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RNUPAEN0 - IS-H: Cancel Invoices for Services with Retroactive Price Changes

RNUPAEN0 - IS-H: Cancel Invoices for Services with Retroactive Price Changes

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Description

Retroactive price changes for services may give rise to invoice items with incorrect amounts. The price of a service changes when the elements used to determine the price as part of the billing procedure change. These price determination elements include:

  • The basic price of a service
  • Conditions used to calculate surcharges or discounts

You cannot correct invoices that contain services that were billed for with an incorrect price. You must either cancel the entire invoice (full cancellation), or cancel only the items affected (partial cancellation), and bill the case again.

You can use this program to determine and cancel the invoice items for services whose price has been changed retroactively.

Note
The program does not calculate the price when determining the invoices to be canceled. In other words, it selects the invoices on the basis of the specified selection criteria, and does not check whether the change in the price of a service contained in the invoice gives rise to a different billing price. For further information, please refer to example 2.

Selection criteria

Enter the services (from the in-house service catalog) whose price has been changed retroactively in the Changed services field on the selection screen. In the Retroactive price change from field, enter the date from which this change applies. The program then uses this information to select the invoices to be canceled by determining all of the invoices that were created after the specified change date and which contain invoice items for the changed services.

You can further restrict this invoice selection using the following criteria:

  • Case selection
You can restrict the selection to invoices for cases that are contained in a particular case selection by entering the name of this case selection in the Case Selection field.
  • Case number
To restrict your selection to invoices from individual cases, enter the appropriate case numbers in the Case field.
  • Billing date
You can restrict your selection to invoices with a certain billing date by entering the required date or period in the Billing date field.
  • Invoice creation date
By entering a date or period in the Invoice created on field, you can restrict your selection to invoices that were created on a certain date, or during a certain period.
  • Billing document number
You can also select the invoices to be canceled by entering the billing document number in the Document field. Invoices from other cases which you have selected by specifying the case numbers or by means of a case selection are then not determined.
Note that the specified billing documents are only determined and canceled if they contain invoice items for the specified changed services and if these were performed on or after the billing date.

Program Settings

The selection screen also contains various program settings:

  • Execute with/without dialog
You can cancel the invoices determined either with or without dialog.
If you do not flag the Execute without dialog option, the program does not automatically cancel the invoices determined. It first lists the relevant invoices. Those that can be canceled are selected by default. You can deselect those invoices that you do not want to cancel.
If you flag the Execute without dialog option, the system cancels the invoices immediately without first displaying the list of invoices.
  • Date of the cancellation document
You can specify the date of the cancellation documents that are to be created in the Date of cancellation doc. field. If you leave this field blank, or if the date you specify is before the billing date of the invoice, the billing date is used as the cancellation date.
  • Printing the cancellation documents
If you select Form print of cancel.docs, the cancellation documents are printed automatically after invoice cancellation. Note that forms can only be printed in dialog mode nd not in background processing.
You can print the cancellation documents in test mode by selecting Test print. In this case, the system does not flag the documents as having already been printed.
If you select Single print control, the print selection is controlled on a cancellation basis, that is, a spool order is created for each cancellation. This is necessary if the number of copies per cancellation is to vary depending on the insurance provider, for example. If the print control is to be identical for all cancellation documents and provided that you do not want to archive the cancellation documents, you should not select this option. The print control defined for the insurance provider is then used.
If you want the cancellation documents to be archived automatically when the forms are printed, select Single print control. Make sure that Test print is not selected, since the cancellation documents can only be archived when the forms are printed in live mode.
Note that the cancellation documents are only archived if the corresponding invoice form has been activated for archiving in the IS-H Implementation Guide.
  • Full or partial cancellation
You can perform either a full or partial cancellation for the invoices in question. Please refer to the following documentation:
  • The documentation for program RNASTO01 describes the procedure for performing a full cancellation.

  • The documentation for program RNASTO02 describes the procedure for performing a partial cancellation.

  • Updating the case selection
Cases for which invoices have been canceled can be updated in a case selection. You can then use this case selection later as a basis for billing the cases again. Enter the name of the required case selection.
If you do not specify a case selection, the program proposes the selection that you have stored in the billing parameters in Customizing for IS-H.
Caution
Subsequent invoices are present if more than one invoice exists for a case and for each payer due to interim billing. If you have specified the invoices to be cancelled via the document numbers or only selected individual invoices for canceling in the list of invoices displayed in dialog mode, the system also automatically cancels any subsequent invoices. This ensures that there are no gaps in the billing sequence of a case.
To see the invoices that will actually be canceled, choose Test on the list of invoices found by the system. This function is only available if the program is executed in dialog (interactive) mode.

Note for R/2 Systems

If your Financial Accounting module runs on an R/2 System, the additional checkbox R2/RF: update immediately features on the program selection screen.
If you flag this option, the relevant invoice numbers are immediately transferred into RF. The document numbers assigned there are then the returned and the billing document header document is updated accordingly. If communication is free of error, after the billing document run all invoice fields are filled as if your Financial Accounting module were running on an SAP system.
If you do not flag this option, you have to execute program RNACRF00 to retrieve the Financial Accounting document numbers from R2/RF and update the billing document header with them.

Caution: If your Financial Accounting module runs on an R/2 System, a number of settings for communication between the systems must be made. For further information about these settings, refer to the IS-H Implementation Guide.

Prerequisites

The following selection criteria must be specified on the selection screen:

  • Institution
  • Changed services in the in-house service catalog
  • Date from which the retrospective price change is applicable

You should always specify the creation date of the invoice to restrict the number of invoice items determined by the system. See example 1.

To execute this program, you need the authorization S_PROGRAM and the authorization group specified in the report attributes.

Output

If you execute the program in dialog (interactive) mode, a list of the documents that are to be cancelled is output. The list is sorted according to case number, insurance provider and document number. Deselect the invoices that you do not want to cancel (paying special attention to the problem of subsequent invoices).

To cancel the selected invoices, choose Cancel. To cancel the invoices in test mode only, choose Test. The program simply displays the invoices that would be canceled in a live run.

Example

Example 1

The basic price of a personal item has been changed retroactively on 01/01/1997. The service master was changed on 04/01/1997. From this date onwards, only invoices were created in which the personal item was billed for using the current basic price.

To cancel the relevant invoices, specify the following data on the selection screen:

  • Institution
  • Created on: 01/01/1997 to 01/31/1997
  • Changed services: personal item
  • Retroactive price change from: 01/01/1997

You do not need to enter the creation period if no invoices containing the personal item calculated with the correct basic price have been created yet since the service master was changed.

Example 2

If the value of conditions that are calculated for certain services is changed subsequently, the procedure described in example 1 should also be used. Enter all of the services for which the changed condition is used in the Changed services field.

If the changed condition is only used for the services in certain situations (for example, percentage discount on departmental per diems for a surgical procedures surcharge), the program determines all of the invoices that contain items for the changed services from the change date onwards. The system, however, does not check whether the changed condition was applied when the service was billed for. For this reason, the system may determine, and cancel invoices in which the items did not change as a result of the changed condition and therefore did not need to be canceled.






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