Programs Master File

Help Guide for NextGen® Enterprise PM 8

Programs Master File

The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra

File Maintenance Help for NextGen® Enterprise

Programs Master File

The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra

File Maintenance Help for NextGen® Enterprise 8

Programs Master File

The Programs master file enables you to create various programs that your practice participates in, and to define system-level and practice-level requirements for each program. System-level information applies to all practices participating in the program and may include SIM code, diagnosis code, provider credential and patient age limitations that must be met for services to qualify under the program. Practice-level information applies to a specific practice only and may include warning messages to alert users when an encounter or charge does not meet all program requirements, and payer-specific threshold rules that must be met before billing for services under the program. You can generate the following reports from the Programs master file : Program Listing Program with Threshold Rules For more information, go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Program Hide a Program Copy a Program Assign Pra

Help Guide for NextGen® Enterprise PM 8

Copy a Program

You can copy a program to create another program with the same setup, and then modify the new program as needed. When you copy a program, the following information is copied to the new program: All program requirement settings from the System tab. Alerts/warnings settings from the Practice tab. All settings from the Clinical tab. The following information is not copied to the new program: Threshold rules settings from the Practice tab. Note: Practice access settings are copied to the new program. For more information, refer to Assign Practice Access to a Program. Open File Maintenance. Select System Master Files, then PM, and then Programs. The Programs List window opens. From the list, select a program to copy and then do one of the following: Select Open Menu and then select Copy. Right-click and then select Copy. The Copy Program window opens. In the required Please enter a new program name field, enter a program name. In the required Please enter a new program description field, en

Help Guide for NextGen® Enterprise PM 8

Programs in NextGen® Enterprise PM

Practices may provide services to their patients or clients under various programs. Each program includes care and assistance to patients with a specific illness, condition or need, and depending on the program, enrolled patients can receive the following services; recovery and rehabilitation, symptom management, therapy, counseling, medication management, coping and daily living skills, transportation. Some programs may have service requirements. For example, a program may require that only specific services are provided, that services are provided only to patients with a specific diagnosis, that services are rendered only by providers with a specific credential, or that services are provided only to patients within a specific age group. In addition, some programs may have billing requirements. For example, a program may require that services are rendered a specific number of times within a specific time-frame before billing those services. The programs functionality in NextGen® Enter

Help Guide for NextGen® Enterprise PM 8

Programs in NextGen® Enterprise PM

Practices may provide services to their patients or clients under various programs. Each program includes care and assistance to patients with a specific illness, condition or need, and depending on the program, enrolled patients can receive the following services; recovery and rehabilitation, symptom management, therapy, counseling, medication management, coping and daily living skills, transportation. Some programs may have service requirements. For example, a program may require that only specific services are provided, that services are provided only to patients with a specific diagnosis, that services are rendered only by providers with a specific credential, or that services are provided only to patients within a specific age group. In addition, some programs may have billing requirements. For example, a program may require that services are rendered a specific number of times within a specific time-frame before billing those services. The programs functionality in NextGen® Enter

Programs Master File

Recommendations

Programs Master File

Programs Master File

Programs Master File

Copy a Program

Programs in NextGen® Enterprise PM

Programs in NextGen® Enterprise PM

Programs Master File

Programs Master File

Programs Master File

Programs Master File

Copy a Program

Programs in NextGen® Enterprise PM

Programs in NextGen® Enterprise PM