Transaction Codes

File Maintenance Help for NextGen® Enterprise 8

CPT4 Codes

The NextGen® Enterprise applications come pre-loaded with CPT4 codes that have descriptions you can modify. You can also add new CPT4 codes that contain up to nine characters. When you use modifiers, you can then set up variable charges in the Service Item Maintenance and in the Contract Library Maintenance windows for the same procedure code with or without modifier codes. You can generate CPT4 Codes Master report from the CPT4 Codes master file. For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a CPT4 Code CPT4 Codes Greater than 5 Digits Parent topic: Master Files - System

File Maintenance Help for NextGen® Enterprise 8

Diagnosis Categories

The Diagnosis Categories master file enables you to group diagnosis codes into a category that you define. The categories provide flexibility by allowing: Administrators to restrict which practices have access to the diagnosis categories. Administrators to specify that a diagnosis category is only for use by NextGen® Enterprise EHR, NextGen® Enterprise PM, or both. Administrators to associate a provider with one or more diagnosis categories in the Categories tab of the Providers master file. Users to generate reports based on a pre-defined list of diagnosis codes. Diagnosis Categories Search Assign Access to Practices for Diagnosis Categories Parent topic: Master Files - System

File Maintenance Help for NextGen® Enterprise 8

Transaction Code Types

Transaction codes can be created for: Payments Adjustments Refunds Default Transaction Codes Default transaction codes can be assigned to payers in the Payers master file, practices in the Practices master file, and contracts in the Contracts library. It is recommended that you do not modify the transaction codes used in the Transactions Practice Preferences, except for the descriptions. Their descriptions can be changed to meet the needs of your practice. Parent topic: Transaction Codes

File Maintenance Help for NextGen® Enterprise 8

Tran Codes Practice Preferences

The Tran Codes practice preferences enable you to select Default Transaction Codes that are used when entering patient payments and adjustments from the Payment Entry window in NextGen® Enterprise PM. In addition, you can select System Generated Transaction Codes that are used when working with unapplied credits, pre-listing encounters for bad debt, voiding charges, and correcting encounter offsetting balances in NextGen® Enterprise PM. Tran Codes Practice Preferences Descriptions Parent topic: Practice Preferences

File Maintenance Help for NextGen® Enterprise 8

Tran Codes Practice Preferences Descriptions

The following table describes the fields in Tran Codes practice preferences. Default Transaction Codes Field Description Patient Cash Do one of the following: Select a transaction code to default to the Pay Code field on the Payment Entry window when users enter encounter-level patient payments. Leave this field blank to require users to select the appropriate code during payment entry. Note: The code must be setup in the Transaction Codes master file as follows: Type = Payment; Source = Patient; Sign Type = Negative. Patient Adjustment Payment Entry Account Cash Do one of the following: Select a transaction code to default to the Pay Code field on the Payment Entry window when users enter account-level patient payments. Leave this field blank to require users to select the appropriate code during payment entry. Note: The code must be setup in the Transaction Codes master file as follows: Type = Payment; Source = Patient; Sign Type = Negative. Account Adjustment Do one of the following

Help Guide for NextGen® Enterprise PM 8

Add or Modify Transaction Codes for Encounter Rate Billing

Transaction codes can be used in the Encounter Rate Billing library to auto-adjust charges for payers using encounter rate billing. Having unique transaction codes assists in differentiating encounter rate adjustments from other types of adjustments on the UDS report. It also assists in either including or excluding encounter rate adjustments on financial reports in NextGen® Enterprise PM. If encounter rate billing is used for more than one payer, create a separate transaction code for each payer. For example: Medicare Enc Rate Adjustment Medicaid Enc Rate Adjustment To add or modify a transaction code for encounter rate billing, do the following: Access File Maintenance. Select System Master Files, then PM, and then Transaction Codes. The Transaction Codes List window opens. Do one of the following: To add a transaction code, select Open Menu and select New. To modify a transaction code, select the code from the list, and then select Open Menu and select Open. The Add/Modify Transacti

Transaction Codes

Recommendations

CPT4 Codes

Diagnosis Categories

Transaction Code Types

Tran Codes Practice Preferences

Tran Codes Practice Preferences Descriptions

Add or Modify Transaction Codes for Encounter Rate Billing

CPT4 Codes

Diagnosis Categories

Transaction Code Types

Tran Codes Practice Preferences

Tran Codes Practice Preferences Descriptions

Add or Modify Transaction Codes for Encounter Rate Billing