Taxonomy Codes to Payers

File Maintenance Help for NextGen® Enterprise

Attaching Taxonomy Codes

You can attach taxonomy codes to: Providers as the provider default taxonomy code for the enterprise Providers at the practice level, which overrides the provider default taxonomy code Providers at the CPT4 level, which overrides the practice level taxonomy code Locations Groups as the group default taxonomy code Groups at the location level, which overrides the group default taxonomy code Groups at the CPT4 level, which overrides the group location level taxonomy code Payers at the practice/UB level, which overrides the group level taxonomy code Payers at the alternate payer level, which overrides the group level taxonomy code DME Regions at the CPT4 level Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise

Attach Taxonomy Codes to Providers

You can attach taxonomy codes to: providers as the provider default taxonomy code for the enterprise. providers at the practice level, which overrides the provider default taxonomy code. You can add taxonomy codes at this level by location on the payer rows, either default or specific. The most specific setting is always selected above the other settings. Note: If the provider has a different taxonomy code for different service locations and payers, then the taxonomy code must be attached for each service location and payer. To attach a default taxonomy code for the provider: From the Master Files list, select System or PM > Providers. Select the provider. Select the System tab. Select the taxonomy code from the Taxonomy Code field. Attach a Taxonomy Code for the Provider at the Practice Level Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise

Taxonomy Codes to Groups

You can attach taxonomy codes to groups in two ways: As the group default taxonomy code. At the location level, which overrides the group default taxonomy code. At the procedure (CPT4) level, which overrides the location level taxonomy code. This level enables you to attach different taxonomy codes based on specific CPT4 ranges. For example, you might need one taxonomy code for a range of procedures that are specific to a particular specialty. Attaching Taxonomy Codes to Groups Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise

Taxonomy Codes Master File

To meet HIPAA requirements, a Taxonomy code may be required by some payers. Taxonomy codes are maintained at the Enterprise level in the Taxonomy master files and they are attached to the provider in the Provider Master. Taxonomy codes classify health care providers according to provider type or practitioner specialty in an electronic environment. The codes that: Are pre-loaded in the Taxonomy Code field in the Provider master file do not display in the Taxonomy master file, so they cannot be edited or hidden. Display in the Taxonomy master file are those that you create and can be edited or hidden. Note: The taxonomy code set is maintained by the National Uniform Claim Committee (NUCC). Refer to the http://www.nucc.org web site for information on maintaining the current taxonomy code set for your enterprise or practice. Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise

Attach Taxonomy Codes to Locations

To attach a taxonomy code at the location level, perform the following steps: From the Master Files list, select System or PM > Locations. Select the location. On the Location Defaults tab, select the taxonomy code from the Taxonomy Code field. Select OK. Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise 8

Taxonomy Codes to Payers

You can attach taxonomy codes for group billing in the Payer master file. These codes override the Group master file taxonomy code. You can attach these codes to: Payers at the practice level for specific locations. This setting is only for UB claims. Alternate payers for a specific location. Attaching Taxonomy Codes to Payers Attaching a Taxonomy Code to the Alternate Payer Priority for Taxonomy Code Usage for Claims Examples of Payer Taxonomy Setup Parent topic: Taxonomy Codes

Taxonomy Codes to Payers

Recommendations

Attaching Taxonomy Codes

Attach Taxonomy Codes to Providers

Taxonomy Codes to Groups

Taxonomy Codes Master File

Attach Taxonomy Codes to Locations

Taxonomy Codes to Payers

Taxonomy Codes to Payers

Attaching Taxonomy Codes

Attach Taxonomy Codes to Providers

Taxonomy Codes to Groups

Taxonomy Codes Master File

Attach Taxonomy Codes to Locations

Taxonomy Codes to Payers