Enter Sliding Fee Schedule Income Values by Discount Percentage

File Maintenance Help for NextGen® Enterprise 8

Enter Sliding Fee Schedule Income Values by Family Size

To enter income values for the sliding fee schedule based on family size: In the Sliding Fee Schedule Detail Maintenance window, under Sliding Fee Mode, select either Minimum Value Mode or Flat Rate Mode. The text Min Val or Flat Rate is added to the table. Under Min/Flat Rate Value Mode, select the By Family Size option. A column is added to the right end of the table and, depending on your selection in the previous step, the column heading is Min Val (Minimum Value) or Flat Rate. For example, if you set the number of columns as 5, five columns display. The sixth column is Min Val. In the first row of the Percent of Discount and Annual Family Income table, enter the discount percentages in descending order from left to right. For example, if the sliding fee schedule has 100, 80, 60, 40, and 20 as the discount percentages, then enter those numbers in that order, starting with the first and leftmost cell. Note: When you enter the information in the table, select on the first cell where

File Maintenance Help for NextGen® Enterprise 8

Set Up the Sliding Fee Schedule Details

Each Sliding Fee Schedule master contains one or more detailed sliding fee schedules. Each detailed sliding fee schedule is created with specific parameters such as sliding fee mode, CPT4 code ranges, diagnosis code ranges, locations, etc. It also includes a grid that defines discount percentages based on family size and annual income. Access File Maintenance. Select System Master Files > PM > Sliding Fee Schedules. The Sliding Fee Schedules List window opens. Select the desired sliding fee schedule master, select the Open Menu button and select Open. The Sliding Fee Schedule Maintenance window opens. In the Sliding Fee Schedules section at the bottom of the window, do one of the following: To add a new sliding fee schedule, select the Open Menu button and select New. To modify an existing sliding fee schedule, select the item in the list, select the Open Menu button and select Open. The Sliding Fee Schedule Detail Maintenance window opens. In the Name field, enter a descriptive name f

Help Guide for NextGen® Enterprise PM 8

Person and Patient Level Sliding Fee Scenarios

You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. The following table lists the person and patient level sliding fee scenarios, and their calculations. Level Schedule Fee Mode Sliding Fee Mode Min/Flat Rate Value Mode Calculations Patient/Person Line Item-based Minimum Value By Family Size The patient’s family size of one and an annual income of $20000 allows a 50% discount. A separate adjustment is made for each service line, and it gets adjusted by 50%. The application adjusts the balance on each charge to equal it to the minimum value resulting in a minimum amount of $20 to be paid by the patient. For more information, see Sliding Fee Calculations for Person or Patient Level Line Item Based Scenarios. Patient/Person Line Item-based

Help Guide for NextGen® Enterprise PM 8

Set Up the Sliding Fee Schedule Details

Each Sliding Fee Schedule master contains one or more detailed sliding fee schedules. Each detailed sliding fee schedule is created with specific parameters such as sliding fee mode, CPT4 code ranges, diagnosis code ranges, locations, etc. It also includes a grid that defines discount percentages based on family size and annual income. Access File Maintenance. Select System Master Files > PM > Sliding Fee Schedules. The Sliding Fee Schedules List window opens. Select the desired sliding fee schedule master, select the Open Menu button and select Open. The Sliding Fee Schedule Maintenance window opens. In the Sliding Fee Schedules section at the bottom of the window, do one of the following: To add a new sliding fee schedule, select the Open Menu button and select New. To modify an existing sliding fee schedule, select the item in the list, select the Open Menu button and select Open. The Sliding Fee Schedule Detail Maintenance window opens. Sliding Fee Schedule Detail Maintenance In th

Help Guide for NextGen® Enterprise PM 8

Patient and Encounter Level Sliding Fee Scenarios

The following conditions are considered for cost estimation if sliding fee schedules are attached at both patient chart level and encounter level. If a cost estimation is launched from an encounter which has a sliding fee schedule attached, then the encounter level sliding fee takes precedence over patient chart level sliding fee schedule. If the cost estimation is launched from a patient appointment, and the appointment has an encounter attached to it, then any sliding fee schedule attached to this encounter takes precedence over a chart level sliding fee schedule. If a cost estimation is not launched from an encounter or an appointment attached to an encounter, the patient chart level sliding fee schedule takes precedence. You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached using the UDS tab on the Modify Patient Informa

Help Guide for NextGen® Enterprise PM 8

Set Up Sliding Fee Details

A sliding fee schedule master file consists of one or more detailed sliding fee schedules. Each detailed sliding fee schedule is created with specific parameters such as sliding fee mode, CPT®4 code ranges, and service locations. It also includes a grid that defines the discount percentages based on family size and annual income. If you are a system administrator, you can add or modify a cost estimation sliding fee schedule. In File Maintenance, open System Master Files > PM > Sliding Fee Schedules. The Sliding Fee Schedules List window opens. Select the desired sliding fee schedule master, select open menu , and select Open. The Sliding Fee Schedule Maintenance window opens. In the Sliding Fee Schedules section, do one of the following: To add a sliding fee schedule, select open menu and select New. To modify an existing sliding fee schedule, select the item in the list, select open menu and select Open. The Sliding Fee Schedule Detail Maintenance window opens. Sliding Fee Schedule De

Enter Sliding Fee Schedule Income Values by Discount Percentage

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