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 account>and 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 billed>services 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 TXOutput 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>).
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