Define the Medicaid ID by Payer or Program at the Location Level

File Maintenance Help for NextGen® Enterprise 8

Practice Tab for Location Information

From the Master Files - System list, select Locations. The Location Information window opens. Do one of the following: To add a new item, select Open Menu , and then select New. To modify an existing item, select the item in the list, select Open Menu , and then select Open. You can also double-click to open the item. Select the Practice tab. Under Claims Information, select the Use Practice Level Information check box to make the remaining fields in the group available. Data is saved when this check box is selected. Enter the practice information. Location Information - Practice Tab Field Descriptions Specify an Alternate Location Address for Remitting Statements Add Facility IDs to Locations Parent topic: Location Information - Practice Tab

File Maintenance Help for NextGen® Enterprise 8

Location Information - Practice Tab

The Practice tab on the Location Information window contains practice-specific claims and address information for the Location master file. If you enter information on this tab, it applies only to the practice that you are currently logged into and overrides similar information entered at the system level on the Location Defaults tab. Note: If you have the system level data set up and you also have a record for your practice data, the practice data will be assigned even if it is blank. This is especially important for the Facility Location check box. If the Facility Location check box and the HCFA Box 32 are not selected on the Practice tab and a record exists, then that location will not display on the Encounter Maintenance window for that practice regardless of the setting at the system level. Practice Tab for Location Information Define the Medicaid ID by Payer or Program at the Location Level You can define a Medicaid ID by payer or program at the location level. Parent topic: Crea

File Maintenance Help for NextGen® Enterprise 8

Add Payer-Specific Facility IDs

Open a location master file. Do one of the following: To create facility IDs at the system level, select the Location Defaults tab. To create facility IDs at the practice level, select the Practice tab, and then select the Use practice level claims data check box. Note: Facility IDs on the Practice tab override the ones on the Location Defaults tab. Select Payer Specific subtab to create payer-specific facility IDs. On the Payer Specific subtab, right-click in a row and then select New. To modify an existing ID, right-click on the row and then select Open. The Add/Modify Payer Facility ID window displays. Select the payer name, and then enter the facility ID. Do not use a specific payer name more than once. Note: If the Use practice level claims data check box is selected on the Practice tab, the payer-specific facility ID on the Practice tab overrides any claim-type specific IDs. If no pertinent facility exists on the Practice tab and the check box is selected, the facility for HCFA 1

File Maintenance Help for NextGen® Enterprise 8

Add Facility IDs to Locations

You can define claim type-specific or payer-specific facility IDs for a location at either the system or practice level. Blue Cross Blue Shield, Medicaid, and Medicare use the claim type facility IDs. Some payers of the same claim type (as specified in the Payer master file) might assign a different facility ID to a location. You can create payer-specific facility IDs for a location. The hierarchy of which facility ID to apply to a location is defined as follows: For facility IDs in this location... This facility ID is used... Claim Type subtab only Claim Type Payer Specific subtab only Payer Specific Both Claim Type and Payer Specific subtabs Payer Specific Add Claim Type Facility IDs Add Payer-Specific Facility IDs Parent topic: Practice Tab for Location Information

File Maintenance Help for NextGen® Enterprise 8

Add Claim Type Facility IDs

Open a location master file. Do one of the following: To create facility IDs at the system level, select the Location Defaults tab. To create facility IDs at the practice level, select the Practice tab, and then select the Use practice level claims data check box. Note: Facility IDs on the Practice tab override the ones on the Location Defaults tab. Select Claim Type subtab to create claim type facility IDs. On the Claim Type subtab, do the following: Enter the ID for the facility that is used by Medicare in the Medicare Facility ID field. Enter the ID for the facility that is used by Blue Cross/Blue Shiled in the BCBS Facility ID field. Enter the ID for the facility that is used by Medicaid in the Medicaid Facility ID field. This field provides the option to print the Medicaid ID in box 32 of the HCFA form. Select the HCFA Box 32 check box if the facility is valid for box 32 of the HCFA 1500 or boc 32b of the CMS 1500. This facility will then be available for selection in NextGen® Ent

Help Guide for NextGen® Enterprise PM 8

Set Up CCBHC Locations

To identify a specific location in File Maintenance as a Certified Community Behavioral Health Clinic (CCBHC), an option must be enabled in the Locations master file. Access File Maintenance. Select System Master Files, then PM, and then Locations. The Locations List window opens. From the list, double-click to open the desired location. The Location Information window opens. Select the Defaults 2 tab. To indicate the location is a Certified Community Behavioral Health Clinic, select the CCBHC Location check box. To save changes and close the window, select OK. Parent topic: Certified Community Behavioral Health Clinics (CCBHC)

Define the Medicaid ID by Payer or Program at the Location Level

Recommendations

Practice Tab for Location Information

Location Information - Practice Tab

Add Payer-Specific Facility IDs

Add Facility IDs to Locations

Add Claim Type Facility IDs

Set Up CCBHC Locations

Practice Tab for Location Information

Location Information - Practice Tab

Add Payer-Specific Facility IDs

Add Facility IDs to Locations

Add Claim Type Facility IDs

Set Up CCBHC Locations