Update Any Billing Rule

NextGen® Medication Inventory Control Help 10.6.3.0

Add a Standard Billing Rule

In the Medication Information Configuration grid, select the billable medication for which you want to add a rule. A check mark appears next to the selected medication in the grid, and the drug name, J-Code and NDC number are displayed in blue text on the Medication Billing Rules panel header. Make sure that the option for Standard Rules is selected above the Billing Rules grid. Select the field below the Financial Class column. A picklist of financial classes opens. Select the financial class for the rule, or select the asterisk to set the rule for all financial classes, and select OK. A picklist of payers for the selected financial class opens. Select a payer, if you are setting the billing rule for only a certain payer, or select the asterisk (*) if you are setting the rule for all payers in the financial class, and select OK. Select the field below the Quantity column and enter a quantity. Select the field below the # of Billing Units column and enter a quantity. Select Add to add

NextGen® Medication Inventory Control Help 10.6.3.0

Delete a Billing Rule

When a billing rule that you have added for a medication is no longer applicable, you can remove it. The steps are the same for both standard and special billing rules. In the Medication Information Configuration grid, select the medication for which you want to delete the rule. Select the rule in the Billing Rules grid. Select Delete. The billing rule is removed from the grid. Parent topic: Configuring Billing Rules

NextGen® Medication Inventory Control Help 10.6.3.0

Add a Special Billing Rule

In the Medication Information Configuration grid, select the billable medication for which you want to add the rule. A check mark appears next to the selected medication in the grid, and the drug name, J-Code and NDC number are displayed in blue text on the Medication Billing Rules panel header. In the Medication Billing Rules panel, make sure that the option for Special Rules is selected. Select the field below the Financial Class column of the Billing Rules grid. A picklist of financial classes opens. Select the financial class for the rule, or select the asterisk to set the rule for all financial classes, and select OK. A picklist of payers for the selected financial class opens. Select a payer, if you are setting the billing rule for only certain payers, or select the asterisk (*) if you are setting the rule for all payers in the financial class, and select OK. Select the field below the Quantity column and enter a quantity. Select the field below the # of Billing Units column and

NextGen® Medication Inventory Control Help 10.6.3.0

Configuring Billing Rules

When a medication is added to the Medication Information Configuration grid, the Billing Rules grid displays a default standard rule and a default special rule that apply to all financial classes (as designated by an asterisk) and all payers,of 1:1 Quantity-to-Billing Unit. Standard Rules are ratios of billing units per quantity of medication given. There may be a single standard rule, or different rules defined for different financial classes or payers. Special Rules are ratios used for billing when the J-Code changes depending on the medication quantity given (For example, as for Depo-Medrol). You cannot remove either default all-payer rule, but you can: Edit the Quantity-to-Billing Unit ratio for a default all-payer rule Add either standard or special rules for individual financial classes and payers Update added rules Delete added rules Note: You cannot set up special rules for a medication for which you have already set up a standard rule, nor set up standard rules for a medicatio

NextGen® Medication Inventory Control Help 10.6.3.0

Copy a Selected Billing Rule

One you have set up a billing rule for a medication, you can copy that billing rule to other medications, saving steps. Add a billing rule for a medication (see Configuring Billing Rules). In the Medication Information Configuration grid, select the billable medication that has the rule you want to copy. Select the billing rule in the Billing Rules grid. Select in the Copy selected Billing Rule to field, below the Billing Rules grid. A picklist of all medications in your inventory opens. In the picklist, find and select the medication to which you want to copy the rule, in the list, and select OK. Select Copy. The rule is copied to the new medication. Parent topic: Copying Billing Configurations

NextGen® Medication Inventory Control Help 10.6.3.0

Medication Billing Rules Panel

The Medication Billing Rules panel enables you to configure billing rules for medications. Use the Medication Billing Rules panel to set up: Standard or special billing rules, including financial class-specific or payer-specific billing rules Payers that do not bill for a medication Financial classes and/or specific payers that do not allow combining medications for billing purposes. For all of these actions, rules that have been set up for one medication, financial class, or payer can be copied to another, to save setup time. Note: The Billing Rules grid only applies to medication administered from the MICS Dispensing and MICS Injections/Aspirations templates. Information Link Configuring Billing Rules Configure Payers That Do Not Bill for Medication Marked Billable Configure Financial Classes That Do Not Allow Combining Medications Copying Billing Configurations Parent topic: Configuring Medication Information and Billing Rules

Update Any Billing Rule

Recommendations

Add a Standard Billing Rule

Delete a Billing Rule

Add a Special Billing Rule

Configuring Billing Rules

Copy a Selected Billing Rule

Medication Billing Rules Panel

Add a Standard Billing Rule

Delete a Billing Rule

Add a Special Billing Rule

Configuring Billing Rules

Copy a Selected Billing Rule

Medication Billing Rules Panel