Balancing Charges Entered to Fee Tickets

Help Guide for NextGen® Enterprise PM 8

Daily Reports

The Daily reports provide the ability to run reports with full detail. These reports have “drill-down” functionality that enables you to double-click on a record to view or edit its details. The daily Adjustments, Payments, and Refunds reports can be generated By Encounter or By Line Item. These options relate to how the Financial Class and Payer information logic works on the reports. By Encounter: Charges and transactions are attributed to the primary payer on the encounter. For example, if a patient has Medicare primary and Blue Cross secondary, then charges are reported as Medicare, and all transactions posted against those charges are also reported as Medicare. By Line Item: Charges are attributed to the primary payer on the encounter, and transactions are attributed to the actual payer. For example, if a patient has Medicare primary and Blue Cross secondary, then charges are reported as Medicare, all Medicare transactions are reported as Medicare, and all Blue Cross transactions

Help Guide for NextGen® Enterprise PM 8

Daily Charges Report

The Daily Charges report is a line item report of daily charges by service item. This report is sorted based on location name, Encounter/Invoice number, and service item. Totals are for charge amount, with a subtotal for each location, and grand total of all locations. You can total the Count column of the Daily Charges report using the Totals tab on the Report Filter. Since the Count column is the Quantity of SIMS per charge, this gives you the total number of units for all charges. This sum can then be compared and matched to the sum of all charges on the Monthly Provider Productivity by RVU, the Service Item Summary with Extended Amount and Transactions, and the Transaction Summary reports. NextGen Healthcare recommends that you only choose one of the Filter 1 date ranges (create date, process date, or service date) to generate a meaningful report. To show the process date, be sure to specify the Process Date rather than the create date on the Filter 1 tab. The Charge report should

Help Guide for NextGen® Enterprise PM 8

Transactions by Line Item Summary Report

The Transactions be Line Item Summary report breaks each rendering provider's transaction into adjustments, payments, and refunds. It also shows the extended charge amount for each provider. It is sorted by practice, location name, and rendering provider. Totals are for count (how many of each) of each transaction type (adjustment, payment, refund), and total dollars for each transaction type, with a subtotal for each rendering provider, subtotal for each location and grand total of all locations for each practice. NextGen Healthcare recommends that you only choose one of the Filter 1 charge date ranges (create date, process date, or service date), and only one (if any) transaction-type date to generate a meaningful report. The counts and totals for adjustments, payments and refunds in the Transaction Summary report should balance to the Transaction Summary With Transaction Code report. In addition, each transaction column should balance to the corresponding Daily report, provided the

Help Guide for NextGen® Enterprise PM 8

Service Item Summary - Extended Amount and Transactions Report

This charge-based report retrieves all charges that fall into a selected date range. It then brings over all (or date-specified) transactions attached to those charges such as adjustments, payments, and refunds. It is sorted by practice, location name, and service item. To access the report in NextGen® Enterprise PM, select the Reports menu and select Monthly, then select Service Item Summary, and then select Extended Amount and Transactions. Note: This report can be enabled to use enhanced reporting functionality. For more information, see Enhanced Reports in NextGen® Enterprise PM. From the Report Filter window, select the Info button to view the following information about the report: Logic: All charges and transactions are tracked to the primary payer on the encounter. All transactions are tracked back to the original charge: If only a charge date range is entered; all charges within the specified date range are displayed and all transactions associated to those charges, regardless

Help Guide for NextGen® Enterprise PM 8

Payments by Line Item Report

The Payments by Line Item report is a line item report that displays all transactions that have payments made to them. The report is sorted by: Location name Posting date Batch date Batch number Totals are for payment amount, with a subtotal for each posting date within each location, subtotal for each location, and grand total of all locations. NextGen Healthcare recommends that you only choose one of the Filter 1 date ranges (posting date, process date, or transaction date) to generate a meaningful report. To show the process date, specify the Process Date rather than the Create Date on the Filter 1 tab. The Daily Adjustments, Payments and Refunds Reports balances to the Monthly Transaction reports. They do not balance to the adjustments, payments and refunds columns in the Monthly Service Item Summary report. This is because the Daily reports show unapplied amounts, while the Monthly Service Item report does not. Also, the Service Item Summary report is a charge-based report and onl

Help Guide for NextGen® Enterprise PM 8

Troubleshooting Balancing Issues

If your reports do not balance, there are several steps you should take to troubleshoot the possible causes. Run the System Data Maintenance Reports: Certain errors found on this report specifically state, “This affects reporting” and should be forwarded to NextGen Healthcare client support for assistance in resolving the error. Encounter vs. Invoice: Charges entered on Encounters and charges entered on Invoices report differently on various reports. Check that both Encounters and Invoices are included on each report. Date Filtering: When balancing multiple reports, make sure the date filter on the Filter1 tab is consistent on each report. For example: Create Date, Service Date, Process Date, Transaction Date, Post Date. Charge Process Date and Batch Process Date Override: If users have security to override the Process Date on charges and/or transactions, it is possible that dates were overridden inadvertently. Auto-Adjustments (from Contracts and Sliding Fee Schedules): Auto-adjustmen

Balancing Charges Entered to Fee Tickets

Recommendations

Daily Reports

Daily Charges Report

Transactions by Line Item Summary Report

Service Item Summary - Extended Amount and Transactions Report

Payments by Line Item Report

Troubleshooting Balancing Issues

Daily Reports

Daily Charges Report

Transactions by Line Item Summary Report

Service Item Summary - Extended Amount and Transactions Report

Payments by Line Item Report

Troubleshooting Balancing Issues