Programme SAP RNAFMON1 - IS-H: Case Monitor

Description
The case monitor lets you access a concise overview of the followingbilling-relevant case information:

  • Insurance relationship

  • Insurance verification

  • Certificates

  • Services

  • Diagnoses

  • All movements

  • Insurance providers

  • Surgeries

  • You can decide on one of two output types to display case information:
    • Multimedia Design

    • Case information is displayed in multimedia format. You can integratepictures in your output document and display additional informationusing links.
      Multimedia Design is the default setting.
      • Classic Design

      • Case information is displayed in a classic SAP list.

        Procedure
        Select one or more cases on the Institution selection screen:

        • Selection indicator:

        • A search window lets you search using the key and name, or the casenumber, type and status.
          • Admission period

          • Discharge period

          • Case

          • When you have made your case selection, choose Execute.

            Display case information in Multimedia Design
            Functions

            • In the case header display you can integrate a picture from the
            • Business Document Service(BDS). You can choose from the following pictures:
              Picture of the patient
              Picture of your clinic
              If you do not want to integrate a picture, the name of your institutionwill be shown in the system default settings.
              • From each information block, a link takes you to the corresponding
              • maintenance transaction.
                • If you have changed data in a maintenance transaction, you can update
                • the data by choosing Case information -> Refresh.
                  • If you want to change the output type of your case monitor, from the
                  • output list choose Environment -> Settings. The setting becomeseffective when you exit and then return to the output list.
                    Display of information
                    • The status of coverage and certificates is shown by a traffic light:

                    • Insurance verification request
                      Green traffic light: Request has been printed
                      Yellow traffic light: Request has not yet been printed
                      Red traffic light: Reminder has been sent for request
                      Confirmation of coverage
                      Green traffic light: Request has been accepted
                      Red traffic light: Request has been rejected
                      Certificates
                      Green traffic light: Certificate exists
                      Red traffic light: No certificate
                      • Both diagnosis categories and diagnoses classes are included in the
                      • diagnosis display. However, in the case of the diagnosis categorytreatment diagnosis, only non-classified treatment diagnoses areshown.
                        • In the country version Singapore, the Case data shows whether
                        • this is a claim case. A claim case occurs if the case has an activeMedisave or Medishield insurance relationship. The communication statusof the case is also shown here.
                          • In the country versions Singapore and Switzerland, an (Ind.)
                          • after the contract scheme short text indicates that this contract schemehas been individualized.

                            Technical settings

                            • Integrating pictures in the case header

                            • Adhere to the following rules for naming pictures to ensure that thepictures from BDS are assigned to the correct patient orinstitution:
                              Name for patient picture: ##.
                              Name for institution picture: ##.
                              Class name = PICTURES.
                              Class type = OT
                              Picture format = *.jpg
                              • Display of additional information in the case header

                              • The component EXIT_SAPLNCHD_006 of enhancement NCASHEAD lets you displayadditional data in the case header.
                                Note that spaces are eliminated in the display in Multimedia Design
                                .

                                Display of case information in Classic Design
                                Status information appears on a colored background. Select ColorLegend to find out what each color means.
                                With the function buttons you can call detailed information for a caseon:

                                • Services

                                • Insurance

                                • Coverage/certificate

                                • Diagnoses

                                • Invoices

                                • Surgical data

                                • To do this, place the cursor on the case for which you wish to viewdetailed information.

                                  Precondition

                                  • You must make a valid case selection.

                                  • If you select the case according to admission or discharge date, you can
                                  • only select inpatient cases.
                                    • The following requirements must be satisfied to access case information
                                    • in Multimedia Design form:
                                      Select a single case
                                      Execute the case monitor online
                                      Select the Multimedia Design setting
                                      If one of these requirements has not been satisfied, the caseinformation will be displayed in Classic Design.