Contract Automatic Adjustment
Recommendations
Explore
Contract Automatic Adjustment
Help Guide for NextGen® Enterprise PM 8
Charge Posting Window
The alerts message shows a $50.00 automatic adjustment, which is the difference between the charge amount and the allowed amount specified in the contract for this CPT4 code. Select . The Charge Posting window opens with the automatic adjustment. Parent topic: Example of an Auto Adjustment for a Non-Participating Provider
Help Guide for NextGen® Enterprise PM 8
Contract Automatic Adjustment
Parent topic: Example of an Auto Adjustment for a Non-Participating Provider
Help Guide for NextGen® Enterprise PM 8
Example of an Auto Adjustment for a Non-Participating Provider
This example shows the contract set up to automatically adjust the charge to 70% for the primary insurance and 30% for the guarantor. Contract Automatic Adjustment Charge Posting Window Parent topic: Set Up Auto Charge Adjustments for Non-Participating Providers
Help Guide for NextGen® Enterprise PM 8
Example of an Auto Adjustment for a Non-Participating Provider
This example shows the contract set up to automatically adjust the charge to 70% for the primary insurance and 30% for the guarantor. Contract Automatic Adjustment Charge Posting Window Parent topic: Set Up Auto Charge Adjustments for Non-Participating Providers
Help Guide for NextGen® Enterprise PM 8
Set Up Auto Charge Adjustments for Non-Participating Providers
Before you begin For the Contract's auto-charge adjustment to work properly, you must populate the following fields on the General tab of the Contract Library Maintenance window: Add a value to the % of Allowed Amount for NonParticipants field Select the Automatically adjust charges check box The application enables you to set up auto-adjustments for non-participating providers based on the terms of their contract. When charges are entered, they are adjusted according to the terms of the contract for the non-participating providers. In File Maintenance, access the Payers Master File. The Payer List window appears. Select the open menu button and select New to set up a new payer or select Open to modify an existing payer. The Add/Modify Payer Information window appears. Select the Practice tab and then select the Libraries tab. Select the drop-down arrow in the Managed Care Contract field and select the contract that meets the contract terms of the payer. When you select a contract, the
Help Guide for NextGen® Enterprise PM 8
Set Up Auto Charge Adjustments for Non-Participating Providers
Before you begin For the Contract's auto-charge adjustment to work properly, you must populate the following fields on the General tab of the Contract Library Maintenance window: Add a value to the % of Allowed Amount for NonParticipants field Select the Automatically adjust charges check box The application enables you to set up auto-adjustments for non-participating providers based on the terms of their contract. When charges are entered, they are adjusted according to the terms of the contract for the non-participating providers. In File Maintenance, access the Payers Master File. The Payer List window appears. Select the open menu button and select New to set up a new payer or select Open to modify an existing payer. The Add/Modify Payer Information window appears. Select the Practice tab and then select the Libraries tab. Select the drop-down arrow in the Managed Care Contract field and select the contract that meets the contract terms of the payer. When you select a contract, the
