Configure a Billing Provider Other Than the Rendering Provider

NextGen® Therapy Suite Help 30.3.13.0

Document PAQ Settings

Use the Document PAQ Settings grid to configure which documents you want to send to an internal provider’s PAQ for sign off. Settings can apply to an entire financial category or can be broken down to specific payers within a financial category. You can configure: Which provider on the case and which location a document needs to be sent to. Whether the provider signing off should be listed as the supervising provider or billing provider on the document. Which visit sets can send POCs to the PAQ. Document PAQ Settings grid Note: When you configure the PAQ in the System Administrator application, you should not select the All documents checkbox or any therapy-related documents in the Documents section of the Provider Sign-off Setup window. Provider Sign-off Setup window with All Documents checkbox not selected Add a Document to the Document PAQ Settings Grid Parent topic: Document Configuration

NextGen® Therapy Suite Help 30.3.13.0

Billing Provider Override & Facility Billing Panel

Use the Billing Provider Override & Facility Billing panel to specify if the Billing Provider must be someone other than the Rendering provider. This is necessary for Medicaid patients in some states where therapists, if working in the same organization as a medical group, are required to bill under the Ordering Physician and not the therapist. Billing Provider Override & Facility Billing panel Configure a Billing Provider Other Than the Rendering Provider Facility Billing Grid Facility Building in NextGen Enterprise EHR Parent topic: Billing Configuration

Help Guide for NextGen® Enterprise PM 8

Supervisor Billing

You can create encounters that require that a supervisor is billed instead of a mid-level rendering provider. To set up this type of billing, you must do the following: Supervisor Billing is enabled by default for all payers, but you can disable it for payers that do not need it. Enable supervisor billing so that a supervisor is always required for a specific provider at the current practice. If necessary, enable or disable supervisor billing in the specific payer rows in the provider master file. The payer row setting overrides the practice-level setting on the Practice tab for just that provider/payer combination. The payer-level settings are available for payer rows at either the Default location (which will apply to all locations) or a specific location (which will only apply for that location). Make the Supervisor field available on the Encounter Maintenance window in NextGen® Enterprise PM. Disable Supervisor Billing for a Payer Enable Supervisor Billing at the Provider/Practice

NextGen® Therapy Suite Help 30.3.13.0

Correct a Rendering Provider Mismatch Before Submitting Charges

To avoid having the wrong rendering provider on encounters and claims, you may need to correct a provider mismatch. A mismatch occurs when you are the therapist submitting charges on the FeeSheet, but you are not the rendering or supervising provider on the encounter. Open the NT PT Feesheet template. If your system is configured for automatic or manual provider mismatch override and there is a mismatch between the current user and the rendering provider on the encounter, the template displays a message notifying you that you are not the rendering provider and the Make me the Rendering checkbox. NTS PT Feesheet template with Make me the Rendering checkbox Do one of the following: If the checkbox is selected for you by default, submit the charges. You cannot clear the checkbox. The system will automatically make you the rendering provider on the encounter and assign your name to the charges. If the checkbox is not selected, select the checkbox to make yourself the rendering provider on

Help Guide for NextGen® Enterprise PM 8

Override Supervisor Billing at the Provider/Practice Level

You can override the provider/practice-level setting with a payer-level setting or, if Supervisor Billing is not enabled at the provider/practice level, you can enable it for only specific payers. Supervisor Billing becomes enabled for only the provider/practice/payer combination. On the Practice tab of the Provider master file, select the drop-down menu in the Service Location field, and then select the appropriate location. In the Group Information list, double-click on the Default line for all payers or create a new payer. The Add/Modify Practice Payer window opens. Enable either the Enable Supervisor Billing or the Disable Supervisor Billing check box, and then select OK. Note: Either the Enable Supervisor Billing or the Disable Supervisor Billing check box displays. The one that displays is the opposite of the practice-level setting. For example, if the practice-level Enable Supervisor Billing check box is not enabled, then the payer row only displays Enable Supervisor Billing. Se

File Maintenance Help for NextGen® Enterprise 8

Override Supervisor Billing at the Provider/Practice Level

You can override the provider/practice-level setting with a payer-level setting or, if Supervisor Billing is not enabled at the provider/practice level, you can enable it for only specific payers. Supervisor Billing becomes enabled for only the provider/practice/payer combination. On the Practice tab of the Provider master file, select the drop-down menu in the Service Location field, and then select the appropriate location. In the Group Information list, double-click on the Default line for all payers or create a new payer. The Add/Modify Practice Payer window opens. Enable either the Enable Supervisor Billing or the Disable Supervisor Billing check box, and then select OK. Note: Either the Enable Supervisor Billing or the Disable Supervisor Billing check box displays. The one that displays is the opposite of the practice-level setting. For example, if the practice-level Enable Supervisor Billing check box is not enabled, then the payer row only displays Enable Supervisor Billing. Se

Configure a Billing Provider Other Than the Rendering Provider

Recommendations

Document PAQ Settings

Billing Provider Override & Facility Billing Panel

Supervisor Billing

Correct a Rendering Provider Mismatch Before Submitting Charges

Override Supervisor Billing at the Provider/Practice Level

Override Supervisor Billing at the Provider/Practice Level

Document PAQ Settings

Billing Provider Override & Facility Billing Panel

Supervisor Billing

Correct a Rendering Provider Mismatch Before Submitting Charges

Override Supervisor Billing at the Provider/Practice Level

Override Supervisor Billing at the Provider/Practice Level