Value Codes

Help Guide for NextGen® Enterprise PM 8

Occurrence Codes

The value in the Onset Date field on the Encounter Maintenance window is the default value for the first occurrence code field, 31a. The value in the Occurrence Code field in the Revenue Code master file is the default value for the second occurrence code field, 32a on the UB / Occurrences Codes tab of the Encounter Maintenance window. This code is the starting date of treatment for the series. The encounter date is the default value for this occurrence code. Parent topic: Viewing a Single Encounter After Billing

Help Guide for NextGen® Enterprise PM 8

Value Codes

The value in the Value Code field in the Revenue Code master file is the default value for the value code field, 39a on the UB/Value Codes tab of the Encounter Maintenance window. The box to the right of this displays 1 to indicate a single encounter in the series. Parent topic: View the Initial Encounter After Billing

Help Guide for NextGen® Enterprise PM 8

Viewing a Single Encounter After Billing

During the billing process, an Initial Encounter ID is assigned to the encounter to identify it as the first encounter in a series. By entering a discharge date, the encounter is also identified as the last encounter in the series. This combination of being the first and the last encounter in a series, signifies that this encounter is a single encounter in a series. The billing process automatically populates the fields related to recurring billing on the following tabs on the UB tab of the Encounter Maintenance window: General Occurrence Codes Value Codes General Occurrence Codes Value Codes Parent topic: Single Encounter in a Series

Help Guide for NextGen® Enterprise PM 8

Occurance Codes

The value in the Onset Date field on the Encounter Maintenance window is the default value for the first occurrence code field, 31a. The value in the Occurrence Code field in the Revenue Code master file is the default value for the second occurrence code field, 32a on the UB/Occurrences Codes tab of the Encounter Maintenance window. This code is the starting date of treatment for the series. The encounter date is the default value for this occurrence code. Parent topic: View the Initial Encounter After Billing

Help Guide for NextGen® Enterprise PM 8

UB Value Codes Sub-Tab

Value codes indicate the code and related dollar amounts that identify monetary data required for processing claims. This information is required for benefit determination. Value codes are two character alpha-numeric codes that print in Field Locators 39-41 on UB claims. You can modify the code and the dollar amount when specific codes and amounts are needed on the UB claim for the encounter. You can select one Value Code and associated Dollar Amount in rows 39a - 41d, or up to 12 codes and amounts per encounter. Example: When you select 21 (Catastrophic) in row 31a and enter a dollar amount, the condition code 21 and the amount display in field locator 39a on UB claim forms for the encounter. Note: A default Value Code may have been linked to the Revenue Code that prints in Field Locator #42 on UB claims for the service. The default is defined in File Maintenance > PM System Master Files > Revenue Codes. Parent topic: Encounter Maintenance - UB Tab

Help Guide for NextGen® Enterprise PM 8

Value Codes

The values codes on the Value Codes tab are copied from the initial encounter in the series followed by the number of the encounter in the series. Each subsequent encounter is incremented by 1. In the example below, the final encounter is the third encounter in the series and is represented by a 3. On the final encounter, this number also indicates the total number of encounters in the series. Parent topic: Viewing the Final Encounter After Billing

Value Codes

Recommendations

Occurrence Codes

Value Codes

Viewing a Single Encounter After Billing

Occurance Codes

UB Value Codes Sub-Tab

Value Codes