Program Diversion Screen
Screen program purchases for diversion and duplicate-discount exceptions.
Description
Program purchase exceptions can combine ineligible purchases and duplicate discounts.
Program purchase exceptions can combine ineligible purchases and duplicate discounts. These categories must be defined separately.1
Screen program purchases for diversion and duplicate-discount exceptions.
When to use Program Diversion Screen
Use this tool to screen program purchases for diversion and duplicate-discount exceptions.
Prepare the documented facts, aligned totals or expected/observed evidence labels requested. Choose applicable requirements and thresholds separately before interpreting a planning screen.
How to use Program Diversion Screen and understand its results
- Prepare the documented facts, aligned totals or expected/observed evidence labels requested. Choose applicable requirements and thresholds separately before interpreting a planning screen.
- Enter programPurchases, eligiblePatientPurchases, duplicateDiscountPurchases, maximumExceptionPercent using the field table and calculation rules, then run the tool.
- Read diversionAmount, exceptionAmount, exceptionPercent, exceedsThreshold. The explanation below defines the units, signs, ordering and any flags or placeholder values.
- If the tool reports an input issue, correct the values and run it again. Apply the stated assumptions when interpreting a successfully returned result.
| Input field | Meaning | Value type; see rules below | Requirement |
|---|---|---|---|
| programPurchases | Program purchases | number; minimum: 0 | Required |
| eligiblePatientPurchases | Eligible patient purchases | number; minimum: 0 | Required |
| duplicateDiscountPurchases | Duplicate-discount purchases | number; minimum: 0 | Required |
| maximumExceptionPercent | Maximum exception rate (%) | number; minimum: 0 | Required |
Enter nonnegative values with eligible≤program and nonnegative percent maximum. Return amounts/percentage and strict percent>maximum flag.
diversion=program−eligible; exceptions=diversion+duplicates Units, indexing, boundary conditions and exceptional cases are defined in the calculation rules above.
| Output field | Meaning | Value type |
|---|---|---|
| diversionAmount | Potential diversion amount | number; minimum: 0 |
| exceptionAmount | Diversion plus duplicate discounts | number; minimum: 0 |
| exceptionPercent | Exception rate (%) | number; minimum: 0 |
| exceedsThreshold | Exceeds supplied threshold | boolean |
{
"input": {
"programPurchases": 1000,
"eligiblePatientPurchases": 950,
"duplicateDiscountPurchases": 10,
"maximumExceptionPercent": 5
},
"output": {
"diversionAmount": 50,
"exceptionAmount": 60,
"exceptionPercent": 6,
"exceedsThreshold": true
}
}Limitations and assumptions
Zero program returns percent zero even with duplicates; categories may overlap and percentage may exceed 100. No eligibility or program compliance is verified.
Numeric inputs, where present, must be finite. Follow the calculation-specific rules for overflow, underflow and exceptional cases. Missing required fields, extra fields, wrong value types and violations of the calculation rules are input errors. A successfully returned false flag is an evaluated outcome; its meaning is explained above.
Alternative or Complementary methods
Use Grant Cost Allowability: Summarize allowable and questioned costs in a tested grant sample. For a complementary task, use Sampling Coverage: Measure audit sample coverage by item count and value.
References
-
Program Diversion Screen — tool.io
Similar or alternative tools
- Grant Cost Allowability
Summarize allowable and questioned costs in a tested grant sample.
- Sampling Coverage
Measure audit sample coverage by item count and value.