Force the Secondary Claim to Bill to the Primary Claim Provider

Help Guide for NextGen® Enterprise PM 8

Force the Secondary Claim to Bill to the Primary Claim Provider

When you are using Supervisor Billing for a provider and the patient has two payers, you can set the application to force the secondary claim to bill the payer for the same provider (the supervisor) that the primary claim bills for. You can set the option to force the secondary claim to bill the primary claim provider in the master file for the payer. In File Maintenance, select Master Files > Payers > Practice > Other. Enable the Force rendering provider from primary claim as rendering on secondary claim check box. Parent topic: Generating Secondary Electronic Claims

File Maintenance Help for NextGen® Enterprise 8

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

File Maintenance Help for NextGen® Enterprise

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Supervisor Billing

You can create encounters that require that a supervisor is billed instead of a mid-level rendering provider. To set up this type of billing, you must do the following: Supervisor Billing is enabled by default for all payers, but you can disable it for payers that do not need it. Enable supervisor billing so that a supervisor is always required for a specific provider at the current practice. If necessary, enable or disable supervisor billing in the specific payer rows in the provider master file. The payer row setting overrides the practice-level setting on the Practice tab for just that provider/payer combination. The payer-level settings are available for payer rows at either the Default location (which will apply to all locations) or a specific location (which will only apply for that location). Make the Supervisor field available on the Encounter Maintenance window in NextGen® Enterprise PM. Disable Supervisor Billing for a Payer Enable Supervisor Billing at the Provider/Practice

Force the Secondary Claim to Bill to the Primary Claim Provider

Recommendations

Force the Secondary Claim to Bill to the Primary Claim Provider

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Supervisor Billing

Force the Secondary Claim to Bill to the Primary Claim Provider

Force the Secondary Claim to Bill to the Primary Claim Provider

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Enable Supervisor Billing at the Provider/Practice Level

Supervisor Billing