Download:
pdf |
pdfThe Centers for Medicare & Medicaid Services' Office of Research, Development, and Information (ORDI) strives to make information available to all.
Nevertheless, portions of our files including charts, tables, and graphics may be difficult to read using assistive technology.
In some cases due to size or complexity, we were not able to make files fully accessible using assistive technology. Persons with disabilities
experiencing problems accessing portions of any file should contact ORDI through e-mail at [email protected].
BOX PS1
BOX PS1
Page Order # :
20
BOX INSTRUCTIONS
( PSQ1020 )
IF THE SP STILL EXPECTS CHARGES FOR AT LEAST ONE RENTAL ITEM
ENTERED IN A PREVIOUS ROUND THAT IS NOT ALREADY INCLUDED IN
A CURRENT ROUND CHARGE BUNDLE, GO TO PS1A - HADPYMNT (
PSQ1040 ).
ELSE GO TO BOX PSEND - (PSQ1115 ).
ASSIGNMENTS
TECHNICAL NOTES
278
PSEvent
SP still expects charges for a rental item entered in a
previous round =
There is an EVNT where EVNT.EVNTDFLG ^= 1/Yes &
(EVNT.EVNTTYPE = 'OM') & (EVNT.RENTSTILL =2/No,
DK or RF) and (EVNT.RENTENDR < current round) &
(EVNT.RBUYCOST = 1/StillCollectCost).
279
InCurrentChargeBundle
Event included in a current round charge bundle =
For this EVNT, there is an XCEV where
(XCEV.XCEVEVNT = EVNT.EVNTNUM and
XCEV.XCEVCOST = COST.COSTNUM for this charge
bundle & XCEV.XCEVRNDC = current round and
XCEV.DELLINK ^= 1/Yes).
DESIGN NOTES
11:55:27 AMTuesday, November 11, 2008
Page 1 of 9
PS1A
PS1A
Page Order # :
Design Screen Type:
Yes/No
Fields:
Field 1:
HADPYMNT
Enable Functions:
HELP
COMMENTS
JUMPBACK
No
Yes
Yes
Roster Functions:
Add Item
Edit Item
Delete Item
Search Item
No
No
No
No
Grid Functions:
Add Line
Delete Line
No
No
40
Roster Name:
Roster Type:
DISPLAY INSTRUCTIONS:
Context header display:
Display OME Rental Item currently being asked about.
Question display:
If PS1A - HADPYMNT has not been asked in the current round,
display "Now".
Else display "Next".
Display OME ITEM TYPE for OME Rental Item currently being
asked about.
If EVNT.RENT2BUY = 2/PurchasedRentToBuy, display "rented and
then bought".
Else if EVNT.EVENDMM, EVNT.EVENDDD, or EVNT.EVENDYY =
DK or RF, display "stopped renting".
Else display "stopped renting on (EVENT END DATE)". Display
Event End Date for OME Rental Item currently being asked about.
Multi Field display:
Roster/Grid Instructions:
Roster/Grid display:
Report display:
TEXT:
Context Header:
EVENT: (EVENT)
11:55:29 AMTuesday, November 11, 2008
Page 2 of 9
PS1A
Int. Instr I:
(Now/Next), let’s look at the costs for the (OME ITEM TYPE)
[you/(SP)] [rented and then bought/stopped renting/stopped renting
on (EVENT END DATE)].
Question Text:
Since (REFERENCE DATE), were any payments made for the (OME
ITEM TYPE)?
THIS INCLUDES PAYMENTS MADE BY SP, MEDICARE,
INSURANCE, TRICARE, OR ANY OTHER SOURCE OF PAYMENT.
Int. Instr II:
INPUT FIELDS / ROUTING
HADPYMNT
Field1:
Cheshire Name:
Item Text display:
( PSQ1040 )
EVNT.HADPYMNT
EVNT.HADPYMNT may have already been collected in a
previous round. Do not display previously collected
response.
Item Text:
Label:
Label Position:
Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:
Enumerated
TYesNoDKRF
1
No
No
Number Label
1 Yes
2
FieldSize:
Min Value:
Max Value:
Mask:
Route
PS2 - EXPPYMNT ( PSQ1080 )
English text: YES
No
PS2 - EXPPYMNT ( PSQ1080 )
English text: NO
Attribute
Don't know
Route
PS2 - EXPPYMNT ( PSQ1080 )
Refusal
PS2 - EXPPYMNT ( PSQ1080 )
BACKGROUND VARIABLE ASSIGNMENTS
PYMNTRND
Set EVNT.PYMNTRND = current round.
NOPYMNT
If PS1A - HADPYMNT = 2/No, DK, or RF, set
EVNT.NOPYMNT = 1/Yes.
11:55:32 AMTuesday, November 11, 2008
Page 3 of 9
PS1A
SOFT EDIT CHECKS
HARD EDIT CHECKS
TECHNICAL NOTES
DESIGN NOTES
11:55:32 AMTuesday, November 11, 2008
Page 4 of 9
PS2
PS2
Page Order # :
Design Screen Type:
Yes/No
Fields:
Field 1:
EXPPYMNT
Enable Functions:
HELP
COMMENTS
JUMPBACK
No
Yes
Yes
Roster Functions:
Add Item
Edit Item
Delete Item
Search Item
No
No
No
No
Grid Functions:
Add Line
Delete Line
No
No
60
Roster Name:
Roster Type:
DISPLAY INSTRUCTIONS:
Context header display:
Display OME Rental Item currently being asked about.
Question display:
Display OME ITEM TYPE for OME Rental Item currently being
asked about.
Multi Field display:
Roster/Grid Instructions:
Roster/Grid display:
Report display:
TEXT:
Context Header:
EVENT: (EVENT)
Int. Instr I:
Question Text:
[Do you/Does (SP)] expect any more rental or installment payments
to be made for the (OME ITEM TYPE)?
Int. Instr II:
THIS INCLUDES PAYMENTS MADE BY SP, MEDICARE,
INSURANCE, TRICARE, OR ANY OTHER SOURCE OF PAYMENT.
INPUT FIELDS / ROUTING
11:55:33 AMTuesday, November 11, 2008
Page 5 of 9
PS2
EXPPYMNT
Field1:
Cheshire Name:
Item Text display:
( PSQ1080 )
EVNT.EXPPYMNT
EVNT.EXPPYMNT may have already been collected in a
previous round. Do not display previously collected
response.
Item Text:
Label:
Label Position:
Field Type:
Type Name:
Answers Allowed:
Drop Down List:
Lookup File:
Lookup File Name:
Enumerated
TYesNoDKRF
1
No
No
Number Label
1 Yes
2
FieldSize:
Min Value:
Max Value:
Mask:
Route
BOX PS3 - (PSQ1110 )
English text: YES
No
English text: NO
Attribute
Don't know
Route
BOX PS3 - (PSQ1110 )
Refusal
BOX PS3 - (PSQ1110 )
BOX PS3 - (PSQ1110 )
BACKGROUND VARIABLE ASSIGNMENTS
EVNT.RBUYCOST is initially set to 1/StillCollectCost in the OM section when a rental item
is ended.
RBUYCOST
If PS2 - EXPPYMNT = 2/No, DK or RF, updated
EVNT.RBUYCOST = 2/NotCollectCost.
BUYENDR
If PS2 - EXPPYMNT = 2/No, DK or RF, set
EVNT.BUYENDR = current round.
SOFT EDIT CHECKS
HARD EDIT CHECKS
TECHNICAL NOTES
DESIGN NOTES
11:55:36 AMTuesday, November 11, 2008
Page 6 of 9
PS2
11:55:36 AMTuesday, November 11, 2008
Page 7 of 9
BOX PS3
BOX PS3
Page Order # :
70
BOX INSTRUCTIONS
( PSQ1110 )
IF THE SP STILL EXPECTS CHARGES FOR ANOTHER RENTAL ITEM
ENTERED IN A PREVIOUS ROUND THAT IS NOT ALREADY INCLUDED IN
A CURRENT ROUND CHARGE BUNDLE, GO TO PS1A - HADPYMNT (
PSQ1040 ).
ELSE GO TO BOX PSEND - (PSQ1115 ).
ASSIGNMENTS
TECHNICAL NOTES
278
PSEvent
SP still expects charges for a rental item entered in a
previous round =
There is an EVNT where EVNT.EVNTDFLG ^= 1/Yes &
(EVNT.EVNTTYPE = 'OM') & (EVNT.RENTSTILL =2/No,
DK or RF) and (EVNT.RENTENDR < current round) &
(EVNT.RBUYCOST = 1/StillCollectCost).
279
InCurrentChargeBundle
Event included in a current round charge bundle =
For this EVNT, there is an XCEV where
(XCEV.XCEVEVNT = EVNT.EVNTNUM and
XCEV.XCEVCOST = COST.COSTNUM for this charge
bundle & XCEV.XCEVRNDC = current round and
XCEV.DELLINK ^= 1/Yes).
DESIGN NOTES
11:55:36 AMTuesday, November 11, 2008
Page 8 of 9
BOX PSEND
BOX PSEND
Page Order # :
80
BOX INSTRUCTIONS
( PSQ1115 )
GO TO NEXT SECTION .
ASSIGNMENTS
TECHNICAL NOTES
DESIGN NOTES
11:55:36 AMTuesday, November 11, 2008
Page 9 of 9
File Type | application/pdf |
Author | hubbard_r |
File Modified | 2010-04-06 |
File Created | 0000-00-00 |