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RNANFAL0 - IS-H: Set Cases Without Billable Services to "Final Billed"

RNANFAL0 - IS-H: Set Cases Without Billable Services to "Final Billed"

RFUMSV00 - Advance Return for Tax on Sales/Purchases   ROGBILLS - Synchronize billing plans  
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Description

To avoid unnecessary error messages being generated for a case selection, you can set all healthy newborns and/or optionally companions and/or flat rate cases for which no billable services exist to final billed. Relevant flat rate cases are readmission cases due to complications for which the maximum length of stay is not reached in the second case either.

The following parameters are available for the selection:

  • You can select cases via a case selection and/or cases or (= exclusive 'OR') via the admission date or the discharge date. If you choose the latter, the evaluation period should not exceed 31 days for performance reasons.
  • Select at least one of the parameters: Newborns, Companions, or Previous Patient FR. You can also select all of the parameters, if appropriate.
  • If you selected ... Without Further Dialog, the report creates a list of cases that it set to Final Billed based on the selection (database change); these are indicated by "*". Relevant for batch runs.
  • If you didn't select ... Without Further Dialog, the report creates a list of cases that can be processed further based on the selection; all the cases are selected by default. You can set the selected cases to Final Billed using Update. Dialog-relevant: database changes are not made if test mode is selected.

If a case is relevant for DRG billing and this case involves a sick newborn, you can also set the billing status of this case to Final Billed is no billable services exist.

Requirements

Individual cases that could not be blocked cannot be set to Final Billed. This is not documented explicitly in the output list or in a batch run.

The following criteria must be fulfilled by a healthy newborn or a companion for the report to be able to set the case to Final Billed.

  • Billable services must not exist.

The following criteria must be fulfilled by a prior patient FR for the report to be able to set the case to Final Billed:

  • Billable services must not exist for the current case.
  • The chargeable paid days of the previous case must be maintained in the admission data for the case.
  • The case must not yet be final billed.
  • A non-billable flat rate per case must exist for this case.
  • The patient must be discharged.

If a case is relevant for DRG billing and this case involves a sick newborn, the report sets the case to Final Billed if no billable services exist.

Output

The report outputs the cases that it set to Final Billed in in accordance with the above criteria. These can be selected in dialog mode or in a background run. Sick newborns or healthy newborns and companions with billable services are also output. However, these cannot be selected or changed.

If a case is relevant for DRG billing, you can also select sick newborns and set the corresponding cases to Final Billed.

Example






CPI1466 during Backup   CL_GUI_FRONTEND_SERVICES - Frontend Services  
This documentation is copyright by SAP AG.

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