Assign a Reason Code Library to a Payer

File Maintenance Help for NextGen® Enterprise 8

Reason Code Library Maintenance

You can add or modify an existing reason code on the Reason Code Library Maintenance window. You can also attach the library to payers. Open File Maintenance. Select Libraries, and then Reason Codes. The Reason Code List window opens. Double-click on an existing library to open it or select open menu button on the Reason Code List window and select New. The Reason Code Library Maintenance window opens. Complete the fields to enter the reason codes into the library. Select the Next button to add a reason code to the library or select the OK button to modify an existing reason code. Reason Code Library Maintenance Field Descriptions The table lists all the fields and its descriptions in the Reason Code Library Maintenance window. Parent topic: Reason Codes Library

File Maintenance Help for NextGen® Enterprise 8

Select Reason Codes Options in Practice Preferences

You can select reason codes options in the Transactions practice preference. Do one of the following: In NextGen® Enterprise PM, select Admin > Preferences > Practice. In File Maintenance, select Master Files > System > Practices. Double-click the practice, and then select Preferences. The Practice Preferences window opens. In Preference List, select Transactions. Select options for various fields under Reason Codes Options, as per your practice needs. Parent topic: Reason Codes Library

File Maintenance Help for NextGen® Enterprise 8

Reason Codes Library

You can create and maintain reason codes in a Reason Codes library. A reason code is a brief description that is added to a transaction to explain how that transaction was handled. When ERA files are involved, reason codes are returned in the file by the payer to describe how the service was reimbursed. Reason code libraries group related reason codes together. For example, you can have a reason code library that contains the reasons that a claim can be cancelled. You can generate the Reason Codes Master report from the Reason Codes library. For more information go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Reason Code Library Maintenance You can add or modify an existing reason code on the Reason Code Library Maintenance window. Write Off Remaining Line Item Balances After the Batch is Posted Write Off Remaining Line Item Balances at ERA Import Assign a Reason Code Library to a Payer Select Reason Codes Options in Pra

File Maintenance Help for NextGen® Enterprise 8

Attach an Alternate Type of Service Library to a Payer

From the File Maintenance window, select Master Files - System > Payers. Double-click on the applicable payer. The Add/Modify Payer Information window opens. Select the Practice tab > Libraries tab. Select the applicable Alternate Type of Service Library from the Type of Service Library field. Select OK. Parent topic: Types of Service Library

Help Guide for NextGen® Enterprise PM 8

Select a Default Library for a Payer

A library selected at the payer-level overrides the default library selected at the practice-level. Access File Maintenance. Select System Master Files, then PM, and then Payers. The Payer List window opens. Double-click to open the desired payer. The Modify Payer Information window opens. Select the Practice tab, and then the Libraries sub-tab. Modify Payer Information window; Practice tab; Libraries sub-tab In the Behavioral Health Billing Library field, select the library to be used for the payer. In the Modifiers Library field, select the library to be used for the payer. In the Claim Edit Library field, select the library to be used for the payer. To save changes and close the window, select OK. Parent topic: Default Library Selection

Help Guide for NextGen® Enterprise PM 8

Link Statements Libraries to a Payer

The Payers master file is used when one or more payer specific Statement libraries is created. Payer specific libraries are linked to the payer and will override the libraries defined in the Statement Parameter Mappings master file for the financial class to which the payer is assigned. Open File Maintenance. Select System Master Files, then PM, and then Payers. The Payers List window opens. Select and open the desired Payer. The Modify Payer Information window opens. Select the Practice tab, and then the Libraries sub-tab. In the Statement Library section, select the library for primary, secondary, or tertiary encounters. To save changes and close the window, select OK. Parent topic: Statement Library

Assign a Reason Code Library to a Payer

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Reason Code Library Maintenance

Select Reason Codes Options in Practice Preferences

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Reason Code Library Maintenance

Select Reason Codes Options in Practice Preferences

Reason Codes Library

Attach an Alternate Type of Service Library to a Payer

Select a Default Library for a Payer

Link Statements Libraries to a Payer