Programme SAP RNASEL00 - IS-H: Case Selection

Description
This report selects cases for billing, and makes these cases availablein tables.
You can use the selected cases for billing purposes by specifying aunique name for the case selection.

Output

Selection Parameters
Specify an institution and a name for the case selection. You'll thenfind your selected cases under this name. If you specify an existingcase selection, the report adds further cases to this existing caseselection.
As standard, the report does not select cases that have the statusfinal billed and waiting list, but only cases that havethe status not billed or partially billed.
If you wish to include fully billed cases in the selection (forexample, for canceling an invoice), you can do so using the BillingIndicator Case parameter.
The report only selects cases blocked against billing if you select theCases with Billing Block indicator on the selection screen.
Keep in mind the following when using the patients' name as a searchcriterion for selecting cases:

  • Searching for double-barreled names is not supported in the case
  • selection. If these patients were assigned to users alphabetically,they would then appear in several selections.
    Example: Patient's name: Foster-Quinn
    Perform search using F* -> patient found
    Perform search using Q* -> patient not found
    If you were able to search for double-barreled names, you would havebeen able to find this patient with both search arguments (F* and Q*).
    • If a patient has a double-barreled name, and you only enter the first
    • part of the name as a search string, you will not find the patient inquestion.
      Example: Patient's name: Foster-Quinn
      Perform search using Foster -> patient not found
      Perform search using Quinn -> patient not found
      Perform search using Foster* -> patient found.
      If you are unsure of the name, always terminate the search string withan *.
      You can restrict the case selection to cases for which a particulardiagnosis class exists. To this, select the Discharge Requiredindicator. You specify which diagnosis must exist for the case inCustomizing under SAP Healthcare - Industry-Specific Components forHospitals -> Medical/Nursing Documentation -> Set Parameters forDiagnosis Documentation -> Check Diagnosis. You can choose thedischarge diagnosis and/or the hospital main diagnosis.
      The restriction with regard to the discharge diagnosis does not applyto patients who are companions.
      If you select the All Req. Confirmed field, you restrict theselection to cases whose insurance verification requests all have thestatus confirmed. If you wish to select all cases for whichthere is at least one insurance verification request with the statusConfirmed, select the Part. Conf. indicator.
      If you specify an insurance provider or insurance provider type inaddition to Confirmed must exist for the insurance provider, or for theinsurance providers of the insurance provider type specified.
      If you only want to select discharged cases, you can further restrictyour selection by specifying a discharge type. The report only selectsdischarged cases that do not belong to the discharge type specified.You can only use the discharge type in conjunction with the dischargedate.
      You can also restrict your selection further by specifying one or moredepartmental organizational units and nursing organizationalunits.
      If you decide to do this, please note that:
      • If you restrict your case selection on the basis of the discharge date
      • of the case, the report checks the departmental/nursing organizationalunit assigned to the discharge against the specifieddepartmental/nursing organizational unit.
        • If you do not enter a discharge date, the last movement of each case is
        • checked against the departmental/nursing organizational unit.
          Only admissions, transfers and discharges can be last movements.Outpatient visits or absences are not taken into account here.
          Example:
          You specify care unit "CU1" as the departmental organizational unit andthe discharge period "01/01/2001 - 04/01/2001".
          The report selects all cases that were discharged in this period andthat were assigned to care unit "CU1". The same applies for the nursingorganizational unit.
          If you do not want to write any changes to the database, run the reportin Test Mode. In test mode the system outputs a list of all
          cases that match your selection criteria. However, it does not storethe data in the tables relevant for billing. There are no databasechanges made.

          Selection Criteria
          The data selected by the report depends on the parameters with whichyou start it. You can specify selection criteria in any combination.
          For example, you can specify that you only want to select the cases

          • of a particular institution

          • of a particular case type

          • of a particular patient

          • of patients of a particular name range

          • whose admission date or discharge date is within a particular period

          • with a particular basic medical documentation status

          • assigned to a particular insurance relationship (insurance provider)

          • If you specify an insurance provider or insurance provider type, theprogram selects all cases that are either assigned to the insuranceprovider specified, or to an insurance provider of the insuranceprovider type specified.
            You can enter individual values or value ranges for selection criteria.
            For example, if you specify one case number, only one case will beselected.
            You can also specify whether the selection criteria specified areinclusive or exclusive.
            The selection criteria Insurance Provider and OnlySelf-Payer Contrib. are mutually exclusive.
            You can either search for specific insurance providers/insuranceprovider groups, or for self-payer contributions.

            Logging
            You can choose from three types of log.
            At present, only the log types Cases and Movements areactive. If you select the Cases log, the system only logs theselected cases.
            If you select the Movements log, the system only logs certainmovements in relation to other selection criteria.
            If, for example, you restrict your selection on the basis of theadmission date, the system only logs the admission movement. Similarly,if you restrict your selection on the basis of the discharge date, onlythe discharge appears in the log.

            Billing Actions
            You can trigger billing directly after data is selected. You canspecify that a particular variant should be used for billing.
            If you start billing directly after selection, the cases that areselected cannot be logged.

387737IS-H: Termination in case selection with immediate billing