Hi Terri,

I set up a screen for LAB and OE... We only use the LAB one now but used to use the OE when we scheduled LABs. We use a similar one in Scheduling for Mammos.


                        Enter/Edit Customer-Defined Screen Dictionary           
      Page 1

 Mnemonic      LABPSAMCR                     Last Edited by   CHAHD       on  
05/02/2006-1009

 Active?       Y                                   Edit User          Edit Group

 Description   DATE OF LAST TEST

 Type          LAB REQ               Max Rows   3 Max Cols  80
                                     Display Font FIXED
 PCI Data Source

        <Prompt>                               <-Response->   Edit
 Fld#  Query      Row Col Text                                Row  Col Req   
A/D  A  D

    1  OECOMM     2   1   COMMENTS:                           SAME 11  N
    2  OELAST     3   1   DATE OF LAST COMPLETED TEST         SAME 37           
  *
    3  OELAST1    3   72  .                                   SAME 74           
  *

The attribute on the QUERY OELAST is:

                     Enter/Edit Attributes: OELAST

 [EMAIL PROTECTED];@p.ADM.PAT.mri.urn^/R.FRAG.ARG,
 IFE=%Z.rw.fragment("LAB.L.SPEC.zcus.fdiet.mri.R","LAB.ANV"),
 IFE=P(R,S,(%Z.date.out.long(/R.FRAG.VAL["PSA,SCREEN"]))^
 IFE=/[ANS%0,"OELAST"]|0)^#,""}

This calls the report LAB.L.SPEC.zcus.fdiet.mri which returns the date of the of the last Test (In this case "PSA,SCREEN") on the third line.

This attribute is on the query OELAST1. Note the number 365 is the number of days which trips the flag .:

                     Enter/Edit Attributes: OELAST1

 DFT="."
 IFE=IF{%Z.date.sub(@t.LAB.C.REQ.collection.date,%Z.date.in
 IFE=([ANS,"OELAST"]|0))<(365)&(@p.ADM.PAT.financial.class="MCR")
 IFE= @p.ADM.PAT.urn^/PATIENT,"PSA,SCREEN"^/PROCED,"LAB"^/CTT,
 IFE="LAB.C.PAT.zcus.ap."^RPT,RPT_"S"^RPTS,
 IFE=RPT_"R"^RPT,%[RPTS](RPT,0)X},1


This query calls the report LAB.C.PAT.zcus.ap which is a copy of the ABN we use. The report prints a warning screen " ABN PRINTING - INTERVAL TOO SHORT SINCE LAST SERVICE" on the screen and then prints the ABN. The macros contain the reasons for the ABN based on the MNEMONIC of the test and the price for the Test.

I pull the price from OE just because I had this all done when I had to switch to LAB and I was too lazy to pull from LAB. This is in the detail macro.

/PROCED^/R.FRAG.ARG1,/CTT^/CTT,
%Z.rw.fragment("OE.PROC.zcus.proc.bill.codes.frag.R","OE.ANV"),
/R.FRAG.VAL["PROCN"]^/TESTX,

Once you see the macros and frags you will be able to add any tests you want.

This is the OE attribute that uses the same LAB frag:

                     Enter/Edit Attributes: OELAST

 [EMAIL PROTECTED]/R.FRAG.ARG,
 IFE=%Z.rw.fragment("LAB.L.SPEC.zcus.fdiet.mri.R","LAB.ANV"),
 IFE=P(R,S,(%Z.date.out.long(/R.FRAG.VAL["HBA1C"]))^
 IFE=/[ANS%0,"OELAST"]|0)^#,""}

This attribute, placed on the query following OELAST, just flags the user. Note the number 365 is the number of days which trips the flag . (NO ABN)

                     Enter/Edit Attributes: OELAST2

 IFE=IF{%Z.date.sub(@t.OE.INP.service.date,%Z.date.in
 IFE=([ANS,"OELAST"]|0))<365 @W.err("ORDER DATE SHOULD BE >365 DAYS
 IFE= AFTER LAST HBA1C RESULT - CHECK WITH ORDERING PRACTITIONER")}

Let me know if you have any problems or questions.

Howard Chase, RN
Androscoggin Valley Hospital
59 Page Hill Road
Berlin, NH 03570
(603)326-5669

Vaughan, Terri M. wrote:
Good day,
I was asked to post this question how other facilities handle this issue
or if you have a rule wrote for this and are willing to share ~
Medicare will only pay for an A1C test every 90 days.   Do you have a
rule of any kind for something like this?   I'm wondering how you handle
the ordering of those types of tests that can only be done once per time
period (like once a year)? Thanks



Terri Vaughan
AMC
Mayo Health Systems
Information Technology
507-434-1062 (Phone)
507-434-1470 (Pager # 11648 )
507-434-1495 (Fax)



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