Practice Tab for Location Information

File Maintenance Help for NextGen® Enterprise 8

Define the Medicaid ID by Payer or Program at the Location Level

Open File Maintenance. Select Master Files > System > Locations. The Location Information window opens. Do one of the following: To add a item, select open menu , and then select New. To modify an existing item, select the item in the list, select open menu , and then select Open. Select the Practice tab, and then select the CCBHC tab. To add a item, select open menu , and then select New. The The Add Location CCBHC Info window opens. Select the effective and expiry dates. Select the payer and program. Enter the Medicaid ID. Select OK. Parent topic: Location Information - Practice Tab

File Maintenance Help for NextGen® Enterprise 8

Location Information - Practice Tab

The Practice tab on the Location Information window contains practice-specific claims and address information for the Location master file. If you enter information on this tab, it applies only to the practice that you are currently logged into and overrides similar information entered at the system level on the Location Defaults tab. Note: If you have the system level data set up and you also have a record for your practice data, the practice data will be assigned even if it is blank. This is especially important for the Facility Location check box. If the Facility Location check box and the HCFA Box 32 are not selected on the Practice tab and a record exists, then that location will not display on the Encounter Maintenance window for that practice regardless of the setting at the system level. Practice Tab for Location Information Define the Medicaid ID by Payer or Program at the Location Level You can define a Medicaid ID by payer or program at the location level. Parent topic: Crea

File Maintenance Help for NextGen® Enterprise 8

Add Facility IDs to Locations

You can define claim type-specific or payer-specific facility IDs for a location at either the system or practice level. Blue Cross Blue Shield, Medicaid, and Medicare use the claim type facility IDs. Some payers of the same claim type (as specified in the Payer master file) might assign a different facility ID to a location. You can create payer-specific facility IDs for a location. The hierarchy of which facility ID to apply to a location is defined as follows: For facility IDs in this location... This facility ID is used... Claim Type subtab only Claim Type Payer Specific subtab only Payer Specific Both Claim Type and Payer Specific subtabs Payer Specific Add Claim Type Facility IDs Add Payer-Specific Facility IDs Parent topic: Practice Tab for Location Information

File Maintenance Help for NextGen® Enterprise 8

Create or Modify Locations

You need to fill in some basic information such as location name, contact information, practice-affiliation, and task-specific information for location-specific billing, scheduling, and reporting requirements. From the Master Files – System list, select Locations. The Locations List window displays. Do one of the following: To add a new item, select Open Menu, and then select New. To modify an existing item, select the item in the list, select Open Menu, and then select Open. You can also double-click to open the item. The Location Defaults tab on the Location Information window displays. Enter the location information. If you want to hide the item in the list, select theHidecheck box. Select Next to add another item or select OK to return to the Locations List window. Note: If you are editing an existing item, the Next button is not an option. Location Information Field Descriptions Location Information - Practice Tab Defaults 2 Tab - Locations Credentialing Tab External Tab for Locat

File Maintenance Help for NextGen® Enterprise 8

Add Payer-Specific Facility IDs

Open a location master file. Do one of the following: To create facility IDs at the system level, select the Location Defaults tab. To create facility IDs at the practice level, select the Practice tab, and then select the Use practice level claims data check box. Note: Facility IDs on the Practice tab override the ones on the Location Defaults tab. Select Payer Specific subtab to create payer-specific facility IDs. On the Payer Specific subtab, right-click in a row and then select New. To modify an existing ID, right-click on the row and then select Open. The Add/Modify Payer Facility ID window displays. Select the payer name, and then enter the facility ID. Do not use a specific payer name more than once. Note: If the Use practice level claims data check box is selected on the Practice tab, the payer-specific facility ID on the Practice tab overrides any claim-type specific IDs. If no pertinent facility exists on the Practice tab and the check box is selected, the facility for HCFA 1

File Maintenance Help for NextGen® Enterprise 8

Credentialing Tab

The Credentialing tab in the Location and Provider master files enable you to track the credentials, such as certificates and licenses, of your locations and providers. You can report on credentialing for Locations in the Location master file report by selecting credentialing-related columns. You can also report on Providers in the Provider With Credentialing report on the Providers master file. Create the credentials in the Credentialing master list. Open the appropriate location or provider master file, and then select the Credentialing tab. Do one of the following: To add a new credential, select Open Menu, and then select New. To modify a credential, select it in the list, select Open Menu, and then select Open. The Credentialing window opens. In the Effective Date field, enter the date that the credential becomes effective. In the Expiration Date field, enter the date that the credential expires. In the Credentialing Type field, select the type of credential. Note: These types are

Practice Tab for Location Information

Recommendations

Define the Medicaid ID by Payer or Program at the Location Level

Location Information - Practice Tab

Add Facility IDs to Locations

Create or Modify Locations

Add Payer-Specific Facility IDs

Credentialing Tab

Define the Medicaid ID by Payer or Program at the Location Level

Location Information - Practice Tab

Add Facility IDs to Locations

Create or Modify Locations

Add Payer-Specific Facility IDs

Credentialing Tab