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Release Notes SAP ERP Industry Extension Healthcare 6.0 Enhancement Package 7 Support Package 02

Version 1.0 November 15

th, 2013

RELEASE NOTES IS-H 617/SP02

2

Version

Release notes for SAP ERP Industry Extension Healthcare 6.0, enhancement package 7, Support Package 02. Version 1.0; November 15th, 2013.

Version Status Date

1.0 First version published November 15th, 2013

Index

Symbol Meaning

Caution

Example

Note


3

TABLE OF CONTENT

INTRODUCTION ............................................................................................................................................... 4

SAP AMBULATORY CARE MANAGEMENT .................................................................................................. 4 Billing ................................................................................................................................................... 4

ISH_AMBULATORY DE: PPA Billing: New Features in Results List (Enhanced) .................. 4

BASIC DATA ..................................................................................................................................................... 4 General ................................................................................................................................................. 4

ISH_MAIN: SEPA: Entering IBAN and BIC (Enhanced) .......................................................... 4

PATIENT MANAGEMENT ................................................................................................................................ 6 General ................................................................................................................................................. 6

ISH_MAIN: Movement Lists for Multiple Organizational Units (Enhanced) ............................. 6 ISH_MAIN CH: Manual Change to Validity Indicator (New) .................................................... 6 ISH_MAIN CH: Adjust Validity of Card and BOA, Adjustment Lock (Changed) ...................... 6 ISH_MAIN CH: Readmission Case (Changed) ....................................................................... 6

MEDICAL/NURSING DOCUMENTATION ........................................................................................................ 7 General ................................................................................................................................................. 7

ISH_MAIN DE: PEPP Case with 3M G-DRG Suite Grouper (Enhanced) ............................... 7 ISH_MAIN DE: Downport of Subscreen for DRG Case Data (Changed) ................................ 7

PATIENT ACCOUNTING .................................................................................................................................. 7 General ................................................................................................................................................. 7

ISH_MAIN: SEPA: Entering IBAN and BIC (Enhanced) .......................................................... 7 ISH_MAIN: Mass Printing: Live Printing of Invoices (Enhanced) ............................................ 7 ISH_MAIN AT, CH, FR: Fee Breakdown - Customizing (Changed) ........................................ 8 ISH_MAIN AT: Inpatient Case Selection (Enhanced).............................................................. 8 ISH_MAIN CH: DRG Hospital Planning Service Groups (Enhanced) ..................................... 8 ISH_MAIN CH: NA02 - New Authorization Object (Changed) ................................................. 8 ISH_MAIN CH: DRG Length of Stay (Enhanced) ................................................................. 8 ISH_MAIN CH: Invoice Control for Home Care (TNWCH_EDIKTR) (Enhanced) ................... 9 ISH_MAIN DE: PEPP Billing: Days Without Calculation (New) ............................................... 9 ISH_CV_FR: Service Rule for F16 for Private Hospitals (Enhanced) ..................................... 9 ISH_CV_FR: Billing by Time Interval (New) ............................................................................ 9

Services ............................................................................................................................................. 11 ISH_MAIN DE: DRG Case Merging and Extended Services (New) ...................................... 11 ISH_MAIN DE: Amendment to 301 for Care and Hygiene Surcharge (New) ...................... 11

INFORMATION SYSTEM................................................................................................................................ 11 General ............................................................................................................................................... 11

ISH_MAIN CH: New Medical Statistics Report Statistics Lock (Enhanced) ....................... 11

COMMUNICATION ......................................................................................................................................... 12 Communication with External Partner Systems ............................................................................ 12

ISH_MAIN AT: GINA, Release R13a (Changed) ................................................................... 12 ISH_MAIN CH: XMLIN - Response Code Handling (Changed) ............................................ 12 ISH_MAIN CH: INXML 4.4 - Rounding Item (Changed) ........................................................ 12 ISH_MAIN CH: Invoice Control for Home Care (TNWCH_EDIKTR) (Enhanced) ................. 12 ISH_MAIN DE: Amendment to 301 for Care and Hygiene Surcharge (New) ...................... 12

TOOLS............................................................................................................................................................. 12 General ............................................................................................................................................... 12

ISH_MAIN DE: Changes to Invoice Form Printing (Enhanced) ............................................. 12


4

Introduction

This document is intended to give you an overview of the new features that are available with SAP ERP Industry Extension Healthcare 6.0, enhancement package 7, Support Package 02.

If you have skipped one or more Support Packages, it is imperative that you refer to the release

notes on SAP Patient Management for the Support Packages you skipped.

Your SAP for Healthcare Development

SAP Ambulatory Care Management Billing ISH_AMBULATORY DE: PPA BILLING: NEW FEATURES IN RESULTS LIST (ENHANCED)

This documentation is only relevant for the country version Germany and is not available in English.

Basic Data General ISH_MAIN: SEPA: ENTERING IBAN AND BIC (ENHANCED)

You can now do the following: Enter account numbers as IBANs (International Bank Account Numbers) Enter BICs (Bank/Business Identifier Codes) with a persons bank details These functions have been added primarily to support the Single Euro Payments Area (SEPA). The following objects support the new functions: Self-payer bank details Third-party payer bank details Bank details of business partners with the function of Customer These enhancements are available as of: SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 36, business function SAP

Patient Management (ISH_MAIN) SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support

Package 27, business function SAP Patient Management (ISH_MAIN)


5

SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support Package 27, business function SAP Patient Management (ISH_MAIN)




In the meantime, SAP Note 1877459 contains an interim solution. A function for entering mandates is not yet available with these Support Packages. For more information, see SAP Note 1864186. IBANs and BICs are maintained in SAP Patient Management in the same way as bank details are maintained in the FI customer. You can control whether the user has to enter or generate a standard account number additionally when entering an IBAN. You do this in Customizing under Financial Accounting (New) -> Accounts Receivable and Accounts Payable -> Activate IBAN Without Bank Account Number. The Bank Details section contains a new IBAN field and IBAN pushbutton when you maintain the following data: Financial accounting data for insurance relationships with self-payers or third-party payers Financial accounting data for business partners with the function of Customer The IBAN field only displays an existing IBAN. If you want to enter a new IBAN, choose IBAN. The system then displays a dialog box, where you can then enter an IBAN as well as the standard bank details and BIC, if applicable. When using this dialog box, the system behavior is the same as when you enter an IBAN for an FI customer (customer in the Financial Accounting component). As is the case for standard bank details, SAP Patient Management synchronizes IBANs with the FI customer. Please note that you can use a screen modification to hide the fields for standard bank details (bank country, bank number, bank account), as well as the IBAN field and pushbutton, depending on which fields you require. If an IBAN has been entered for a customer, the system also displays it when you maintain down payments in the customer data.

See also For more information, see the SAP consulting Note 1864186, IS-H: SEPA. SAP continually updates this Note, which contains information, recommendations, and an outlook on developments planned in the future to support SEPA in SAP Patient Management (IS-H). For more information about how SAP supports SEPA, see the SEPA page in the SAP Service Marketplace under http://service.sap.com/sepa.


6

Patient Management General ISH_MAIN: MOVEMENT LISTS FOR MULTIPLE ORGANIZATIONAL UNITS (ENHANCED)

It is now possible to execute report RNLPFB00, as well as reports that call this report, for more than one organizational unit (OU). Movement lists are often required for more than one OU. This enhancement allows you to restrict the lists to one or more OUs. You can select multiple OUs by specifying intervals, exclusions, and wildcards (*). Please note that the system adds all the OUs that are assigned at a lower level in the OU hierarchy to those included in your selection. The system analyzes the departmental, nursing, and in the case of quick or emergency admissions, the admitting OU. When one of the OUs matches the selection criteria, the movement is included in the list, or if you have specified an exclusion, is removed from the list. This enhancement is available as of: SAP ERP 6.0, Industry Extension Healthcare (IS-H 600), Support Package 36, business function SAP

Patient Management (ISH_MAIN) SAP enhancement package 3 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 603), Support

Package 27, business function SAP Patient Management (ISH_MAIN) SAP enhancement package 4 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 604), Support




Package 02, business function SAP Patient Management (ISH_MAIN) ISH_MAIN CH: MANUAL CHANGE TO VALIDITY INDICATOR (NEW)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: ADJUST VALIDITY OF CARD AND BOA, ADJUSTMENT LOCK (CHANGED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: READMISSION CASE (CHANGED)

This documentation is only relevant for the country version Switzerland and is not available in English.


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Medical/Nursing Documentation General ISH_MAIN DE: PEPP CASE WITH 3M G-DRG SUITE GROUPER (ENHANCED)

This documentation is only relevant for the country version Germany and is not available in English. ISH_MAIN DE: DOWNPORT OF SUBSCREEN FOR DRG CASE DATA (CHANGED)


Patient Accounting General ISH_MAIN: SEPA: ENTERING IBAN AND BIC (ENHANCED)

See page 4. ISH_MAIN: MASS PRINTING: LIVE PRINTING OF INVOICES (ENHANCED)

The following enhancement is now available for the mass printing program for invoices:

You can use the configurable message N8 252 Caution: Live print of invoice with assignment to coll. invoice to control whether you want to allow live printing of insurance provider invoices that are assigned to a collective invoice in your institution.

You can have the mass printing program print insurance provider messages that are assigned to a collective invoice in update mode as standard. If you want to prevent the system from accidentally dispatching invoices that are assigned to a collective invoice as single invoices, you can change the message type of message N8 252 to E (error).

This change is also available as of the following Support Packages:

SAP ERP 6.0, Industry Extension Healthcare, business function SAP Patient Management (ISH_MAIN), Support Package 36

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 3 (IS-H 603), business function SAP Patient Management (ISH_MAIN), Support Package 27






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Effects on Customizing You can configure message N8 252 in Customizing for SAP Healthcare Industry-Specific Components for Hospitals under Basic Settings -> System Parameters -> Message Control -> Maintain Messages as follows: Function: A000 Application area: N8 Message: 252 Default type: W See also For more information, see SAP Note 1868666. ISH_MAIN AT, CH, FR: FEE BREAKDOWN - CUSTOMIZING (CHANGED)

You can use wildcards (*) when defining organizational units in the Customizing table for determining the breakdown code in fee-based billing (TNWCH103). Example: If you enter the value C* for the performing OU, this entry applies to all performing OUs whose code begins with C. This change is available as of the following Support Packages:

SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function

SAP Patient Management (ISH_MAIN), Support Package 18 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function

SAP Patient Management (ISH_MAIN), Support Package 12 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 7 (IS-H 617), business function

SAP Patient Management (ISH_MAIN), Support Package 02 ISH_MAIN AT: INPATIENT CASE SELECTION (ENHANCED)

This documentation is only relevant for the country version Austria and is not available in English. ISH_MAIN CH: DRG HOSPITAL PLANNING SERVICE GROUPS (ENHANCED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: NA02 - NEW AUTHORIZATION OBJECT (CHANGED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: DRG LENGTH OF STAY (ENHANCED)



9

ISH_MAIN CH: INVOICE CONTROL FOR HOME CARE (TNWCH_EDIKTR) (ENHANCED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN DE: PEPP BILLING: DAYS WITHOUT CALCULATION (NEW)

This documentation is only relevant for the country version Germany and is not available in English. ISH_CV_FR: SERVICE RULE FOR F16 FOR PRIVATE HOSPITALS (ENHANCED)

The service rule Generate Additional Flat Rates (F16) has been enhanced. It can now generate flat rates for private hospitals. This enhancement is available as of the following Support Packages: SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 5 (IS-H 605), business function

SAP Patient Management: Country Version France (ISH_CV_FR), Support Package 18 SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function


SAP Patient Management: Country Version France (ISH_CV_FR), Support Package 02 ISH_CV_FR: BILLING BY TIME INTERVAL (NEW)

Interim billing is common practice when dealing with long-term patients and allows you, for example, to create invoices on a monthly basis. New interim billing functions are now available. The function for billing by time interval enables you to cancel individual invoices from an interim billing chain for patients in SSR, EHPAD, and Psychiatry without having to cancel all the subsequent invoices. This allows you to manage billing periods and their invoices and payers. You can activate billing by time interval for day patient/inpatient cases in SSR, EHPAD, and Psychiatry at institution level in the following Customizing activity: SAP Healthcare Industry-Specific Components for Hospitals -> Patient Accounting -> Billing -> Set Billing Parameters. Caution: Please note that you cannot deactivate the function once it has been activated. Payment Distribution One of the most significant differences is the system behavior as regards payment distribution. When performing billing by time interval, the settings for the contract scheme (for example, for flat rates) only apply to the billing period. This means the system interprets an amount per case as an amount per billing period in interim billing. Service Split To allow the logical invoices to be separate, the system splits all extended services that exist on the interim billing date during billing (split date = interim billing date). The split takes place automatically and you do not need to make any special settings.


10

Individual Payment Distribution Individual payment distribution for cases that allow interim billing is accessed in display mode. If you switch to change mode and there are extended services whose validity periods go beyond the current billing period, the system informs you that the switch to change mode causes a service split. Live Billing In live billing, the period for billing is specified, the services are split, and the process is logged on the database. If services in an invoice are only assigned to a single insurance provider, the system marks the invoice as independent. You can cancel documents that are marked as independent at any time without having to cancel the entire logical invoice. You do this using the pushbutton provided for this purpose in the invoice overview. The selected interim billing date is taken as the end of the interval. The system determines the start of the interval. (For the first interval, it uses the earliest date between the admission date or date of the first movement and the date of the first service for the case.) Checks and Cancellation of a Logical Invoice The system prevents you from changing services, movements, or billing-relevant parameters for billed periods. However, you can deactivate or modify individual checks in the BAdI at your own risk. When you cancel a logical invoice, this results in a gap in the billing period. In new billing runs, you can create invoices for the period within the gap or for further (subsequent) intervals (there are no restrictions). Special Case Single Document Cancellation You can cancel single documents for all insurance providers (including self-payers and third-party payers) provided the invoice is marked as independent (meaning that all the services are assigned to 100% to the invoice). If billing is repeated for this time interval, all the services must be reassigned to the same insurance relationship. Otherwise, an error message appears and the system stops billing. In this case, you must cancel the remaining invoices in the period or assign the services to the appropriate insurance provider. Special Case Subsequent Adjustment Another exceptional case is subsequent adjustment, where services in a closed billing period are subsequently adjusted. You can reopen a closed time interval so as to enter services for this period. However, you can only perform billing subsequently if these services are assigned to the self-payer or third-party payer. If you perform subsequent adjustment (billing of a reopened time interval with invoices that are valid at the same time) at a later point in time and the system detects that services are assigned to additional insurance providers other than the self-payer/third-party payer, an error message appears and the system stops billing. In this case, you must cancel the existing invoices in the period. You can only close an open interval in billing. This means that even if you have not created any new services to close the interval again, you must still repeat billing for the open interval. Final Billing You can only perform final billing if this closes the last open time interval. User Interface If you have activated billing by time interval, a Period Overview tab page is displayed in case-related invoice processing (transaction NA30). This tab page displays an overview of the billed time intervals, their status, and the assigned invoices. The system only displays active invoices. Canceled invoices are not displayed here and can only be viewed in the invoice overview. Open time intervals are always visible immediately; the system scrolls automatically in the list.


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Columns: Period From Period To Status: Indicates whether the period is open or closed Event: Indicates the event that last occurred and gave rise to the current status. Logical Invoice: Indicates the number of the logical invoice that is assigned to this period. Insurance Provider: The list displays a column for each insurance provider. Depending on the display

variant, you see the invoice amount or invoice number. You can change the display variant using the Change View function. Double click on a cell to access the SD document.

Color legend: Green: Closed period Orange: Open period Yellow: Totals row This new function is available as of the following Support Packages: SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 6 (IS-H 606), business function


SAP Patient Management: Country Version France (ISH_CV_FR), Support Package 02 Services ISH_MAIN DE: DRG CASE MERGING AND EXTENDED SERVICES (NEW)

This documentation is only relevant for the country version Germany and is not available in English. ISH_MAIN DE: AMENDMENT TO 301 FOR CARE AND HYGIENE SURCHARGE (NEW)


Information System General ISH_MAIN CH: NEW MEDICAL STATISTICS REPORT STATISTICS LOCK (ENHANCED)



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Communication Communication with External Partner Systems ISH_MAIN AT: GINA, RELEASE R13A (CHANGED)

This documentation is only relevant for the country version Austria and is not available in English. ISH_MAIN CH: XMLIN - RESPONSE CODE HANDLING (CHANGED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: INXML 4.4 - ROUNDING ITEM (CHANGED)

This documentation is only relevant for the country version Switzerland and is not available in English. ISH_MAIN CH: INVOICE CONTROL FOR HOME CARE (TNWCH_EDIKTR) (ENHANCED)

See page 9. ISH_MAIN DE: AMENDMENT TO 301 FOR CARE AND HYGIENE SURCHARGE (NEW)

See page 11.

Tools General ISH_MAIN DE: CHANGES TO INVOICE FORM PRINTING (ENHANCED)


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