SAP ABAP IMG Activity SIMG_CFMENUNMOGONA6 (Define Usage of Condition Types (Direct Pat. Billing, etc.))
Hierarchy
BBPCRM (Software Component) BBPCRM
   CRM (Application Component) Customer Relationship Management
     CRM_APPLICATION (Package) All CRM Components Without Special Structure Packages
       NBAS (Package) Appl. development Hospital System master data, catalogs
IMG Activity
ID SIMG_CFMENUNMOGONA6 Define Usage of Condition Types (Direct Pat. Billing, etc.)  
Transaction Code S_KK4_74000101   IMG Activity: SIMG_CFMENUNMOGONA6 
Created on 19990816    
Customizing Attributes SIMG_CFMENUNMOGONA6   Define Usage of Condition Types (Direct Pat. Billing, etc.) 
Customizing Activity SIMG_CFMENUNMOGONA6   Define Usage of Condition Types (Direct Pat. Billing, etc.) 
Document
Document Class SIMG   Hypertext: Object Class - Class to which a document belongs.
Document Name SIMG_CFMENUNMOGONA6    

In this IMG activity, you further qualify the use of the condition types you have defined for the IS-H System. For example, if direct patient billing is used within your healthcare facility, you can specify which of the condition types are intended for determining material costs or administrative costs.

You enter the condition types in the Customizing table, specify for what they are used and, if necessary, which rule type is to be accessed in service catalog column determination.

You can differentiate different kinds of condition types:

  • Condition types that determine the basic price (for each case billed for, only one condition type should be used), for example GP00.
  • Condition types that determine surcharges and discounts on the basis of a condition table with an access sequence, in order to specify the percentage surcharge for administrative costs, for example.
  • Condition types that access a specific (additional) column of the service catalog for a surcharge or discount. This would also require you to maintain service catalog column determination

These conditions can also be "statistical" conditions. In other words, the value of a "statistical" condition is calculated while the bill is being created and is saved in the system. However, it does not affect the invoiced amount. This can be useful, if, when billing takes place, certain amounts are to be calculated which, although relevant within the organization of your hospital (e.g. costs to be refunded to hospital by physician) are of no relevance to the invoice recipient.

Requirements

You need to have created the relevant condition types beforehand.

Activities

Enter all condition types for which you want to further qualify the usage. You may also have to specify the condition type(s) which determine(s) the basic price.

Maintain the usage (Usg.) and - if an additional column is to be determined - the rule type (RT). The rule type points to service catalog column determination rules.

You can list the usage values supported by the system by calling the value help for the Usg field.

Subsequent Activities

Now maintain service catalog column determination for the specified rule type, if the system is to access columns of a service catalog.

Include the condition types in the relevant pricing procedure. If a condition type is to access a value in the service catalog columns, enter the value 501 in the AltCBV field.

Further notes

You can output the values calculated using special evaluations (RNAPRV00, RNAPRV01, RNABG000)

Direct patient billing or German workers' compensation association billing are but examples of how you can use this table. You can, of course, make entries in this table for condition types for which you want use a similar logic to determine the value of an alternative column when carrying out a different type of billing. In this case, enter 10 as the usage.

If you do not specify the usage of a basic price condition type correctly, this can result in the system calculating the wrong field for the basic price of an invoice item when billing is carried out. Although this does not usually result in the amount of the invoice item being calculated incorrectly, it can affect the invoice printout, if the value is to be output on a corresponding form. The value is also used program-internally in certain evaluations for determining the quantity for price-related insurance verification. For this reason, after making the corresponding changes in this configuration table, check whether the Service Basic Price field (technical name VBRP-ISHGPRS) is determined correctly.

Business Attributes
ASAP Roadmap ID 204   Establish Functions and Processes 
Mandatory / Optional 2   Optional activity 
Critical / Non-Critical 1   Critical 
Country-Dependency E   Invalid for countries specified 
Customizing Attributes Country Key Country Name
SIMG_CFMENUNMOGONA6 NL Netherlands
Assigned Application Components
Documentation Object Class Documentation Object Name Current line number Application Component Application Component Name
SIMG SIMG_CFMENUNMOGONA6 0 I010004225 Billing 
Maintenance Objects
Maintenance object type C   Customizing Object 
Assigned objects
Customizing Object Object Type Transaction Code Sub-object Do not Summarize Skip Subset Dialog Box Description for multiple selections
TN21P S - Table (with text table) ONA6 1 Condition Types for Direct Patient Billing 
History
Last changed by/on SAP  19990816 
SAP Release Created in