Delete a Medicare KX Mod Cap
In the
Medicare KX Mod Cap
grid, select the entry you want to delete.
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NextGen® Therapy Suite Help 30.3.13.0
Add a Medicare KX Mod Cap
The Medicare KX Mod Cap grid shows the yearly caps for your Medicare total used amounts. Use the fields below the grid to enter or update a new yearly cap for Medicare KX Mod. Medicare KX Mod Cap grid Select the field below the Year column to enter the calendar year that the cap applies to. Select the fields below the PT SLP Cap 1 and PT SLP Cap 2columns to enter the 1st and 2nd tier caps for PT/SLP. Select the fields below the OT Cap 1 and OT Cap 2 columns to enter the 1st and 2nd tier caps for OT. Select Add/Update. Parent topic: Payer Reimbursement & Medicare Therapy Cap
NextGen® Therapy Suite Help 30.3.13.0
Assign Reimbursement Rates
In the NTS Billing Config system template, expand the Payer Reimbursement & Medicare Therapy Cap panel. Payer Reimbursement & Medicare Therapy Cap panel Select the field above the Payer Reimbursement grid. A picklist of payers opens. Note: To see a list of Financial Classes in the Payer Reimbursement grid, you must clear the Use Contract Rates checkbox on the NTS Practice Config template in the Fee Sheet section. Select the payer from the list, and then select OK. Codes for the selected payer fill the Payer Reimbursement grid. Select a code in the grid. The code for that service enters the field above the center grid. In the boxes below the center grid, add the Rate, the Effective date (MM/DD/YYYY) and the Expiration date (MM/DD/YYYY). Select the Add button. The rate is added to the Payer Reimbursement grid. If the effective date is a date in the future and there is no current rate exists, the Rate column will show an asterisk for the code. If a rate already exists, your new rate will
NextGen® Therapy Suite Help 30.3.13.0
Update a Reimbursement Rate
Select the field above the Payer Reimbursement grid. A picklist of payers opens. Select the payer from the list, and then select OK. Select the therapy in the Payer Reimbursement grid. The code enters the field above the center (rates) grid, and any configured rates are shown in the grid. Payer Reimbursement grids Select a rate in the center grid. Edit the rate or either date in the fields below the grid. Edit the rate or either date in the fields below the grid. Select Update. Parent topic: Payer Reimbursement & Medicare Therapy Cap
NextGen® Therapy Suite Help 30.3.13.0
Payer Reimbursement & Medicare Therapy Cap
The payer reimbursement rate is used to calculate the Medicare Cap usage and to determine optimal billing when payers have a billing cap configured in the Financial Class Setup panel. For example, if a payer has a 4-unit cap, this may result in the need to throw out a code. So, the system looks at the configured reimbursement rates to determine optimal billing. If you are using contracts in File Maintenance and have them turned on on the NTS Practice Config practice template, the system looks to those for the reimbursement rates. If you are not using contracts in File Maintenance, you must assign payer reimbursement rates so that in the event of a tie, and to prevent under-billing, the system can determine which code to send. All reimbursement rates are assigned to Financial Classes. You must indicate the reimbursement rates for all Financial Classes within the Financial Categories that have been assigned specific billing limitation in the NTS Billing Config template. Assign Reimbursem
NextGen® Therapy Suite Help 30.3.13.0
Medicare Certification Box
The fields in the Medicare box track certification period and therapy cap totals. Medicare Certification Period KX Modifier Manage ABN Link Parent topic: Homepage Template
NextGen® Enterprise EHR Help
Delete Medication Search Favorites List
Open the Medication Search window. Medication Search Select the favorites list you want to delete. Right-click the tab or tab display pane and select Delete Group. Medication Search Delete Group A confirmation message appears. Select Yes to delete the selected favorites list. Parent topic: Medication Search Favorites Related tasks Open the Medication Search Window
