Set Chart Preferences to Automatically Submit SIM Charges

NextGen® Enterprise EHR Help

Enable Advanced Service Item Library Mode

When you Enable Advanced Service Item Library Mode it turns on all enterprise-wide features that allow you to set prices by configuring locations into payer-centric groupings. CAUTION: Once you select the Enable Advanced Service Item Library Mode check box, you cannot disable it. Select File Maintenance > Master Files > System > Enterprises. The Enterprises List window opens. Double-click an enterprise in the list. The Modify Enterprise Information window opens. Select Preferences. The Enterprise Preferences window opens. Select the Libraries tab, and then select Enable Advanced Service Item Library Mode check box. Select OK to close the Enterprise Preferences window. Select OK to close the Modify Enterprise Information window. Parent topic: Using Advanced Service Item Library Mode

NextGen® Enterprise EHR Help

Add SIM Items to a SIM Library

After you have created a SIM library, you need to add service items and pricing information to the library. Select File Maintenance > Libraries > Service Items. From the Service Items List window, select the library to update. The Service Item Library Maintenance window opens. Select the open menu and select New. The three service item fields turn red. In the CPT4 Code field, enter a CPT4® code from your list of service items and then select Enter. The details for that CPT4® Code appears. In the General tab, do the following: In Eff Date, enter the effective date. In Exp. Date, enter the expiration date. In Non-Facility Price, enter the non-facility price in dollars. In Facility Price, enter the facility price in dollars. If you have more items to add, select Enter and repeat steps 4 to 6 for all service items you wish to add. Select OK when you are finished adding all your service items. The service items that you added display in the left panel. Parent topic: Using Advanced Service I

NextGen® Enterprise EHR Help

Create SIM Groups in a Service Item Library

Orders module charge posting also looks at SIM Groups which are set up in File Maintenance in the Service Item Libraries. You must first define a Service Item library, and add service items to the library before you can create a SIM group. Select File Maintenance > Libraries > Service Items. Right-click the Service Item library for which you want to create a SIM Group. The Service Items List window opens. Select SIM Groups from the list. Select the open menu button, and then select New. The SIM Group Maintenance window opens. Define the SIM Group ID and Description. SIM Group. This is a numeric or alphabetic ID that you use to identify this SIM Group. Description. The description you choose for this SIM Group. Service Item #. This is the list of service items contained in this group. Select in the Service Item #. Select the SIM ID to have the focus on that parameter. Put in the SIM ID you want in the Search Criteria in the Available pane. Select the blue Right Arrow to move the item to

NextGen® Enterprise EHR Help

Set Up Charge Submission Defaults

For your practice to post charges for performing tests, you must define the charge for the tests using the SIM code or SIM group code for the test. You must also set up when to post the charges for tests from each type of performing entity that you use, including any in-house testing. You must set this value only if you want to post charges for tests that are ordered. If no value is specified, "No Billing" is assumed. CAUTION: If your practice places orders through template and manages charges from template, do not use the charge posting in the Orders module as it can result in duplicate charges. In File Maintenance, select System > Practices. From the Practices List, double select the required practice. The Modify Practice Information window opens. Select Preferences. The Practice Preferences window opens. From the Preference List on the left, select Orders Module. Select Lab/Rad. In the Charge Submission Defaults section, select Open Menu. The Add Charge Submission Default window ope

NextGen® Enterprise EHR Help

Using Advanced Service Item Library Mode

The Advanced Service Item Library Mode feature provides the ability to set pricing for tests and services based on how various payers divide the country into geographical regions. If you need to set up test pricing for your practice that is based on regions, the Advanced Service Item Library Mode is the way to accomplish this. You can set prices by configuring locations into payer centric groupings. As an example, Medicare may have different regional groupings than Aetna, and pricing is determined accordingly. In addition, the concept of SIM Pricing Templates was introduced to support the management of prices using parent/child relationships between libraries.If you do not need to set up payment based on pricing regions, do not use this parameter. Advanced Service Item Library Mode implementation in the Orders module uses File Maintenance, master files and libraries to assign a SIM code to a lab order test specimen charge. It does not allow you to assign the library at the same time be

NextGen® Enterprise EHR Help

Configure Charge Submission for Orders

For your practice to post charges for performing laboratory and diagnostic tests, you can define the charge using the Service Item (SIM) code or SIM group code for the test. You must also configure the schedule for posting charges on ordered tests for all types of performing entities, including any for in-house testing. CAUTION: If your practice uses templates to place orders and manage charges, do not use charge posting in the Orders module as it can result in duplicate charges. For more information on the Orders module, go to NextGen Healthcare Success Community and download the latest Orders Module User Guide for NextGen® Enterprise EHR. Open File Maintenance. Under Master Files, select EHR, and then select Practices. The Practices List window opens. Double-click a practice name. The Modify Practice Information window opens. Select Preferences. The Practice Preferences window opens. Under Preference List, select Orders Module. Select the Lab/Rad tab. In the Charge Submission Default

Set Chart Preferences to Automatically Submit SIM Charges

Recommendations

Enable Advanced Service Item Library Mode

Add SIM Items to a SIM Library

Create SIM Groups in a Service Item Library

Set Up Charge Submission Defaults

Using Advanced Service Item Library Mode

Configure Charge Submission for Orders

Enable Advanced Service Item Library Mode

Add SIM Items to a SIM Library

Create SIM Groups in a Service Item Library

Set Up Charge Submission Defaults

Using Advanced Service Item Library Mode

Configure Charge Submission for Orders