Delete GPCIs from a GPCI Library

File Maintenance Help for NextGen® Enterprise 8

Import a GPCI Comma Delimited Flat File

You can import a comma delimited flat file to add GPCI values to an existing GPCI library. Make sure your comma delimited flat file meets the following criteria: Carrier and Locality must be merged into one column. For example, New Orleans, LA has a Carrier of 528 and Locality of 01. The two values would be combined in one column to become 52801. There are five columns and the data in each row must be in the following order: Carrier/Locality, Description, GPCI Work, GPCI PE, and GPCI PLI. Commas must be removed. For example, NEW ORLEANS, LA would become NEW ORLEANS LA. The column headings must be removed. Select Libraries > GPCI to open the GPCI Library List. Select the name of the library to import the values into. Note: If the library already contains GCPI values, new imported values are appended after the existing ones. However, if an imported carrier or locality is the same as an existing one but its value is different, the value is replaced with the imported one. Select open menu

File Maintenance Help for NextGen® Enterprise 8

Create a GPCI Library

In File Maintenance, select Libraries > GPCI. The GPCI Library Maintenance window opens. Do one of the following: To add a new item, select open menu button , and then select New. To modify an existing item, select the item in the list, select open menu button , and then Open. You can also double-click to open the item. The GPCI Library Maintenance window opens. Enter a library name. You can enter information in the columns or Import a GPCI Comma Delimited Flat File. Carrier/Locality – The 91 areas defined by CMS. Carrier/Locality Description – The description of the 91 areas defined by CMS. GPCI Work – Physician work, which is based on the earnings of professionals (lawyers, engineers, and others) reported in the decennial census (done every 10 years). GPCI PE – Practice Expense (PE), which is based on geographic differences in non-physician staff wages, office space costs, and equipment and supplies. GPCI PLI – Professional Liability Insurance (PLI), which is based on data CMS period

File Maintenance Help for NextGen® Enterprise 8

GPCI Codes Library

You can use Geographic Practice Cost Index (GPCI) codes to adjust payment rates to account for differences in the price of doing business in different localities. GPCIs are locality-specific – there are 91 areas in the United States, and 34 of the areas are statewide. The RVU for a component is multiplied by the GPCI value for the same component to calculate the adjusted fee schedule payment amount for a specific locality. The three GPCI components are based on geographic location and are: Work component Practice Expense component Practice Liability (malpractice) component The adjusted fee calculations are: Non-Facility Fee Payment Formula: [(Work RVU x Work GPCI) + (Non-Facility RVU x PE GPCI) + (Malpractice RVU x PLI GPCI)] x Conversion Factor Facility Fee Payment Formula: [(Work RVU x Work GPCI) + (Facility RVU x PE GPCI) + (Malpractice RVU x PLI GPCI)] x Conversion Factor The codes in the GPCI Library are used in the: Contracts Library for the Contract Global Update to calculate ne

File Maintenance Help for NextGen® Enterprise 8

Delete RVUs from an RVU Library

Do one of the following: To delete all RVU values: Open an RVU library, select open menu button , and then select Delete. All the columns clear. To delete specific RVU values: Open an RVU library. In the Filter Criteria field, set the search criteria and begin typing the numbers of the CPT4s you want to delete. As you type, the list displays only the matching records. Continue typing until the list contains only the CPT4s you want to delete. When the list contains the CPT4s you want to delete, select the open menu button button, and then select Delete. Parent topic: RVU Library

File Maintenance Help for NextGen® Enterprise 8

Globally Update Pricing in a SIM Library

You can globally update the pricing of service items in a SIM library. You can filter these SIMs based on a SIM or CPT4 code range, effective date, and department. The global update enables you to change the SIM pricing based on a percentage, a specific dollar amount, or a geographically-adjusted RVU. The adjustments can be rounded up or down. In File Maintenance, select Libraries > Service Items. Right-click the applicable library, and then select SIM Global Update . The SIM Global Update window opens. You must enter an Effective Date to determine which SIMs are updated. SIMs are updated only if this date falls between the SIM effective and expiration dates. To further specify which SIMs are updated, you can apply additional filters by: By doing one of the following: Enter a range of SIM codes to update the SIM codes within this range. Enter a range of CPT4 codes to filter for CPT4 codes in this range. Select a department to filter for SIMs associated with it. A department can be used

NextGen® Orthopedic Suite Help 80.2.14.0

Remove a Code from the Applicable CPT Codes Grid

On the Billing Configuration practice template, expand the MIPS Quality Measures panel. Find and select the code in the Applicable CPT Codes grid. Click Delete. Parent topic: MIPS Quality Measures

Delete GPCIs from a GPCI Library

Recommendations

Import a GPCI Comma Delimited Flat File

Create a GPCI Library

GPCI Codes Library

Delete RVUs from an RVU Library

Globally Update Pricing in a SIM Library

Remove a Code from the Applicable CPT Codes Grid

Import a GPCI Comma Delimited Flat File

Create a GPCI Library

GPCI Codes Library

Delete RVUs from an RVU Library

Globally Update Pricing in a SIM Library

Remove a Code from the Applicable CPT Codes Grid