Service Package Library

Help Guide for NextGen® Enterprise PM 8

Deleting Service Packages

A Service Package library includes one or more Service Package Configurations, a service package configuration includes one or more Service Unit Details, and a service unit detail includes one or more CPT4/Modifier combinations. If needed, you can do any of the following: Delete a Service Package Configuration from a Service Package Library Delete a Service Unit Detail from a Service Package Configuration Delete a CPT4/Modifier Combination from a Service Unit Detail Delete a Service Package Configuration from a Service Package Library Delete a Service Unit Detail from a Service Package Configuration Delete a CPT4/Modifier Combination from a Service Unit Detail Parent topic: Service Package Library

File Maintenance Help for NextGen® Enterprise 8

Service Package Library

The Service Package library enables you to define the various sets of packaged services that payers may authorize for patients. Each service package includes groupings of specific CPT4 code and modifier combinations with defined service unit limitations. A single library can be created and used by the practice. The library may include multiple service package configurations, each with different CPT4 and modifiers, service unit limits and service duration limits. A service package configuration is then linked to a patient's insurance in NextGen® Enterprise PM. Note: This is a practice-level library only. A library cannot be linked to specific payers in the Payers master file. You can generate the following report from the Service Package library : Service Package Library Listing Service Package Configuration Service Package Configuration Details For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or

Help Guide for NextGen® Enterprise PM 8

Service Package Library

The Service Package library enables you to define the various sets of packaged services that payers may authorize for patients. Each service package includes groupings of specific CPT4 code and modifier combinations with defined service unit limitations. A single library can be created and used by the practice. The library may include multiple service package configurations, each with different CPT4 and modifiers, service unit limits and service duration limits. A service package configuration is then linked to a patient's insurance in NextGen® Enterprise PM. Note: This is a practice-level library only. A library cannot be linked to specific payers in the Payers master file. You can generate the following report from the Service Package library : Service Package Library Listing Service Package Configuration Service Package Configuration Details For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add a S

Help Guide for NextGen® Enterprise PM 8

Service Packages in NextGen® Enterprise PM

Practices may provide services to their patients or clients based on the various service packages authorized by payers. Each service package includes groupings of specific CPT4 code and modifier combinations with defined service unit limitations. A patient's authorized package services may be used within a specific time frame determined by the payer. For example, in a Behavioral Health practice, a payer may authorize a patient for a package that includes the following services: Addiction counseling not to exceed 40 hours within 90 days; Individual therapy not to exceed 50 units within 180 days; Group therapy not to exceed 60 units within 180 days; Medication management not to exceed 70 hours within 180 days. The service package functionality in NextGen® Enterprise PM enables you to do the following: Set up service packages with service unit and duration limitations. Enter service unit authorizations for payers that authorize packaged services for patients. Generate reports for patients

Help Guide for NextGen® Enterprise PM 8

Service Packages in NextGen® Enterprise PM

Practices may provide services to their patients or clients based on the various service packages authorized by payers. Each service package includes groupings of specific CPT4 code and modifier combinations with defined service unit limitations. A patient's authorized package services may be used within a specific time frame determined by the payer. For example, in a Behavioral Health practice, a payer may authorize a patient for a package that includes the following services: Addiction counseling not to exceed 40 hours within 90 days; Individual therapy not to exceed 50 units within 180 days; Group therapy not to exceed 60 units within 180 days; Medication management not to exceed 70 hours within 180 days. The service package functionality in NextGen® Enterprise PM enables you to do the following: Set up service packages with service unit and duration limitations. Enter service unit authorizations for payers that authorize packaged services for patients. Generate reports for patients

File Maintenance Help for NextGen® Enterprise

Add a Service Package Library

Open File Maintenance and select Libraries > Service Package. The Service Package List window opens. To create a library, select the open menu button and then select New. The Add Service Package window opens. In the Description field, enter a name for the service package. Select the open menu button and then select New. The Add Service Package Configuration window opens. Enter values to configure the service package and select OK. Add a Service Package Configuration You can configure a service package that includes general information such as defining a service package as a standard type or an add on type, description, a level of need value, and an adult or child indicator. Add or Modify Service Unit Details You can set up one or more service unit details that define the specific service limitations for various CPT4 code and modifier combinations. Assign Practice Access to a Service Package Library You can assign practice access to a service package to define which practices can have a

Service Package Library

Recommendations

Deleting Service Packages

Service Package Library

Service Package Library

Service Packages in NextGen® Enterprise PM

Service Packages in NextGen® Enterprise PM

Add a Service Package Library

Service Package Library

Deleting Service Packages

Service Package Library

Service Package Library

Service Packages in NextGen® Enterprise PM

Service Packages in NextGen® Enterprise PM

Add a Service Package Library