NextGen Knowledge Center

Enter an Encounter-Level Narrative for an ER SIM Code

If the Encounter Rate Library for the payer is setup to insert the ER SIM into encounter maintenance, then the ER SIM automatically inserts on the Encounter Rate sub-tab on the Billing & Collections tab of the Encounter Maintenance window when the encounter is billed.

An encounter-level narrative can be manually entered for an Encounter SIM either before or after the encounter is billed.

  1. Access Patient Chart for the desired patient.
  2. Select the Encounters tab.
  3. Double-click to open the desired encounter.
    The Encounter Maintenance window appears.
  4. Select the Billing & Collections tab, and then the Encounter Rate sub-tab.
  5. In the Narrative field for the primary, secondary or tertiary encounter rate payer, enter a free-text comment for the ER SIM. The maximum is 80 characters.
  6. If the encounter is in Unbilled status prior to entering the narrative, select OK to save changes and close the window.
  7. If the encounter is in Billed status prior to entering the narrative, you get a prompt asking if you want to flag the charge to be rebilled.
  8. Select one of the following:
    • To rebill the encounter, select Yes.

      If the Encounter Rate library for the payer is setup to insert the ER SIM as a charge on the Charge Posting window, then the ER SIM charge line is flagged to bill with a green check mark in the R (Release to Bill) column in Balance Control for the corresponding COB. The encounter status changes to Rebill.

      If the Encounter Rate library for the payer is setup to insert the ER SIM on the Encounter Maintenance window, then the first charge line is flagged to bill with a green check mark in the R (Release to Bill) column in Balance Control for the corresponding COB. The encounter status changes to Rebill.

    • To not rebill the encounter, select No.
    To save changes and close the window, select OK.