In Progress Billing

Help Guide for NextGen® Enterprise PM 8

Billing Anesthesia Encounters

Anesthesia encounters are billed according to the in-progress billing rules and disabling rendering claim break rules identified in File Maintenance > Libraries > Anesthesia > Anesthesia Library Payer Maintenance > Claim Options tab. In Progress Billing Disable Rendering Claim Breaks You can disable the claim break functionality for rendering providers. Parent topic: The Billing Process

Help Guide for NextGen® Enterprise PM 8

Anesthesia Billing

In Progress Billing is required for Anesthesia Concurrency Billing. Encounters with anesthesia charges must be held as In Progress until an Anesthesia Concurrency Audit process is run to check for potential time overlaps. This prevents those encounters from going through the billing process and creating claims until after the audit is performed. CAUTION: Once In Progress Billing has been enabled, it cannot be disabled. It should only be enabled when needed. In Progress Billing is not required for Basic Anesthesia Billing but is required for Anesthesia Concurreny Billing. Parent topic: In Progress Billing Status

Help Guide for NextGen® Enterprise PM 8

In Progress Billing Status

The Enable In Progress billing status option in Practice Preferences > Encounters activates specific features and functionality in NextGen® Enterprise PM as described below. Basic Overview Anesthesia Billing Enable In Progress Billing Default New Encounters to In Progress Status Parent topic: Practice Preferences Options for Anesthesia Billing

Help Guide for NextGen® Enterprise PM 8

Billing In Progress Encounters

In Progress encounters must be converted to an Unbilled encounter status before you can bill the encounter. There are two ways to convert In Progress encounters to Unbilled encounters. Demand Batch Note: When you convert an In Progress encounter to an Unbilled encounter, a process date (closing date) is assigned to all charges and transactions on the encounter. Any transactions that reside in an un-posted batch retain blank process dates and are not affected by the conversion. Convert In Progress Encounters on Demand You can convert an In Progress encounter to an Unbilled encounter. Converting In Progress Encounters in a Batch You can convert In Progress encounters in a batch in NextGen® Background Business Processor. Parent topic: The Billing Process

Help Guide for NextGen® Enterprise PM 8

Convert In Progress Encounters on Demand

To convert a single encounter from In Progress to Unbilled status, do the following: Open the patient chart and select the Encounters tab. Right-click the In Progress encounter and select Convert In Progress to Unbilled. The Convert In Progress to Unbilled process runs. When it is finished, the Convert In Progress Encounter report appears. Parent topic: Billing In Progress Encounters

File Maintenance Help for NextGen® Enterprise 8

In Progress Billing Setup

The In Progress encounter status represents work or care that has not been completed and, therefore, would not be stated in the accounts receivables. For example, you could use the status to represent orthotic or prosthetic devices that are not yet completed or for pre-paid patient care that is not yet administered. When NextGen® Enterprise PM users enter charges and transactions for an In Progress encounter, those items will contain blank process dates and, therefore, cannot officially be included in the financials and cannot be part of the receivables. After a user creates an encounter in an In Progress status, a process can change the status from In Progress to Unbilled, which is the normal status for an encounter that has yet to go through billing and produce a claim. When the status changes to Unbilled, all charges and transactions entered for the In Progress encounter become posted and the system sets the processing and closing dates on the transactions and charges. If there is a

In Progress Billing

Recommendations

Billing Anesthesia Encounters

Anesthesia Billing

In Progress Billing Status

Billing In Progress Encounters

Convert In Progress Encounters on Demand

In Progress Billing Setup

Billing Anesthesia Encounters

Anesthesia Billing

In Progress Billing Status

Billing In Progress Encounters

Convert In Progress Encounters on Demand

In Progress Billing Setup