
SET IBEXREA=$SELECT($PIECE(IBDATA,"^",14):110,1:210)
GOTO MTDONE
+9 ;
+10 ; -- quit if not pending adjuducation
+11 IF +STATUS'=3
GOTO MTCOMPQ
+12 ;
+13 SET CODE=$$CODE^IBAMTED1(IBDATA)
+14 ;
+15 ; -- see if mt or income test was adjudicated
+16 ; if not sent to ajudication is non-exempt
+17 ; if made exempt or cat a is hardship
+18 ; means test logic
IF $PIECE(IBDATA,"^",10)=""
IF $PIECE(IBDATA,"^",19)=1
SET IBEXREA=$SELECT(CODE="P":130,CODE="C":110,CODE="A":2010,1:"")
+19 ;
+20 ; income test logic
IF $PIECE(IBDATA,"^",10)=""
IF $PIECE(IBDATA,"^",19)=2
SET IBEXREA=$SELECT(CODE="P":130,CODE="N":110,CODE="E":2010,1:"")
+21 ;
+22 ; -- if adjudicated cat a set to exempt if means test set to non-exempt
+23 ; means test logic
IF 'IBEXREA
IF $PIECE(IBDATA,"^",19)=1
SET IBEXREA=$SELECT($$CODE^IBAMTED1(IBDATA)="A":150,$$CODE^IBAMTED1(IBDATA)="C":140,1:"")
+24 ;
+25 ; income test logic
IF 'IBEXREA
IF $PIECE(IBDATA,"^",19)=2
SET IBEXREA=$SELECT($$CODE^IBAMTED1(IBDATA)="E":150,$$CODE^IBAMTED1(IBDATA)="N":140,1:"")
+26 ;
MTDONE IF IBEXREA
SET $PIECE(STATUS,"^",3)=$ORDER(^IBE(354.2,"ACODE",+IBEXREA,0))
+1 ;
MTCOMPQ QUIT $PIECE(STATUS,"^",3)_"^"_$PIECE(STATUS,"^",2)
+1 ;
MOSTR(X1,IBEXREA) ; -- if status date is most recent but last exemption date
+1 ; is later, inactivate last exemption
+2 ;
+3 ; -- input X1 = date of most recent status (+dgmta from event driver)
+4 ; IBEXREA= point to 354.2 for new exemption
+5 ;
+6 ; -- will define IBOLDAUT if not already defined
+7 ;
+8 if +$GET(X1)'?7N
QUIT
+9 if $GET(IBOLDAUT)?7N
QUIT
+10 ; only for income exemptions
if $LENGTH($PIECE($GET(^IBE(354.2,+IBEXREA,0)),"^",5))'=3
QUIT
+11 NEW X
+12 ; x =most recent exemption reason ^ date
SET X=$$LSTAC^IBARXEU0(DFN)
+13 ;test date is less than most recent exemption date
if +X1'<$PIECE(X,"^",2)
QUIT
+14 ; exemption date > year ago - don't inactivate more recent exemptions
if +X1'>$$MINUS^IBARXEU0(DT)
QUIT
+15 ;
+16 ; -- get last test date
+17 SET Y=$GET(^DGMT(408.31,+$$LST^DGMTCOU1(DFN,DT,3),0))
+18 ;
+19 ; -- if most recent test date is this test inactivate exemption
+20 IF +X1=+Y
SET IBOLDAUT=$PIECE(X,"^",2)
+21 QUIT
+22 ;
REGAUTO ; -- will automatically update in background autoexempt
+1 ; called from registration
+2 ;
+3 ; always called as task, delete task
SET ZTREQ="@"
+4 if '$GET(DFN)
GOTO REGQ
+5 NEW I,J,X,Y,IBEXREA,IBNSTAT,IBFORCE,IBOLDAUT,IBJOB
+6 SET IBJOB=16
+7 SET IBEXREA=$PIECE($GET(^IBA(354,DFN,0)),"^",5)
+8 ; don't overwrite hardships
IF $PIECE($GET(^IBE(354.2,+IBEXREA,0)),"^",5)=2010
GOTO REGQ
+9 SET IBNSTAT=$$STATUS^IBARXEU1(DFN,DT)
+10 ; computes to same as on file
IF IBEXREA=+IBNSTAT
GOTO REGQ
+11 ;
+12 ; -- not same must force new entry
+13 LOCK +^IBA(354,DFN)
+14 DO OLDAUT^IBARXEX1(IBNSTAT)
+15 SET IBFORCE=$PIECE(IBNSTAT,"^",2)
+16 DO ADDEX^IBAUTL6(+IBNSTAT,$PIECE(IBNSTAT,"^",2),1,1,$GET(IBOLDAUT))
+17 LOCK -^IBA(354,DFN)
REGQ QUIT
