If a patient has multiple same day encounters for the same encounter rate payer, the setting for Multiple Patient Encounters per Day in the Encounter Rate Billing library on the General tab determines how the encounters are handled during the billing process in NextGen® Enterprise PM.
- PM Selection: If selected in the library, the system automatically changes the Billing Status on the first same day/same payer encounter identified during the billing process from Undecided to Multi Yes. A claim is created for the Multi Yes encounter. The Billing Status on other same day/same payer encounters remains as Undecided and claims are suppressed from being created.
Note: The Suppress claim for multiple same-day encounters option must be enabled on the Primary Encounter Rate tab of the Encounter Rate Billing library .
- Manual Selection: If selected in the library, users must determine which encounter should be billed and create a claim. After the billing process runs, the Billing Status on same day/same payer encounters remains as Undecided. The user then reviews and manually changes each encounter to either Multi Yes or Multi No. When the encounters go through the billing process again, a claim is created for the Multi Yes encounter. Claims are suppressed from being created for other same day/same payer encounters that were flagged as Multi No.
Note: The Suppress claim for multiple same-day encounters option must be enabled on the Encounter Rate Billing library on the Primary Encounter Rate tab.
- PM Select All: If selected in the library, the system automatically changes the Billing Status on all same day/same payer encounters identified during the billing process from Undecided to Multi Yes. A claim is created for all Multi Yes encounters.
