Setting Up More Than One Exception per CPT4 Code

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

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

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

File Maintenance Help for NextGen® Enterprise 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: Setup an Exception Through the Contract Library

Help Guide for NextGen® Enterprise PM 8

Setting Up Exceptions In 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. Set 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 Parent topic: Contract Exceptions

File Maintenance Help for NextGen® Enterprise 8

Setting Up More Than One Exception per SIM

To set up more than one exception per SIM, you must set up a new SIM exception with a different SIM Exception Name for each exception with the same SIM number. In the example below, two SIM Exception Names display in the SIM Exception List dialog box. The first name contains exceptions for the rendering physician. The second name contains the same SIM numbers, but with a different exception used for Physician Assistants. Parent topic: Setting Up an Exception through the SIM Library

Setting Up More Than One Exception per CPT4 Code

Recommendations

Set 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

Setting Up Exceptions In the Contract Library

Setting Up More Than One Exception per SIM

Setting Up More Than One Exception per CPT4 Code

Set 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

Setting Up Exceptions In the Contract Library

Setting Up More Than One Exception per SIM