Set Up Billing Options

Help Guide for NextGen® Enterprise PM 8

Set Up Claim Options

The Claim Options tab is used to configure specific parameters that affect claims for Behavioral Health charges. Options to always send unit count as 1 on claim charge lines, and to always send one line item per claim are available. On secondary and tertiary claims, charges can bill as the total sum of the roll-up charges, or as the total sum minus transactions posted from the prior payer. Also, secondary and tertiary claims can be billed as a primary claim depending on the prior payer. Open File Maintenance. Select Libraries, and then select Behavioral Health Billing. The Behavioral Health Billing List window opens. Double-click to open the library. The Behavioral Health Billing Library Maintenance window opens. Select Claim Options. Enter the Claim Options fields to set up the claim options for behavioral health billing. Select OK. Claim Options Field Descriptions You can set up claim options for behavioral health charges. Parent topic: Add or Modify a Behavioral Health Billing Libra

File Maintenance Help for NextGen® Enterprise

Set Up Billing Options

Open File Maintenance. Select Libraries, and then select Behavioral Health Billing. The Behavioral Health Billing List window opens. From the list, double-click to open the library. The Behavioral Health Billing Library Maintenance window opens. Select Billing Options. Enter theBilling Options fields to set up the billing options for behavioral health billing. Select OK. Billing Options Field Descriptions The Billing Options is used to specify which Place of Service code and ICD codes should be used on claims when multiple Behavioral Health charges on an encounter have different codes. Parent topic: Add or Modify a Behavioral Health Billing Library

Help Guide for NextGen® Enterprise PM 8

Add or Modify a Behavioral Health Billing Library

A single library can be created and linked to the practice to be used for all payers or a payer-specific libraries can be created and linked only to those payers. Open File Maintenance. Select Libraries, and then select Behavioral Health Billing. The Behavioral Health Billing List window opens. Do one of the following: To create a library, select Open Menu , and then select New. To modify a library, select the library from the list, and then select Open Menu and select Open. The Behavioral Health Billing Library Maintenance window opens. In Behavioral Health Billing Library, enter a name for the library. Enter the Charge Options, Claim Options, and Biling Options parameters. Select OK. You can generate the Behavioral Health Billing report from the Behavioral Health Billing library , go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Set Up Charge Options You can set up charge options to configure a variance SIM code to be u

Help Guide for NextGen® Enterprise PM 8

Set Up Billing Options

The Billing Options tab is used to specify which Place of Service code and ICD codes should be used on claims when multiple Behavioral Health charges on an encounter each have different codes. It also allows selection of an adjustment reason code for auto-balancing a variance amount on COB claims. Open File Maintenance. Select Libraries, and then select Behavioral Health Billing. The Behavioral Health Billing List window opens. From the list, double-click to open the desired library. The Behavioral Health Billing Library Maintenance window opens. Select the Billing Options tab. Complete the fields to set up Billing Options. For more information on each field, see Billing Options Field Descriptions. To save changes and close the window, select OK. Billing Options Field Descriptions Parent topic: Add or Modify a Behavioral Health Billing Library

File Maintenance Help for NextGen® Enterprise 8

Set Up Billing Options

The Billing Options tab is used to specify which Place of Service code and ICD codes should be used on claims when multiple Behavioral Health charges on an encounter each have different codes. It also allows selection of an adjustment reason code for auto-balancing a variance amount on COB claims. Open File Maintenance. Select Libraries, and then select Behavioral Health Billing. The Behavioral Health Billing List window opens. From the list, double-click to open the desired library. The Behavioral Health Billing Library Maintenance window opens. Select the Billing Options tab. Complete the fields to set up Billing Options. For more information on each field, see Billing Options Field Descriptions. To save changes and close the window, select OK. Billing Options Field Descriptions Parent topic: Behavioral Health Billing Library

File Maintenance Help for NextGen® Enterprise 8

Add or Modify a Behavioral Health Billing Library

Open File Maintenance. Select Libraries, and then Behavioral Health Billing. The Behavioral Health Billing List window opens. Do one of the following: To create a library, select open menu button and select New. To modify a library, select the library from the list, and then select open menu and select Open. The Behavioral Health Billing Library Maintenance window opens. In the Behavioral Health Billing Library field, enter a name for the library. This field is required. Complete parameters as needed on the following tabs: Charge Options, for more information see Set Up Charge Options. Claim Options, for more information see Set Up Claim Options. Billing Options, for more information see Set Up Billing Options. To save changes and close the window, select OK. Parent topic: Behavioral Health Billing Library

Set Up Billing Options

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Set Up Claim Options

Set Up Billing Options

Add or Modify a Behavioral Health Billing Library

Set Up Billing Options

Set Up Billing Options

Add or Modify a Behavioral Health Billing Library

Set Up Claim Options

Set Up Billing Options

Add or Modify a Behavioral Health Billing Library

Set Up Billing Options

Set Up Billing Options

Add or Modify a Behavioral Health Billing Library