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SIMG_CFMENUNMOGONA8 - Assign Currency Amounts to Charge Factors

SIMG_CFMENUNMOGONA8 - Assign Currency Amounts to Charge Factors

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You need only perform this Customizing activity if you use forms of billing for which the charge factors of a service must be converted into currency amounts. In Germany, this concerns the billing of outpatient surgeries, for example.

You can use different criteria to specify to which local currency value a charge factor corresponds.

The following parameters can be used in each rule:

  • Institution (Instfield)
  • Billing type (BT field)
  • Service catalog (SC field)
  • Either service (Service field) or service category (from the service master; SvceCtgry field)
  • Either insurance provider (Ins.Prov. field) or insurance provider type (IPT field)

You can specify a validity period for these rules. Some of the above criteria are optional (see below).

  • Service catalogs and their columns
  • Billing types
  • Flag the relevant columns as Charge Factor Columns in catalog column determination
  1. Check if charge factor columns are used for billing in your healthcare facility.
If this is the case, you must perform the following steps.
If this is not the case, you do not need to make any settings here.
  1. Flag the relevant columns as charge factor column in column determination.
  2. Enter a rule for charge factor value determination by specifying:
  • The institution in the Inst. field

  • The billing type in the BT field

This is the user-defined billing type and not the internal billing type defined by SAP.
  • The identification of the service catalog in the SC field

  • The service in the Service field (optional)

  • The service catagory of a service in the SvceCtgry field (optional)

  • The insurance provider in the Ins.Prov. field (optional)

  • The insurance provider type in the IPT field (optional)

  • The charge factor value in the ChrgFctr Value field and a currency key in the Crcy field

Example: 0.0950 EUR for 9.5 cents per charge factor.
  • The validity period in the Valid From and Valid To fields.

Make sure that there are no overlaps. Only one charge factor value should exist on a given day.

A number of parameters are optional. This means that they can be used to define detailed rules, but can also be left non-specified when you define rules at a more global level.

Optional parameters:

  • Service
  • Service category
  • Insurance provider
  • Insurance provider type

If you do not want to specify one of these parameters explicitly, enter an asterisk * in the relevant field.

More specific rules take priority over more general rules. For example, the specification of a charge factor value for a service takes priority over a specification at service category level.

In general, the specification of charge factor values at service level is more specific than a specification at insurance provider or insurance provider type level.

Example:

Service IPT ChrgFctr Value
LAB-01 * 0,010
* AOK 0,020

The system uses the charge factor 0.010 for billing AOK for the service LAB-01.

AOK

If you change the currency key of an existing entry, or while doing so also change the charge factor value, a dialog box appears asking you if you want to translate the charge factor value into the new currency. Note that this dialog box only appears if the new currency is different to the currency of the database entry. This means that prior to changing the currency, you should save changed entries in order to update the entry in the database.






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