Enter Test Results for a Charge

Help Guide for NextGen® Enterprise PM 8

Enter Test Results for a Charge

When you enter a charge on the Charge Posting window for a SIM code that is set up in the Service Items library to create MEA test result segments, the system allows you to enter a test Qualifier, Date, and Result. A confirmation message appears stating that the charge is saved. Note: If test results are received from an HL7 interface, all the fields for charge test results fill automatically. Open NextGen® Enterprise PM. Select Charges. The Charge Posting window opens. Select the desired patient and encounter. Do the following for the SIM code that is set up to create MEA test result segments. Enter a new charge, and then select Save or Next. Select an existing charge, and then select the Test Results button on the charge toolbar. The Test Data for this Charge window opens. Note: You can enter up to five test qualifiers and results. In the Qualifier field, select one of the following: HT(Height) R1(Hemoglobin) R2(Hematocrit) R3(Epoetin Starting Dosage) R4(Creatinine) A qualifier canno

File Maintenance Help for NextGen® Enterprise 8

Other Tab - SIM Library

You can enter additional narrative information in theNarrativefield on theService Item Library Maintenancewindow. The narrative displays: In theNarrativefield on theCharge Postingwindow In box 19 on the paper 1500 claim form As either a 2300 NTE or 2400 NTE record on the electronic claim based on the Submitter Profile settings In FL 84 box for Remarks on a UB92 claim form or in box FL 80 for UB04 claim form, if the appropriate claim print option is activated In the paper HCFA, a line label automatically generates that shows the corresponding charge for the narrative. Note: Alternatively, you can leave this field blank and only add a narrative for each patient as needed on theCharge Postingwindow inNextGen® Enterprise PM. You can also modify the narrative on theClaim Detailtab of theClaim Maintenancewindow. Below the Narrative field is a Create Test Results MEA Segmen t check box. When you select this option for 1500 claims you will have access to the Test Results window in NextGen® Ent

Help Guide for NextGen® Enterprise PM 8

Process Pending Charges

Open NextGen® Enterprise PM. From the File menu, select Processes, and then select Pending Charges. The Process Pending Charges window opens. Enter the appropriate Search Criteria to locate the desired pending charges, and then select Find. Charges matching with the entered search criteria appear in the Pending Charge List section. All charges are pre-selected in the column on the left. Note: Charges that require test results for claims are identified with a Y (Yes) in the TR Req (Test Results Required) column. Clear the charges that should not be processed, if needed. To accept the selected charges, select Process. A confirmation message appears to process the charges. Select OK. A message appears stating that one or more charges are flagged to create test results for MEA segment. You can open the charges from Charge Entry window and select the Test Results icon to open the Test Result window and enter these results. Select OK. Open the Charge Posting window for the desired patient an

Help Guide for NextGen® Enterprise PM 8

Process Pending Charges

Open NextGen® Enterprise PM. From the File menu, select Processes, and then select Pending Charges. The Process Pending Charges window opens. Enter the appropriate Search Criteria to locate the desired pending charges, and then select Find. Charges matching with the entered search criteria appear in the Pending Charge List section. All charges are pre-selected in the column on the left. Note: Charges that require test results for claims are identified with a Y (Yes) in the TR Req (Test Results Required) column. Clear the charges that should not be processed, if needed. To accept the selected charges, select Process. A confirmation message appears to process the charges. Select OK. A message appears stating that one or more charges are flagged to create test results for MEA segment. You can open the charges from Charge Entry window and select the Test Results icon to open the Test Result window and enter these results. Select OK. Open the Charge Posting window for the desired patient an

Help Guide for NextGen® Enterprise PM 8

Charge Test Results on Electronic Claims

Some payers require the test result details to be included on electronic 837P (1500) claims for reimbursement on specific tests, such as Creatinine, Hemoglobin and Hematocrit. The information required includes a qualifier that identifies the test, the test date, and the test result. An electronic 837P claim can create up to five separate MEA test result segments for results that you can enter manually from the Charge Posting window in NextGen® Enterprise PM or receive it through an interface. The MEA test results are included in the 2400 DTP*738 segment in the 837P electronic claim file. Note: You can use this functionality for electronic 837P (1500) claims. It does not apply to electronic 837I (UB) or 837D (ADA) claims. Setting up Charge Test Results You can set up charge test results on electronic claims for reimbursement. Enter Test Results for a Charge You can enter test results for a charge on the Charge Posting window. Significant Events for Charge Test Results You can enable sig

Help Guide for NextGen® Enterprise PM 8

Process Charges from Charge Posting Window

Open NextGen® Enterprise PM. Select Charges. The Charge Posting window opens. Select the desired patient and encounter with pending charges. A message appears confirming to process the pre-loaded charges. Select Process to accept the charges. A window appears stating that one or more charges are flagged to create test results for MEA segment. You can open the charges and select the Test Results icon to fill these results. Select OK. Select a charge that requires test results, and then select the Test Results button on the charge toolbar. The Test Data for this Charge window opens. Enter the Qualifier, Test Date, and Test Results required for the claim. To save changes and close the window, select OK. Parent topic: Process Charges that Require Test Results for Claims

Enter Test Results for a Charge

Recommendations

Enter Test Results for a Charge

Other Tab - SIM Library

Process Pending Charges

Process Pending Charges

Charge Test Results on Electronic Claims

Process Charges from Charge Posting Window

Enter Test Results for a Charge

Enter Test Results for a Charge

Other Tab - SIM Library

Process Pending Charges

Process Pending Charges

Charge Test Results on Electronic Claims

Process Charges from Charge Posting Window