Encounter Mode Authorizations

A payer can provide an authorization for the patient to have a specific number of encounters, and those encounters may occur within a date range defined by the payer. This type of authorization is entered in NextGen® Enterprise PM using Encounter Mode.

From the Authorization Code Tracking window, you can enter an Encounter Mode authorization with the following information:

• Authorization code (required)
• Effective and expiration dates (required)
• Number of encounters authorized
• Rendering provider
• Location
• Provider specialty
• Free-text description
• Valid ICD codes
• Valid CPT4 codes
• Additional administration information
• Additional free-text notes

On the Authorization Code Tracking window for an existing authorization, you can view Encounters Utilizing This Authorization and Appointments Pending This Authorization. These sections do not appear when you enter a new authorization.