SAP Program RNLLST01 - IS-H: Case/Service Evaluation for Day Patient/Inpatient Cases

Description
This program determines inpatient cases for which services exist. Youcan restrict the evaluation according to the admission date, dischargedate, case numbers or a case selection. In addition to the service,start and end dates, requesting and performing organizational units,you must specify the following attributes for service delimitation:

  • Billable services

  • Non-billable "

  • Canceled "

  • Not canceled "

  • Extended "

  • Immediate "

  • Service status: planned

  • performed (actual)
    The country versions Singapore and Switzerland contain the additionalselection option class of a service. The class of a service isderived from the class of the movement to which it is assigned. If aservice is not assigned to a movement, the system searches for anappropriate movement. The end date of the service is decisive for thesearch. The system looks for the inpatient movement during which theservice ends. If no such movement can be determined, the system usesthe last inpatient movement.
    Billing status as a selection criterion
    In the Billing status group box, you can specify to what extentthe billing status of a service is to be used to select services. Ifyou do not want the billing status to be used as a selection criterion,select Do not take into account. In the contrary case, selectTake into account, and select at least one of the three billingstatuses (completely, partially and not billed).
    Please note that the status Partially billed is not available inall country versions (it is not available in the Singapore countryversion, for example).
    Definitions
    A service is completely billed for if all of the relevantinsurance providers have been billed for the complete period, i.e.there are no outstanding invoices.
    A service is partially billed for if it was billed for only forpart of a period, or only to some but not all the relevant insuranceproviders.
    A service is not billed for if an invoice has not been createdfor this service.
    Evaluation options
    You can create evaluations in relation to the billing status of thecases and consequently answer a variety of questions. To do this, underthe group heading Billing status select Take into accountand the required billing status. You can select any combination ofbilling statuses.
    Here are number of examples:
    • Evaluate cases for which services exist that still have to be billed
    • for.
      Select Not billed and Partially billed. Since there areno outstanding invoices for completely billed services, you mustnot select this option.
      Non-billable services are not relevant for this evaluation, since youare not required to create invoices for them. You should consequentlyexclude non-billable services from the evaluation by deselectingNon-billable and Cases without billable services only.
      To evaluate only services that are billable and already billed for,exclude planned services from the evaluation. To do this, deselectPlanned (pl.), if necessary.
      • Evaluation of cases with services for which invoices have already been
      • created.
        Select Completely billed and Partially billed. Invoicesdo not yet exist for services that are Not billed for. Youshould therefore not deselect this checkbox.
        • Evaluation of cases with services that have only been partially billed
        • for.
          Select Partially billed. Not billed services have not yetbeen processed (as regards billing) and Completely billedservices have already been dealt with. Consequently, you must notselect either of these checkboxes.
          Note: If you select either Completely billed or Partiallybilled, you should reckon with extensive runtimes.
          The program allows you to make a great many restrictions on theevaluation. However, not all combinations are expedient or possible.The program performs different plausibility checks and issues appropria
          te warnings or error messages.
          You can write all of the cases that are determined in the case/serviceevaluation to a case selection. To do this, select Append CaseSelection, and specify an existing or new case selection in theadjacent field. If the case selection already exists, the casesevaluated in the program run are added to it. In the contrary case, theprogram creates the case selection.
          INCLUDE ISH_EXTRACT_REP OBJECT DOKU ID TX

          Output
          The program outputs a list of cases for which you can display theservices. The billing status of a case is represented by the iconsbeneath Status. The icons have the following meaning:

          • Empty square: case has not yet been billed

          • Half-filled square: case is partially billed

          • Filled square: case has been completely billed

          • For each service, the system outputs whether the service appears in (atleast) one bill (column Bld) and the latest date by which itmust be billed for by (can also be for part of service only) (column (
            Max. to).

452657IS-H: Field "Partially billed" missing in RNLLST01
413860IS-H CH: RNLLST01-"teilweise abgerechnet" für CH einblend.