Cost Estimation for a Person

Help Guide for NextGen® Enterprise PM 8

Cost Estimation for a Patient

In NextGen® Enterprise PM, a patient is a record that has a chart created in the practice and is denoted by . A chart includes the clinical and financial details related to the patient's encounters in the practice. A person can become a patient in the practice when a chart is created for the person. A patient record that has an account in the practice is denoted by . You can search for and find a patient in the practice on the Patient Lookup window. You can open the Patient Lookup window by selecting Chart on the toolbar or selecting Tasks > Lookup > Charts. You can use the search criteria to find the desired patient. To open the Estimate Patient Cost window, you can right-click the specific patient and select Estimate Patient Cost. If you initiate cost estimation for a patient using the Patient Lookup window, the following information is displayed. Demographic information of the person or patient and the guarantor All active and unhidden insurances Parent topic: Estimating Patient Cos

Help Guide for NextGen® Enterprise PM 8

Generate Cost Estimation

The default information appearing on the Estimate Patient Cost window depends on the source of the cost estimation. You can specify the necessary data such as provider information, service location, service type, service items, and units of service items required for estimating cost. Additionally, you can keep notes and assign diagnosis codes. In NextGen® Enterprise PM, select Est Patient Cost on the toolbar. The People Lookup window opens. Double-click to select a person. The Modify Person Information window opens. You can make necessary changes to the person record and then select Ok. The Estimate Patient Cost window opens for the selected person or patient. On the Estimate Patient Cost window, to select the payer in the Payer Selection section, do one of the following: Note: Payer Selection is a required field. If the person or patient wants to use insurance coverage for the services, select a payer from the list. Note: You can select only one payer from the list. If you select a pa

Help Guide for NextGen® Enterprise PM 8

Cost Estimation for an Encounter

You can estimate the patient cost for an encounter with any status such as Bad Debt, Billed, History, In Progress, Rebill, or Unbilled. Encounters with or without SIM codes are considered for cost estimation. If you want to open the Estimate Patient Cost window from the Encounter Lookup window, do the following: To open the Encounter Lookup window, you can select Encounter on the toolbar or select Tasks > Lookup > Encounters from the menu. You can find the specific encounter using the search criteria. You can then right-click the encounter and select Estimate Patient Cost from the menu. If you want to open the Estimate Patient Cost window from the Encounters tab on the Patient Chart window, do the following: You can select Chart on the toolbar to open the Patient Chart window. On the People Lookup window that opens, find and select the patient. On the Encounters tab of the chart, you can right-click an encounter number from the list and select Estimate Patient Cost from the menu. By de

Help Guide for NextGen® Enterprise PM 8

Estimating Patient Cost

In NextGen® Enterprise PM, the Estimate Patient Cost window enables you to specify the inputs required for calculating the patient and insurance responsibility amounts for services planned or rendered. You can initiate cost estimation from: The People Lookup window for a person. The Patient Lookup window for a patient. The Appointment Lookup window or the appointment book for an appointment or event. The Encounter Lookup window or the Encounters tab on the Patient Chart window for an encounter. The Estimation Results in the Clinical History/Notes tab on the Patient Chart window. When you initiate the cost estimation, the Estimate Patient Cost window opens: Every time you specify and submit data on the Estimate Patient Cost window, a new cost estimation record will be created with a unique cost estimation ID. Multiple cost estimates can be created for one person, patient, appointment, or encounter. Estimate Patient Cost Fields Details are provided for the fields that define the distribu

NextGen® Enterprise EHR Help

Identifying Persons and Patients

Identifying Persons and Patients Identifying Persons and Patients NextGen® Enterprise EHR and NextGen® Enterprise PM store information for both patients and non-patients. All persons and patients have a demographics record that includes non-clinical information, such as name, date of birth, address, and phone number. Additionally, all patients have a chart that includes clinical and financial information related to their encounters in the practice. When you open NextGen® Enterprise EHR or NextGen® Enterprise PM, the following visual indicators help you to easily identify and distinguish a person from a patient. A chart icon denotes a patient in the practice. When you perform a person or patient lookup by selecting a patient from the search results, the patient's chart opens. A globe icon denotes a person who is not a patient in the practice. When you perform a person lookup by selecting a person from the search results, the Modify Person Information window opens. A person can be an ind

Help Guide for NextGen® Enterprise PM 8

Identifying Persons and Patients

Identifying Persons and Patients Identifying Persons and Patients NextGen® Enterprise EHR and NextGen® Enterprise PM store information for both patients and non-patients. All persons and patients have a demographics record that includes non-clinical information, such as name, date of birth, address, and phone number. Additionally, all patients have a chart that includes clinical and financial information related to their encounters in the practice. When you open NextGen® Enterprise EHR or NextGen® Enterprise PM, the following visual indicators help you to easily identify and distinguish a person from a patient. A chart icon denotes a patient in the practice. When you perform a person or patient lookup by selecting a patient from the search results, the patient's chart opens. A globe icon denotes a person who is not a patient in the practice. When you perform a person lookup by selecting a person from the search results, the Modify Person Information window opens. A person can be an ind

Cost Estimation for a Person

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