Rounding Rules Sub-Tab

File Maintenance Help for NextGen® Enterprise 8

Rounding Rules Sub-Tab

The following information provides details for each option and setting available on the Rounding Rules sub-tab of the Defaults - 2 tab for a payer. Anesthesia Rounding Behavioral Health Rounding Parent topic: Defaults - 2 Tab

Help Guide for NextGen® Enterprise PM 8

Defaults - 2 Tab

The Defaults-2 tab on the Add Payer Information and Modify Payer Information windows enable you to define various parameters and options for a payer. These are system-level settings that are used by all practices in all enterprises that utilize the payer. The Default-2 tab includes the following two sub-tabs: Defaults 2 Payer Rounding Rules Defaults 2 Sub-Tab Rounding Rules Sub-Tab Parent topic: Payers Master File

Help Guide for NextGen® Enterprise PM 8

Anesthesia Rounding

If Anesthesia SIM codes with Base Units are set up in the Service Items Library for billing in NextGen® Enterprise PM, then the following Anesthesia Rounding options should be defined for each payer. For more information on Anesthesia Billing, go to the NextGen Healthcare Success Community and download the Anesthesia Billing User Guide for NextGen® Enterprise PM. Field Description Anesthesia Minutes Per Unit Enter the number of minutes, between 5 and 60, that make up one anesthesia time unit for the payer. The default value is 15. The below examples illustrate how time units would be calculated for a 60 minute anesthesia procedure: 60 minutes / 5 minutes per unit = 12 time units 60 minutes / 10 minutes per unit = 6 time units 60 minutes / 15 minutes per unit = 4 time units 60 minutes / 20 minutes per unit = 3 time units 60 minutes / 30 minutes per unit = 2 time units 60 minutes / 60 minutes per unit = 1 time unit Note: Self-pay encounters use the default Anesthesia Minutes Per Unit = 1

File Maintenance Help for NextGen® Enterprise 8

Defaults - 2 Tab

The Defaults-2 tab on the Add Payer Information and Modify Payer Information windows enable you to define various parameters and options for a payer. These are system-level settings that are used by all practices in all enterprises that utilize the payer. The Default-2 tab includes the following two sub-tabs: Defaults 2 Payer Rounding Rules Defaults 2 Sub-Tab Rounding Rules Sub-Tab Parent topic: Real-time Address Validation for a Payer

File Maintenance Help for NextGen® Enterprise 8

Payer Listing Behavioral Health Rounding Rules Report

The Payer Listing Behavioral Health Rounding Rules report includes information from the Payers master file in File Maintenance. Information on the report pulls from the Modify Payer Information window for payers with Behavioral Health Base Minute Rounding Rules defined. Note: This report uses enhanced reporting functionality. For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM and see Enhanced Reports. The report includes the following information: Column Name Description Data Populates From Payer Name Payer Name Payer Name field of the Payer Defaults-1 tab Payer Alias Payer Alias Payer Alias Name field Payer Defaults-1 tab BH Base Minutes Behavioral Health Base Minutes Behavioral Health Base Minutes (15, 30, 60, 240) and Behavioral Health Custom Base Minutes fields of the Defaults-2 > Rounding RulesStandard and custom minutes are sorted in ascending order for each payer. Note: Custom minutes (other than

File Maintenance Help for NextGen® Enterprise 8

Set Up Medical Direction for Anesthesia Billing

On the Anesthesia Library Payer Maintenance window, select the Medical Direction tab. Complete the Medical Direction settings as needed. To save changes and close the window, select OK. Medical Direction Field Descriptions Parent topic: Medical Direction for Anesthesia Billing

Rounding Rules Sub-Tab

Recommendations

Rounding Rules Sub-Tab

Defaults - 2 Tab

Anesthesia Rounding

Defaults - 2 Tab

Payer Listing Behavioral Health Rounding Rules Report

Set Up Medical Direction for Anesthesia Billing

Rounding Rules Sub-Tab

Defaults - 2 Tab

Anesthesia Rounding

Defaults - 2 Tab

Payer Listing Behavioral Health Rounding Rules Report

Set Up Medical Direction for Anesthesia Billing