On the Charges grid, the Description column displays the Visit code (if applicable) and any documented treatments from Single Visit except for DME items.
Note: You cannot change any charges on the Fee Sheet. You must make all documentation changes on the appropriate templates and then reopen the Fee Sheet to display the appropriate charges for that encounter.
All necessary modifiers are automatically applied to the CPT codes based on the rules set up on the Billing Config system template for the payer attached to the case.
- If a code is shown as Not Billed, the system will not send that CPT to NextGen® Enterprise PM. A Not Billed designation could be due to the following:
- The code is prevented for that payer on the Billing Config system template.
- The code does not have enough time documented based on the configuration for that code.
- The code was marked as Concurrent on the template. Any code marked as Concurrent will not be billed.
- The payer is following Medicare Rules for timed codes and the system will mark the lowest reimbursed code as Not Billed.
- The Time displayed is the amount of Individual/Billable time documented for the CPT code if applicable.
- Calc Units displays the total number of allowable units that is based on the payer configuration. It applies to Medicare and AMA billing.
- Billed Units displays the total number of units allowed based on the configuration settings for the payer attached to the case.
- The Dx Codes column remains blank. This is only used for chiropractic visit types.
