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ISH_PA_FPSE_PARAM - Configure Proposal of Flat Rates per Case/Proc. Surcharges

ISH_PA_FPSE_PARAM - Configure Proposal of Flat Rates per Case/Proc. Surcharges

rdisp/max_wprun_time - Maximum work process run time   CL_GUI_FRONTEND_SERVICES - Frontend Services  
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The settings in this IMG activity control the search logic for determining flat rates per case and procedures surcharges.

Moreover, this table contains settings that are required for the generation of flat rates per case. The settings are interpreted by the report RNALL001 (Propose Charges).

Certain of these parameters are also relevant for the charge check (report RNLBTAG0) and for the service actions (rule type R5 and R7).

The control parameters essentially relate to the following settings:

  • Movement-related search; in other words, the system uses only the ICPM codes of a movement or all ICPM codes of a case (P/Mvmt selected) to determine FR/PS.
  • If one ICPM code is always to be defined as the main code for flat rate determination, select SgMC.
  • If you select FR+PS, the system ends flat rate/procedures surcharge determination after it has determined a flat rate per case or a procedures surcharge on the basis of the specific and non-specific rules.
  • Select W/ICD if the system is to take into account both the ICPM and the ICD codes when determining flat rates/procedures surcharges.
  • By setting this indicator you stipulate that the system is to end flat rate/procedures surcharge determination as soon as it has found a flat rate or procedures surcharge on the basis of a specific rule. A specific rule is a rule that relates to the combination of several ICPM and ICD codes.

The following settings are required for generating flat rates per case, the charges check and the resulting service actions (rule type R5):

  • Specification of billing according to the transitional regulation with general nursing charges and without departmentals per diem and base nursing charge (TReg selected).
  • Specification of the base nursing charge to be generated if your billing procedure is not based on the transitional regulation (BasNurChrg selected).
  • Specification of the general nursing charge to be generated if your billing procedure is based on the transitional regulation (GenN.Chrg selected)
  • Specification of the valuation formula for determining the number of days in the stay in relation to the charges check (Val.Formula selected)
  • Specification whether daily nursing charges can be performed with the date the wound healed for the flat rate for acute treatment (Whlg.MLS selected).

You generate the actual charges using the report RNALL001 (Propose Charges).

Please see the F1 Help for the various control parameters and set these parameters to meet your requirements.

  • For more information about the charges proposal, refer to the documentation on the charge proposal program (report RNALL001).
  • For more information about the charges check, refer to the documentation on the charge check program (report RNALL001).





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