Rename the Subgrouping Field Labels

File Maintenance Help for NextGen® Enterprise 8

Attach Contract Subgroupings to a Provider

Contract subgroupings that are attached to a provider indicate which contracts the provider participates in because the subgroupings are assigned to the contracts. After you attach the subgroupings, the payers associated with the contracts are updated. Open a provider master file and then select the Practice tab. In the Contract Subgrouping field, select the contract categories to associate with the provider. Note: The Contract Subgrouping field label you see might be named differently. This provider becomes a participating provider for the payer. You can see these providers in the Payer master file. If you open a payer and select the contract on the Payer master file > Libraries tab, these participating providers are automatically selected in the Participating Providers field. Likewise, if you clear a Contract Subgrouping check box, then the providers name is removed from the Payer master file > Libraries tab > Participating Providers field. Parent topic: Setup an Exception Through th

File Maintenance Help for NextGen® Enterprise 8

Define Contract Subgrouping Categories

Contract subgrouping categories represent different types of contracts, such as Capitated, Government, Non-government, and Medicare. For example, you could create a subgrouping named Medicare for all the Medicare contracts that are set up in your contract library. After you create the subgrouping categories, they display as selections in the Provider master file and the Contract library (on the Practice tab of the Add/Modify Provider Information window and on the General tab of Contract Library Maintenance window) where you can attach the contracts to providers and contract libraries. On the File Maintenance desktop, select Master Lists. The Master Lists List window opens. Select Contract Subgrouping. Do one of the following: To add a new item, select open menu button , and then select New. To modify an existing item, select the item in list, select open menu button , and then select Open. You can also double-click to open the item. The Add/Modify Contract Subgrouping Information windo

File Maintenance Help for NextGen® Enterprise 8

Assign Subgroupings to a Contract

By assigning subgroupings to a contract, you indicate the type of contract that it is. Note: You can create additional contract types in the Contract Subgrouping master list. Open a contract in the Contract Library Maintenance window. On the General tab, select the contract types in the Contract Subgrouping fields, and then select OK. Note: The field labels you see might be named differently. You can remove the subgroupings by selecting <none> in the Contract Subgrouping fields and select OK. Parent topic: Setup an Exception Through the Contract Library

File Maintenance Help for NextGen® Enterprise 8

Contract Subgrouping

You can use contract subgrouping to categorize contracts into groups for reporting purposes. In addition, you can assign all participating providers of a subgroup at one time when you attach a contract to a payer. The steps to using the contract subgroupings are: Define contract subgrouping categories in the Contract Subgrouping master list. Rename the subgrouping fields in Enterprise Preferences. Assign subgroupings to a contract (by using categories from step 1). Specify the contracts that a provider participates in (by using categories from step 1). These participating providers are automatically selected for a payer when the contract is attached to the payer in the Payer master file. Parent topic: Setup an Exception Through the Contract Library

File Maintenance Help for NextGen® Enterprise 8

Setting Up General Default Information for Enterprises

The following table describes the fields on the General tab in Enterprise Preferences: Field Description Provider Subgrouping 1 and Provider Subgrouping 2 These user-defined fields are used as labels for reports at the enterprise or provider level. These labels appear as field names on the System tab on the Add/Modify Provider Information window.The tab labels appear for various report filters , and as column headings on reports. For more information, go to the NextGen Healthcare Success Community and download the Reports User Guide for NextGen® Enterprise PM. Reason Code Subgrouping 1 and Reason Code Subgrouping 2 You can enter the labels that you want to use in report filters and report columns. These labels appear as field names, on the Reason Code Library Maintenance window.The tab labels appear for various report filters , and as column headings on reports. Location Subgrouping 1 and Location Subgrouping 2 You can enter the labels you want to use in report filters and report colum

Help Guide for NextGen® Enterprise PM 8

Contractual Analysis Report Columns

The following columns are available on the Contractual Analysis report: Column Name Description Data Populates From Prac Name Practice Name Practice associated with the patient's encounter Loc Name Service Location Name Encounter Maintenance Location SubGrp 1 Location Subgrouping 1 Note: Subgrouping name is from Enterprise Preferences > General Tab. Locations Master File Location SubGrp 2 Location Subgrouping 2 Note: Subgrouping name is from Enterprise Preferences > General Tab. Locations Master File Payer Name Payer Name Encounter Insurance Payer SubGrp 1 Payer Subgrouping 1 Note: Subgrouping name is from Enterprise Preferences > General Tab. Payers Master File Payer SubGrp 2 Payer Subgrouping 2 Note: Subgrouping name is from Enterprise Preferences > General Tab. Payers Master File Fin Class Financial Class Payers Master File Contract Contract Contract Library Contract Ex Contract Exception Contract Library Rendering Rendering Provider Charge Posting Provider SubGrp 1 Provider Subgrou

Rename the Subgrouping Field Labels

Recommendations

Attach Contract Subgroupings to a Provider

Define Contract Subgrouping Categories

Assign Subgroupings to a Contract

Contract Subgrouping

Setting Up General Default Information for Enterprises

Contractual Analysis Report Columns

Attach Contract Subgroupings to a Provider

Define Contract Subgrouping Categories

Assign Subgroupings to a Contract

Contract Subgrouping

Setting Up General Default Information for Enterprises

Contractual Analysis Report Columns