Setting Up a Release of Information Default

File Maintenance Help for NextGen® Enterprise 8

Setting the Practice Default for the Release of Information

A patient's release-of-information claim status is information that may be required by some payers and is sent electronically. You can set Release of Information at the encounter, practice or payer level. Practice level for patient charts. The setting becomes the default for every encounter at that practice. Set the payer default for release of information - this becomes the default when the payer is associated with an encounter. The payer-level setting overrides the practice-level setting. The default is stored in the insurance record and displays on the Patient Insurance - of the Encounter window. If Release of Information is not set in the Practice Preferences or in the Payers master file, then it must be set for each encounter when it is required by the payer. Set the Practice Default for the Release of Information Parent topic: Practice Preferences

Help Guide for NextGen® Enterprise PM 8

Set Up the Payer Default for Release of Information

If a Release of Information default is set in the Chart practice preferences but a payer requires a different setting, you can set a different value for the payer. The payer value overrides the value set in the Chart practice preferences for any encounter that the payer is attached to. In File Maintenance, select Master Files > System, and then select Payers. In the Payers list, double-click the appropriate payer. The Modify Payer Information window opens. Select the System tab, and then select the appropriate option in the Release of Information field. Select OK. Parent topic: Setting Up a Release of Information Default

File Maintenance Help for NextGen® Enterprise 8

Set the Payer Default for Release of Information

If a Release of Information default is set in the Chart practice preferences but a payer requires a different setting, you can set a different value for the payer. The payer value overrides the value set in the Chart practice preferences for any encounter that the payer is attached to. In File Maintenance, select Master Files - System and then select Payers. In the Payers list, double-click the appropriate payer. The Modify Payer Information window opens. Select the System tab, and then select the appropriate option from the Release of Information field. Select OK. Parent topic: Chart Practice Preferences

Help Guide for NextGen® Enterprise PM 8

Set Up a Release of Information Default at the Practice Level

Do one of the following: Select the Admin menu and then select Preferences and then Practice. In File Maintenance, select Master Files - System > Practices. On the Practices List window, double-click a practice, and then select Preferences. The Practice Preferences window opens. Select the Chart Practice Preferences. Select the appropriate option from the Release of Information field. Select OK. Parent topic: Setting Up a Release of Information Default

File Maintenance Help for NextGen® Enterprise 8

Set the Practice Default for the Release of Information

To access Practice Preferences, do one of the following: Select the Admin > menu > Preferences > Practice. In File Maintenance, select Master Files - System and select Practices. Double-click a practice, and then select Preferences. The Practice Preferences window opens Select the Chart Practice Preferences. Select the appropriate option from the Release of Information field. Select OK. Parent topic: Setting the Practice Default for the Release of Information

Help Guide for NextGen® Enterprise PM 8

Supervisor Billing

You can create encounters that require that a supervisor is billed instead of a mid-level rendering provider. To set up this type of billing, you must do the following: Supervisor Billing is enabled by default for all payers, but you can disable it for payers that do not need it. Enable supervisor billing so that a supervisor is always required for a specific provider at the current practice. If necessary, enable or disable supervisor billing in the specific payer rows in the provider master file. The payer row setting overrides the practice-level setting on the Practice tab for just that provider/payer combination. The payer-level settings are available for payer rows at either the Default location (which will apply to all locations) or a specific location (which will only apply for that location). Make the Supervisor field available on the Encounter Maintenance window in NextGen® Enterprise PM. Disable Supervisor Billing for a Payer Enable Supervisor Billing at the Provider/Practice

Setting Up a Release of Information Default

Practice Level

Payer Level

Recommendations

Setting the Practice Default for the Release of Information

Set Up the Payer Default for Release of Information

Set the Payer Default for Release of Information

Set Up a Release of Information Default at the Practice Level

Set the Practice Default for the Release of Information

Supervisor Billing

Setting the Practice Default for the Release of Information

Set Up the Payer Default for Release of Information

Set the Payer Default for Release of Information

Set Up a Release of Information Default at the Practice Level

Set the Practice Default for the Release of Information

Supervisor Billing