Creation of Drugs/Medical Products as Billable Services
Drugs (UCD services) and medical products (LPP services) that you want to bill are created as services in SAP Patient Management.
Drugs, which are identified by a UCD code, are services with charge type F8
(UCD).
Medical products, which are identified by an LPP code, are services with charge type F4
(LPP).
You create these services in your institution's service catalog or import the UCD and LPP catalogs using the import programs provided for this purpose.
You enter the reference price of the services in a price column in the catalog or the import programs copy the gross prices of the services to the service master automatically as reference prices.
Costs for drugs and medical products are already included in the price of the flat rate to be billed (GHS, SE service, or dialysis flat rate) in T2A billing for acute treatment, so that these costs cannot be billed with the addition of the flat rate. This applies with the exception of an official list of UCD and LPP services for which billing with the addition of a flat rate is explicitly allowed. This list is published by the French state health insurance fund.
You must select the T2A
indicator on the France
tab page in the service master for UCD and LPP services that are included in this list. The T2A
indicator in the SAP system controls the billability of the service according to a billable flat rate entered for the case.
We recommend that you mark UCD and LPP services as non-billable inpatient and outpatient services in the service master. This means the system initially creates these services as non-billable in case-related service entry. You can then have the system mark them as billable using service rules F12 UCD - Billability with Flat Rate
and F13 LPP - Billability with Flat Rate
if the case meets the conditions for billing the service.
Please note that the T2A
indicator is selected automatically in the service master when you import the UCD services using the import program IS-H FR: Import UCD Service Master Data
. However, the catalog for importing LPP services does not contain the information as to whether an LPP service is billable with the addition of a flat rate service. You must therefore select the T2A
indicator manually for LPP services.
It is also important for the billability of the services that their grouping codes are maintained on the Gen. France
tab page in the service master. The import programs enter the grouping codes in the service master automatically when importing the catalogs.
Some UCD services can be billed with the addition of flat rate services both in pharmacy sales and in patient treatment. In this case, the system uses the grouping code specified in the Outp. Grouping Code
field in the service master when billing UCD services in pharmacy sales. The system uses the grouping code specified in the Grouping Code
field in the service master when billing UCD services with the addition of flat rate services.