Remove a Payer Configuration
In the
Configured Payer(s)
grid, select a payer.
Click
Remove
.
The configuration for the selected payer no longer appears in the
Configured Payer(s)
grid. The payer moves back to the
Payer(s) Available
grid.
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NextGen® Adaptive Content Engine Help Enterprise 8
Update a Payer Exam Configuration
In the Configured Payer(s) grid, select a payer Change the numbers in the Body areas/organ systems fields. Click Update. The level from and level to fields in the Configured Payer(s) grid display the new values. Parent topic: Configure 95 Strict Numeric Exam Levels by Payer
NextGen® Adaptive Content Engine Help Enterprise 8
Configure 95 Strict Numeric Exam Levels by Payer
When you select the Strict Numeric option for 95 Coding Guidelines, you can configure all exam levels for each payer on the 95 Exam Payer Configuration template. Note: Payer configurations on the 95 Exam Payer Configuration template supersede all other coding configurations. Open the Practice Configuration template. In the E&M Coding section, select the 95 Coding Guidelines option. For the 95 PE Exam Calculation Method, select the Strict Numeric option. The 95 Exam Payer Configuration link becomes active. Click 95 Exam Payer Configuration. The 95 Exam Payer Configuration template opens. 95 Exam Payer Configuration template To review the 95 Exam payer information, click the Information icon. In the Payer(s) Available section, select a payer and click the right arrow to move the payer to the Payer(s) Selected section. Enter the number for each Physical exam level in the fields for Body areas/organ systems. Note: The defaults are 1 as the lowest possible value and 12 as the highest possib
NextGen® Orthopedic Suite Help 80.2.14.0
Make a Payer Inactive
You can make a payer inactive. This removes the payer from the bottom grid. On the Specialty Diagnosis Group Config practice template, expand the Manage Financial Class/Payer Listing panel. Select the financial class in the top grid to view available payers. Select the payer from the bottom grid. Click Inactivate. Parent topic: Managing Financial Class or Payer
NextGen® Orthopedic Suite Help 80.2.14.0
Move Payers Out of the Exclusion List
You can move specific payers from the exclusion list if they allow the office visit type. On the Billing Configuration practice template, expand the Exclusions panel. From the Exclusion Type grid, select the office visit type. From the Financial classes grid, select the financial class. In the Payers in the exclusion list grid, select the payer. Use the right-pointing arrow to move the payer to the Payers not in the exclusion list grid. Exclusions panel on the Billing Configuration template Parent topic: Exclusions
NextGen® Orthopedic Suite Help 80.2.14.0
Manage Payers for Non-Billable Procedures
You can add or remove payers in the exclusion list for a financial class. For a financial class associated with a non-billable procedure, you can manage the exclusion list for payers that require specific International Classification of Diseases (ICD) codes to be sent for the procedure. On the Billing Configuration practice template, expand the Non-billable panel. Non-billable panel on the Billing Configuration template Select a procedure from the Procedures grid. The procedure description, Current Procedural Terminology (CPT) code, and ICD code are automatically filled in their corresponding fields, and the configured financial classes are displayed in the Financial Classes grid. Select a financial class from the Financial Classes grid. The payers associated with the financial class are displayed in their corresponding grids. To remove a payer from the exclusion list, do the following: Select a payer from the Payers in the exclusion list grid. Click the Right arrow icon icon. The sele
NextGen® Therapy Suite Help 30.3.13.0
Update or Remove Payers in the Payer Default Grid
If anything changes in the future with payer requirements or contracts, you can update or remove payers in the Payer Defaults grid. To update a payer, select the payer from the Payer Defaults grid, edit the payer’s information, and then select Add/Update. To delete payers from the grid, select a payer, and then select Delete. Parent topic: Payer Picklist and Payer Defaults
