Practice Preferences Options for Anesthesia Billing

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

Anesthesia Units to Follow Primary Claim

The Anesthesia Units to Follow Primary Claim option in Practice Preferences > Claims controls whether secondary and tertiary claims are submitted with the same total anesthesia units that are submitted on primary claims. When this check box is selected, the total anesthesia units calculated for the primary payer are used on claims for all COBs. When this check box is not selected, the total anesthesia units may be different on claims for each COB based on payer-level settings. The total anesthesia units for a charge are normally recalculated when a claim is created for each payer on the encounter; primary, secondary and tertiary. The following calculation is used: [Base Units + Time Units + Modifier Units = Total Units] Base Units are defined for the SIM code in the Services Items library and are not payer specific. Therefore, base units are the same for all payers. Time Units are calculated based on the Anesthesia Minutes Per Unit and Anesthesia Rounding Method defined for each payer

Help Guide for NextGen® Enterprise PM 8

Single Base Unit Anesthesia Charge per Encounter

The Single base unit Anes. charge per encounter option in Practice Preferences > Charge Entry controls whether base units are saved on all anesthesia charge lines, or on the first charge line only. When this check box is selected, the base units are saved only on the first anesthesia charge line entered on the Charge Posting window for the encounter. When this check box is not selected, the base units are saved on each anesthesia charge line entered on the Charge Posting window for the encounter. Important: For Basic Anesthesia Billing, this option is not required and should only be enabled when needed. For Anesthesia Concurrency Billing, this option is required and must be enabled, in addition to selecting an Anesthesia library in Practice Preferences > Libraries. The total anesthesia units for a charge are calculated as follows: [Base Units + Time Units + Modifier Units = Total Units] Base Units are defined for the SIM code in the Service Items library. Time Units are calculated base

Help Guide for NextGen® Enterprise PM 8

Setting Up Basic Anesthesia Billing

Basic Anesthesia Billing in NextGen® Enterprise PM involves setup in the following areas in File Maintenance: Service Items Library Payers Master File Claim Modifiers Library Submitter Profiles Library (electronic claims) Claim Printing Library (paper claims) Practice Preferences Service Items for Anesthesia Billing Payers for Anesthesia Billing Claim Modifiers Library Submitter Profile Options for Anesthesia Billing Claim Printing Library Options for Anesthesia Billing Practice Preferences Options for Anesthesia Billing Parent topic: Basic Anesthesia Billing

File Maintenance Help for NextGen® Enterprise 8

Select a Practice-Level Anesthesia Library

The Anesthesia Concurrency Billing functionality in NextGen® Enterprise PM is enabled by selecting an Anesthesia library in Practice Preferences > Libraries. Access NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. In the Preferences List on the left, select Libraries. In the Anesthesia Library field, select the library to be used for the practice. To save changes and close the window, select OK. Parent topic: Anesthesia Library

Help Guide for NextGen® Enterprise PM 8

Select a Practice-Level Anesthesia Library

The Anesthesia Concurrency Billing functionality in NextGen® Enterprise PM is enabled by selecting an Anesthesia library in Practice Preferences > Libraries. Access NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. In the Preferences List on the left, select Libraries. In the Anesthesia Library field, select the library to be used for the practice. To save changes and close the window, select OK. Parent topic: Anesthesia Library

Practice Preferences Options for Anesthesia Billing

Recommendations

In Progress Billing Status

Anesthesia Units to Follow Primary Claim

Single Base Unit Anesthesia Charge per Encounter

Setting Up Basic Anesthesia Billing

Select a Practice-Level Anesthesia Library

Select a Practice-Level Anesthesia Library

In Progress Billing Status

Anesthesia Units to Follow Primary Claim

Single Base Unit Anesthesia Charge per Encounter

Setting Up Basic Anesthesia Billing

Select a Practice-Level Anesthesia Library

Select a Practice-Level Anesthesia Library