Institutional Billing Library Listing Report

Column	Description	Data Populates From
Lib Name	Library Name	Institutional Billing Library Name field
Eff Dt	Effective Date	Effective Date field
Exp Dt	Expiration Date	Expiration Date field
Desc	Description	Description field
Use as Default Billing Rules	Use as default billing rules for Institutional claims	Use as default billing rules for Institutional Claims check box Y or N
Valid Payers	Valid Payers	Valid Payers section Multiple entries are separated by semi-colons
Crt Dt	Created Date	Modification Information > Creation Date & Time field
Created By	Created By	Modification Information > Creator field
Mod Dt	Last Modified Date	Modification Information > Modified Date & Time field
Modified By	Last Modified By	Modification Information > Last Modified By field

File Maintenance Help for NextGen® Enterprise 8

IB Library with Payer Exception Claim Rules Report

The Institutional Billing Library with Payer Exception Claim Rules report includes information from the Institutional Billing library in File Maintenance. Information on the report pulls from the Institutional Billing Maintenance window > Payer Exception Claim Rules tab. The report includes the following information: Column Description Data Populates From Lib Name Library Name Institutional Billing Library Name field Desc Description Payer Exception Claim Rules window > Description field Eff Dt Effective Date Payer Exception Claim Rules window > Effective Date field Exp Dt Expiration Date Payer Exception Claim Rules window > Expiration Date field Rev Cd Rev Code Payer Exception Claim Rules window > Revenue Code field Rev Cd Cat Revenue Code Category Payer Exception Claim Rules window > Revenue Code Category(s) field Ovride Rev Cd Qual Override Rev Code Qualifier Payer Exception Claim Rules window > Override Rev Code Qualifier field Sum Claim Create Summary Claim Payer Exception Claim R

File Maintenance Help for NextGen® Enterprise 8

IB Library with TOB by Rev Code Report

The Institutional Billing Library with TOB by Rev Code report includes information from the Institutional Billing library in File Maintenance. Information on the report pulls from the Institutional Billing Maintenance window > Define TOB by Rev Code tab. The report includes the following information: Column Description Data Populates From Lib Name Library Name Institutional Billing Library Name field Desc Description Description field Default Default Use as default billing rules for Institutional Claims check box Y or N Type of Bill Rules Type of Bill Rules Define Type of Bill by Revenue Code Category window > Description field Payer Name Payer Name Valid Payers section Eff Dt Effective Date Define Type of Bill by Revenue Code Category window > Effective Date field Exp Dt Expiration Date Define Type of Bill by Revenue Code Category window > Expiration Date field Rev Cd Cat Revenue Code Category Define Type of Bill by Revenue Code Category window > Revenue Code Category field Fac Type F

File Maintenance Help for NextGen® Enterprise 8

IB Library with Claim Rules by TOB Report

The Institutional Billing Library with Claim Rules by TOB report includes information from the Institutional Billing library in File Maintenance. Information on the report pulls from the Institutional Billing Maintenance window > Claim Rules by TOB tab. The report includes the following information: Column Description Data Populates From Lib Name Library Name Institutional Billing Library Name field Desc Description Claim Rules By Type of Bill Range window > Description field Eff Dt Effective Date Claim Rules By Type of Bill Range window > Effective Date field Exp Dt Expiration Date Claim Rules By Type of Bill Range window > Expiration Date field Tob From Type of Bill From Claim Rules By Type of Bill Range window > TOB From field Tob To Type of Bill To Claim Rules By Type of Bill Range window > TOB To field Adm Diag Admitting Diagnosis Claim Rules By Type of Bill Range window > Populate Admitting Diagnosis check box Y or N Patient Reason Visit Patient Reason for Visit Claim Rules By Ty

File Maintenance Help for NextGen® Enterprise 8

EDI Claim Profile Listing Report

The EDI Claim Profile Library Listing report includes information from the EDI Claim Profile library in File Maintenance. Information on the report pulls from the EDI Claim Profile Maintenance window. Note: This report uses enhanced reporting functionality. The report includes the following information: Column Description Data Populates From Lib Name Library Name EDI Claim Profile Name field Eff Dt Effective Date Effective Date field Exp Dt Expiration Date Expiration Date field Desc Description Description field Use as Default EDI Rules Default EDI Rules Use as default EDI rules for all payers check box Y or N Valid Payers Valid Payers Valid Payers section Multiple entries are separated by semi-colons Created By Created By Who/When > Modification Information > Creator field Crt Dt Create Date Who/When > Modification Information > Creation Date & Time field Modified By Last Modified By Who/When > Modification Information > Last Modified By field Mod Dt Last Modified Date Who/When > Modi

File Maintenance Help for NextGen® Enterprise 8

Institutional Billing Library Reports

The following File Maintenance reports are available for the Institutional Billing library: Institutional Billing Library Listing Report IB Library with TOB by Rev Code Report IB Library with Claim Rules by TOB Report IB Library with Payer Exception Claim Rules Report Institutional Billing Library Listing Report IB Library with TOB by Rev Code Report IB Library with Claim Rules by TOB Report IB Library with Payer Exception Claim Rules Report Parent topic: File Maintenance Library Reports

File Maintenance Help for NextGen® Enterprise 8

Claim Modifiers Library Report

The Claim Modifiers Library report includes information from the Claim Modifiers library in File Maintenance. Information on the report pulls from the Claim Modifiers Library Maintenance and Add/Modify Claim Modifiers windows. The report includes the following information: Column Description Data Populates From Library Name Description Claim Modifiers Library Maintenance window > Claim Modifiers Library field. Modifier Modifier Add/Modify Claim Modifiers window > Modifier field. Unit Value Unit Value Add/Modify Claim Modifiers window > Unit Value field. SIM Type SIM Type Add/Modify Claim Modifiers window > SIM Type field. Hid Delete Indicator Hide check box. Displays Y or blank. Eff Dt Effective Date Add/Modify Claim Modifiers window > Effective Date field. Exp Dt Expiration Date Add/Modify Claim Modifiers window > Expiration Date field. Filter 2 Use columns to filter data on the report. Column filter options include the following: Between Equals Not Equals Greater Than Less Than Like

Institutional Billing Library Listing Report

Recommendations

IB Library with Payer Exception Claim Rules Report

IB Library with TOB by Rev Code Report

IB Library with Claim Rules by TOB Report

EDI Claim Profile Listing Report

Institutional Billing Library Reports

Claim Modifiers Library Report

IB Library with Payer Exception Claim Rules Report

IB Library with TOB by Rev Code Report

IB Library with Claim Rules by TOB Report

EDI Claim Profile Listing Report

Institutional Billing Library Reports

Claim Modifiers Library Report