Sliding Fee Calculations for Patient and Encounter Level Line Item Based 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

Patient and Encounter Level Sliding Fee Scenarios

The following conditions are considered for cost estimation if sliding fee schedules are attached at both patient chart level and encounter level. If a cost estimation is launched from an encounter which has a sliding fee schedule attached, then the encounter level sliding fee takes precedence over patient chart level sliding fee schedule. If the cost estimation is launched from a patient appointment, and the appointment has an encounter attached to it, then any sliding fee schedule attached to this encounter takes precedence over a chart level sliding fee schedule. If a cost estimation is not launched from an encounter or an appointment attached to an encounter, the patient chart level sliding fee schedule takes precedence. 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 using the UDS tab on the Modify Patient Informa

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

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

Help Guide for NextGen® Enterprise PM 8

Sliding Fee Calculations for Encounter 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 an 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: Encounter Level Sliding Fee Scenarios

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

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

Patient and Encounter Level Line Item Minimum Value Based Scenario

Patient and Encounter level line Item Flat Rate Based Scenario

Recommendations

Sliding Fee Calculations for Patient and Encounter Level Encounter Based Scenarios

Patient and Encounter Level Sliding Fee Scenarios

Sliding Fee Calculations for Encounter Level Line Item Based Scenarios

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

Sliding Fee Calculations for Encounter Level Encounter Based Scenarios

Sliding Fee Calculations for Person or Patient Level Encounter Based Scenarios

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

Patient and Encounter Level Line Item Minimum Value Based Scenario

Patient and Encounter level line Item Flat Rate Based Scenario

Sliding Fee Calculations for Patient and Encounter Level Encounter Based Scenarios

Patient and Encounter Level Sliding Fee Scenarios

Sliding Fee Calculations for Encounter Level Line Item Based Scenarios

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

Sliding Fee Calculations for Encounter Level Encounter Based Scenarios

Sliding Fee Calculations for Person or Patient Level Encounter Based Scenarios