Add an Alert

NextGen® Orthopedic Suite Help 80.2.14.0

Update an Alert

You can edit or delete an existing alert. On the Billing Configuration practice template, expand the Alerts panel. Select an alert from the grid. The details of selected alert appear in the corresponding fields below the grid. To edit the alert, make changes to the text in the fields as needed, and then click Update. To delete the alert, click Delete. Note: The alert appears based on the primary insurance listed on the encounter. If there is an alert configured for all payers within a financial class (*), this overrides what the individual payer has configured for that chief complaint. Parent topic: Alerts Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Alerts Configuration

You can set up alerts for the pre-registration workflow templates based on chief complaint and financial class from the Alerts panel of the Billing Configuration practice template. These alerts appear at the top of the template set when the financial class or payer is listed on the encounter and one of the configured chief complaints is entered on the Pre-Reg template. Alerts panel on the Billing Configuration template Add an Alert You can add alerts for preregistration templates based on the chief complaints and financial class of the encounter-level insurance. Update an Alert Parent topic: Billing Configuration

NextGen® Orthopedic Suite Help 80.2.14.0

Preregistration Workflow

You can only initiate the preregistration workflow to document the details of the patient before their visit to the office. The preregistration workflow is to be performed before a patient visit the office. For example, a phone nurse contacts the patient to perform preregistration before the appointment. You can open the preregistration workflow templates using the Pre Reg link on the Home template. The following table describes the templates used in this workflow. Template Description Pre Reg To document the chief complaints, appointment details, patient demographics, and insurance details. You can also generate letters for preregistration of patients. Clinical Approval To document the clinical approval requirements. Billing Approval To document the billing approval requirements. Clinical 1 To document the details of providers, shared care facilities, and patient histories. Clinical 2 To document patient's family history, social history, and review of systems. Pre-Reg Worklog To track

File Maintenance Help for NextGen® Enterprise 8

Alerts and Edits

Field Alerts and Edits Descriptions Referring Physician Required If the contract calls for a referring physician, select this check box. An alert displays when you enter charges for an encounter. Enable Build Level Edits Select this check box to have Contract Edits display on the Claim Production Status report as Build or Warning level claim edits when an encounter is billed. The Enable Build Level Edits option turns some contract edits from a warning to required during the billing process. When the edits are not passed, a claim will not be created. This option works with the Contract Edit options in Practice Preferences. Authorization Required If the contract calls for authorization, select this check box. When you enter charges for an encounter, an alert displays to warn you that the contract for the payer requires an authorization for all CPT4 codes. Parent topic: General Tab of Contract Library Maintenance

Help Guide for NextGen® Enterprise PM 8

Alerts and Edits

Field Alerts and Edits Descriptions Referring Physician Required If the contract calls for a referring physician, select this check box. An alert displays when you enter charges for an encounter. Enable Build Level Edits Select this check box to have Contract Edits display on the Claim Production Status report as Build or Warning level claim edits when an encounter is billed. The Enable Build Level Edits option turns some contract edits from a warning to required during the billing process. When the edits are not passed, a claim will not be created. This option works with the Contract Edit options in Practice Preferences. Authorization Required If the contract calls for authorization, select this check box. When you enter charges for an encounter, an alert displays to warn you that the contract for the payer requires an authorization for all CPT4 codes. Parent topic: General Tab of Contract Library Maintenance

NextGen® Therapy Suite Help 30.3.13.0

Add a Payer to the Payer Picklist

Add a payer to the Payer Picklist grid, if: You want that payer to have different pre-certification reminder timelines than the Default entry, especially if the payer requires greater or lesser advanced notice to issue a new precertification than is set for the default. You want to add the payer to the Payer Default list. You want a different alert to fire for the payer (they will also need to be added to the Payer Default grid). Select the Payer Name field. The AINF Pre Cert System Payers picklist opens. This list pulls payers from your Payer Master file. Select the payer, and then select OK. To add a specific alert to appear for that payer, enter the text in the Payer Specific Alert field. Note: If you would like an alert to show for that payer on the Pre-cert template when the Precert Not Required button is selected, enter it in the Payer Specific Alert field. This alert will only fire if the payer is also in the Payer Defaults grid. Enter the number of days from the pre-certificati

Add an Alert

Recommendations

Update an Alert

Alerts Configuration

Preregistration Workflow

Alerts and Edits

Alerts and Edits

Add a Payer to the Payer Picklist

Update an Alert

Alerts Configuration

Preregistration Workflow

Alerts and Edits

Alerts and Edits

Add a Payer to the Payer Picklist