Verify the CPT4 Code in the Service Item Library

NextGen® Enterprise EHR Help

Add Custom VFC SIM Codes to a Service Item Library

If your practice administers immunizations to VFC eligible patients, you can create custom VFC SIM codes for billing purposes. The steps to add Custom VFC SIM codes to the SIM Library is similar to adding a new SIM code. Note: After adding the custom VFC SIM codes, be sure to verify that the NDC ID Number exists in the NDC 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 open menu and select New. The three service item fields turn red. Do one of the following: In the CPT4 Code, enter a CPT4® code from your list of service items, and select Enter. Select the CPT4® code in the search results. The details for the selected CPT4® code appears. In the Service Item #, enter VFC as a suffix to the CPT4® Code. For example, 90657VFC. In the General tab, do the following: In Eff Date, enter the effective date of the custom VFC SIM code. In Exp. Date, enter the e

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 a Service Item Library

The Service Item Libraries are created using File Maintenance. Select File Maintenance > Libraries > Service Items. Select the Open Menu button and select New. Enter a name for this library in the SIM Library Name field. Select OK. The service item library is created. For more information, go to the NextGen Healthcare Success Community, download the latest System Administrator Guide forNextGen®Enterprise and the File Maintenance Guides for NextGen® Enterprise. Parent topic: Using Advanced Service Item Library Mode Related tasks Add SIM Items to a SIM Library

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

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

File Maintenance Help for NextGen® Enterprise 8

Add a New Service Item

On the Service Item Library Maintenance window, select open menu button , then select New. Enter a CPT code or select on the to search for the CPT code. If you search for the code, the CPT4 Code Search window opens. Under Search Method, select either Code or Description to determine how you want the search results to list, then enter the search data either by code or description. Select the appropriate code, and then select OK. The service item number and default description automatically populate. The default description for the SIM is the same as the CPT4 code description. You can change the description if necessary. For example, if the description Office/outpatient visit, new, problem focused is not meaningful to the staff, you could change it to simply Office Visit New Patient. Enter the information on the General tab, including effective date range and price. Required fields display with red labels. If there are payers that use alternate codes for the SIM, then enter that informat

Verify the CPT4 Code in the Service Item Library

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