Medical Service Price Lists

Price lists of medical services are tools for specification which medical services and at which prices can be invoiced by contractual health facilities to the scheme administration. Administration of price lists of medical services is restricted to users with the system role of Scheme Administrator or with a role including an access to Administration/Pricelists-Medical Services.

Pre-conditions

A price list of medical services may only be added, after an agreement with a health facility or a group of health facilities on specific prices. Editing of the price list may occur only after an approval of the management of the scheme administration. Deletion of a price list of medical services normally will occur when a price list becomes obsolete.

Price List Medical Services Control Page

The Price List Medical Services Control Page is the central point for administration of all price lists of medical service. By having access to this panel, it is possible to add, edit, delete and search. The panel is divided into four panels

Search Panel

The search panel allows a user to select specific criteria to minimise the search results. In the case of price lists for medical services the following search options are available which can be used alone or in combination with each other.

Name
Returns price lists which contains the typed text.
Date
Type in the full Date to search for price lists of medical services with a creation Date which matches completely, the typed date.
Region

Select the Region from the list of regions by clicking on the arrow on the right of the selector to select price lists of medical services from a specific region. The option National means that the price list is common for all regions.

Note

The list will only be filled with the regions assigned to the current logged in user and with the option National. All nationwide pricelists and all regional pricelists relating to the selected region will be found. If no district is selected then also all district pricelists for districts belonging to the selected region and assigned to the currently logged in user will be found.

District
Select the District from the list of districts by clicking on the arrow on the right of the selector to select price lists of medical services from a specific district. Note: The list will be only filled with the districts belonging to the selected region. All nationwide pricelists, all regional pricelists relating to the selected region and all district pricelists for the selected district will be found.
Show Historical Values
Click on Show Historical Values to see historical records matching the selected criteria. Historical records are displayed in the result in grey to clearly define them from current records.
Search button
Once the criteria have been entered, use the search button to filter the records, the results will appear in the Result Panel.

Result Panel

The Result Panel displays a list of all price lists of medical services found, matching the selected criteria in the search panel. The currently selected record is highlighted with light blue. The leftmost record contains a hyperlink which if clicked, re-directs the user to the actual record for detailed viewing if it is a historical record or editing if it is the current record.

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Img. 79 Result Panel

Further records can be viewed by navigating through the pages using the page selector at the bottom of the result Panel.

Information Panel

The Information Panel is used to display messages back to the user. Messages will occur once a price list of medical services has been added, updated or deleted or if there was an error at any time during the process of these actions.

Price List Medical Services Page

Data Entry

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Img. 80 Price List Medical Service Page

Name
Enter the name for the price list of medical services. Mandatory, 100 characters maximum.
Date
Enter the creation date for the price list of medical services.
Region
Select the Region from the list of regions by clicking on the arrow on the right of the selector to enter the region in which the price list of medical services is to be used. The region National means that the price list is common for all regions. The list will only be filled with the regions assigned to the current logged in user and with the option National. Mandatory.
District
Select the District from the list of districts by clicking on the arrow on the right of the selector to enter the district in which the price list of medical services is to be used. Note: The list will be only filled with the districts belonging to the selected region and currently logged in user. It is not mandatory to enter a district, not selecting a district will mean the price list of medical services is used in all districts of the region or nationwide if the region National is selected.
Medical Services
Select from the list of available medical services the medical services which the price list of medical service should contain by clicking on the check box to the left of a medical service. The list shows the medical services displaying the code, name, type and price for reference. There is also an extra column, Overrule, which can be used to overrule the pre-set price. By clicking once on the row desired item in the overrule column, a new price can be entered for the individual service. This can occur when price agreed between a health facility or group of health facilities and the health insurance administration differs from the common price in the register of medical services.

Saving

Once all mandatory data is entered, clicking on the Save button will save the record. The user will be re-directed back to the Price List Medical Services Control Page, with the newly saved record displayed and selected in the result panel. A message confirming that the price list medical service has been saved will appear on the Information Panel.

Mandatory Data

If mandatory data is not entered at the time the user clicks the Save button, a message will appear in the Information Panel, and the data field will take the focus (by an asterisk on the right of the corresponding data field).

Cancel

By clicking on the Cancel button, the user will be re-directed to the Price List Medical Services Control Page.

Adding a Price List of Medical Services

Click on the Add button to re-direct to the Price List Medical Services Page.

When the page opens all entry fields are empty. See the Price List Medical Services Page for information on the data entry and mandatory fields.

Editing a Price List of Medical Services

Click on the Edit button to re-direct to the Price List Medical Services Page.

The page will open with the current information loaded into the data entry fields. See the Price List Medical Services Page for information on the data entry and mandatory fields.

Deleting a Price List of Medical Services

Click on the Delete button to delete the currently selected record.

Before deleting a confirmation popup (Img. 81) is displayed, which requires the user to confirm if the action should really be carried out?

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Img. 81 Services Price list Delete Confirmation - Button Panel

When a price list medical service is deleted, all records retaining to the deleted price list medical service will still be available by selecting historical records.