Add the Supervisor Field on the Encounter Maintenance Window

File Maintenance Help for NextGen® Enterprise 8

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

File Maintenance Help for NextGen® Enterprise 8

Supervisor Billing

You can create encounters that require that a supervisor is billed instead of a mid-level rendering provider. To set up this type of billing, you must do the following: Supervisor Billing is enabled by default for all payers, but you can disable it for payers that do not need it. Enable supervisor billing so that a supervisor is always required for a specific provider at the current practice. If necessary, enable or disable supervisor billing in the specific payer rows in the provider master file. The payer row setting overrides the practice-level setting on the Practice tab for just that provider/payer combination. The payer-level settings are available for payer rows at either the Default location (which will apply to all locations) or a specific location (which will only apply for that location). Make the Supervisor field available on the Encounter Maintenance window in NextGen® Enterprise PM. Disable Supervisor Billing for a Payer Enable Supervisor Billing at the Provider/Practice

Help Guide for NextGen® Enterprise PM 8

Encounter Incident-To Billing

Selecting the Incident-To Bill Encounter check box on the Encounter Maintenance window allows you to bill an encounter using the supervising provider's name on the claim, even though the mid-level rendering provider is setup to normally bill for the payer on the encounter. To use the Incident-To Billing feature, you must enable the Supervisor provider option in the Encounters preferences in the Practice Preferences. In addition, the mid-level provider must be set up to Enable Supervisor Billing in the Providers Master File. For more information on Practice Preferences and the Providers Master File, refer to the following user guides: File Maintenance Preferences Guide for NextGen Enterprise File Maintenance Master Files Guide for NextGen Enterprise Setup an Encounter for Incident-To Billing You can setup an encounter for incident-to billing so that you can bill an encounter using the supervising provider's name on the claim. Parent topic: General Information about Patient Encounter

NextGen® Enterprise EHR Help

Set up Provider ID Functions

Before you begin To enter information on the Encounter Maintenance window, you must be assigned the Update Patient Encounter Operations Right for Encounters in the System Administrator application. For more information, go to NextGen Healthcare Success Community and download the latest System Administrator Guide for NextGen® Enterprise. To display any of the following IDs in template fields at run time, you must enter the provider in the encounter properties: Rendering Provider ID Referring Provider ID Admitting Provider ID 1st Consulting Provider ID 2nd Consulting Provider ID Supervisor ID On the Encounter History tab, select an encounter, and select the Encounter Options icon, and then select Properties. The Encounter Maintenance window opens for the selected patient encounter. In the Providers section, do one of the following: Select the provider from the list for the applicable provider type. To display the Provider Lookup window, select the light button. Enter the search criteria,

NextGen® Orthopedic Suite Help 80.2.14.0

Configure a Provider for Manual Supervisor Sign-off

You can configure a provider who does not always need a supervisor sign-off on the encounters. Open the Practice Configuration template. In Finalize Visit Settings panel, click the blank field below the Submit to Supervisor Settings grid. The Providers Requiring Supervisors picklist opens. Note: The picklist shows a list of providers that have the Supervisor Required setting in the provider master file in the File Maintenance. For more information, go to NextGen Healthcare Success Community and download the latest File Maintenance Master Files Guide for NextGen® Enterprise. Submit to Supervisor Settings grid in the Finalize Visit Settings panel Select a provider, and click OK. Click Add. The Send to Supervising Physician button appears on the Finalize Visit template. Coding grid on the Finalize Visit template Parent topic: Submit to Supervisor Settings Grid

Help Guide for NextGen® Enterprise PM 8

Setup an Encounter for Incident-To Billing

Access the Patient Chart. Select the Encounters tab. From the Encounters list, open the desired encounter. The Encounter Maintenance window appears. In the Rendering field, select the mid-level rendering provider. In the Supervisor field, select the supervising provider. Select the Incident-To Bill Encounter check box. To save changes and close the window, select OK. Parent topic: Encounter Incident-To Billing

Add the Supervisor Field on the Encounter Maintenance Window

Recommendations

Enable Supervisor Billing at the Provider/Practice Level

Supervisor Billing

Encounter Incident-To Billing

Set up Provider ID Functions

Configure a Provider for Manual Supervisor Sign-off

Setup an Encounter for Incident-To Billing

Enable Supervisor Billing at the Provider/Practice Level

Supervisor Billing

Encounter Incident-To Billing

Set up Provider ID Functions

Configure a Provider for Manual Supervisor Sign-off

Setup an Encounter for Incident-To Billing