Payments Spread Overview

Help Guide for NextGen® Enterprise PM 8

Receive a Secondary Payer Payment Before the Primary Payer

When the first payment on an account is from a secondary payer, NextGen® Enterprise PM processes the payment and verifies if the Use settled up status option is selected in the Transactions list on the Practice Preferences window. When the Use settled up status is selected, the remaining dollars are settled to the patient, and NextGen® Enterprise PM displays the following message after posting the payment to the secondary payer: Message After Posting the Payment to the Secondary Payer Note: NextGen Healthcare recommends that you select the Use settled up status option. When the Use settled up status option is not selected and a secondary insurance payment is selected as the first payment on a patient's account, a negative balance is created in the Ins2 bucket and a default settlement status of None appears in the Payment Entry window. In the Payment Entry window, you can see the following: The primary insurance payment is entered after the secondary insurance payment is received and po

Help Guide for NextGen® Enterprise PM 8

Spreading Payments

NextGen® Enterprise PMallows you to spread or distribute a payment amount across line items. You can right-click anywhere on the Payment Entry window to see the payment Spread options. Spreading payment options include FIFO or oldest to newest, FIFO - Pat Resp Date or First In First Out by Patient responsibility date, or Weighted Distribution for a Patient or a Third Party. You can set a default payment spread for a practice using the Practice Preferences and for a selected patient using the Payment Entry window. Set Up a Default Payment Spread for a Practice You can use the Practice Preferences window to set up a default payment spread for a practice. Set Up a Payment Spread for a patient You can set up a payment spread for a patient using the Payment Entry Window. Parent topic: Recording Transactions to a Batch

Help Guide for NextGen® Enterprise PM 8

Using FIFO Payment Spreads

You can use the FIFO or First In, First Out spread, to apply the payments starting with the oldest line items by the create date until the payment is distributed. When a transaction is entered for a non-third party payment, for example a patient payment, NextGen® Enterprise PM applies the payment FIFO to the patient responsibility. The Balance Control window for the encounters on which a payment is being made is used to calculate the patient responsibility. The payment is then applied in a FIFO manner in the following order: Encounter patient responsibility date or invoices first bill date. Encounter number or invoice number. V or I based on the above encounter or invoice. The charge sequence number. You can use the FIFO - Patient Responsibility Date spread to apply payments to the oldest line items determined by the patient responsibility date, until the payment is distributed. Whenever a transaction is entered for a non-third party payment, for example a patient payment, the applicat

Help Guide for NextGen® Enterprise PM 8

Set Up a Default Payment Spread for a Practice

NextGen® Enterprise PM can evenly apply a payment received for each line item with amounts due. When you set a distribution option in the Practice Preferences window, it becomes the default distribution option for the practice. Open NextGen® Enterprise PM. Select Admin > Preferences > Practice The Practice Preferences window opens. Select Transactions under the Preferences list. In the Default Transaction Spreading, do the following: In Transaction Source, select the source of the transaction. Select one of the following spread options: First In/First Out First In/First Out - Pat Resp Date Weighted Distribution Select OK. Parent topic: Payments Spread Overview

Help Guide for NextGen® Enterprise PM 8

Set Up a Payment Spread for a patient

When a payment is received and a patient has several line items with amounts due, NextGen® Enterprise PM applies payments to line items using the selected spread options. Open NextGen® Enterprise PM. On the main toolbar, select Posting . The Batch Posting window opens. Double-click the batch header record. The Payment Entry window opens. Enter the encounter number in Enc/Clm#. The account guarantor, patient, medical record number, and the billed account displays in the Payment Entry window. Select Open. The Payment Entry window is available for modifications. In Pay Amt and Adj Amt, enter the payment and adjustment amount respectively. Select the line items to apply the spread amount.` Right-click, and select Spread, and then select one of the following options: FIFO FIFO - Pat Resp Date Weight Distribution Select Save. The selected payment spread is applied to the given line item. Parent topic: Payments Spread Overview

Help Guide for NextGen® Enterprise PM 8

Set Up a Default Payment Spread for a Practice

NextGen® Enterprise PM can evenly apply a payment received to each line item with amounts due. When you set a distribution option in the Practice Preferences window, that distribution option becomes the default option for the practice. Open NextGen® Enterprise PM. Select Admin > Preferences > Practice The Practice Preferences window opens. Select Transactions under the Preferences list. In the Default Transaction Spreading Transaction Source, do the following: In Transaction Source,select the source of the transaction. Select one of the following spread options: First In/First Out First In/First Out - Pat Resp Date Weighted Distribution Practice Preferences Payment Spreading Select OK. Parent topic: Spreading Payments

Payments Spread Overview

Recommendations

Receive a Secondary Payer Payment Before the Primary Payer

Spreading Payments

Using FIFO Payment Spreads

Set Up a Default Payment Spread for a Practice

Set Up a Payment Spread for a patient

Set Up a Default Payment Spread for a Practice

Payments Spread Overview

Receive a Secondary Payer Payment Before the Primary Payer

Spreading Payments

Using FIFO Payment Spreads

Set Up a Default Payment Spread for a Practice

Set Up a Payment Spread for a patient

Set Up a Default Payment Spread for a Practice