Basic Anesthesia Billing

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM can be setup and used by practices that must meet specific requirements on professional claims for anesthesia services that occur at the same time, or concurrently. Concurrency billing is typically used when the practice submits 837P/1500 claims for numerous anesthesia procedures that are administered in a hospital surgery department setting by Anesthesiologists and medically directed Certified Registered Nurse Anesthetists (CRNA). An Anesthesiologist can personally administer anesthesia to a patient. They can also oversee the administration of anesthesia by Certified Registered Nurse Anesthetists (CRNA) and Anesthesiologist Assistants (AA). When an anesthesiologist oversees up to four concurrent cases, it is considered "medical direction". In NextGen® Enterprise PM, an Anesthesia Concurrency Audit process is run prior to billing and creating claims. The audit looks at encounters with charges that were rendered by anesthesia prov

Help Guide for NextGen® Enterprise PM 8

Billing and Collections

Billing and collections in NextGen® Enterprise PM includes the following processes: Posting charges Processing charges from NextGen® Enterprise EHR Billing and rebilling encounters and invoices with charges Posting charges from rosetta Generating statements A/R collections and follow-up Setting up budget plans Processing encounters to bad debt Collections For more information about the setup and functionality of the types of billing based on specialty, go to NextGen Healthcare Success Community and download the following user guides: Anesthesia Billing User Guide for NextGen® Enterprise PM Behavioral Health Billing User Guide for NextGen® Enterprise PM Community Health Centers User Guide for NextGen® Enterprise PM Community Health Centers include the following types of billing: Encounter Rate Billing Roll-Up Billing Dental Billing Anesthesia Billing Behavioral Health Billing Charge Posting Overview You can enter or modify Charges on the Charge Posting window. Parent topic: Billing

Help Guide for NextGen® Enterprise PM 8

The Billing Process

The billing process in NextGen® Enterprise PM takes encounters that are in Unbilled or Rebill status and runs those encounters through a claim edits process. Any encounter that passes the claim edits gets a pending claim created that can be printed or exported and then submitted to insurance for payment. You can run the billing process for an individual encounter on demand, or for multiple encounters in a batch. Billing an Individual Encounter You can bill an individual encounter. Bill Multiple Encounters (Batch Billing) You can bill multiple encounters on the Encounter Lookup window. Billing In Progress Encounters You can bill In Progress encounters after converting an In Progress encounter to an Unbilled encounter. Billing Anesthesia Encounters You can bill anesthesia encounters in File Maintenance. Recurring Rental Billing You can enable Recurring Rental Billing in NextGen® Enterprise PM. Parent topic: Billing

Help Guide for NextGen® Enterprise PM 8

Dental Billing

This section provides information on dental billing for Health Centers that perform dental services. Specific setup in File Maintenance is required so that dental charges can be entered on encounters and then billed to dental payers on either 1500, ADA or UB claim forms. The type of claim form generated is determined by the setup for each dental payer. The following claim formats are supported in NextGen® Enterprise PM: 1500: Electronic 837PPaper CMS 1500 Form (2012) ADA: Electronic 837D Paper ADA Form (2024) UB: Electronic 837IPaper UB04 Form (2004) Dental billing in NextGen® Enterprise PM involves the following setup in File Maintenance: Practice Preferences Code Tables CPT4 Codes SIM library Claim Edits library Claim Printing library Transaction Codes Payers Set Up Practice Preferences for Dental Billing View Code Tables for Dental Billing Service Items Library for Dental Billing Claim Edits for Dental Billing Claim Printing Library for ADA Claims Payers Master File for Dental Billi

Help Guide for NextGen® Enterprise PM 8

Setting Up Basic Anesthesia Billing

Basic Anesthesia Billing in NextGen® Enterprise PM involves setup in the following areas in File Maintenance: Service Items Library Payers Master File Claim Modifiers Library Submitter Profiles Library (electronic claims) Claim Printing Library (paper claims) Practice Preferences Service Items for Anesthesia Billing Payers for Anesthesia Billing Claim Modifiers Library Submitter Profile Options for Anesthesia Billing Claim Printing Library Options for Anesthesia Billing Practice Preferences Options for Anesthesia Billing Parent topic: Basic Anesthesia Billing

Help Guide for NextGen® Enterprise PM 8

Practice Preferences Options for Anesthesia Billing

Whether using Basic Anesthesia Billing or Anesthesia Concurrency Billing in NextGen® Enterprise PM, the following anesthesia-related options are available in Practice Preferences: Single Base Unit Anesthesia Charge per Encounter Anesthesia Units to Follow Primary Claim In Progress Billing Status Single Base Unit Anesthesia Charge per Encounter Anesthesia Units to Follow Primary Claim In Progress Billing Status Parent topic: Setting Up Basic Anesthesia Billing

Basic Anesthesia Billing

Recommendations

Anesthesia Concurrency Billing

Billing and Collections

The Billing Process

Dental Billing

Setting Up Basic Anesthesia Billing

Practice Preferences Options for Anesthesia Billing

Anesthesia Concurrency Billing

Billing and Collections

The Billing Process

Dental Billing

Setting Up Basic Anesthesia Billing

Practice Preferences Options for Anesthesia Billing