Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Set Up CPT4 Codes for Roll-Up Billing

Verify that the appropriate CPT4 codes exist that are needed on UB claims in Field Locator 44 for the roll-up payer. The CPT4 codes are linked to SIM codes as the Alternate CPT4 in the SIM library. To set up a CPT4 code for roll-up billing, do the following: Access File Maintenance. Select System Master Files, then PM, and then CPT4 Codes. The CPT4 Code Search window opens. Do one of the following: To add a CPT4 code, select Open Menu and select New. To modify a CPT4 code, search for the code, then select the code from the list, and then select Open Menu and select Open. The Add/Modify CPT4 Code Information window opens. In the Code field, enter the CPT4 code. This field is required. In the Description field, enter a descriptive name for the code. This field is required. In the Type of Service field, select Medical Care. To save changes and close the window, select OK. Add CPT4 Code Information Parent topic: Setting Up Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Roll-Up Billing by CPT4 Code requires specific settings in the SIM library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit CPT4 Code Roll Up check box in the SIM library on the Payer tab. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Parent topic: Setting Up Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Setting Up Roll-Up Billing by CPT4 Code

Roll-Up Billing by CPT4 Code in NextGen® Enterprise PM involves the following setup in File Maintenance: Practice Preferences CPT4 Codes General and Payer tabs in Service Items library Payers Set Up Practice Preferences for Roll-Up Billing by CPT4 Code Set Up CPT4 Codes for Roll-Up Billing Set Up SIM Codes for Roll-Up Billing by CPT4 Code Set Up Payers for Roll-Up Billing by CPT4 Code Parent topic: Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Roll-Up Billing by Revenue Code requires specific settings in the SIM Library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit Revenue Code Roll Up check box on the Payer tab in the SIM Library. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Practice Preferences Parent topic: Setting Up Roll-Up Billing by Revenue Code

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Roll-Up Billing by Revenue Code requires specific settings in the SIM Library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit Revenue Code Roll Up check box on the Payer tab in the SIM Library. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Parent topic: Setting Up Roll-Up Billing by Revenue Code

Help Guide for NextGen® Enterprise PM 8

Setting Up Roll-Up Billing by CPT4 Code

Roll-Up Billing by CPT4 Code in NextGen® Enterprise PM involves the following setup in File Maintenance: Practice Preferences CPT4 Codes General and Payer tabs in Service Items library Payers Set Up Practice Preferences for Roll-Up Billing by CPT4 Code Set Up CPT4 Codes for Roll-Up Billing Set Up SIM Codes for Roll-Up Billing by CPT4 Code Set Up Payers for Roll-Up Billing by CPT4 Code Parent topic: Roll-Up Billing by CPT4 Code

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

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