Set Up a SIM Pricing Region

File Maintenance Help for NextGen® Enterprise

Set Up a SIM Pricing Region

The SIM Pricing Regions library enables you to set prices based on geographical regions that vary by payer. The library contains a group of pricing regions, the Service Item library for each pricing region, and the specific locations that belong to each pricing region. Open File Maintenance and select Libraries > SIM Pricing Region. The Pricing Regions Library List window opens. Select the open menu button and then select New. The Add pricing Regions Library window opens. Enter a library name, and then from the open menu button, select New. Note: You can modify an existing region by selecting it from the list and making the required changes. The Add pricing Region window opens. Enter a name in the Pricing Region Description field, and then select a SIM library to use for the pricing region. Select open menu button and then select New. The Add Pricing Region Location window opens. Select a location, enter the effective and expiration dates, and then select OK. Note: You cannot attach th

NextGen® Enterprise EHR Help

Add SIM Items to a SIM Library

After you have created a SIM library, you need to add service items and pricing information to the library. Select File Maintenance > Libraries > Service Items. From the Service Items List window, select the library to update. The Service Item Library Maintenance window opens. Select the open menu and select New. The three service item fields turn red. In the CPT4 Code field, enter a CPT4® code from your list of service items and then select Enter. The details for that CPT4® Code appears. In the General tab, do the following: In Eff Date, enter the effective date. In Exp. Date, enter the expiration date. In Non-Facility Price, enter the non-facility price in dollars. In Facility Price, enter the facility price in dollars. If you have more items to add, select Enter and repeat steps 4 to 6 for all service items you wish to add. Select OK when you are finished adding all your service items. The service items that you added display in the left panel. Parent topic: Using Advanced Service I

NextGen® Enterprise EHR Help

Add SIM Items to a SIM Library

After you have created a SIM library, you need to add service items and pricing information to the library. Select File Maintenance > Libraries > Service Items. From the Service Items List window, select the library to update.The Service Item Library Maintenance window opens. Select the open menu and select New.The three service item fields turn red. In the CPT4 Code field, enter a CPT4® code from your list of service items and then select Enter. The details for that CPT4® Code appears. In the General tab, do the following: In Eff Date, enter the effective date. In Exp. Date, enter the expiration date. In Non-Facility Price, enter the non-facility price in dollars. In Facility Price, enter the facility price in dollars. If you have more items to add, select Enter and repeat steps 4 to 6 for all service items you wish to add. Select OK when you are finished adding all your service items. The service items that you added display in the left panel. Parent topic: Using Advanced Service Ite

File Maintenance Help for NextGen® Enterprise 8

Configure SIM Library

Open a SIM Pricing Template library. In the SIM Library Configurations section, select open menu button and then select New. The SIM Library Configuration Maintenance window opens. In the SIM Library Configuration Name field, enter a name for the configuration. Select Open Folder to select the SIM libraries you want to apply the configuration to Include/Exclude steps. If you want the SIM Library Configuration to be included in the SIM Pricing Template BBP - Auto Update job in the NextGen BBP application, select the Send to BBP check box. If you want the update to insert new service items to a library when they do not currently exist, select the Add items from SIM Pricing Template to SIM libraries if they do not exist check box. New rows will be added. If the check box is cleared, existing service items will be updated and no new items will be added. In the Filter Criteria section, enter attributes that limit which SIMs that File Maintenance updates. All SIMs that meet the requirements

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

NextGen® Enterprise EHR Help

Assign Default SIM Pricing Region Libraries to Payers

If Advanced Service Item Mode is enabled and SIM Pricing Region libraries are defined, you can assign the libraries to payers. Select File Maintenance > System > Payers. Double-click a payer. The Modify Payer Information window opens. Under Payer-Defaults-1 tab, in the Pricing Regions Library field, select a SIM Pricing Region Library. Select OK. Parent topic: SIMs Groups in the Orders Tests Master File

Set Up a SIM Pricing Region

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