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Billing an Individual Encounter
An individual encounter can be billed from the following areas in
NextGen® Enterprise PM
.
Encounter Lookup
Patient Chart
Charge Posting
Payment Entry
Bill an Individual Encounter from Encounter Lookup
You can bill an individual encounter from the Encounter Lookup window.
Bill an Individual Encounter from the Patient Chart
You can bill an individual encounter from the Patient Chart window.
Bill an Individual Encounter from the Charge or Payment Window
You can bill an individual encounter from the Charge Posting or Payment Entry window.
Billing an Individual Encounter
Help Guide for NextGen® Enterprise PM 8
Billing an Individual Encounter
An individual encounter can be billed from the following areas in NextGen® Enterprise PM. Encounter Lookup Patient Chart Charge Posting Payment Entry Bill an Individual Encounter from Encounter Lookup You can bill an individual encounter from the Encounter Lookup window. Bill an Individual Encounter from the Patient Chart You can bill an individual encounter from the Patient Chart window. Bill an Individual Encounter from the Charge or Payment Window You can bill an individual encounter from the Charge Posting or Payment Entry window. Parent topic: The Billing Process
Help Guide for NextGen® Enterprise PM 8
The Billing Process
The billing process in NextGen® Enterprise PM takes encounters that are in Unbilled or Rebill status and runs those encounters through a claim edits process. Any encounter that passes the claim edits gets a pending claim created that can be printed or exported and then submitted to insurance for payment. You can run the billing process for an individual encounter on demand, or for multiple encounters in a batch. Billing an Individual Encounter You can bill an individual encounter. Bill Multiple Encounters (Batch Billing) You can bill multiple encounters on the Encounter Lookup window. Billing In Progress Encounters You can bill In Progress encounters after converting an In Progress encounter to an Unbilled encounter. Billing Anesthesia Encounters You can bill anesthesia encounters in File Maintenance. Recurring Rental Billing You can enable Recurring Rental Billing in NextGen® Enterprise PM.
Help Guide for NextGen® Enterprise PM 8
The Billing Process
The billing process in NextGen® Enterprise PM takes encounters that are in Unbilled or Rebill status and runs those encounters through a claim edits process. Any encounter that passes the claim edits gets a pending claim created that can be printed or exported and then submitted to insurance for payment. You can run the billing process for an individual encounter on demand, or for multiple encounters in a batch. Billing an Individual Encounter You can bill an individual encounter. Bill Multiple Encounters (Batch Billing) You can bill multiple encounters on the Encounter Lookup window. Billing In Progress Encounters You can bill In Progress encounters after converting an In Progress encounter to an Unbilled encounter. Billing Anesthesia Encounters You can bill anesthesia encounters in File Maintenance. Recurring Rental Billing You can enable Recurring Rental Billing in NextGen® Enterprise PM. Parent topic: Billing
Help Guide for NextGen® Enterprise PM 8
Enter an Encounter Follow-up Date
Open NextGen® Enterprise PM. Select Chart. The Patient Lookup window opens. Enter search criteria to locate the desired patient. Select Find. All existing persons and patients that match the entered search criteria display in the Matching Records section of the window. In the Matching Records list, double-click the patient. The Patient Chart window opens. Select the Encounters tab. From the Encounters list on the left, open the desired encounter. The Encounter Maintenance window opens. Select the Billing & Collections tab. In the Follow Up Date field, and then enter a future date. The Follow Up option automatically enables the encounter to include in the Collections Follow Up report. Select OK. Parent topic: Collections
Help Guide for NextGen® Enterprise PM 8
View Eligibility Information for a Patient
Open NextGen® Enterprise PM. On the main toolbar, select Chart or Chart Lookup.. The Patient Lookup window opens. In the Search Criteria section, enter the patient's information, and select Find. Patient records that match the search criteria appear in the Matching Records section. Select the patient and then select Open. The Patient Chart window opens. Select the Encounters tab. From the Encounters list, select an encounter with a payer attached. Access the patient's chart and select the Encounters tab. Select the Insurance tab. The eligibility information is located in the Verification section of the window. Parent topic: Viewing Insurance Information in Encounters
Help Guide for NextGen® Enterprise PM 8
Enable Qualifying Encounter Billing
The Encounter Rate Billing functionality in NextGen® Enterprise PM includes logic that identifies multiple encounters for a patient on the same date of service at the same location with the same encounter rate payer. Qualifying Encounter Billing must be enabled for the practice. When enabled, the Encounter Rate Billing Status fields display on the Billing & Collections tab of the Encounter Maintenance window. These fields are used to determine which encounter to bill when a patient has multiple same-day encounters with more than one provider at the same location with the same encounter rate payer attached. Access NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box and then select OK. Parent topic: Practice Preferences for Encounter Rate Billing
