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ISH_ABR_PARAM - Set Billing Parameters

ISH_ABR_PARAM - Set Billing Parameters

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Billing Parameters

In this IMG activity, you make settings the system takes into account when invoices are created and canceled.

You can make the following specifications using the parameters:

  • Discount on departmental per diem, or intensive care per diem charges when a surgical procedures surcharge is performed. This is relevant for billing pursuant to BPflV95 in the country version Germany only
  • Calculation of a discount on the departmental per diem or intensive care per diem charge even if the departmental requesting organizational units of the nursing charge and the surgical procedures surcharge are not the same (field No OU Comp. DPD).

  • No calculation of discounts on intensive care per diem (field No Discount ICD).

  • If you select this option, intensive care per diem charges (cf. charge type in service master) are not relevant for discount pursuant to §14(2) BPflV 95. In this case, the system does not flag intensive care per diem charges as relevant for discount when billing. If you don't select this option, intensive care per diem charges are relevant for a discount. The value of the No OU comp. DPD field then controls whether a discount is calculated on the intensive care per diem charge only if the departmental requesting organizational units of the intensive care per diem charge and of the surgical procedures surcharge are one and the same.
  • Case selection that is appended when invoices are fully or partially canceled
  • Name of case selection (field CaseSelect Clcn)

Here you can specify the name of the case selection to which the system is to add cases whose invoices are the object of full or partial cancellation. You need not have already defined the case selection you specify here. If you cancel invoices using collective cancellation, the system proposes the case selection defined in the present table on the selection screen of the function. You can overwrite this default value. If you cancel invoices in the single billing transaction, or if they are canceled automatically (e.g. when billed services are canceled), a selection screen is not displayed, and, consequently, you cannot specify an alternative case selection. In this instance, the system always adds the edited case to the case selection specified in this table.
To prevent cases being appended to a case selection when invoices are fully or partially canceled, do not specify a case selection in this table, nor on the collective cancellation selection screen.
  • Textual description of the case selection (field Text caseSelect. Cancellat)

  • Types of message to be output during the billing run (field Billing Msg Type)
You can restrict the type of message the system is to issue during a billing run.
Message filtering during the billing run only affects the output of messages. All messages are always saved.
On completion of a single billing run, the system outputs the messages that were issued in a dialog box. If you excluded the type of the generated messages from message output, the system does not display the dialog box.
  • Output total per payer at invoice creation (field Tot./Payer)
If you select this option, on completion of the collective billing run the system outputs an additional log listing the invoiced total per invoice recipient for the invoice run.
  • System behavior with cancellations (reversals in FI) and closed posting periods
By means of the CancelDate field you can specify what action the system is to take when canceling old invoices for which the corresponding posting period is closed.
  • If you do not enter a value here (blank), the system does not re-determine the billing date of the cancellation if the posting period is closed. The cancellation document is not posted on to Financial Accounting.

  • If you enter 1, the system sets the billing date of the cancellation to the current date if the posting period is closed. The cancellation document is posted in the current posting period.

The check on whether posting is allowed in the period is global; in other words, at minimum entry level "+" rather than at account type level.

  • Period split for patients in hospital at fiscal year change
Using this indicator, you can control whether you want to split service periods which extend into the subsequent fiscal year such as to enable the postings of "revenue unrelated to the accounting period" at invoice creation.
  • Deletion of invoice-to-collective invoice assignment when a single invoice is canceled
The invoice-to-collective invoice assignment can be deleted when an invoice is canceled only when you fully cancel the invoice. The full cancellation can be brought about by the full or partial cancellation programs. The following parameter settings have no effect as regards cancellation when the following conditions are satisfied:
The invoice is not fully canceled.
The invoice is assigned to a collective invoice that is transmitted to the insurance provider by EDI (e.g. §302 full invoice) and consequently is not printed.
  • Single invoice canceled before live print of collective invoice

By means of the Do not del.cllctINo option, you can control whether the assignment of an invoice to a collective invoice is not to be deleted when the invoice is fully canceled if the collective invoice has not yet been printed in live mode.
If you select this option, the assignment of the invoice to the collective invoice is not deleted when the invoice is fully canceled.
If you do not select this option, the assignment of the invoice to the collective invoice is deleted when the invoice is fully canceled.
  • Single invoice canceled after live print of collective invoice

By means of the Del. after cllcInv prnt option, you can control whether the assignment of an invoice to a collective invoice is to be deleted when the invoice is fully canceled if the collective invoice has already been printed in live mode.
If you select this option, the assignment of the invoice to the collective invoice is deleted when the invoice is fully canceled.
If you do not select this option, the assignment of the invoice to the collective invoice is not deleted when the invoice is fully canceled.
  • Payment distribution (country versions Singapore and Switzerland)
  • Gross and net procedure

In this section, you can specify whether the payment distribution function is to work with net values or gross values. The gross procedure can only function correctly when particular requirements are satisfied with regard to the insurance providers' liability to pay taxes (please read the section Gross procedure). Please check these prerequisites carefully before selecting this procedure. There are no corresponding restrictions for the net procedure. For this reason, SAP recommends the use of this procedure.
Net procedure:
The service prices in the service master must be defined as net prices. To calculate the taxes, define your tax condition as a condition type with calculation type A (percentage).
During payment distribution, the net prices of the services are distributed to the insurance relationships. The amounts in the contract schemes are valuated as net values accordingly.
Gross procedure:
You can only select this option if all insurance providers are subject to the same rate of tax. The same tax rate must apply to all of the insurance providers (including the self-payer).
The service prices in the service master must be defined as gross prices. To calculate the taxes, define your tax condition as a condition type with calculation type H (percentage in hundreds). In addition, you require a condition which calculates the net value of a service (for example, the condition type NETW).
During payment distribution, the gross amounts of the services are distributed to the insurance relationships. The amounts in the contract schemes are valuated as gross values accordingly.
  • Day determination

This parameter lets you specify the valuation formula to be used for determining the days during payment distribution. If you do not make an explicit specification here, the system automatically uses a default value. For more information about this value, refer to the documentation on the Day determination field.

If you do not maintain the parameters (no entries), the system functions as follows:

  • Reduction of the departmental per diem or intensive care per diem charge when a surgical procedures surcharge is produced:
  • A discount is calculated on the departmental per diem or intensive care per diem charge, if the departmental requesting organizational units are the same.

  • A discount is calculated on the intensive care per diem charge if the departmental requesting organizational units of the surgical procedures surcharge and of the intensive care per diem charge are one and the same.

  • All message types are output during the billing run.
  • Invoice-to-collective invoice assignment is deleted when a single invoice is canceled
  • If the collective invoice has not yet been printed in live print mode, the assignment of the invoice to the collective invoice is deleted when an invoice is fully canceled.
    When the collective invoice is printed for the first time, only the non-canceled invoices are output on the collective invoice form.

  • If the collective invoice has already been printed in live print mode, the assignment of the invoice to the collective invoice is not deleted when an invoice is fully canceled.
    If you execute the Repeat print function for the collective invoice, the same invoices are output on the form as when the collective invoice was first printed. For information purposes, the cancellation documents of all canceled invoices are also listed on the collective invoice form.

  1. Clarify which settings are required in your institution.
  2. Maintain these parameters.
  • The settings for discounts relative to departmental per diem and intensive care per diem charges are also taken into account by the revenue accrual program (RNAABGR0).
  • For more information about how the system sets the discount indicator for a service during a billing run, see the F1 help for the Dscnt ID DPD with Srg.Pr.Sur option on the selection screen of program RNLRECH3.
  • Possible uses of case selection with invoice cancellation:
You can use the case selection with invoice cancellation to create a kind of long-term log for cases whose invoices were canceled. To do this, you should always use the case selection which you can define as a default value in the present table. By defining a case selection here, you also ensure that cases, for which there is no other possibility of specifying the required case selection (e.g. invoice cancellation in single billing or in service entry), are appended to the case selection.
You can also use the case selection as a basis for re-billing cases. For this purpose, you should always specify a new case selection on the collective cancellation selection screen. In order to re-bill the cases contained in the case selection, you need only enter the case selection in collective billing.
To ensure that all cases for which you cannot specify a case selection with invoice cancellation (e.g. invoice cancellation in single billing or in service entry) are appended to a case selection, define an additional case selection here.
  • For more information about the various parameters, refer to the field documentation. additional case selection here.
  • For more information about the various parameters, refer to the field documentation.





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Length: 14419 Date: 20240523 Time: 190735     sap01-206 ( 231 ms )