Setting Up Exceptions In the Contract Library

Help Guide for NextGen® Enterprise PM 8

Setting Up More Than One Exception per CPT4 Code

If you have a CPT4 code that requires more than one exception, you must first set up a new contract exception with a unique name for each instance of the exception. To set up more than one exception per CPT4 code, you must set up a new contract exception using a different contract exception name for each exception with the same CPT4 code. Parent topic: Setting Up Exceptions In the Contract Library

Help Guide for NextGen® Enterprise PM 8

Add an Exception to an Existing Contract Exception Group

In File Maintenance, select Libraries and then Contract. In the Contracts List window, right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. The Contract Exception Maintenance window opens. To enter an exception for a contract, do one of the following: If your library has fewer than 50 CPT4 items, press the Tab key or arrow keys on your keyboard to move to the next CPT4 item. If your library has 50 or more CPT4 items, go back to the Type the first number(s) of the CPT4 item you want to locate field and enter the first few numbers of the next CPT4 item to enter an exception for. The CPT4 item displays in the spreadsheet area of the window. Continue this process until you enter all of exceptions and then select OK. Parent topic: Setting Up Exceptions In the Contract Library

Help Guide for NextGen® Enterprise PM 8

Contract Exceptions

You can charge different fees based on the provider, location, and payer. Each additional fee is referred to as an exception to the contract and can be set up and maintained through the Contract library. After the exceptions are set up, you can assign a contract exception to providers at the provider/payer/location level in order to apply the exceptions to charges. Setting Up Exceptions In the Contract Library Parent topic: Contracts Library

Help Guide for NextGen® Enterprise PM 8

Modify Existing Contract Exceptions

In File Maintenance, select Libraries and then Contract. The Contracts List window opens. Right-click on your library selection, and then select Contract Exceptions. Double-click on the Contract Exception name. Enter the applicable exception changes in the spreadsheet section of the window, and then select OK. Parent topic: Setting Up Exceptions In the Contract Library

Help Guide for NextGen® Enterprise PM 8

Set Up a New Contract Exception

In File Maintenance, select Libraries and then Contract. The Contracts List window opens. Select a library and select open menu or right-click the selected library, and then select Contract Exceptions. The Contract Exceptions List window opens. Select open menu button, or right-click in the Description area of the window, and then select New. The Contract Exception Maintenance window opens. In the Contract Exception Name field, enter a name for the Contract Exception that describes the group of exceptions. Note: If you do not want this exception to display in the Contract Exceptions List window, select the Hide Exception option. To use this contract as the base contract, select the Use as Base Contract check box (instead of being used as an exception to the contract). Enter the Filter Criteria to control which CPT4 items display in the CPT4 list, as follows: Enter the first number of the CPT4 item in Type the first number(s) of the CPT4 item you want to locate. If the CPT4 column conta

File Maintenance Help for NextGen® Enterprise 8

Setup an Exception Through the Contract Library

Use the Contract Library to create a new Contract Exception or to add or modify an exception through an existing Contract Exception Name. Setting Up a New Contract Exception Add an Exception to an Existing Contract Exception Group Modify Existing Contract Exceptions Setting Up More Than One Exception per CPT4 Code Charges and Contracts Globally Update Pricing in a Contract Library Contract Subgrouping Define Contract Subgrouping Categories Rename the Subgrouping Field Labels Assign Subgroupings to a Contract Attach Contract Subgroupings to a Provider Parent topic: Contracts Library

Setting Up Exceptions In the Contract Library

Recommendations

Setting Up More Than One Exception per CPT4 Code

Add an Exception to an Existing Contract Exception Group

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Modify Existing Contract Exceptions

Set Up a New Contract Exception

Setup an Exception Through the Contract Library

Setting Up Exceptions In the Contract Library

Setting Up More Than One Exception per CPT4 Code

Add an Exception to an Existing Contract Exception Group

Contract Exceptions

Modify Existing Contract Exceptions

Set Up a New Contract Exception

Setup an Exception Through the Contract Library