LTC co-pay API ICR (3600)

Name

Value

NUMBER

3600

IA #

3600

DATE CREATED

2002/06/24

CUSTODIAL PACKAGE

ENROLLMENT APPLICATION SYSTEM

CUSTODIAL ISC

Albany

USAGE

Controlled Subscription

TYPE

Routine

DBIC APPROVAL STATUS

APPROVED

ROUTINE

EASECCAL

NAME

LTC co-pay API

GENERAL DESCRIPTION

$$COPAY^EASECCAL(DFN,MNTH,LOS) This extrinsic function
returns LTC status and maximal monthly LTC copay amounts for the patient for
specific month if applicable. It is used in calculation of LTC copays in IB
package.

STATUS

Active

KEYWORDS

LTC
COPAY

DURATION

Till Otherwise Agreed

EASECCAL

COMPONENT/ENTRY POINT

VARIABLES

$$COPAY

VARIABLES	TYPE	VARIABLES DESCRIPTION
DFN	Input	Patient IEN.
MNTH	Input	Last day of month for the LTC co-pay calculation in FM format (e.g. 3020131).
LOS	Input	(Length of stay) The number of days in the patient's LTC episode.
$$COPAY	Output	function returns 0 or compound string with "^" delimiters. "0" return value indicates that no completed LTC co-pay test on file (there is no 1010EC form) for patient for the month. if returns string then: piece 1: LTC co-pay test status (1=Exempt; 2=Non-Exempt) piece 2: If Exempt, Reason for Exemption (IEN of file #714.1) piece 3: Calculated LTC co-payment for inpatient care for LOS = 1-180 days. piece 4: Calculated LTC co-payment for inpatient care for LOS = 181+ days. piece 5: Calculated LTC co-payment for outpatients.

SUBSCRIBING PACKAGE

SUBSCRIBING PACKAGE	ISC
INTEGRATED BILLING	Albany
FEE BASIS