Co-Pays on Charges with Calculated Amounts

Is charge Quantity >1?	Is charge Override price entered?	Is charge Extended amount recalculated?	Is Co-Pay applied to charge?
No	No	No	Yes
Yes	No	Yes	Yes
No	Yes	Yes	Yes
Yes	Yes	Yes	Yes

Help Guide for NextGen® Enterprise PM 8

Co-Pays on Charges with Calculated Amounts

When entering charges, the Quantity field defaults to 1, the Unit field displays the price per unit for the selected SIM code from the Service Items Library, and the Override field defaults to the price per unit. The Extended field displays the total amount for the charge, calculated as Quantity x Override = Extended. If you enter a Quantity that is greater than 1 or enters an override price per unit in the Override field, then the Extended amount is recalculated for the charge. The following table shows various charge scenarios and whether a co-pay will be applied to the charge. Is charge Quantity >1? Is charge Override price entered? Is charge Extended amount recalculated? Is Co-Pay applied to charge? No No No Yes Yes No Yes Yes No Yes Yes Yes Yes Yes Yes Yes Note: When the charge Quantity is >1 and an Override price is entered, the Extended amount is recalculated only if the Calculate extended amount on overridden charges option is selected in Practice Preferences > Charge Entry. If

Help Guide for NextGen® Enterprise PM 8

Contract Adjustments on Charges with Calculated Amounts

When entering charges, the Quantity field defaults to 1, the Unit field displays the price per unit for the selected SIM code from the Service Items library, and the Override field defaults to the price per unit. The Extended field displays the total amount for the charge, calculated as follows: Quantity x Override = Extended If the user enters a Quantity greater than 1 or enters an override price per unit in the Override field, then the Extended amount is recalculated for the charge. The following chart shows various charge scenarios and whether a contract auto-adjustment will be applied to the charge: Is charge Quantity >1? Is charge Override price entered? Is charge Extended amount recalculated? Is Contract Adjustment applied to charge? No No No Yes Yes No Yes Yes No Yes Yes Yes (see Note 2) Yes Yes Yes (see Note 1) Yes (see Note 2) Note: When the charge Quantity is >1 and an Override price is entered, the Extended amount is recalculated only if the Calculate extended amount on over

Help Guide for NextGen® Enterprise PM 8

Contract Adjustments on Charges with Calculated Amounts

When entering charges, the Quantity field defaults to 1, the Unit field displays the price per unit for the selected SIM code from the Service Items library, and the Override field defaults to the price per unit. The Extended field displays the total amount for the charge, calculated as follows: Quantity x Override = Extended If the user enters a Quantity greater than 1 or enters an override price per unit in the Override field, then the Extended amount is recalculated for the charge. The following chart shows various charge scenarios and whether a contract auto-adjustment will be applied to the charge: Is charge Quantity >1? Is charge Override price entered? Is charge Extended amount recalculated? Is Contract Adjustment applied to charge? No No No Yes Yes No Yes Yes No Yes Yes Yes (see Note 2) Yes Yes Yes (see Note 1) Yes (see Note 2) Note: When the charge Quantity is >1 and an Override price is entered, the Extended amount is recalculated only if the Calculate extended amount on over

Help Guide for NextGen® Enterprise PM 8

Field Descriptions for Entering a Charge

Use the following table to complete the fields for each charge entered on the encounter. Field Description Svc Dates Defaults to the Billable Date found on the Encounter Maintenance window. The From and To dates can be modified, by entering the date (MM/DD/YYYY) or by selecting the date from the Calendar button. Note: The encounter Billable Date and the charge Service Date are typically the same. Svc Item You can do one of the following: Enter or select the SIM code from the list. Enter or select the SIM description from the list. You can leave this field blank and press the Tab key to move to the SIM description field on the right. Note: The Service Item code is not sent on claims. CPT4 Shows the CPT4 code linked to the selected SIM code. This field cannot be modified. Note: The CPT4 code is sent on claims. Modifiers 1 - 4 In the Modifier fields to the right of CPT4, you can enter up to four 2-digit modifiers for the charge, if needed. Quantity Defaults to 1 and can be modified, if ne

Help Guide for NextGen® Enterprise PM 8

Field Descriptions for Entering a Charge

Use the following table to complete the fields for each charge entered on the encounter. Field Description Svc Dates Defaults to the Billable Date found on the Encounter Maintenance window. The From and To dates can be modified, by entering the date (MM/DD/YYYY) or by selecting the date from the Calendar button. Note: The encounter Billable Date and the charge Service Date are typically the same. Svc Item You can do one of the following: Enter or select the SIM code from the list. Enter or select the SIM description from the list. You can leave this field blank and press the Tab key to move to the SIM description field on the right. Note: The Service Item code is not sent on claims. CPT4 Shows the CPT4 code linked to the selected SIM code. This field cannot be modified. Note: The CPT4 code is sent on claims. Modifiers 1 - 4 In the Modifier fields to the right of CPT4, you can enter up to four 2-digit modifiers for the charge, if needed. Quantity Defaults to 1 and can be modified, if ne

File Maintenance Help for NextGen® Enterprise

SIM Pricing Template Library Field Descriptions

Section Description Service Item # and Description Displays a meaningful Service Item numbers and descriptions to correlate to the appropriate CPT4 code. You can also select New from the open menu button, and then enter a new Service Item Number. Non-Facility/ Facility Price Displays the non-facility and facility price, if applicable, for the SIM for the defined time period. When a service item has both facility and non-facility prices, the price charged is based on whether the place of service is indicated as a facility in the Place of Service code table. Cost to Perform Displays the actual cost of the procedure. Time to Perform Displays the time allocated for the procedure. RVU 1 - 8 Displays the Relative Value Units for this SIM. UD1 Price/ UD1 Facility Price/ UD2 Price/ UD2 Facility Price Displays the user-defined facility and non-facility price. These values print on the claim; they do not become the amount of a charge. The column names are defined on the Libraries tab of the Ente

Co-Pays on Charges with Calculated Amounts

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Co-Pays on Charges with Calculated Amounts

Contract Adjustments on Charges with Calculated Amounts

Contract Adjustments on Charges with Calculated Amounts

Field Descriptions for Entering a Charge

Field Descriptions for Entering a Charge

SIM Pricing Template Library Field Descriptions

Co-Pays on Charges with Calculated Amounts

Co-Pays on Charges with Calculated Amounts

Contract Adjustments on Charges with Calculated Amounts

Contract Adjustments on Charges with Calculated Amounts

Field Descriptions for Entering a Charge

Field Descriptions for Entering a Charge

SIM Pricing Template Library Field Descriptions