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General Tab of Contract Library Maintenance
The
General
tab of
Contract Library Maintenance
window consists of the following sections:
Contract Information
Contract Defaults
Alerts and Edits
Allowed and FFS/Balance Distribution
Automatic Adjustments
Contract Information
Contract Defaults
Alerts and Edits
Allowed and FFS/Balance Distribution
Automatic Adjustments
General Tab of Contract Library Maintenance
Help Guide for NextGen® Enterprise PM 8
Access Contract Library Maintenance
Access the Contract Library Maintenance window, to create contract defaults, such as co-payments, deductibles, and physician referrals and authorizations. In File Maintenance, select Libraries and then Contract. The Contracts List window opens. Double-click the applicable library. The Contract Library Maintenance window opens. General Tab of Contract Library Maintenance Parent topic: Contracts Library
File Maintenance Help for NextGen® Enterprise 8
General Tab of Contract Library Maintenance
The General tab of Contract Library Maintenance window consists of the following sections: Contract Information Contract Defaults Alerts and Edits Allowed and FFS/Balance Distribution Automatic Adjustments Contract Information Contract Defaults Alerts and Edits Allowed and FFS/Balance Distribution Automatic Adjustments Parent topic: Access Contract Library Maintenance
File Maintenance Help for NextGen® Enterprise 8
Access Contract Library Maintenance
Access the Contract Library Maintenance window, to create contract defaults, such as co-payments, deductibles, and physician referrals and authorizations. In File Maintenance, select Libraries and then Contract. The Contracts List window opens. Double-click the applicable library. The Contract Library Maintenance window opens. General Tab of Contract Library Maintenance Activate and Assign a Payer to a Practice You can limit a practice's access to certain Payers master files. Add or Modify a Contract Set Up a Fee Schedule for Contract Payers Modifier Reimbursement Tab Multiple Procedure Discounting Tab Payer/Provider Tab Contract Exceptions Parent topic: Contracts Library
File Maintenance Help for NextGen® Enterprise 8
Payer/Provider Tab
The Payer/Providers tab lists all payers attached to the contract library. When a payer is selected, all participating and non Participating providers for the target payer display on the tab. You can add and remove participating and non-participating providers by using the blue arrows. Selections are saved when you highlight the provider name and then select an arrow. Parent topic: Access Contract Library Maintenance
File Maintenance Help for NextGen® Enterprise 8
Charges and Contracts
Note: After the charges have been generated, the Balance Control window reflects the charges set up in the Contract Library Maintenance window. The amount from the Co-Pay Amount field is automatically entered into the patient's bucket. The system checks to see which payer is associated with the encounter. The system checks payer maintenance to see which contract is attached and whether the provider is participating or non-participating. The contract is searched to see if anything has been entered for the specific CPT4 code that was charged in the encounter. If it has, then it uses the specified information. If not, it uses the default information from the top of the contract dialog box. Parent topic: Setup an Exception Through the Contract Library
File Maintenance Help for NextGen® Enterprise 8
Add an Exception to an Existing Contract Exception Group
In File Maintenance, select Libraries and then Contract. In the Contracts List window, right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. The Contract Exception Maintenance window opens. To enter an exception for a contract, do one of the following: If your library has fewer than 50 CPT4 items, press the Tab key or arrow keys on your keyboard to move to the next CPT4 item. If your library has 50 or more CPT4 items, go back to the Type the first number(s) of the CPT4 item you want to locate field and enter the first few numbers of the next CPT4 item to enter an exception for. The CPT4 item displays in the spreadsheet area of the window. Continue this process until you enter all of exceptions and then select OK. Parent topic: Setup an Exception Through the Contract Library
