Set Up CPT Codes in Service Items Library

Help Guide for NextGen® Enterprise PM 8

Service Items Library

The Service Items library is the center of the billing functions. Within the Service Items library you can set up CPT4 codes for each practice, along with prices, and claim form designations. You can also group Service Items together under one main number or name. Libraries are available enterprise-wide, but each practice must designate which Service Items library to use by selecting it in the Libraries Practice Preferences. You can generate the Service Item Library Listing report from the Service Items library. For more information go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Set Up the Service Item Library Set Up Anesthesia SIMs Parent topic: Setting Up Claims

Help Guide for NextGen® Enterprise PM 8

Set Up the Service Item Library

Before you begin Each practice must designate which Service Items library to use by selecting it in Practice Preferences. Open File Maintenance and then select Libraries > Service Items. The Service Items List window opens. Select the open menu button to add or open an existing Service Item library. The Service Item Library Maintenance window opens. To set up the library, enter values in the fields and the tabs. Service Item Library Maintenance Field Descriptions You can set up your Service Item Library by setting up CPT4 codes for each practice, along with the prices and claims. Parent topic: Set Up CPT Codes in Service Items Library

File Maintenance Help for NextGen® Enterprise 8

Service Items Library

The Service Items library is the center of the billing functions. Within the Service Items library you can set up CPT4 codes for each practice, along with prices, and claim form designations. You can also group Service Items together under one main number or name. Libraries are available enterprise-wide, but each practice must designate which Service Items library to use by selecting it in the Libraries Practice Preferences. You can generate the Service Item Library Listing report from the Service Items library. For more information go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Set Up the Service Item Library You can set up your Service Item Library by setting up CPT4 codes for each practice, along with the prices and claims. General Tab Other Tab - SIM Library Payer Tab - SIM Library Labels Tab - SIM Library Notes/Significant Events Tab - SIM library Drugs Tab - SIM library Add a New Service Item Editing the Provider

Help Guide for NextGen® Enterprise PM 8

Set Up the Service Item Library

In Libraries, select Service Items. Double-click on the applicable Service Item Library or select open menu button, and then select New. The Service Item Library Maintenance window opens. Complete the fields to set up the library. Service Item Library Maintenance Field Descriptions You can set up your Service Item Library by setting up CPT4 codes for each practice, along with the prices and claims. Parent topic: Service Items Library

Help Guide for NextGen® Enterprise PM 8

Setting Up Claims

Before you can generate claims, you must set up options to define the following: The type of information you want to display in the various claim form fields The way you want the claim forms to print The location, payer, and provider information for a valid claim creation Specialty BillingFor more information about the setup and functionality of the types of billing based on specialty, go to NextGen Healthcare Success Community and download the following user guides. Anesthesia Billing User Guide for NextGen® Enterprise PM Behavioral Health Billing User Guide for NextGen® Enterprise PM Community Health Centers User Guide for NextGen® Enterprise PM Claim Printing Library The Claim Printing library enables you to specify options that define which information prints on claim forms. Claim Modifiers Library EDI Claim Profile Library The EDI Claim Profile library enables you to store and configure EDI claim settings in one central library. Contracts Library Claim Edits Set Up CPT Codes in Se

NextGen® Enterprise EHR Help

Verify the CPT4 Code in the Service Item Library

Prior to selecting and ordering Immunizations, verify the CPT4® in the SIM Library. Select File Maintenance > Libraries > Service Items. The Service Items List window opens. Double-click the default Service Item Library for your practice. Note: The default Service Item Library is indicated by a green color check mark under the Practice Default column. Enter the CPT4® code in the Search field. If the code exists, it appears in CPT4 Code. To verify if your alternate Medicare Billing code exists, enter the Q code in the Search field. Note: If the CPT4® code or Q code does not exist, you must set up the Service Item Library. For more information about setting up the Service Item Library, go to the NextGen Healthcare Success Community and download the latest System Administrator Guide for NextGen Enterprise. Parent topic: Using Advanced Service Item Library Mode

Set Up CPT Codes in Service Items Library

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Verify the CPT4 Code in the Service Item Library

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Verify the CPT4 Code in the Service Item Library