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RNABILB0 - IS-H: Change Billing Block Using Conditions (Inpat./Day Pat. Cases)

RNABILB0 - IS-H: Change Billing Block Using Conditions (Inpat./Day Pat. Cases)

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Description

You can use this program to set or remove a billing block for inpatient and day patient cases.

As well as setting the billing block, you can also enter a billing block reason and a comment about the reason. Before doing this, you must first define billing block reasons in the Customizing activity Define Billing Block Reasons.

The value help for billing block reasons lists all the active billing block reasons - that is, all the billing block reasons you created in this Customizing activity and for which you have not selected the "Inactive" indicator. However, you can also enter inactive block reasons manually in the New Value for Block Reason field and the program will process them. For more information, see SAP Healthcare - Industry-Specific Components for Hospitals -> Patient Accounting -> Billing -> Define Billing Block Reasons in Customizing.

If you remove the billing block, the system automatically removes the billing block reasons and their comments.

Selection Criteria

You can restrict the cases for processing using one of the following options:

  • Case selection
  • Case numbers
  • Admission date
  • Discharge date

You choose how you want to change the billing block by selecting Set Billing Block or Remove Billing Block.

You can also specify further conditions for the case selection in the corresponding group box. Please note that the individual conditions for the processing mode Set Billing Block have an OR connection, while the conditions for the Remove Billing Block mode are linked with an AND.

Conditions are also connected to charge checks, charge proposals, and insurance verification. The conditions correspond to programs RNLBTAG0, RNALL001, and RNNKOS13. The result of the charge check and insurance verification is error-free if the corresponding report does not return any error messages or warnings for the case in question. When checking the charge proposal, the system checks whether program RNALL000 finds a charge proposal.

You can choose whether to execute the report as an update or a test run. Test Mode is the default setting.

In the Further Options group box, you can write the cases for which the billing block is changed to a case selection.

  • If the case selection you specify here already exists, the system appends the cases processed to this case selection. It does not delete cases from the case selection.
  • If the specified case selection does not exist yet, the system only creates it if at least one case has actually been changed.

Requirements

Output

The system lists the cases for which a billing block was or can be changed.

When changing a billing block, the system indicates in the Comment field which check led to it being changed. (This only happens if you specified conditions for changing the billing block in the selection criteria.)

If you use billing block reasons, you can display the billing block reasons and comments in the results list.






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This documentation is copyright by SAP AG.

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