Financial Class Setup
The Financial Class Setup panel has two grids: one to set up financial classes, and the other to configure billing limitations based on financial categories and payers.
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NextGen® Therapy Suite Help 30.3.13.0
Use the grids in the Payer Specific Billing panel to configure any special payer-specific billing rules that you want to apply to a code selected in the Codes panel. Payer Specific Billing panel Payer Specific Adjustments Grid The Financial Category Replacement Code Prevent Billing Grid Modifiers Parent topic: Billing ConfigurationPayer Specific Billing Panel
NextGen® Therapy Suite Help 30.3.13.0
Use the Billing Limitations grid if you need to set up a Financial Category to handle different rules by State and to set billing caps for them. Billing Limitations grid Add a Billing Limitation Parent topic: Financial Class SetupBilling Limitations Grid
NextGen® Therapy Suite Help 30.3.13.0
Use the Financial Class grid to assign financial classes in your system to financial categories. Some of the programming in NextGen® Therapy Suite is done strictly off Financial Category. Include only financial classes that have specific billing rules that differ from standard AMA billing. For example, if BCBS has an overall limit of 4 billable units per visit and BCBS is currently in your Commercial Financial Class, you must create a separate financial class for BCBS so the application can apply the four-unit billing limitation to only BCBS and not the entire Commercial Financial Class. Financial Class grid Assign Financial Classes to Financial Categories Parent topic: Financial Class SetupFinancial Class Grid
NextGen® Orthopedic Suite Help 80.2.14.0
You can add an eligible financial class for MIPS Quality measures. On the Billing Configuration practice template, expand the MIPS Quality Measures panel. In the field below the Eligible financial classes for MIPS Quality Measures reporting grid, select the financial class. Click Add. The financial class appears in the grid. Select the financial class in the Eligible financial classes for MIPS Quality Measures reporting grid to see all payers for that financial class, in the Payers in the list and Payers not in the list grids. Parent topic: MIPS Quality MeasuresEnable a Financial Class for MIPS Quality Measures
NextGen® Therapy Suite Help 30.3.13.0
Select the field below the Financial Class column. A picklist opens of all of the existing financial classes you currently have built in your system. Select the financial class, and then select OK. The selection enters the field. Select the field below Financial Category. A picklist opens. Do one of the following: To use an existing financial category, select it, and then select OK. To create a new financial category, select the blank at the top of the picklist, select OK, and then enter the name of the new category into the field. Select the Add button to add the Financial Class and its category to the grid. Parent topic: Financial Class GridAssign Financial Classes to Financial Categories
NextGen® Therapy Suite Help 30.3.13.0
Select the field below the grid Financial Category column. A picklist opens. Select one of the Financial Categories you created in the Financial Class Setup grid, and then select OK. Select the Payer Name field. A list of payers for the selected Financial Category opens. Select a payer, and then select OK. Select the State field and select the appropriate state or select the asterisk, for all states. If the payer follows the Medicare Combine (MC) rule, select the MC Rule checkbox and then choose an option for whether the rule is applied by Time or Rate. If there is a billing unit cap for the financial class or payer, enter it in the Billing Cap field. Select Add/Update to add the billing limitation to the grid. Parent topic: Billing Limitations Grid