Remove a Custom Max and Duration for a Service Configuration

Help Guide for NextGen® Enterprise PM 8

Enter a Custom Max and Duration for a Service Configuration

After a service unit Authorization has been entered and saved for a patients insurance, the default Max and Duration values can be modified for a specific service configuration, if required. For example, the payer has authorized additional service units or days for the patient. Access authorizations for a patient's insurance. The Authorization Listing window opens. From the list, select a service unit authorization to be modified, and then select open menu and select Open. The Service Unit Limitation Maintenance window opens. In the Update Custom Service Configurations section, do the following: In the Service Configurations field, select the configuration for which you want to update Custom Max and Custom Duration. Select the Update Custom option. This option is selected by default. In the Custom Max field, enter a value between 1 and 9999 to override the default Max value. In the Custom Duration Days field, enter a value between 1 and 365 to override the default Duration value. Selec

Help Guide for NextGen® Enterprise PM 8

Add or Modify Service Unit Authorization

Access authorizations for a patient's insurance. The Authorization Listing window opens. To add a service unit authorization, select open menu and then select New > Service Unit Authorization. The Service Unit Limitation Maintenance window opens. Do the following: Enter a description for the service unit authorization. Enter the authorization code obtained from the payer. Point to the Information to view tool tip information stating that the authorization code is for tracking purposes only and is not sent on claims. Enter the start and end date for the authorization. Enter the date when the patients needs and strengths were last assessed. Select a service package for the authorization. Note: The Add On Packages field is disabled for a new authorization. The Level of Need field and the Adult or Child options are updated from the selected package. These fields cannot be modified. The Service Configurations section lists all the configurations within the selected package. For information

Help Guide for NextGen® Enterprise PM 8

Delete a Service Unit Authorization

A service unit authorization can be deleted, if needed. For example, if you entered an authorization under the wrong insurance for a patient, you can delete it and then add it under the correct insurance. Access authorizations for a patient's insurance. The Authorization Listing window opens. To delete a service unit authorization, select it from the list and then do one of the following: Select Open Menu and then select Delete. Right-click and then select Delete. The following prompt displays: Confirm delete of the Service Unit Authorization code [Number]? To delete the service unit authorization, select Yes. The service unit authorization is deleted and removed from the list of authorizations for the patient's insurance. Parent topic: Service Unit Authorizations

Help Guide for NextGen® Enterprise PM 8

Service Configuration Columns

The following columns are available in the Service Configurations section on the Service Unit Limitation Maintenance. Column Name Description Service Configuration Name The name of the service configuration. Custom Max The values in the Custom Max column appear only if the default Max is updated with custom values for a specific service configuration. For more information, see Enter a Custom Max and Duration for a Service Configuration. Max The maximum number of units or hours allowed for services included in the configuration. Max Type The type of maximum for services included in the configuration, either Unit or Hour. Duration The number of days allowed for services included in the configuration. If this field is blank, the configuration uses the number of days between the start date and stop date. If this field is not blank, the configuration uses the defined number of days within the start and stop date range. Custom Duration The values in the Custom Duration column appears only if

Help Guide for NextGen® Enterprise PM 8

Service Unit Authorization Report

The Service Unit Authorization report in NextGen® Enterprise PM enables you to review and monitor patients with service unit authorizations to determine whether they have met or exceeded the maximum number of packaged services authorized by their insurance, and whether those services were provided within the time frame authorized by the payer. You can also use the report to determine if patients with upcoming appointments are nearing their service limit so an authorization for additional units or days can be requested and obtained from their insurance. This encounter-based report is available only if a Service Package Library is selected in Practice Preferences > Libraries. For more information on Service Packages and Service Unit Authorization, go to the NextGen Healthcare Success Community and download the Behavioral Health Billing User Guide for NextGen® Enterprise PM The Service Unit Authorization report includes patients with a service unit authorization that have encounters with

Help Guide for NextGen® Enterprise PM 8

Delete a Service Unit Detail from a Service Package Configuration

Deleting a Service Unit Detail row also deletes all CPT4/Modifier combinations within the detail. Open File Maintenance. Select Libraries, and then Service Package. The Service Package List window opens. From the list, select a library and then do one of the following: Select open menu button and select Open. Right-click and select Open. The Service Package Maintenance window opens. From the list, select a service package configuration and then do one of the following: Select open menu button and select Open. Right-click and select Open. The Service Package Configuration Maintenance window opens. From the list, select a service unit detail to delete and then do one of the following: Select Open Menu and select Delete. Right-click and select Delete. The following prompt displays: Confirm delete of the Service Package Rule [Name]? To continue, select OK. The service unit detail is deleted and removed from the service package configuration. Parent topic: Deleting Service Packages

Remove a Custom Max and Duration for a Service Configuration

Recommendations

Enter a Custom Max and Duration for a Service Configuration

Add or Modify Service Unit Authorization

Delete a Service Unit Authorization

Service Configuration Columns

Service Unit Authorization Report

Delete a Service Unit Detail from a Service Package Configuration

Enter a Custom Max and Duration for a Service Configuration

Add or Modify Service Unit Authorization

Delete a Service Unit Authorization

Service Configuration Columns

Service Unit Authorization Report

Delete a Service Unit Detail from a Service Package Configuration