Assign Subgroupings to a Contract

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

File Maintenance Help for NextGen® Enterprise

Attach Contract Subgroupings to a Provider

In File Maintenance, select Master Files > Systems > Providers. The Providers List window opens. Select a provider's name, select Open Menu , and then select Open. The Modify Provider Information window opens. Select the Practice tab. Select Contract Subgrouping, and then select the contract categories to associate with the provider. Note: The Contract Subgrouping field label you see might be named differently. This provider becomes a participating provider for the payer. You can see these providers in the Payer master file. If you open a payer and select the contract on the Payer master file Libraries tab, these participating providers are automatically selected in Participating Providers. Likewise, if you clear Contract Subgrouping, then the providers name is removed from the Payer master file Libraries > Participating Providers. Parent topic: Setting Up a New Contract Exception

File Maintenance Help for NextGen® Enterprise

Rename the Subgrouping Field Labels

All the fields are used in reporting. If you do not rename the fields, they display with the original field names (for example, Payer Subgrouping 1). Open Enterprise Preferences General tab. Locate the subgrouping fields that you want to rename and enter the new name in the field. Provider Subgrouping 1 & 2 – These labels display as field names on the System tab of the Add/Modify Provider Information window, on the tab labels for the report filter for various reports, and as column headings on reports. Location Subgrouping 1 & 2 – These labels display as field names on the Location Defaults tab of the Location Information window. Enter the labels you want to use in the report filter and as column headings on reports. Payer Subgrouping 1 & 2 – These labels display as the field names on the Defaults - 2 tab of the Add/Modify Payer Information window, the tab labels for the report filter for various reports, and as column headings on reports. Contract Subgrouping 1 & 2 – These labels disp

File Maintenance Help for NextGen® Enterprise

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 a New Contract Exception

File Maintenance Help for NextGen® Enterprise 8

Assign Subgroupings to a Contract

By assigning subgroupings to a contract, you indicate the type of contract that it is. Note: You can create additional contract types in the Contract Subgrouping master list. Open a contract in the Contract Library Maintenance window. On the General tab, select the contract types in the Contract Subgrouping fields, and then select OK. Note: The field labels you see might be named differently. You can remove the subgroupings by selecting <none> in the Contract Subgrouping fields and select OK. Parent topic: Setup an Exception Through the Contract Library

File Maintenance Help for NextGen® Enterprise 8

Define Contract Subgrouping Categories

Contract subgrouping categories represent different types of contracts, such as Capitated, Government, Non-government, and Medicare. For example, you could 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. On the File Maintenance desktop, select Master Lists. The Master Lists List window opens. Select Contract Subgrouping. Do one of the following: To add a new item, select open menu button , and then select New. To modify an existing item, select the item in list, select open menu button , and then select Open. You can also double-click to open the item. The Add/Modify Contract Subgrouping Information windo

Assign Subgroupings to a Contract

Recommendations

Contract Subgrouping Categories

Attach Contract Subgroupings to a Provider

Rename the Subgrouping Field Labels

Add an Exception to an Existing Contract Exception Group

Assign Subgroupings to a Contract

Define Contract Subgrouping Categories

Assign Subgroupings to a Contract

Contract Subgrouping Categories

Attach Contract Subgroupings to a Provider

Rename the Subgrouping Field Labels

Add an Exception to an Existing Contract Exception Group

Assign Subgroupings to a Contract

Define Contract Subgrouping Categories