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Dokumentation

RNWCHHONZAHL - List of Fees Invoiced

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Purpose

This report lists the fee-based services that have been transferred. These are sorted according to required and paid amounts.

Integration

Prerequisites

The report only finds data for selection if fee determination has already taken place as an update run.

Features

Selection

You can make the following restrictions on the initial screen:

• Institution

• Payment Date From/To

If you enter a period in these fields, the system only selects fee-based services whose invoices were paid (cleared) during the specified period.

• Case Number

• Invoice Number

• Status of Fee-Based Services

• Fee Issuer

• Display Individual Items

If you select this indicator, the report displays the individual fee-based services. Otherwise, the report cumulates the fee-based services according to the grouping you select.

• Grouping by Perf. OU or Grouping by Breakdown Code

Depending on the grouping you select, the report groups the fee-based services by performing organizational unit or breakdown code. The list contains a line for each fee physician identified for each performing organizational unit or breakdown code. This means if physicians PHY1 and PHY2 have fee-based services at the performing OU SURG1, the list contains a line for each physician for this OU.

Process Flow

First, the report selects all the fee-based services that match the selection criteria. Please note that fee-based services that do not have an invoice number are not selected. The report then formats the data for output. It determines whether the invoices for the fee-based services have already been paid and assigns the amounts to the appropriate columns. If you selected the "Display Individual Items" indicator, the report lists the individual fee-based services. Otherwise, the services are cumulated by breakdown code or performing organizational unit and physician.

Standard Variants

Output

The report displays the following lists:

Evaluations of individual items: The report does not cumulate the services but lists them one by one. However, it does group the services by case and invoice, so that if there is more than one invoice for a case, a block is displayed for each invoice. At first, the list only displays the cases with their billing document number and amount. You can then expand the individual cases to display the corresponding fee-based services.

Cumulated evaluations:
The grouping characteristic - either the performing OU or the breakdown code - appears first, with following data below it:

• Name of fee recipient (fee physician in the fee-based service)

• Balance period

The balance is displayed here. This is calculated by subtracting the amounts already paid from the total amount for the fee-based services. Example: There are three fee-based services for breakdown code BCODE1, fee physician PHYS1. They have amounts of 100.--, 50.--, and 200.--. The invoice for the fee-based service with the amount 100.-- has already been paid. The report displays the following amounts: balance period 250.--, required: 350.--, submitted: 100.--.

• Required

Here, the report displays the total of the fee-based services with this combination of grouping characteristic and fee physician.

• Submitted

Here, the report displays the total amount already paid (fee-based services).

A grand total is displayed at the end of the list.

• Grouping by performing OU

The report groups the fee-based services by organizational unit and fee physician. The list contains a line for each combination of performing OU/fee physician.

• Grouping by breakdown code

The report groups the fee-based services by breakdown code and fee physician. The list contains a line for each combination of breakdown code/fee physician.

Activities

Example

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This documentation is copyright by SAP AG.

Length: 4712 Date: 20240520 Time: 050908     sap01-206 ( 84 ms )