Providers Credentialing Tab

Help Guide for NextGen® Enterprise PM 8

Providers Credentialing Tab

The Credentialing tab in the Providers master files enables you to track the various credentials obtained by each provider, such as degrees, licenses and certifications. You can enter credentials for each provider and use them for informational purposes only. If the Enable Provider Credential Billing option is enabled in Enterprise Preferences > General, you can also use them in the configuration of the Non-Coordinated SIM and Claim Modifiers libraries for billing purposes in NextGen® Enterprise PM. Add or Modify Provider Credentials Provider Credentials with Overlapping Dates Delete Provider Credentials Hide Provider Credentials Primary Credentials Parent topic: Behavioral Health Billing

File Maintenance Help for NextGen® Enterprise 8

Providers Credentialing Tab

The Credentialing tab in the Providers master files enables you to track the various credentials obtained by each provider, such as degrees, licenses and certifications. You can enter credentials for each provider and use them for informational purposes only. If the Enable Provider Credential Billing option is enabled in Enterprise Preferences > General, you can also use them in the configuration of the Non-Coordinated SIM and Claim Modifiers libraries for billing purposes in NextGen® Enterprise PM. Add or Modify Provider Credentials Provider Credentials with Overlapping Dates Delete Provider Credentials Hide Provider Credentials Primary Credentials Parent topic: Providers Master File

File Maintenance Help for NextGen® Enterprise

Providers Credentialing Tab

The Credentialing tab in the Providers master files enables you to track the various credentials obtained by each provider, such as degrees, licenses and certifications. You can enter credentials for each provider and use them for informational purposes only. If the Enable Provider Credential Billing option is enabled in Enterprise Preferences > General, you can also use them in the configuration of the Non-Coordinated SIM and Claim Modifiers libraries for billing purposes in NextGen® Enterprise PM. Add or Modify Provider Credentials Provider Credentials with Overlapping Dates Delete Provider Credentials Hide Provider Credentials Primary Credentials Parent topic: Providers Master File

Help Guide for NextGen® Enterprise PM 8

Hide Provider Credentials

When Enable Provider Credential Billing is enabled in Enterprise Preferences > General, a provider's credentials can be hidden if needed, but not deleted. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed in the top section of the tab. To hide a credential, do one of the following: Select the credential from the list, and then select the Hide Provider Credential check box. Select the credential from the list, and then select Open Menu and select Hide. The following prompt displays: Confirm hide of [Credential Name]? To hide the credential, select Yes. The credential is hidden and removed from the list. To display hidden credentials, select the Include Hidden Items check box. Hidden credentials display with the Hide icon. Parent topic: Providers Credentialing Tab

Help Guide for NextGen® Enterprise PM 8

Delete Provider Credentials

When Enable Provider Credential Billing is not enabled in Enterprise Preferences > General, a provider's credentials can be deleted, if needed. Access the Modify Provider Information window for a provider. Select the Credentialing tab. Credentials for the provider are listed on the tab. To delete a credential, select the item from the list and then select Open Menu and select Delete. The following prompt displays: Do you want to Delete the record? To delete the credential, select Yes. The credential is deleted and removed from the list. Parent topic: Providers Credentialing Tab

Help Guide for NextGen® Enterprise PM 8

Behavioral Health Billing

In NextGen® Enterprise PM, you can setup the billing requirements for Behavioral Health Billing. Behavioral health SIM codes are set up in the Service Items Library with a base minute value of 15, 30, 60, 240, or a custom value. In addition, the price per time unit is defined for each SIM code. During charge posting, behavioral health SIM codes prompt for the entry of a start and stop time, and then total time units for the charge are calculated based on the times entered. Payers are set up in the Payers master file with a base minute rounding method that is used to round the total time entered on each charge up or down when calculating time units. When multiple behavioral health charges on a single encounter have the same CPT4 code, the same modifiers, the same base minutes and the same unit price, those charges roll-up, or bundle, into a single line item on the claim. The total units on the claim for the roll-up line item is calculated using the total time entered on all of the indiv

Providers Credentialing Tab

Recommendations

Providers Credentialing Tab

Providers Credentialing Tab

Providers Credentialing Tab

Hide Provider Credentials

Delete Provider Credentials

Behavioral Health Billing

Providers Credentialing Tab

Providers Credentialing Tab

Providers Credentialing Tab

Providers Credentialing Tab

Hide Provider Credentials

Delete Provider Credentials

Behavioral Health Billing