Flat Fee (FF) SectionBOX_00A
CONTEXT HEADER DISPLAY INSTRUCTIONS: DISPLAY PERS.FULLNAME, PROV.PROVNAME, EVPV.EVNTTYPE, EVPV.EVNTBEGM, EVPV.EVNTBEGD, EVPV.EVNTBEGY, EVPV.EVNTENDM, EVPV.EVNTENDD, EVPV.EVNTENDY, FFEE.FFEENAME
IF OMTYPE = 4-11, 91 USE “JAN 01” FOR START DATE. BOX_01
IF NO FLAT FEE GROUPS ALREADY ON PERSONS-FLAT-FEE- GROUPS-ROSTER, GO TO FF02
OTHERWISE, CONTINUE WITH FF01 FF01 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘this hospital stay’ IF EVENT TYPE IS HS. DISPLAY ‘this visit’ IF EVENT TYPE IS ER, OP, MV, OR DN. DISPLAY ‘the {OME ITEM GROUP NAME}’ IF EVENT TYPE IS OM. DISPLAY ‘the services received at home’ IF EVENT TYPE IS HH.
FOR {OME ITEM GROUP NAME}, DISPLAY THE NAME OF THE OTHER MEDICAL EXPENSES ITEM GROUP BEING ASKED ABOUT FOR THIS EVENT: DISPLAY ‘glasses or contact lenses’ IF EVENT TYPE IS OM AND THE OM ITEM GROUP IS ‘1’ (GLASSES OR CONTACT LENSES). DISPLAY ‘ambulance services’ IF THE OM ITEM GROUP IS ‘4’ (AMBULANCE SERVICES). DISPLAY ‘orthopedic items’ IF THE OM ITEM GROUP IS ‘5’ (ORTHOPEDIC ITEMS). DISPLAY ‘hearing devices’ IF THE OM ITEM GROUP IS ‘6’ (HEARING DEVICES). DISPLAY ‘prostheses’ IF THE OM ITEM GROUP IS ‘7’ (PROSTHESES). DISPLAY ‘bathroom aids’ IF THE OM ITEM GROUP IS ‘8’ (BATHROOM AIDS). DISPLAY ‘medical equipment’ IF THE OM ITEM GROUP IS ‘9’ (MEDICAL EQUIPMENT). DISPLAY ‘disposable supplies’ IF THE OM ITEM GROUP IS ‘10’ (DISPOSABLE SUPPLIES). DISPLAY ‘alterations or modifications’ IF THE OM ITEM GROUP IS ‘11’ (ALTERATIONS/ MODIFICATIONS). DISPLAY {TEXT FROM OTHER SPECIFY} IF THE OM ITEM GROUP IS ‘91’ (OTHER). FOR ‘TEXT FROM OTHER SPECIFY’, DISPLAY THE TEXT CATEGORY ENTERED IN THE OTHER SPECIFY FIELD FOR OM EVENTS. FOR ‘{START DATE}’, DISPLAYED IN THE CONTEXT HEADER, DISPLAY THE START DATE OF THE CURRENT ROUND FOR OM EVENTS THAT ARE ‘REGULAR’ GROUP TYPE (EV02A=1 OR NOT ASKED) AND DISPLAY ‘JAN 01 {YEAR}’ FOR OM EVENTS THAT ARE ‘ADDITIONAL’ GROUP TYPE (EV02A=2).
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY): ‘YEAR’ IN CONTEXT HEADER IS FIRST CALENDAR YEAR OF PANEL IF ROUND 3. ‘YEAR’ IS SECOND CALENDAR YEAR OF PANEL IF ROUND 5.
SINCE THIS ROSTER WILL INCLUDE ALL FLAT FEE GROUPS, CURRENT ROUND SINGLE EVENTS CAN BE ADDED TO ANY FLAT FEE GROUP CREATED DURING THE CURRENT ROUND OR A PREVIOUS ROUND.
DISPLAY AN ‘ADD GROUP’ OPTION ON THIS SCREEN.
IF A FLAT FEE GROUP IS SELECTED, GO TO BOX_02
IF ‘ADD GROUP’ IS SELECTED, CONTINUE WITH FF02
ROSTER DETAILS: TITLE: PERS_FFEE_GROUPS_1 COL # 1 HEADER: FLAT FEE GROUP INSTRUCTIONS: DISPLAY FLAT FEE GROUP NAME (FFEE.FFEENAME)
ROSTER DEFINITION: DISPLAY THE PERSON’S-FLAT-FEE-GROUPS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. SELECT ALLOWED. 2. ADD ALLOWED. 3. MULTIPLE SELECT, MULTIPLE ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: NO FILTER; DISPLAY ALL. FF02 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
DISPLAY ‘this hospital stay’ IF EVENT TYPE IS HS. DISPLAY ‘this visit’ IF EVENT TYPE IS ER, OP, MV, OR DN. DISPLAY ‘the {OME ITEM GROUP NAME}’ IF EVENT TYPE IS OM. DISPLAY ‘the services received at home’ IF EVENT TYPE IS HH.
FOR {OME ITEM GROUP NAME}, DISPLAY THE NAME OF THE OTHER MEDICAL EXPENSES ITEM GROUP BEING ASKED ABOUT FOR THIS EVENT: DISPLAY ‘glasses or contact lenses’ IF EVENT TYPE IS OM AND THE OM ITEM GROUP IS ‘1’ (GLASSES OR CONTACT LENSES). DISPLAY ‘ambulance services’ IF THE OM ITEM GROUP IS ‘4’ (AMBULANCE SERVICES). DISPLAY ‘orthopedic items’ IF THE OM ITEM GROUP IS ‘5’ (ORTHOPEDIC ITEMS). DISPLAY ‘hearing devices’ IF THE OM ITEM GROUP IS ‘6’ (HEARING DEVICES). DISPLAY ‘prostheses’ IF THE OM ITEM GROUP IS ‘7’ (PROSTHESES). DISPLAY ‘bathroom aids’ IF THE OM ITEM GROUP IS ‘8’ (BATHROOM AIDS). DISPLAY ‘medical equipment’ IF THE OM ITEM GROUP IS ‘9’ (MEDICAL EQUIPMENT). DISPLAY ‘disposable supplies’ IF THE OM ITEM GROUP IS ‘10’ (DISPOSABLE SUPPLIES). DISPLAY ‘alterations or modifications’ IF THE OM ITEM GROUP IS ‘11’ (ALTERATIONS/ MODIFICATIONS). DISPLAY {TEXT FROM OTHER SPECIFY} IF THE OM ITEM GROUP IS ‘91’ (OTHER). FOR ‘TEXT FROM OTHER SPECIFY’, DISPLAY THE TEXT CATEGORY ENTERED IN THE OTHER SPECIFY FIELD FOR OM EVENTS. FOR ‘{START DATE}’, DISPLAYED IN THE CONTEXT HEADER, DISPLAY THE START DATE OF THE CURRENT ROUND FOR OM EVENTS THAT ARE ‘REGULAR’ GROUP TYPE (EV02A=1 OR NOT ASKED) AND DISPLAY ‘JAN 01 {YEAR}’ FOR OM EVENTS THAT ARE ‘ADDITIONAL’ GROUP TYPE (EV02A=2).
(FOR SPECIFICATION PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY): ‘YEAR’ IN CONTEXT HEADER IS FIRST CALENDAR YEAR OF PANEL IF ROUND 3. ‘YEAR’ IS SECOND CALENDAR YEAR OF PANEL IF ROUND 5.
ROSTER DETAILS: TITLE: PERS_MED_EVNT_1 COL # 1 HEADER: PROVIDER INSTRUCTIONS: DISPLAY THE NAME OF PROVIDER ASSOCIATED WITH THIS EVENT (EVNT.LORPNAME) COL # 2 HEADER: EVENT TYPE INSTRUCTIONS: DISPLAY THE TWO-LETTER EVENT ABBREVIATION (EVNT.EVNTTYPE) COL # 3 HEADER: ADMIT DATE INSTRUCTIONS: DISPLAY THE MONTH, DAY, AND YEAR OF MEDICAL EVENTS (EVNT.EVNTBEGM, EVNT.EVNTBEGD, EVNT.EVNTBEGY) COL # 4 HEADER: DISCHARGE DATE INSTRUCTIONS: DISPLAY THE DISCHARGE DATE FOR HOSPITAL STAY EVENTS (EVNT.EVNTENDM, EVNT.EVNTENDD, EVNT.EVNTENDY)
ROSTER DEFINITION: THIS ITEM DISPLAYS ALL MEDICAL EVENTS ON PERSON’S- MEDICAL-EVENTS-ROSTER FOR SELECTION.
ROSTER BEHAVIOR: 1. MULTIPLE SELECT ALLOWED. 2. ADD, DELETE, AND EDIT DISALLOWED.
ROSTER FILTER: 1. EVENT HAS CP STATUS OF ‘PROCESSED’ OR ‘UNPROCESSED’ (DISPLAY EVENT REGARDLESS OF CP STATUS). 2. EVENT IS NOT ALREADY INCLUDED IN A FLAT FEE GROUP OR A REPEAT VISIT GROUP. 3. EVENT IS NOT ALREADY CODED (VERIFIED) AS A COPAYMENT. 4. EVENT TYPE IS NOT PM, IC, OM TYPE 2 (INSULIN), OR OM TYPE 3 (OTHER DIABETIC SUPPLIES OR EQUIPMENT). 5. EVENT IS NOT AN HS EVENT WITH A DISCHARGE DATE CODED ‘95’ (STILL IN HOSPITAL). 6. EVENT IS NOT AN MV OR OP EVENT THAT WAS A TELEPHONE CALL (OP02 OR MV01 CODED ‘2’). 7. EVENT IS NOT A HH EVENT WITH EVENT DATE = INTERVIEW MONTH. 8. DISPLAY ‘EVENT OUTSIDE REFERENCE PERIOD’ AS THE LAST ENTRY IN THE ‘PROVIDER’ COLUMN. FF03 {PERSON’S FIRST MIDDLE AND LAST NAME} {NAME OF MEDICAL
CARE
WRITE FLAT FEE GROUP TO PERSON’S-FLAT-FEE-GROUPS- ROSTER.
IF ROUND 1, CONTINUE WITH FF04
IF ROUND 5, GO TO FF09
OTHERWISE, GO TO BOX_02 FF04 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
FOR {FLAT FEE GROUP}, DISPLAY THE NAME OF THE FLAT FEE GROUP SELECTED AT FF02 OR ENTERED AT FF03. FF05 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} FF06 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
FOR {FLAT FEE GROUP}, DISPLAY THE NAME OF THE FLAT FEE GROUP SELECTED AT FF02 OR ENTERED AT FF03. FF07 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} FF08 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} FF09 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
FOR {FLAT FEE GROUP}, DISPLAY THE NAME OF THE FLAT FEE GROUP SELECTED AT FF02 OR ENTERED AT FF03.
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY): FOR ‘YEAR’ IN QUESTION TEXT, DISPLAY THE SECOND YEAR OF THE PANEL. FF10 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY): FOR ‘YEAR’ IN QUESTION TEXT, DISPLAY THE SECOND YEAR OF THE PANEL. FF11 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT}
FOR {FLAT FEE GROUP}, DISPLAY THE NAME OF THE FLAT FEE GROUP SELECTED AT FF02 OR ENTERED AT FF03.
(FOR SPECIFICATIONS PURPOSES ONLY; CAPI HANDLES AUTOMATICALLY): FOR ‘YEAR’ IN QUESTION TEXT, DISPLAY THE SECOND YEAR OF THE PANEL. FF12 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} FF13 {PERSON’S FIRST MIDDLE AND LAST NAME} {STR-DT} BOX_02
RETURN TO THE EVENT DRIVER FOR THIS EVENT- PROVIDER PAIR. IF EVENT-PROVIDER PAIR BEING ASKED ABOUT WAS PART OF AN EXISTING FLAT FEE GROUP (A NAME WAS SELECTED AT FF01), FLAG THE CP STATUS OF THE EVENT-PROVIDER PAIR AS ‘PROCESSED’. IF A NEW FLAT FEE GROUP WAS FORMED AT FF02, THE COMPLETE (FROM THE BEGINNING) CP SECTION WILL BE ASKED FOR THIS FLAT FEE GROUP. |