Make a Payer Inactive

NextGen® Orthopedic Suite Help 80.2.14.0

Assign ICD-9 or ICD-10 Defaults at the Payer Level

You can assign ICD-9 or ICD-10 defaults at the payer level. This scenario applies to those financial classes in which most payers are switching to ICD-10, but a few may still require you to submit ICD-9 codes. On the Specialty Diagnosis Group Config practice template, expand the Manage Financial Class/Payer Listing panel. Select the financial class in the top grid. In the field below Payer Name column of the bottom grid, select a payer. Enter effective and expiration dates for that payer. Click Add/Update. Parent topic: Managing Financial Class or Payer

NextGen® Orthopedic Suite Help 80.2.14.0

Change Effective and/or Expiration date

You can change the Effective date and/or Expiration date for a financial class that uses ICD-9 codes. On the Specialty Diagnosis Group Config practice template, expand the Manage Financial Class/Payer Listing panel. Select the financial class from the grid. Edit the dates by clicking in the date fields below the grid. Click Add/Update. The changed dates default the ICD-9 codes for the selected payer until the expiration date. Parent topic: Managing Financial Class or Payer

NextGen® Therapy Suite Help 30.3.13.0

Make Payers Inactive

You can make existing payers in a financial class inactive. On the Specialty Diagnosis Group Config template, expand the Manage Financial Class/Payer Listing panel. Select the financial class to be updated from the financial class grid. The effective and expiration dates of the selected financial class are filled in their respective fields. From the field for the payer name, select the name of the payer to be made inactive. The effective and expiration dates of the selected payer are filled in their respective fields. Select Inactivate. The selected payer is made inactive. Parent topic: Managing Financial Classes and Payers

NextGen® Orthopedic Suite Help 80.2.14.0

Managing Financial Class or Payer

Use this panel to specify any financial classes/payers that did not switch to ICD-10 on October 1, 2015. By default, all payers show in the grid as switching to ICD-10 (ICD-X) on 10/1/2015. Manage Financial Class or Payer Listing panel on the Specialty Diagnosis Group Config template Change Effective and/or Expiration date Assign ICD-9 or ICD-10 Defaults at the Payer Level Make a Payer Inactive Parent topic: Assessment Configuration

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® 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

Make a Payer Inactive

Recommendations

Assign ICD-9 or ICD-10 Defaults at the Payer Level

Change Effective and/or Expiration date

Make Payers Inactive

Managing Financial Class or Payer

Manage Payers for Non-Billable Procedures

Move Payers Out of the Exclusion List

Assign ICD-9 or ICD-10 Defaults at the Payer Level

Change Effective and/or Expiration date

Make Payers Inactive

Managing Financial Class or Payer

Manage Payers for Non-Billable Procedures

Move Payers Out of the Exclusion List