Receive a Secondary Payer Payment before the Primary Payer

Help Guide for NextGen® Enterprise PM 8

Enter a Transaction for an Account

Open NextGen® Enterprise PM. On the main toolbar, select Posting . The Batch Posting window opens. Double-click the batch header record. The Payment Entry window opens. In Source/Acct, select Account. In Account, enter the first few letters of the account name or select Account Lookup . Account records matching the search criteria appear in the Account list. Note: A status indicator for the data retrieval appears for an account with more than 100 line items. Large Account mode activates when more than 1000 items are retrieved and displayed. For more information on the number of line items displayed in the Large Account mode or modifying the number of line-items, contact NextGen Healthcare Support. Double-click the desired account. In Pay Amt, enter the payment amount. NextGen Healthcare displays Account Payment as the pay code. If necessary, enter an adjustment amount in the Adj Amt field. NextGen Healthcare displays Account Adjustment for the adjustment code. Select Recalc, and then s

Help Guide for NextGen® Enterprise PM 8

Setting Up Practice Preferences for ERA

You can configure the following ERA settings in Practice Preferences. Go to Practice Preferences, then Libraries and select Remittance Profile Library to set the default library to be used for all ERA payers that do not have a specific library linked in the practice. Go to Practice Preferences, then Transactions and select Default Reason Code Library to set the default library to be used for all payers (ERA and non-ERA) in the practice, that do not have a specific library linked. Note: NextGen Healthcare recommends the use of the HIPAA X12 Standard Reason Codes library as the default for a practice for all payers. Use settled up status with ERA. You can select this check box to default the Settled moved to Primary transaction status onto ERA payment or adjustment transactions received from the secondary payer before the primary payer. When a secondary transaction is received before primary, a credit balance is normally created in the secondary payer (Ins2 Amt) bucket in Balance Control

File Maintenance Help for NextGen® Enterprise 8

Post a Payment to an Alternate Payer

When you post a payment for an encounter having multiple alternate payers associated with a payer, all the payers are listed in the Payer field. Note: You can apply a payment to the alternate payer even if the alternate payer was not billed during the billing process. In NextGen® Enterprise PM, selec the Posting icon. The Batch Posting window opens. Double-click an existing batch. The Payment Entry window opens. Select the applicable patient or encounter number. In the Payer field, select an alternate payer associated with a payer. Enter the payment amount and adjustment amount. Select the payment code and adjustment code. Note: If you have set up the default payment and default adjustment code in the Payers-Alt Payers master file for the alternate payer, then the payment code and adjustment code automatically appears when you enter the payment and adjustment amount. If you have not set up the default payment and default adjustment code in the Payers-Alt Payers master file, then the al

Help Guide for NextGen® Enterprise PM 8

Post a Payment to an Alternate Payer

When you post a payment for an encounter having multiple alternate payers associated with a payer, all the payers are listed in the Payer field. Note: You can apply a payment to the alternate payer even if the alternate payer was not billed during the billing process. In NextGen® Enterprise PM, selec the Posting icon. The Batch Posting window opens. Double-click an existing batch. The Payment Entry window opens. Select the applicable patient or encounter number. In the Payer field, select an alternate payer associated with a payer. Enter the payment amount and adjustment amount. Select the payment code and adjustment code. Note: If you have set up the default payment and default adjustment code in the Payers-Alt Payers master file for the alternate payer, then the payment code and adjustment code automatically appears when you enter the payment and adjustment amount. If you have not set up the default payment and default adjustment code in the Payers-Alt Payers master file, then the al

Help Guide for NextGen® Enterprise PM 8

Set Up a Payment Spread for a patient

When a payment is received and a patient has several line items with amounts due, NextGen® Enterprise PM applies payments to line items when a payment is entered on the Payment Entry window. The line items and applied payment amounts depend on the option you choose. Open NextGen® Enterprise PM. On the main toolbar, select Posting . The Batch Posting window opens. Double-click the batch header record. The Payment Entry window opens. Type the encounter number in Enc/Clm#, and press Enter. The account guarantor, patient, medical record number, and the billed account displays in the Payment Entry window. Select Open. The Payment Entry window become available for modifications. In Pay Amt, enter the payment amount. In Adj Amt, enter an adjustment amount. Select the line items to apply the spread amount.` Right-click the line-item, select Spread and then select one of the following options: FIFO FIFO - Pat Resp Date Weight Distribution Select Save. The selected payment spread is applied to t

File Maintenance Help for NextGen® Enterprise 8

Receiving and Applying Charges from NextGen® Enterprise EHR

When the Suppress Billing option is not selected in the Service Item Library Maintenance window in File Maintenance or in NextGen® Enterprise EHR, unapplied encounter credits for charges entered for a patient in NextGen® Enterprise EHR generate automatically in NextGen® Enterprise PM. The information in the field associated with each charge is carried over from NextGen® Enterprise EHR to NextGen® Enterprise PM. When charges are sent from NextGen® Enterprise EHR, the charges enter NextGen® Enterprise PM in one of the following methods: Automatically applied. When the holding tank is Off and the charges coming from NextGen® Enterprise EHR have an unapplied encounter credit, a batch with an ID of AUCR is automatically created. Placed in the holding tank until the users manually accept each charge. When the holding tank is On, a batch is not automatically created. You must have an active batch in NextGen® Enterprise PM so that the charges can be applied when you accept the charges either m

Receive a Secondary Payer Payment before the Primary Payer

Recommendations

Enter a Transaction for an Account

Setting Up Practice Preferences for ERA

Post a Payment to an Alternate Payer

Post a Payment to an Alternate Payer

Set Up a Payment Spread for a patient

Receiving and Applying Charges from NextGen® Enterprise EHR

Enter a Transaction for an Account

Setting Up Practice Preferences for ERA

Post a Payment to an Alternate Payer

Post a Payment to an Alternate Payer

Set Up a Payment Spread for a patient

Receiving and Applying Charges from NextGen® Enterprise EHR