Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Enable Supervisor Billing at the Provider/Practice Level

When you enable Supervisor Billing for a provider: A supervisor is always required for the provider at the current practice. If no additional Supervisor Billing settings are enabled, all claims for encounters where this provider is rendering use the supervising provider’s name when they are created. You can add specific payer rows on the Practice tab of the Provider master for any location, including the Default location, and the claims will still bill under the Supervisor's name. SIM exceptions and contract exceptions can then be attached to these specific payer rows and still allow the claim to bill under the Supervisor's name. From the Master Files > System list, select Providers. Double-click the provider requiring supervisor billing and then select the Practice tab. Enable the Enable Supervisor Billing check box. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Override Supervisor Billing at the Provider/Practice Level

You can override the provider/practice-level setting with a payer-level setting or, if Supervisor Billing is not enabled at the provider/practice level, you can enable it for only specific payers. Supervisor Billing becomes enabled for only the provider/practice/payer combination. On the Practice tab of the Provider master file, select the drop-down menu in the Service Location field, and then select the appropriate location. In the Group Information list, double-click on the Default line for all payers or create a new payer. The Add/Modify Practice Payer window opens. Enable either the Enable Supervisor Billing or the Disable Supervisor Billing check box, and then select OK. Note: Either the Enable Supervisor Billing or the Disable Supervisor Billing check box displays. The one that displays is the opposite of the practice-level setting. For example, if the practice-level Enable Supervisor Billing check box is not enabled, then the payer row only displays Enable Supervisor Billing. Se

Help Guide for NextGen® Enterprise PM 8

Disable Supervisor Billing for a Payer

Supervisor Billing is enabled by default for all payers. If you disable it, it overrides all provider-level settings for the payer. From the Master Files > System list, select Payers. Double-click the appropriate payer. The Add Payer Information window opens. Select the Defaults - 2 tab. Enable the Disable supervisor billing check box. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Require a Supervisor for Incident-to-Billing

Through Incident-to-Billing, users can bill an encounter under the supervising provider's name and ID, when the mid-level provider is certified at a location. For this type of billing to take place, you must require a supervisor. Note: Before you set up Incident-to-Billing, you should already have set up Supervisor Billing. Parent topic: Supervisor Billing

Help Guide for NextGen® Enterprise PM 8

Designate a Provider as a Supervisor

From the Master Files > System list, select Providers. Double-click the provider who is a valid supervisor and then select the Practice tab. Enable the Supervising provider at this practice check box. Parent topic: Supervisor Billing

File Maintenance Help for NextGen® Enterprise 8

Supervisor Billing

You can create encounters that require that a supervisor is billed instead of a mid-level rendering provider. To set up this type of billing, you must do the following: Supervisor Billing is enabled by default for all payers, but you can disable it for payers that do not need it. Enable supervisor billing so that a supervisor is always required for a specific provider at the current practice. If necessary, enable or disable supervisor billing in the specific payer rows in the provider master file. The payer row setting overrides the practice-level setting on the Practice tab for just that provider/payer combination. The payer-level settings are available for payer rows at either the Default location (which will apply to all locations) or a specific location (which will only apply for that location). Make the Supervisor field available on the Encounter Maintenance window in NextGen® Enterprise PM. Disable Supervisor Billing for a Payer Enable Supervisor Billing at the Provider/Practice

Supervisor Billing

Recommendations

Enable Supervisor Billing at the Provider/Practice Level

Override Supervisor Billing at the Provider/Practice Level

Disable Supervisor Billing for a Payer

Require a Supervisor for Incident-to-Billing

Designate a Provider as a Supervisor

Supervisor Billing

Enable Supervisor Billing at the Provider/Practice Level

Override Supervisor Billing at the Provider/Practice Level

Disable Supervisor Billing for a Payer

Require a Supervisor for Incident-to-Billing

Designate a Provider as a Supervisor

Supervisor Billing