Add an Exception to an Existing Contract Exception Group

File Maintenance Help for NextGen® Enterprise

Contract Subgrouping Categories

You can use contract subgrouping to categorize contracts into groups for reporting purposes. In addition, you can assign all participating providers of a subgroup at one time when you attach a contract to a payer. You can create a subgrouping named Medicare for all the Medicare contracts that are set up in your contract library. After you create the subgrouping categories, they display as selections in the Provider master file and the Contract library (on the Practice tab of the Add/Modify Provider Information window and on the General tab of Contract Library Maintenance window) where you can attach the contracts to providers and contract libraries. Open File Maintenance, select Master Lists. The Master Lists List window opens. Select Contract Subgrouping. Do one of the following: To add a new item, select the open menu button, and then select New. To modify an existing item, select the item in list, select the open menu button, and then select Open. You can also double-click to open t

Help Guide for NextGen® Enterprise PM 8

Add an Exception to an Existing Contract Exception Group

In File Maintenance, select Libraries, and then select Contract. In Contracts List, right-click the library, and then select Contract Exceptions. The Contract Exceptions List window opens. Double-click the contract exception name. The Contract Exception Maintenance window opens. Enter all of exceptions, and then select OK. Note: If your library has 50 or more CPT4 items, select Type the first number(s) of the CPT4 item you want to locate, and then enter the next CPT4 item and an exception for it. To modify an existing contract exception, enter the exception changes in the spreadsheet, and then select OK. Parent topic: Setting Up Exceptions In the Contract Library

Help Guide for NextGen® Enterprise PM 8

Add an Exception to an Existing Contract Exception Group

In File Maintenance, select Libraries and then Contract. In the Contracts List window, right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. The Contract Exception Maintenance window opens. To enter an exception for a contract, do one of the following: If your library has fewer than 50 CPT4 items, press the Tab key or arrow keys on your keyboard to move to the next CPT4 item. If your library has 50 or more CPT4 items, go back to the Type the first number(s) of the CPT4 item you want to locate field and enter the first few numbers of the next CPT4 item to enter an exception for. The CPT4 item displays in the spreadsheet area of the window. Continue this process until you enter all of exceptions and then select OK. Parent topic: Setting Up Exceptions In the Contract Library

File Maintenance Help for NextGen® Enterprise 8

Add an Exception to an Existing Contract Exception Group

In File Maintenance, select Libraries and then Contract. In the Contracts List window, right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. The Contract Exception Maintenance window opens. To enter an exception for a contract, do one of the following: If your library has fewer than 50 CPT4 items, press the Tab key or arrow keys on your keyboard to move to the next CPT4 item. If your library has 50 or more CPT4 items, go back to the Type the first number(s) of the CPT4 item you want to locate field and enter the first few numbers of the next CPT4 item to enter an exception for. The CPT4 item displays in the spreadsheet area of the window. Continue this process until you enter all of exceptions and then select OK. Parent topic: Setup an Exception Through the Contract Library

File Maintenance Help for NextGen® Enterprise

Setting Up a New Contract Exception

You can charge different fees based on the provider, location, and payer. Each additional fee is referred to as an exception to the contract and can be set up and maintained through the Contract library. After the exceptions are set up, you can assign a contract exception to providers at the provider, payer, or location level in order to apply the exceptions to charges. If you have a CPT4 code that requires more than one exception, you must first set up a new contract exception with a unique name for each instance of the exception. To set up more than one exception per CPT4 code, you must set up a new contract exception using a different contract exception name for each exception with the same CPT4 code. In File Maintenance, select Libraries > Contract. The Contract List window opens. Right-click the library, and then select Contract Exceptions. The Contract Exceptions List window opens. Select Open Menu, and then select New. The Contract Exception Maintenance window opens. In Contract

File Maintenance Help for NextGen® Enterprise 8

Modify Existing Contract Exceptions

In File Maintenance, select Libraries and then Contract. The Contracts List window opens. Right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. Enter the applicable exception changes in the spreadsheet section of the window, and then select OK. Parent topic: Setup an Exception Through the Contract Library

Add an Exception to an Existing Contract Exception Group

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Contract Subgrouping Categories

Add an Exception to an Existing Contract Exception Group

Add an Exception to an Existing Contract Exception Group

Add an Exception to an Existing Contract Exception Group

Setting Up a New Contract Exception

Modify Existing Contract Exceptions

Add an Exception to an Existing Contract Exception Group

Contract Subgrouping Categories

Add an Exception to an Existing Contract Exception Group

Add an Exception to an Existing Contract Exception Group

Add an Exception to an Existing Contract Exception Group

Setting Up a New Contract Exception

Modify Existing Contract Exceptions