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For more information on Behavioral Health Billing, go to the NextGen Healthcare Success Community and download the Behavioral Health Billing User Guide for NextGen® Enterprise PM.
| Field | Description |
|---|---|
| Base Minutes | The "standard"Base Minutevalues (15, 30, 60 and 240) display in separate rows with a default rounding method for the payer as follows:
For example, if the base minutes for a SIM code is set to15 minutes, and the 15 minute rounding method for the payer is set to the defaultDown at 7, Up at 8, Less than 8 is 0, then units are calculated based on the total time entered for a charge as follows:
To customize aBase Minute Rounding Methodfor the payer, select the row for the desiredBase Minutesand modify the following fields as needed. |
| Down/Exact | Select one of the following for theBase Minutevalue:
|
| Down At | This field is enabled only whenDownis selected. Enter the number of minutes, between 1 and 999999, at which units round down for the payer. The default value is calculated as follows: Down At= (Base Minutes/ 2) - 1 |
| Up At | This field displays the number of minutes at which units round up for the payer. The field is disabled and is updated by modifying theDown Atvalue. The value is calculated as follows: Up At=Down At+ 1 |
| Less Than is 0 | Enter the number of minutes, between 1 and 999999, at which units round down to zero for the payer. The default value is calculated as follows: Less Than is 0=Base Minutes/ 2 |
| Decimal Place | This field is enabled only whenExactis selected. Select one of the following: First (default): Rounds units to the first decimal place. Second: Rounds units to the second decimal place. |
| Behavioral Health Custom Base Minute Rounding Methods | This additional section appears only if you have set up one or more Behavioral Health SIM codes with "custom"Base Minutesin the Service Items Library. Each "custom"Base Minutevalue displays in a separate row with a default rounding method for the payer. The defaultDown At,Up AtandLess Than is 0values are calculated as described above. To customize aCustom Base Minute Rounding Methodfor the payer, select the row for the desiredBase Minutesand modify the fields as described above. |