Programme SAP RNUABMES - IS-H: Check Billed Quantities

Description
This program is not maintained by SAP
This is a check program for patient billing. It checks whether canceledor non-billable services have, in fact, been billed for.
The invoices created in the system are used to select the cases andservices to be checked. You can use a variety of criteria to selectthese invoices (for example, invoice date, date of creation, casenumbers, insurance provider type). On the basis of the invoicesselected, the system analyzes the corresponding cases, and checks thequantity of all canceled or non-billable services they contain.

Precondition
The program checks canceled and non-billable services only.
If you want the program to evaluate all cases in your database, scheduleit to run as a background job at a discreet time.

Output
The program outputs a list of services containing the followinginformation for each service:

  • Case number

  • Service

  • Indicator whether quantity variance detected

  • Start date and time of service

  • End date and time of service (for extended services)

  • Extended service indicator

  • Target quantity (0)

  • Quantity billed for

  • Statistics on the cases and services checked are also output.
    By default, the program only outputs services for which it detected aquantity variance. If you flag the Extended log option, allchecked services are output. This option also produces a list ofservices for which the valuation formula for an entered services differsfrom the definition in the service master.

    Interpretation of Program Result
    If quantity variances are not reported, no action is required on yourpart. If the program lists variances, you should check these. In suchcases, check the invoices and services entered for the case.
    There are essentially two reasons for such variances:

    • Illegal actions (these include changing valuation formulas in the
    • service master, resetting the final billed indicator for a case, andmodifying existing services) in the system result in inconsistencies ofthis kind.
      • An error in an SAP program.
      • Procedure

        • If necessary, cancel the invoices in question, and repeat billing. Refer
        • to the SAP Note 65898.
          • If you cannot determine the cause of an error, or if the error occurs
          • again, please contact your SAP consultant, or the SAP Hotline.