Units Mode Referrals

A payer can provide a referral for the patient to have a specific CPT4 code and number of units performed, and those services may be rendered within a date range defined by the payer. This type of referral is entered in NextGen® Enterprise PM using Units Mode.

From the Referral Code Tracking window, you can enter a Units Mode referral with the following information:

• Referral code (required)
• Effective and expiration dates (required)
• Rendering provider
• Location
• Provider specialty
• Free-text description
• Valid ICD codes
• Valid CPT4 codes and number of units authorized (required)

On the Referral Code Tracking window for an existing authorization, you can view Encounters Utilizing This Referral and Appointments Pending This Referral. These sections do not appear when you enter a new referral.