Correct a Rendering Provider Mismatch Before Submitting Charges

NextGen® Therapy Suite Help 30.3.13.0

Allow Therapists to Correct a Provider Mismatch

The system now helps with identifying and correcting rendering provider mismatches. If the therapist on the Fee Sheet does not match the rendering or supervising provider on the encounter, you can configure the system to notify the therapist of the issue and allow them to override the rendering provider on the encounter with the therapist or provider submitting charges. In the NTS Practice Config template, scroll to the Fee Sheet section. For the Rendering Provider Mismatch Override setting, select the visit set that the override applies to, and then select one of the following: Automatic makes the You are not the Rendering Provider on this encounter message and the Make me the Rendering Provider checkbox appear on the Fee Sheet. The checkbox is selected by default. When the therapist submits charges, the system automatically updates the encounter rendering provider to be the current user. Manual makes the message and checkbox appear on the Fee Sheet, but the provider must select the c

NextGen® Therapy Suite Help 30.3.13.0

Fee Sheet

After you have completed all documentation for an encounter, select the Fee Sheet tab in the workflow bar, or the Fee Sheet button below the panels on the Single Visit template, to open the Fee Sheet template. Fee Sheet on the navigation bar When you open the Fee Sheet, the system uses the documentation on that encounter to determine which CPT codes and the total number of units can be billed. It takes into consideration any payer-specific billing rules configured in the Billing Configuration system template and adjusts billing as needed, based on the payer attached to the case. NTS PT Feesheet template All grids on Fee Sheet are read-only. To make any changes to the entries in these grids, return to the templates in the workflow. The Diagnosis grid displays the Treating Diagnosis entered on Single Visit. The Encounter Date displays the date of the scheduled visit. The Ins. (Insurance) grid displays any insurance payers attached to the case. Note: If the case-level insurance does not m

File Maintenance Help for NextGen® Enterprise 8

Charge Entry Options

The following table describes the options available on the Charges tab of the Charge Entry Practice Preferences. Field Description Prevent charge rendering physician modifications after practice closing Select this option to prevent users from changing a charge's rendering physician if the charge was created before the closing date. Note that the charge create date does not have to be the encounter date; a charge can be added after practice closing and the rendering does not lock down until the practice closes again. You can still add a rendering physician if no rendering physician has been entered for the charge. Prevent charge referring physician modifications after practice closing Select this check box to prevent users from changing the charge's referring provider on an encounter after practice closing. This check box only affects voidable charges. Note: You must also select the Display referring providers check box. Prevent charge additional provider modifications after practice c

NextGen® Therapy Suite Help 30.3.13.0

Fee Sheet

Fee Sheet section of the Practice Config template Use Contract Rates Display Medicare Rule Track KX Modifier in EPM Configure Time Based Alert for Eval and Re-Eval Visits You can configure the alert to notify the therapists that they have not documented enough time for the evaluation or re-evaluation portion of the visit as per the practice standards. Allow Therapists to Correct a Provider Mismatch Set up whether therapists can correct the rendering provider mismatch before they submit charges from the Fee Sheet. Parent topic: Practice Configuration

NextGen® Therapy Suite Help 30.3.13.0

Configure a Billing Provider Other Than the Rendering Provider

When a provider submits charges on a patient whose financial category or Payer are found in this grid, the Billing provider changes from the Rendering provider to the Provider specified in the grid. Select the fields below the grid, choose the Financial Category and Payer Name that require the billing provider override. (Use * to enter a default for all payers within that category). If necessary, select the Location Name field, and then select the locations in your practice that this configure needs to apply to. Choose the Billing Provider that the encounters should be billed under. CAUTION: If you are specifying a billing provider other than the rendering provider, and you want any documents to go to the specified physician’s PAQ (internally) for sign off, be sure to set that up on the NTS Document Config template also (see Document PAQ Settings). Parent topic: Billing Provider Override & Facility Billing Panel

Help Guide for NextGen® Enterprise PM 8

Automatic Adjustments - Additional Information

The following are some additional details about the automatic adjustments: An auto-adjustment transaction has a Posted status with a source of Manual Entry, and a tracking description of Auto Adjustment Batch. This batch is not accessible, and therefore the transaction cannot be modified. If you delete a charge with an associated auto-adjustment, the adjustment transaction is also deleted. The Transaction Date, Post Date and Process Date on an auto-adjustment are the same as the Create Date on the charge. If the charge is entered today and the auto-adjustment is applied today, the charge create date and the transaction dates are the same. If you enter an Override price on a charge, an auto-adjustment is applied to the charge when the Allow auto adj when charge amt overridden option is enabled in Practice Preferences > Charge Entry tab. If the Rendering provider on the charge is a non-participating provider for the contract, an auto-adjustment is not applied to the charge. If you do not

Correct a Rendering Provider Mismatch Before Submitting Charges

Recommendations

Allow Therapists to Correct a Provider Mismatch

Fee Sheet

Charge Entry Options

Fee Sheet

Configure a Billing Provider Other Than the Rendering Provider

Automatic Adjustments - Additional Information

Allow Therapists to Correct a Provider Mismatch

Fee Sheet

Charge Entry Options

Fee Sheet

Configure a Billing Provider Other Than the Rendering Provider

Automatic Adjustments - Additional Information