Auto Balanced Batch Column on the ERA Import Posting Report

Help Guide for NextGen® Enterprise PM 8

Resolving Line Item-Related ERA Errors

The ERA messages outlined below are related to those line items listed on the encounter that the ERA payment is posting against. There are two types of line item related ERA messages: The primary error ERA message This type of message indicates the exact line item on the encounter that caused the ERA posting process for the encounter to be unsuccessful. The secondary ERA message This type of message displays for any line item following the primary error. Because the ERA posting process was stopped due to the primary error, these line items are not processed. Note: Once the line item payments post, a "Line Item successfully posted" message displays. If NextGen® Enterprise PM finds any existing payments for a payer, this message indicates that secondary payments were also found during posting. The following table outlines each of the primary error ERA messages and the associated secondary ERA messages, a description of why the primary and secondary ERA message may have occurred, and the

Help Guide for NextGen® Enterprise PM 8

Bundled Payments

For bundled payments, the ERA Import Posting report functions as described below: If an Encounter Level Payment Distribution method is not selected in the Remittance Profile library, the ERA Import Posting report displays the following message: "Bundled payment was not posted because Encounter Level Distribution method was not enabled in the Remittance Profile". Note: The ERA Posting process cannot post bundled payments unless an Encounter Level Payment Distribution method has been selected in the Remittance Profile. If the claim is UB/837I and no claim was found for the encounter of the NU bundled payment, the ERA Import Posting report displays the following message: "Bundled payment was not posted because no claim was identified for this encounter". If the claim is UB/837I and no match was found for the NU bundled payment, the ERA Import Posting report displays the following message: "Bundled payment was not posted because no charge match was found for this revenue code". If the clai

Help Guide for NextGen® Enterprise PM 8

Reading the ERA Import Posting Report

After you have completed the ERA Posting process, the ERA Import Posting report generates. Overall, the report is a complete audit of the ERA 835 file and is grouped by unsuccessful and successful entries. NextGen® Enterprise PM does not, however, report provider level adjustments. The report is sorted by practice with the ERA payments that did not post successfully listed first, followed by all the ERA payments that posted successfully. An ERA message displays in the Description column of the report next to each line item as an indicator for why the ERA claim payment did or did not post against the encounter information. Each of these messages applies to ANSI file formats. The transaction level Reason Codes that are distributed to service lines display on the report, along with their descriptions. Note: The ERA Import Posting report detects and rejects an ERA transaction with a denial reason code and total transaction amount that is not $0.00. Resolving Encounter-Related ERA Errors On

Help Guide for NextGen® Enterprise PM 8

Batch Posting for ERA

The following is a list of columns from the Batch Posting window in NextGen® Enterprise PM and their descriptions: Column Description Unnamed Displays an icon to indicate whether a batch is active or inactive . Transaction activity is recorded in the active batch. BBP Displays a green check mark to indicate that the batch has been flagged and will be automatically posted by the NextGen® Background Business Processor once it has been balanced. Date Displays the date when the ERA batch was created. ID Displays batch ID. The first batch of the day is assigned the ID 0001. Additional batches you create the same day are assigned sequential ID numbers (0002, 0003). The numbers restart at 0001 every day. Description Displays the batch name. You can edit the description in the Batch Maintenance window. Members Displays the number of transactions (payments and adjustments) in the Posted section of the ERA Import Posting report. Transactions that have not been posted are not included in this cou

File Maintenance Help for NextGen® Enterprise 8

Reversals and Corrections Tab - Options and Settings

You can use the following list of options and descriptions to make settings on the Reversals and Corrections tab in your Remittance Profile. Option Description Reversals and Corrections These options define business rules for ERA reversal and correction transactions imported into NextGen® Enterprise PM. Do not post adjustments that increase the balance (negative adjustments) Prevents negative adjustments that will increase a balance from being posted and added to the batch when the ERA file is processed. They display on the ERA Import Posting report as “Not Posted”. This allows you to follow-up to ensure the adjustment amounts are correct. Do not post reversals (negative payments) Prevents negative payments that will increase a balance from being posted and added to the batch when the ERA file is processed. They display on the ERA Import Posting report as “Not Posted”. This allows you to follow-up to ensure the payment amounts are correct. Force line item credit balances from a correct

Help Guide for NextGen® Enterprise PM 8

Reversals and Corrections Tab - Options and Settings

You can use the following list of options and descriptions to make settings on the Reversals and Corrections tab in your Remittance Profile. Option Description Reversals and Corrections These options define business rules for ERA reversal and correction transactions imported into NextGen® Enterprise PM. Do not post adjustments that increase the balance (negative adjustments) Prevents negative adjustments that will increase a balance from being posted and added to the batch when the ERA file is processed. They display on the ERA Import Posting report as “Not Posted”. This allows you to follow-up to ensure the adjustment amounts are correct. Do not post reversals (negative payments) Prevents negative payments that will increase a balance from being posted and added to the batch when the ERA file is processed. They display on the ERA Import Posting report as “Not Posted”. This allows you to follow-up to ensure the payment amounts are correct. Force line item credit balances from a correct

Auto Balanced Batch Column on the ERA Import Posting Report

Recommendations

Resolving Line Item-Related ERA Errors

Bundled Payments

Reading the ERA Import Posting Report

Batch Posting for ERA

Reversals and Corrections Tab - Options and Settings

Reversals and Corrections Tab - Options and Settings

Resolving Line Item-Related ERA Errors

Bundled Payments

Reading the ERA Import Posting Report

Batch Posting for ERA

Reversals and Corrections Tab - Options and Settings

Reversals and Corrections Tab - Options and Settings