Sex-Based Sliding Fee Scenario

Help Guide for NextGen® Enterprise PM 8

Location-Based Sliding Fee Scenario

In the Service Location field, you can select a specific practice location. The application applies the sliding fee schedule only for patients or encounters that have the selected service location. Sliding fee adjustment in the Estimate Patient Cost window. The sliding fee is not applied as the location for the encounter is different from the service location set in the sliding fee schedule. Parent topic: Sliding Fee in Cost Estimation

Help Guide for NextGen® Enterprise PM 8

Age Range-Based Sliding Fee Scenario

You can select the age range to be applied to the selected sliding fee schedule. An age range of 0 to 50 years is considered in the following example. The application applies the sliding fee schedule only on patients or encounters in the specified age range of 0 to 50. The application applies the sliding fee schedule only for patient's in the selected age range. Parent topic: Sliding Fee in Cost Estimation

Help Guide for NextGen® Enterprise PM 8

Encounter-Based and Line Item-Based Sliding Fees

In some cost estimation situations, a line-item based sliding fee adjustment can produce dramatically different estimated amounts for a patient or person than an encounter-based sliding fee adjustment as shown in the following examples. For example: If you apply a line-item based sliding fee adjustment with a minimum payment of $50 and a 90% discount to a patient or person encounter with estimated amounts of $150, $40, and $10, the adjustment applies the minimum payment to each estimated amount resulting in a total estimated amount of $150 to the patient or person. Note: When an adjustment results in an estimated amount that is less than the minimum payment, as in this example, the system overrides the adjustment and applies the minimum fees. The estimated amount cannot be less than the adjustment's minimum payment. If you apply an encounter-based sliding fee adjustment with the same discount and minimum payment to the encounter, the schedule takes the total of the estimated amount ($2

Help Guide for NextGen® Enterprise PM 8

Multiple Sliding Fee Schedules Scenario

A patient or an encounter may have multiple sliding fee schedules attached to it. The application follows a specific hierarchy to select the sliding fee schedule for cost estimation. Note: If a line-item based sliding fee is attached to a patient, and an encounter based sliding fee is attached to an encounter then the encounter level sliding fee takes precedence over the line-item based sliding fee. However, when cost estimation is launched from anywhere except an encounter, the line-item based sliding fee takes precedence. Scenario: Encounter Based Sliding Fee Takes Precedence An encounter based sliding fee takes precedence in cost estimation in the following scenarios. A line item based sliding fee is attached at the person or patient level, and an encounter based sliding fee is attached at the encounter level. Multiple encounter based sliding fee schedules are attached to an encounter. The schedule with the highest order of priority is applied. Multiple encounter based sliding fee s

Help Guide for NextGen® Enterprise PM 8

CPT®4 Range-Based Sliding Fee Scenario

You can select the CPT Codes range in the Sliding Fee Schedule Detail Maintenance window. The following example uses the CPT Code range of 99212 to 99213. The application applies the sliding fee schedule only on the range of CPT4 codes from 99212 to 99213. Sliding fee adjustment on the Estimate Patient Cost window. Parent topic: Sliding Fee in Cost Estimation

Help Guide for NextGen® Enterprise PM 8

Sliding Fee in Cost Estimation

The sliding fee program offers differential pricing with adjustments based on the annual income and family size of a patient or person. Sliding fee schedules are attached to a patient or person or a specific encounter or chart in NextGen® Enterprise PM. When you attach a sliding fee schedule to an encounter, a percentage of the estimated amount specified on the Estimate Patient Cost window is automatically adjusted. In cost estimation, a patient or person eligible for sliding fee adjustments can only use the self-pay mode of payment. In NextGen® Enterprise PM, you can do the following: Attach sliding fee schedules at the chart level or encounter level for a person or patient. Note: The system does not combine encounter level and chart level sliding fees while judging which to apply. Encounter level sliding fee always take precedence over chart level sliding fee. Apply multiple sliding fee schedules at an encounter level or chart level for a person or patient. Note: When you add multipl

Sex-Based Sliding Fee Scenario

Recommendations

Location-Based Sliding Fee Scenario

Age Range-Based Sliding Fee Scenario

Encounter-Based and Line Item-Based Sliding Fees

Multiple Sliding Fee Schedules Scenario

CPT®4 Range-Based Sliding Fee Scenario

Sliding Fee in Cost Estimation

Location-Based Sliding Fee Scenario

Age Range-Based Sliding Fee Scenario

Encounter-Based and Line Item-Based Sliding Fees

Multiple Sliding Fee Schedules Scenario

CPT®4 Range-Based Sliding Fee Scenario

Sliding Fee in Cost Estimation