Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Help Guide for NextGen® Enterprise PM 8

Set Up Revenue Codes for Roll-Up Billing

Roll-up payers that are billed on UB/837I claims require a four-digit Revenue Code in Field Locator 42 for each line item on the claim. Therefore, a Revenue Code must be attached to all SIM codes in the Service Items Library that may be billed on a UB/837I claim. Note: The Revenue Codes master file in File Maintenance is pre-installed. Items should be reviewed and modified as needed. To set up a revenue code for roll-up billing, do the following: Access File Maintenance. Select System Master Files, then PM, and then Revenue Codes. The Revenue Codes List window opens. Do one of the following: To add a revenue code, select Open Menu and select New. To modify a revenue code, select the code from the list, and then select Open Menu and select Open. The Add/Modify Revenue Code Informationwindow opens. In the Code field, enter the four-digit revenue code. This field is required. In the Description field, enter a descriptive name for the revenue code. This field is required. The Occurrence Co

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Roll-Up Billing by Revenue Code requires specific settings in the SIM Library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit Revenue Code Roll Up check box on the Payer tab in the SIM Library. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Practice Preferences Parent topic: Setting Up Roll-Up Billing by Revenue Code

Help Guide for NextGen® Enterprise PM 8

Setting Up Roll-Up Billing by Revenue Code

Roll-Up Billing by Revenue Code in NextGen® Enterprise PM involves the following setup in File Maintenance: Practice Preferences Revenue Codes General and Payer tabs in Service Items library Payers Set Up Practice Preferences for Roll-Up Billing by Revenue Code Set Up Revenue Codes for Roll-Up Billing Set Up SIM Codes for Roll-Up Billing by Revenue Code Set Up Payers for Roll-Up Billing by Revenue Code Parent topic: Roll-Up Billing by Revenue Code

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Roll-Up Billing by CPT4 Code requires specific settings in the SIM library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit CPT4 Code Roll Up check box in the SIM library on the Payer tab. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Parent topic: Setting Up Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Roll-Up Billing by CPT4 Code requires specific settings in the SIM library. In order to flag SIM codes for roll-up billing, the Enable Qualifying Encounter Billing option must be selected in Practice Preferences. This enables the Single Unit CPT4 Code Roll Up check box in the SIM library on the Payer tab. Note: This setting is also required for tracking qualifying encounters in NextGen® Enterprise PM. It enables the three Qualifying Encounter check boxes on the General tab in the SIM library. To enable Qualifying Encounter Billing for the practice, do the following: Access Practice Preferences. From the Preference List, select Claims. Select the Enable Qualifying Encounter Billing check box. To save changes and close the window, select OK. Practice Preferences Parent topic: Setting Up Roll-Up Billing by CPT4 Code

Help Guide for NextGen® Enterprise PM 8

Setting Up Roll-Up Billing by Revenue Code

Roll-Up Billing by Revenue Code in NextGen® Enterprise PM involves the following setup in File Maintenance: Practice Preferences Revenue Codes General and Payer tabs in Service Items library Payers Set Up Practice Preferences for Roll-Up Billing by Revenue Code Set Up Revenue Codes for Roll-Up Billing Set Up SIM Codes for Roll-Up Billing by Revenue Code Set Up Payers for Roll-Up Billing by Revenue Code Parent topic: Roll-Up Billing by Revenue Code

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

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Set Up Revenue Codes for Roll-Up Billing

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Setting Up Roll-Up Billing by Revenue Code

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Setting Up Roll-Up Billing by Revenue Code

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Set Up Revenue Codes for Roll-Up Billing

Set Up Practice Preferences for Roll-Up Billing by Revenue Code

Setting Up Roll-Up Billing by Revenue Code

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Set Up Practice Preferences for Roll-Up Billing by CPT4 Code

Setting Up Roll-Up Billing by Revenue Code