Sliding Fee Calculations for Encounter Level Encounter Based Scenarios

Service Item	Charge Amount	Adjustment Amount	Patient Amount
99212	$200.00	$100	$100
99212	$200.00	$100	$100

Service Item	Charge Amount	Adjustment Amount	Patient Amount	Calculation
99212	$200.00	$195	$5	($200.00/$400.00)*$10.00 = $5
99212	$200.00	$195	$5	($200.00/$400.00)*$10.00 = $5

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Encounter Level Line Item Based Scenarios

You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. Sliding fee schedules are attached to an encounter on the Encounter Maintenance window. Line Item Based Minimum Value Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window. Service Item Estimated Charge Amount Adjustment Amount Patient Amount 99212 $200.00 $100 $100 99212 $200.00 $100 $100 Line Item Based Flat Rate Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window. Service Item Charge Amount Adjustment Amount Patient Amount 99212 $200.00 $190 $10 99212 $200.00 $190 $10 Parent topic: Encounter Level Sliding Fee Scenarios

Help Guide for NextGen® Enterprise PM 8

Encounter Level Sliding Fee Scenarios

You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached to an encounter on the Encounter Maintenance window. The following table lists the encounter-level sliding fee scenarios, and their calculations. Level Schedule Fee Mode Sliding Fee Mode Min / Flat Rate Value Mode Calculations Encounter Line Item-based Minimum Value By Family Size The patient’s family size of one and an annual income of $20000 allows a 50% discount. A separate adjustment is made for each service line, and it gets adjusted by 50%. The application adjusts the balance on each charge to equal it to the minimum value resulting in a minimum amount of $20 to be paid by the patient. For more information, see Sliding Fee Calculations for Encounter Level Line Item Based Scenarios. Encounter Line Item-based Minimum Value By Percent/Flat Rate The patient’s family siz

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Person or Patient Level Encounter Based Scenarios

You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. Sliding fee schedules are attached to the encounter on the Encounter Maintenance window. Encounter Based Minimum Value Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window. Service Item Charge Amount Adjustment Amount Patient Amount 99212 $200.00 $100 $100 99212 $200.00 $100 $100 Encounter Based Flat Rate Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window: Service Item Charge Amount Adjustment Amount Patient Amount Calculation 99212 $200.00 $195 $5 ($200.00/$400.00)*$10.00 = $5 99212 $200.00 $195 $5 ($200.00/$400.00)*$10.00 = $5 Parent topic: Person and Patient Level Sliding Fee Scenarios

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Patient and Encounter Level Line Item Based Scenarios

A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. Sliding fee schedules are attached to an encounter on the Encounter Maintenance window. Patient and Encounter Level Line Item Minimum Value Based Scenario Sliding fee adjustment on the Estimate Patient Cost window. The encounter level sliding fee gets precedence over the patient chart level sliding fee. Patient and Encounter level line Item Flat Rate Based Scenario Sliding fee adjustment on the Estimate Patient Cost window. The encounter level sliding fee gets precedence over the patient chart level sliding fee. Parent topic: Patient and Encounter Level Sliding Fee Scenarios

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Patient and Encounter Level Encounter Based Scenarios

A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. Patient and Encounter Level Encounter Based Minimum Value Scenario Sliding fee adjustment on the Estimate Patient Cost window. Sliding fee schedules are attached to an encounter on the Encounter Maintenance window. The encounter level sliding fee schedule takes precedence over the patient chart level schedule. Patient and Encounter Level Encounter Based Flat Rate Based Scenario Sliding fee adjustment on the Estimate Patient Cost window. The encounter level sliding fee schedule takes precedence over the patient chart level schedule. Parent topic: Patient and Encounter Level Sliding Fee Scenarios

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Person or Patient Level Line Item Based Scenarios

You can set up the sliding fee schedule details using the parameters on the Sliding Fee Schedule Detail Maintenance window. A patient with a family size of one and an annual income of $20000 has a sliding fee attached to the patient demographics using the UDS tab on the Modify Patient Information window. Sliding fee schedules are attached to the encounter on the Encounter Maintenance window. Line Item Based Minimum Value Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window. Service Item Estimated Charge Amount Adjustment Amount Patient Amount 99212 $200.00 $100 $100 99212 $200.00 $100 $100 Line Item Based Flat Rate Mode Scenarios Sliding fee adjustment on the Estimate Patient Cost window. Service Item Charge Amount Adjustment Amount Patient Amount 99212 $200.00 $190 $10 99212 $200.00 $190 $10 Parent topic: Person and Patient Level Sliding Fee Scenarios

Sliding Fee Calculations for Encounter Level Encounter Based Scenarios

Encounter Based Minimum Value Mode Scenarios

Encounter Based Flat Rate Mode Scenarios

Recommendations

Sliding Fee Calculations for Encounter Level Line Item Based Scenarios

Encounter Level Sliding Fee Scenarios

Sliding Fee Calculations for Person or Patient Level Encounter Based Scenarios

Sliding Fee Calculations for Patient and Encounter Level Line Item Based Scenarios

Sliding Fee Calculations for Patient and Encounter Level Encounter Based Scenarios

Sliding Fee Calculations for Person or Patient Level Line Item Based Scenarios

Sliding Fee Calculations for Encounter Level Line Item Based Scenarios

Encounter Level Sliding Fee Scenarios

Sliding Fee Calculations for Person or Patient Level Encounter Based Scenarios

Sliding Fee Calculations for Patient and Encounter Level Line Item Based Scenarios

Sliding Fee Calculations for Patient and Encounter Level Encounter Based Scenarios

Sliding Fee Calculations for Person or Patient Level Line Item Based Scenarios