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Help Guide for NextGen® Enterprise PM 8
Programs Master File
The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra
Help Guide for NextGen® Enterprise PM 8
Practice Preferences for Programs
To use Programs in NextGen® Enterprise PM, you must first enable programs for the practice in Practice Preferences. When enabled, the following program-related functionality is available: On the Patient Information tab in the Patient Chart, a Programs sub-tab appears. From this sub-tab, you can enroll a patient in one or more programs. On the Encounter Maintenance window, a Program field appears on the General tab. From this field, you can link an encounter to a program. On the Encounters tab in the Patient Chart, the Program name displays for encounters linked to a program under the General sub-tab. If your practice uses In Progress Billing, you can enable the Limit to Valid Programs option in Practice Preferences to ensure new encounters created in NextGen® Enterprise PM that are linked to a specific program automatically default to In Progress status. For example, you can default new encounters linked to Program ABC to In Progress status, so they are held from the billing and claims
Help Guide for NextGen® Enterprise PM 8
Setting Up Service Packages
To use Service Packages in NextGen® Enterprise PM, you must setup the following: System Administrator File Maintenance: Service Package Library Practice Preferences System Administrator for Service Packages Service Package Library Practice Preferences for Service Packages Parent topic: Service Packages in NextGen Enterprise PM
Help Guide for NextGen® Enterprise PM 8
Enable Programs
Open NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. From the Preference List, select Programs. To enable program functionality for the practice, select the Enable Programs check box. To save changes and close the window, select OK. Parent topic: Practice Preferences for Programs
File Maintenance Help for NextGen® Enterprise 8
Access Enterprise Preferences
To access Enterprise Preferences, do one of the following: In NextGen® Enterprise PM, select the Admin menu. Select Preferences > Enterprise In File Maintenance, select Master Files > System > Enterprises Double-click an enterprise, and then select Preferences. The Enterprise Preferences window opens. Parent topic: Enterprise Preferences
File Maintenance Help for NextGen® Enterprise 8
Open the Practice Preferences
Do one of the following: In File Maintenance, select Master Files > System > Practices. In NextGen® Enterprise PM, select the Admin > Preferences > Practice. Double-click a practice, and then select Preferences. The Practice Preferences window opens. In the Preference List, select the desired practice preference name. The window displays the Practice Preferences related to your selection. Parent topic: Practice Preferences
Setting Up Programs
To use Programs in
NextGen® Enterprise PM
, you must setup the following:
File Maintenance:
Programs Master File
Practice Preferences
Programs Master File
Practice Preferences for Programs