Line Item Based Sliding Fee Schedule

File Maintenance Help for NextGen® Enterprise 8

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

In some situations, a line item-based sliding fee schedule can produce dramatically different charges for a patient than an encounter-based sliding fee schedule. For example: If you apply a line item-based sliding fee schedule with a minimum payment of $50 and a 90% discount to a patient encounter with charges of $150, $40, and $10, the schedule applies the minimum payment to each charge resulting in a total charge of $150 to the patient. (When a discount results in a charge that is less than the minimum payment, as in this example, the application overrides the discount and applies the minimum fee. No charge can be less than the schedule’s minimum payment.) If you apply an encounter-based sliding fee schedule with the same discount and minimum payment to the encounter, the schedule takes the total of the charges ($200) applies the discount and minimum payment, and arrives at a total charge to the patient of $50. Note: When a patient has insurance, the application does not automaticall

File Maintenance Help for NextGen® Enterprise 8

Encounter-Based Sliding Fee Schedule

When the application applies a sliding fee schedule discount by encounter, it applies the discount to the sum total of all the charges for the encounter. Therefore, an encounter-based sliding fee schedule discount is applied only once for an encounter. The application applies the sliding fee schedule discount to the sum of the encounter’s charges whenever you: Close or exit the Charge Entry dialog box. Change the patient while still in the Charge Entry dialog box. Change the encounter number for a patient while still in the Charge Entry dialog box. Continue on to the next step in Autoflow. Parent topic: Sliding Fee Schedules

File Maintenance Help for NextGen® Enterprise

Line Item Based Sliding Fee Schedule

When the application applies a sliding fee schedule discount by line item, it applies the discount to each charge immediately after the charge is entered on an encounter. Therefore, a line item-based sliding fee schedule can be applied multiple times for an encounter. Parent topic: Sliding Fee Schedules

File Maintenance Help for NextGen® Enterprise 8

Sliding Fee Schedules

The Sliding Fee Schedule master file enables you to: Create active sliding fee schedules. Activate NextGen® Enterprise PM alerts that: Indicate when patients have an associated sliding fee schedule. Notify users when certain information pertaining to the sliding fee schedule must be re-verified. Exempt certain service items from the sliding fee schedule. In NextGen® Enterprise PM, you can: Attach sliding fee schedules to a patient's chart. Apply a sliding fee schedule discount against patient responsibility charges and automatically calculate discounts based on the active Sliding Fee Schedule. Apply more than one sliding fee schedule to an encounter. Report on the sliding fee schedule adjustment discounts. The modes of applying a sliding fee schedule to a patient’s charges are: Line item-based. Encounter-based. The Sliding Fee Schedule Practice Preferences provide additional options that you can set on a per practice basis. Line Item Based Sliding Fee Schedule Encounter-Based Sliding F

File Maintenance Help for NextGen® Enterprise

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

In some situations, a line item-based sliding fee schedule can produce dramatically different charges for a patient than an encounter-based sliding fee schedule. For example: If you apply a line item-based sliding fee schedule with a minimum payment of $50 and a 90% discount to a patient encounter with charges of $150, $40, and $10, the schedule applies the minimum payment to each charge resulting in a total charge of $150 to the patient. (When a discount results in a charge that is less than the minimum payment, as in this example, the application overrides the discount and applies the minimum fee. No charge can be less than the schedule’s minimum payment.) If you apply an encounter-based sliding fee schedule with the same discount and minimum payment to the encounter, the schedule takes the total of the charges ($200) applies the discount and minimum payment, and arrives at a total charge to the patient of $50. Note: When a patient has insurance, the application does not automaticall

File Maintenance Help for NextGen® Enterprise

Encounter-Based Sliding Fee Schedule

When the application applies a sliding fee schedule discount by encounter, it applies the discount to the sum total of all the charges for the encounter. Therefore, an encounter-based sliding fee schedule discount is applied only once for an encounter. The application applies the sliding fee schedule discount to the sum of the encounter’s charges whenever you: Close or exit the Charge Entry dialog box. Change the patient while still in the Charge Entry dialog box. Change the encounter number for a patient while still in the Charge Entry dialog box. Continue on to the next step in Autoflow. Parent topic: Sliding Fee Schedules

Line Item Based Sliding Fee Schedule

Recommendations

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

Encounter-Based Sliding Fee Schedule

Line Item Based Sliding Fee Schedule

Sliding Fee Schedules

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

Encounter-Based Sliding Fee Schedule

Line Item Based Sliding Fee Schedule

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

Encounter-Based Sliding Fee Schedule

Line Item Based Sliding Fee Schedule

Sliding Fee Schedules

Encounter-Based Versus Line Item-Based Sliding Fee Schedules

Encounter-Based Sliding Fee Schedule