Exempt a SIM from the Sliding Fee Schedule

File Maintenance Help for NextGen® Enterprise 8

Suppress Billing for All SIMs In a Library

From the File Maintenance desktop, select Libraries > Service Items. The Service Items Libraries window opens. Right-click a service item library, and then select Select Suppress Billing for this Library. The Suppress Billing check box on the Service Item Library Maintenance window > General tab automatically becomes selected for all SIMs in the library. You can also turn off suppress billing for all SIMs in a library: Right-click the library, and then select the Deselect Suppress Billing for this Library. The Suppress Billing check box on the Service Item Library Maintenance window > General tab automatically becomes cleared for all SIMs in the library. Parent topic: General Tab

File Maintenance Help for NextGen® Enterprise 8

Suppress Billing for Individual SIMs

From the File Maintenance desktop, select Libraries > Service Items. The Service Items Libraries window opens. Double-click a service item library. The Service Item Library Maintenance window opens. On the General tab, select the Suppress Billing check box. Parent topic: General Tab

File Maintenance Help for NextGen® Enterprise 8

Tax Exemption Setup for Locations

In File Maintenance, select Libraries > Tax Exemptions. The Tax Exemption List window opens. Select open menu button , and then select New. The Tax Exemption Library window opens. Select the Location tab, and then define which sales tax charges are exempt for the listed SIM codes. In the Tax Exempt SIMs section, select open menu button , and then select New to search for a SIM. The Tax Exempt SIMs Setup window opens. In the Service Item # field, select a SIM code that you want to specify sales tax exemptions for. The associated CPT4 code and description automatically display in the CPT4 Code and Description fields. Enter dates in the Effective Date and Expiration Date fields. Select one or more locations where the SIM has sales tax exemptions. Select in the field below each Tax Exempt field to select which sales taxes the SIM is exempt from. A displays in the field to indicate that the tax does not apply. Select Next to select another SIM and repeat the previous steps or select OK to r

Help Guide for NextGen® Enterprise PM 8

Exempt SIM Codes from Encounter Rate Billing

If there is a service item that is exempt from encounter rate billing, you must flag it as Encounter Rate Exempt in the Service Items library. This flag makes the SIM code exempt from encounter rate billing for all payers. Note: To flag a SIM code as exempt for a specific encounter rate payer, you must select the Exclude from Encounter Rate Insertion check box on the Claim SIM Options tab of the Encounter Rate Billing library. Access File Maintenance. Select Libraries, and then Service Items. The Service Items List window opens. From the list, select a library and then select Open Menu and select Open. The Service Item Library Maintenance window opens. In the Search field, enter the SIM code and then select the code from the list. On the General tab, select the Enc rate exempt check box. Service Item Library Maintenance To save changes and close the window, select OK. Note: The Enc rate exempt setting in the SIM library works in conjunction with the Encounter Rate Exempt option on the

Help Guide for NextGen® Enterprise PM 8

Suppress Statements for a SIM Code

Specific SIM codes can be suppressed from being included on guarantor statements. Note: Selecting Suppress from Statement not only suppresses the SIM code from statements, but also suppresses the charges amount and any related transactions. Open File Maintenance. Select Libraries, and then Service Items. The Service Items List window opens. From the list, double-click to open the desired library. The Service Item Library Maintenance window opens. In the Search field on the left, select the SIM code to be suppressed from statements. On the General tab, select the Suppress from Statement check box. To save changes and close the window, select OK. Statements are now suppressed for the SIM code. Parent topic: Suppressing Statements

File Maintenance Help for NextGen® Enterprise 8

Set Up the Claim SIM Options Tab

The Claim SIM Options tab on the Encounter Rate Billing Library Maintenance window contains options that provide the capability to show non-Encounter Rate SIMs on claims or affect automatic adjustments. Open an Encounter Rate Billing library. The Encounter Rate Billing Library Maintenance window opens. Select the Claim SIM Options tab. In the Claim Service Range Options section, select open menu button and select New. The Alt Payer Number SIM Range window opens. Enter the SIM number or the beginning SIM number for a range of SIMs that you want to apply to a claim SIM option. For a range of SIM numbers, enter the ending SIM number. The ending SIM is required, but can be the same as the beginning SIM, functionally choosing that as a single SIM. Select OK. The claim SIM options are available for selection. Select the applicable option based on the following descriptions: Exclude from Encounter Rate Insertion: Select this option to make the service exempt from the Encounter Rate. This opti

Exempt a SIM from the Sliding Fee Schedule

Recommendations

Suppress Billing for All SIMs In a Library

Suppress Billing for Individual SIMs

Tax Exemption Setup for Locations

Exempt SIM Codes from Encounter Rate Billing

Suppress Statements for a SIM Code

Set Up the Claim SIM Options Tab

Exempt a SIM from the Sliding Fee Schedule

Suppress Billing for All SIMs In a Library

Suppress Billing for Individual SIMs

Tax Exemption Setup for Locations

Exempt SIM Codes from Encounter Rate Billing

Suppress Statements for a SIM Code

Set Up the Claim SIM Options Tab