Long-Term Accommodation Services (R13) 

Use

The service rule Long-Term Accommodation Services (R13) automatically generates immediate services known as long-term accommodation services according to the 30-day rule for patients in long-term accommodation.

The 30-day rule states that patients who are accommodated in a hospital or nursing care unit for periods exceeding one month, pay for exactly 30 days per month, regardless of whether the month has 29, 30, or 31 days. The patients may be accommodated in different categories of long-term accommodation during a month, i.e. can be transferred from a private room into a semi-private room.

Features

To accommodate this concept, the service rule contains the following functionality:

·        It creates a long-term accommodation service for each day. This service is based on the immediate service that you have assigned to the treatment category and thus indirectly to each movement of the case in Customizing for SAP Patient Management. The service rule takes into account the 30-day rule as follows:

¡        If a patient is accommodated in long-term accommodation and in an acute care facility within the same month, the service rule creates a long-term accommodation service for each day spent in long-term accommodation. The same applies if the patient is discharged before the end of the month.

¡        If the patient spends a whole or several month(s) in long-term accommodation, the service rule creates the following services:

§         For months with 30 days (e.g. April, June), the system creates a long-term accommodation service for each day in the month.

§         For months with 31 days (e.g. January, March), the system creates a long-term accommodation service for each of the first 30 days in the month. The system doesn’t create a long-term accommodation service for the 31^st day.

§         For February, the system creates a long-term accommodation service for each day and at the last day in February, rounds the number of days up to 30: in leap years (February has 29 days), the system sets the quantity of the long-term accommodation service for February 29 to “2”. If the year is not a leap year, the system sets the quantity to “3”.

·        The service rule automatically deletes incorrect long-term accommodation services. Such services can result from the following situations, for example:

¡        A long-term accommodation service that is not linked to a movement can come into being if a transfer takes place after the system has already created the long-term accommodation service for this day.

¡        A duplicate long-term accommodation service can come into being if the start date of a movement is changed.

·        The service rule obeys the following rules in relation to transfers and movements:

¡        The service rule does not create a long-term accommodation service on the last day of the movement. For transfers, the midnight census logic applies: if the transfer takes place before midnight, the service rule does not create a long-term accommodation service but a service defined by the movement.

¡        The service rule does not create a long-term accommodation service on the discharge day.

¡        The service rule creates long-term accommodation services during absences and outpatient visits.

¡        For transfers within long-term accommodation, the service rule only creates a new long-term accommodation service if the transfer causes the treatment category to change.

¡        Transfers can be performed between acute care and long-term accommodation. If this happens part way through a month, the 30-day rule does not apply.

You can activate the service rule for the following callup points:

·        Service Check Before Billing (NLRG01)

·        Service Check Before Test Billing (NLRG08)

·        Service Check Before Accrual Calculation (NLRG10)

·        Service Check Before Test Accrual Calculation (NLRG11)

·        Service Check During Service Entry (NLRG00)

·        Service Check at Admission and Transfer (NLRG02)

·        Service Check at Discharge (NLRG03)

·        Service Check at Absences (NLRG06)

·        Service Check in DRG Work Station (NLRG13)

Activities

In the IMG activity Define Long-Term Accommodation Services, specify the immediate services you wish to use as the long-term accommodation services.

For information about this, see SAP Healthcare - Industry-Specific Components for Hospitals ® Patient Accounting ®Service Rules ®Define Long-Term Accommodation Services in the IS-H Implementation Guide.