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RNUQSFP0 - IS-H: Data Determination for Quality Assurance FR and PS

General Data in Customer Master   CL_GUI_FRONTEND_SERVICES - Frontend Services  
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Description

This report is used to determine data used for the quality assurance of flat rates per case and procedures surcharges.

This data is mainly administrative data, and can be transferred by means of a user exit if the Test mode option is deselected on the selection screen. On the basis of the data transferred, you can then address a special subsystem interface to process the quality assurance data further.

To find out how to activate the user exit, refer to the documentation on enhancement NQSFP001.

The selection options available include admission period, discharge period, a case number range, and case selections. You can also restrict your selection to final billed and discharged cases.

Requirements

Please note that the data can only be transferred from the IS-H*Med transactions to the user exit if the IS-H*Med component is activated in your system. Furthermore, you cannot call up the user exit unless the test mode option on the selection screen is deselected.

The module number for the relevant flat rates per case and procedures surcharges must be defined in the Additional data - Special charge types section of the service master. Only these services will be considered relevant and transferred for quality assurance purposes.

Institutions that bill by DRGs according to the Option Procedure 2003 do not generate flat rates per case and procedures surcharges. In such cases, a service (flat rate per case or procedures surcharge) is determined for the combination of procedures and diagnoses pertaining to the case. The temporarily determined service is used as a proposal in the evaluation.

If the option date has not been specified, or if a period prior to the option date is evaluated, the evaluation remains unchanged in relation to the previous procedure.

If the start date of the evaluation period is identical to or after the option date, the report uses the procedures and diagnoses for the case to determine a service proposal (FR/PS). The evaluation then continues with this proposal as if this were an actual flat rate per case or procedures surcharge.

If overlaps occur in the evaluation periods specified, an error message is issued and the evaluation is aborted. You can only evaluate the data either according to the old procedure or the new procedure in one program run.

Output

The program outputs a list containing most of the data transferred from IS-H (and, if applicable, IS-H*Med) for the purposes of flat rate per case and procedure surcharge quality assurance. Please not that this list does not contain all the data that was transferred to the user exit.

This list is a 'hierarchical sequential' list with header and item information. The header information includes the relevant case data; the item information contains all of a case's services that are relevant to quality assurance and which have been assigned to a module number.

You can use the ALV tools to make the list interactive.

Example

ABAP Short Reference   BAL Application Log Documentation  
This documentation is copyright by SAP AG.

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