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Release Notes

SAP ERP
Industry Extension Healthcare 6.0
Enhancement Package 7
Support Package 02
Version 1.0
November 15th, 2013

RELEASE NOTES IS-H 617/SP02

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

Version

1.0

Status

First version published

Date

November 15th, 2013

Index
Symbol

Meaning
Caution
Example
Note

RELEASE NOTES IS-H 617/SP02

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

RELEASE NOTES IS-H 617/SP02

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)

RELEASE NOTES IS-H 617/SP02

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)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 12, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), Support
Package 02, 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.

RELEASE NOTES IS-H 617/SP02

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 27, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 5 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 605), Support
Package 18, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 6 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 606), Support
Package 12, business function SAP Patient Management (ISH_MAIN)
SAP enhancement package 7 for SAP ERP 6.0, Industry Extension Healthcare (IS-H 607), 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.

RELEASE NOTES IS-H 617/SP02

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)


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

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 <XX> with assignment to coll.
invoice <YY> 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
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 4 (IS-H 604), business function
SAP Patient Management (ISH_MAIN), Support Package 27
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 607), business function
SAP Patient Management (ISH_MAIN), Support Package 02

RELEASE NOTES IS-H 617/SP02

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)


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

RELEASE NOTES IS-H 617/SP02

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 12
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 7 (IS-H 617), 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.

RELEASE NOTES IS-H 617/SP02

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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RELEASE NOTES IS-H 617/SP02

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 12
SAP ERP 6.0, Industry Extension Healthcare, SAP enhancement package 7 (IS-H 617), 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)
This documentation is only relevant for the country version Germany and is not available in English.

Information System
General
ISH_MAIN CH: NEW MEDICAL STATISTICS REPORT STATISTICS LOCK (ENHANCED)
This documentation is only relevant for the country version Switzerland and is not available in English.

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RELEASE NOTES IS-H 617/SP02

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

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