Balancing through Reports

Report	Balances To
Daily Adjustments	Adjustments column in Transaction Summary Transaction Detail, if you select out all the Adjustments Transaction Codes
Daily Charges	Charge column in Service Item Summary with Extended Amount Charge column in Transaction Summary
Daily Payments	Payments column in Transaction Summary Transaction Detail, if you select out all the Payment Transaction Codes
Daily Refunds	Refunds column in Transaction Summary Transaction Detail, if you select out all the Refund Transaction Codes
Service Item Summary with Extended Amount	Charge column to Daily Charges Charge column to charge column of the Transaction Summary
Transaction Detail	Final total should balance to the sum of Daily Adjustments, Payments and Refunds Final total should balance to the sum of the transaction columns in the Transaction Summary report. Select specific Transaction codes and balance to the corresponding column from the Transactions Summary report. Or, balance to the daily transaction reports.
Aging Analysis By Encounter	Aging Analysis By Line Item, Account Summary, Insurance Detail, Insurance Summary. Run the report for the previous month end using the Process Date. Run the Daily Charges, Adjustments, Payments and Refunds for the current month. Add the totals together. Then, run this report for the current month end; the totals should balance.

Help Guide for NextGen® Enterprise PM 8

Balancing Reports

You can balance reports to each other to periodically balance charges, adjustments, payments, and accounts receivable. You must use the same filter criteria when balancing two reports. If using dates, you must use the same type of dates (for example, charge posting vs. charge create) and the same date ranges. Report Balances To Daily Adjustments Adjustments column in Transaction Summary Transaction Detail, if you select all the Adjustments Transaction Codes Daily Charges Charge column in Service Item Summary with Extended Amount Charge column in Transaction Summary Daily Payments Payments column in Transaction Summary Transaction Detail, if you select all the Payment Transaction Codes Daily Refunds Refunds column in Transaction Summary Transaction Detail, if you select all the Refund Transaction Codes Insurance Aging Analysis Aging Analysis by Encounter, Aging Analysis (Categories) by Line Item, Insurance Aging Analysis – Age Responsible Balances Only Report Monthly Charges in A/R Dail

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

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

Column Filters in Service Item Summary - Transaction Source Report

Use the following parameters in the Filter 1 section to filter the data on the report: Charge Create Date: Include charges with a Create Date within a date range. Charge Process Date: Include charges with a Process Date within a date range. Charge Service Date: Include charges with a Service Date within a date range. Outsource Date: Include line items outsourced within a date range. Transaction Post Date: Include transactions with a Post Date within a date range. Transaction Process Date: Include transactions with a Process Date within a date range. Transaction Date: Include transactions with a Transaction Date within a date range. Charge Type: Include/exclude charges by type. Select Encounter and/or Invoice. Unposted Transactions: Include/exclude unposted transactions. Select either Only or Exclude (default). Slide %: Include line items where the Sliding Fee adjustment is within a percentage range. Outsource: Include/exclude outsourced line items. Select either Only, Exclude, or Inclu

Help Guide for NextGen® Enterprise PM 8

Transactions by Encounter Summary Report

The Transactions by Encounter Summary report is a report identifying the primary payer of the encounter as the payer for the transaction. The primary payer attached to the encounter displays on the report regardless of the actual payer. To access the report in NextGen® Enterprise PM, select the Reports menu and select Monthly, then select Transactions, then select By Encounter, and then select Summary. From the Report Filter window, select the Info button to view the following information about the report: Logic: Charges and Transactions display under the primary payer/financial class on the encounter. Charges are reported based on the dates specified in Filter 1. Transactions are reported based on the dates specified in Filter 1, regardless of when the associated charge was processed. Account and Budget payments/adjustments will report under an ‘Unknown’ payer/financial class. If no line item data is selected in the columns tab, the report will ‘roll up’ to the highest level. In other

Help Guide for NextGen® Enterprise PM 8

Monthly Reports

The Monthly reports provide summarized data to the lowest common denominator. Selecting fewer columns provides a shorter, more summarized report. These reports do not have “drill-down” functionality that enables you to double-click on a record to view or edit its details. The monthly Transaction Summary and Transaction Summary with Transaction Code 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 cha

Balancing through Reports

Recommendations

Balancing Reports

Transactions by Line Item Summary Report

Daily Reports

Column Filters in Service Item Summary - Transaction Source Report

Transactions by Encounter Summary Report

Monthly Reports

Balancing Reports

Transactions by Line Item Summary Report

Daily Reports

Column Filters in Service Item Summary - Transaction Source Report

Transactions by Encounter Summary Report

Monthly Reports