Service Configuration Columns

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 the default Duration is updated with custom values for a specific service configuration. For more information, see Enter a Custom Max and Duration for a Service Configuration.
Type	The type of service package. The Standard type is labeled as S and the Add On type is labeled as A.

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

Remove a Custom Max and Duration for a Service Configuration

After a service configuration has been updated with Custom Max and Custom Duration values, the custom values can be removed, if required. For example, if you have updated the wrong service configuration with custom values, or you have updated the correct service configuration but with incorrect custom values. 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 remove the Custom Max and Custom Duration values. Select the Remove Custom option. To remove the custom values for the selected configuration, select Delete. The Custom Max and Custom Duration values are removed and are no longer displayed in the Service Configurations section. Pa

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

File Maintenance Help for NextGen® Enterprise 8

Service Package Configuration Report Columns

The following columns are available on the Service Package Configuration report. Column Name Description Data Populates From Lib Name Library Name Libraries > Service Package Serv Config Desc Service Configuration Description Libraries > Service Package > Service Package Configurations > Description field Serv Unit Desc Service Unit Description Libraries > Service Package > Service Package Configurations > Service Unit Details > Description field Pack Type Package Type Libraries > Service Package > Service Package Configurations > Type section Child/Adult Child/Adult Libraries > Service Package > Service Package Configurations > Child or Adult option LON Level of Need Libraries > Service Package > Service Package Configurations > Level of Need field Service Unit Max Service Unit Max Libraries > Service Package > Service Package Configurations > Service Unit Details > Service Limit field Service Unit Type Service Unit Type Libraries > Service Package > Service Package Configurations > S

Help Guide for NextGen® Enterprise PM 8

Add a Service Unit Detail

In File Maintenance, select Libraries, and then select Service Package. The Service Package List window opens. Double-click a service package. The Service Package Maintenance window opens. Double-click a service package configuration. The Service Package Configuration Maintenance window opens. To create a service unit detail row, select open menu and select New in the Service Unit Details section. In the Service Unit Configuration section, do the following: In the Description field, enter a free-text description for the service unit configuration. This field is required. In the Service Limit fields, enter a value between 1 and 9999 and then select either Units or Hours. The default value is 1 Unit. The number represents the maximum service limit for the CPT4/modifier combinations in the Service Detail Configuration section. In the Service Duration field, enter a value between 1 and 365. The number represents the maximum service days for the CPT4/modifier combinations in the Service Det

File Maintenance Help for NextGen® Enterprise 8

Add a Service Unit Detail

In File Maintenance, select Libraries, and then select Service Package. The Service Package List window opens. Double-click a service package. The Service Package Maintenance window opens. Double-click a service package configuration. The Service Package Configuration Maintenance window opens. To create a service unit detail row, select open menu and select New in the Service Unit Details section. In the Service Unit Configuration section, do the following: In the Description field, enter a free-text description for the service unit configuration. This field is required. In the Service Limit fields, enter a value between 1 and 9999 and then select either Units or Hours. The default value is 1 Unit. The number represents the maximum service limit for the CPT4/modifier combinations in the Service Detail Configuration section. In the Service Duration field, enter a value between 1 and 365. The number represents the maximum service days for the CPT4/modifier combinations in the Service Det

Service Configuration Columns

Recommendations

Enter a Custom Max and Duration for a Service Configuration

Remove a Custom Max and Duration for a Service Configuration

Add or Modify Service Unit Authorization

Service Package Configuration Report Columns

Add a Service Unit Detail

Add a Service Unit Detail

Enter a Custom Max and Duration for a Service Configuration

Remove a Custom Max and Duration for a Service Configuration

Add or Modify Service Unit Authorization

Service Package Configuration Report Columns

Add a Service Unit Detail

Add a Service Unit Detail