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
Basic Data
| Data Element | BFORMEL |
| Short Description | IS-H: Valuation Formula for Extended Services |
Data Type
| Category of Dictionary Type | D | Domain |
| Type of Object Referenced | No Information | |
| Domain / Name of Reference Type | BFORMEL | |
| Data Type | CHAR | Character String |
| Length | 2 | |
| Decimal Places | 0 | |
| Output Length | 2 | |
| Value Table |
Further Characteristics
| Search Help: Name | ||
| Search Help: Parameters | ||
| Parameter ID | ||
| Default Component name | EXT_VALFORMULA | |
| Change document | ||
| No Input History | ||
| Basic direction is set to LTR | ||
| No BIDI Filtering |
Field Label
| Length | Field Label | |
| Short | 10 | Formula |
| Medium | 14 | Val.Formula |
| Long | 20 | Valuation Formula |
| Heading | 2 | Fo |
Documentation
Definition
For extended services, you can enter the number of a formula used to calculate the quantity of services.
The following valuation formulas are currently supported:
1 - patient days
These are calculated according to the midnight patient censuses; if a service is valid at 00:00, the service receives a patient day for this day.
2 - billing days
Billing days are determined as set out in the federal regulation for hospitals (Germany) §9 section 2 - 3.
Billing days are actually patient days. The admission and discharge day, however, count as one day, unless the case was less than 24 hours in the hospital but was there at midnight, or was transferred to an external hospital after being present in the hospital at least once at midnight.
3 - standard billing days
Standard billing days are used for internal purposes only.
Standard billing days are billing days valuated with certain factors.
This should make it possible to valuate certain services (for example, private room, semi-private room) at a higher rate than done by the base nursing charge or departmental per diems.
You can maintain with which factor the billing days should be valuated for every service on a time-dependent basis (table TNS25).
For services to which no factor is assigned, formulas 2 and 3 provide the same results.
4 - patient days + discharge days
With this valuation formula, discharge days are calculated in addition to patient days.
Note
Valuation formulae 5 or 7 should be used with services for which the number of days on which they are performed is relevant.
5 - service days
With this valuation formula you determine all days on which a service exists.
Concretely, each day on which a service is performed until 00:00 (12 midnight) is counted. However, all days on which a service was limited (e.g. by a transfer) during the day are also counted. In particular, the discharge day is consequently also counted with this valuation formula (if the service exists on the discharge day).
Note:
The fact that only billable services are taken into account in a billing run means for services with this valuation formula that the service which occurs last in the day determines whether this service code can be billed for or not for a day. If the service which occurs last on a day is not billable, this service code is not billed for on this day, even though this service was billable earlier in the day.
Example:
- Service PITEL is billable until 4 p.m. on January 1, 1997.
- => the service can be billed for
- Service PITV is billable until 3 pm and is not billable from 4 p.m. through 6 p.m. on January 1, 1997.
- => the service cannot be billed for on this day.
6 - Billing days pursuant to BPflV 1995 (Germany)
The calculation is basically performed the same as for formula 1; with the exception of the discharge day, every service is charged if it exists at midnight. Services on the discharge day are not calculated unless admission and discharge are on the same day. In the latter case, the service must end at the time of discharge (or later). There are no other special forms (e.g. less then 24-hour rule).
Examples:
Admission 1/1/97, discharge 1/5/97: 4 days
Admission 1/1/97, discharge 1/1/97: 1 day
7 - service days without discharge day
This valuation formula functions similarly to valuation formula 5 (service days). The only difference concerns the discharge day. The discharge day is not calculated with this formula.
20 - billing days (Austria)
The calculation is basically carried out the same as for formula 2; admission and discharge days are always calculated as one day unless the discharge is carried out as a transfer to another hospital. Unlike formula 2, there is no special rule for 24-hour cases, that is, the admission and discharge day is also calculated here as one day in each case.
Example: Admission at 16:00 on 08/10/96, discharge at 10:00 on 8/11/96, results in 2 days.
21 - Billing days Austria 2
Generally the calculation is the same as that for formula 20, but the discharge day is always calculated (charged).
22 - billing days Austria 3
The system calculates the service quantity as follows:
It determines the quantity using the midnight patient censuses (formula: quantity = end date - start date). It counts the discharge day apart for the service that ends exactly at the discharge time. This prevents the system from counting the discharge day multiple times if a transfer exists on this day.
The formula is suitable for the ten-day services.
30 - CH patient days (admission and discharge day, 24-hour rule)
The billing days are determined here for the country version Switzerland.
Billing days are actually patient days. The admission and discharge day, however, each count as one day, unless the last day of service performance is on the discharge day, in which case this day may also be included.
This is the case when ...
1. admission day = discharge day, or
2. stay in the hospital lasted for at least 24 hours.
31 - CH patient days (like 30, but admission day not always counted)
The billing days are calculated here for the country version Switzerland.
The calculation is essentially the same as with formula 30, however the admission day is not always calculated.
The admission day cannot be taken into account when admission is from a higher-rated hospital.
32 - CH patient days (like 30, but discharge day not always counted)
The billing days are calculated here for the country version Switzerland.
The calculation is essentially the same as with formula 30, however the discharge day is not always calculated.
The discharge day cabnot be taken into account when the patient is transferred into an external hospital.
History
| Last changed by/on | SAP | 20050224 |
| SAP Release Created in |
