NextGen Knowledge Center

Charge Options Field Descriptions

Use the following table to setup charge options.

FieldDescription
Disable Variance CalculationThis check box controls whether or not a variance will be calculated for payers using this library.

To enable variance calculations, leave this check box blank and complete all remaining fields on the tab. During the billing process, variance will be calculated, and a variance SIM will be added to the encounter if a positive or negative variance exists.

To disable variance calculations, select this check box. All remaining fields on the tab become unavailable. During the billing process, variance will not be calculated, and a variance SIM will therefore not be added to the encounter.

Insert SIM with Variance Amount on Roll-up Charges Service Item #Select the SIM code to be added to encounters as an additional charge during the billing process when there is a “variance” in units for timed behavioral health charges that roll-up. This is a required entry.
Variance Calculation When SecondarySelect one of the following options for calculating the variance charge amount when billing the secondary payer on the encounter:
  • Sum of roll-up less prior payer transactions (default): Select this option to calculate a variance charge amount for the secondary payer that is based on the sum of the roll-up charges minus any payment/adjustment transaction amounts already posted from the primary payer.
  • Sum of roll-up: Select this option to calculate a variance charge amount for the secondary payer that is based on the sum of the roll-up charges.
Variance Calculation When TertiarySelect one of the following options for calculating the variance charge amount when billing the tertiary payer on the encounter:
Adjustment Transaction Code for VarianceSelect the third-party adjustment transaction code to be used with negative variance charges. This field is required.