Enable Advanced Service Item Library Mode

File Maintenance Help for NextGen® Enterprise 8

Advanced Service Item Library Mode

When you need to maintain pricing for several locations that are grouped into different regions, the Enable Advanced Service Item Library Mode allows you to set pricing based on how various payers divide the country into geographical regions. For example, Medicare has different regional groupings than Aetna, and pricing would be determined accordingly. With Enable Advanced Service Item Library Mode, you can also use SIM Pricing Templates to manage prices in the Service Item libraries. Note: Once you enable Advanced Service Item Library Mode, you cannot disable it. You can create a SIM Pricing Regions Library to support setting prices based on geographical regions that may vary by payer. For more information on SIM Pricing Regions Library see, File Maintenance Libraries Guide for NextGen® Enterprise. You can assign default pricing regions for the enterprise and payers by setting up additional pricing in the Service Items library for claim printing. You can assign permissions in the Syst

NextGen® Enterprise EHR Help

Enable Advanced Service Item Library Mode

When you Enable Advanced Service Item Library Mode it turns on all enterprise-wide features that allow you to set prices by configuring locations into payer-centric groupings. CAUTION: Once you select the Enable Advanced Service Item Library Mode check box, you cannot disable it. Select File Maintenance > Master Files > System > Enterprises. The Enterprises List window opens. Double-click an enterprise in the list. The Modify Enterprise Information window opens. Select Preferences. The Enterprise Preferences window opens. Select the Libraries tab, and then select Enable Advanced Service Item Library Mode check box. Select OK to close the Enterprise Preferences window. Select OK to close the Modify Enterprise Information window. Parent topic: Using Advanced Service Item Library Mode

NextGen® Enterprise EHR Help

Using Advanced Service Item Library Mode

The Advanced Service Item Library Mode feature provides the ability to set pricing for tests and services based on how various payers divide the country into geographical regions. If you need to set up test pricing for your practice that is based on regions, the Advanced Service Item Library Mode is the way to accomplish this. You can set prices by configuring locations into payer centric groupings. As an example, Medicare may have different regional groupings than Aetna, and pricing is determined accordingly. In addition, the concept of SIM Pricing Templates was introduced to support the management of prices using parent/child relationships between libraries.If you do not need to set up payment based on pricing regions, do not use this parameter. Advanced Service Item Library Mode implementation in the Orders module uses File Maintenance, master files and libraries to assign a SIM code to a lab order test specimen charge. It does not allow you to assign the library at the same time be

NextGen® Enterprise EHR Help

Assign Default SIM Pricing Region Libraries to Payers

If Advanced Service Item Mode is enabled and SIM Pricing Region libraries are defined, you can assign the libraries to payers. Select File Maintenance > System > Payers. Double-click a payer. The Modify Payer Information window opens. Under Payer-Defaults-1 tab, in the Pricing Regions Library field, select a SIM Pricing Region Library. Select OK. Parent topic: SIMs Groups in the Orders Tests Master File

File Maintenance Help for NextGen® Enterprise 8

Libraries Tab - Enterprise Preferences Descriptions

The following table provides descriptions of the fields located in the Libraries Enterprise Preferences. Field Description Enable Advanced Service Item Library Mode Caution: Once you enable this feature, you cannot disable it. This check box turns on all features that enable you to set prices by configuring locations into payer-centric groupings. For example, Medicare might have different regional groupings than Aetna, and pricing would be determined accordingly. Default Pricing Region Library for Self Pay Select the appropriate SIM Pricing Regions library that defines the pricing when an encounter is self-pay. For more information, go to NextGen Healthcare Success Community and download the latest File Maintenance Libraries Guide for NextGen Enterprise. Default Pricing Region Library Select the appropriate SIM Pricing Regions library that defines the pricing for payers of this enterprise. For more information, go to NextGen Healthcare Success Community and download the latest File Mai

File Maintenance Help for NextGen® Enterprise 8

Libraries Tab - Enterprise Preferences

The Libraries Enterprise Preferences allows you to select default libraries used by the enterprise. For more information, see the Libraries Practice Preferences Descriptions section. Libraries Tab - Enterprise Preferences Descriptions Advanced Service Item Library Mode Preventing Use of Default SIM Library to Determine Charges Allowing Default SIM Library Use During Charge Entry Parent topic: Enterprise Preferences

Enable Advanced Service Item Library Mode

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Advanced Service Item Library Mode

Enable Advanced Service Item Library Mode

Using Advanced Service Item Library Mode

Assign Default SIM Pricing Region Libraries to Payers

Libraries Tab - Enterprise Preferences Descriptions

Libraries Tab - Enterprise Preferences

Advanced Service Item Library Mode

Enable Advanced Service Item Library Mode

Using Advanced Service Item Library Mode

Assign Default SIM Pricing Region Libraries to Payers

Libraries Tab - Enterprise Preferences Descriptions

Libraries Tab - Enterprise Preferences