Pre-Certification Configuration

NextGen® Therapy Suite Help 30.3.13.0

Alert Configuration

Use the NTS Alert Config template to set alerts (Alerts panel) and to configure alert overrides (Alert Overrides panel). Alert Config template Alerts Panel Alert Overrides Panel Parent topic: Configuring NextGen Therapy Suite

NextGen® Therapy Suite Help 30.3.13.0

System Configuration

The NTS System Config template has panels for the configuration of Security Groups and Sign Off, Finclass and Payer Settings, Appointment Tracking and Evaluation Types, PT/OT Treatment and Surgery Sources (an advanced configuration). System Configuration template with panels closed Security Groups and Sign Off Panel Finclass and Payer Settings Panel Appointment Tracking & Evaluation Types Panel PT/OT Treatment Template Panel: Treatment Grid Order Visit Set Config Panel Parent topic: Configuring NextGen Therapy Suite

NextGen® Therapy Suite Help 30.3.13.0

Pre-cert Template

The Pre-Cert template has a grid showing information for all payers attached to the case, a panel for messages that can be sent to payers, and a panel to view and record information on pre-certification and authorization. Pre-Cert template Insurance Information Messages Precertification/Authorization Panel Understanding the Pre-cert Count Explanation of why the pre-certification count differs between the Pre-certs grid on the NTS Homepage and the Pre-Cert template. Parent topic: Using NextGen Therapy Suite

NextGen® Therapy Suite Help 30.3.13.0

Configuring NextGen® Therapy Suite

You can use system and practice templates to configure the NextGen® Therapy Suite templates according to your requirements. This information is intended for the staff responsible for maintaining the configuration settings. System Requirements Specialty Configuration Home You can use the specialty configuration homepage to open various configuration templates. Practice Configuration The Practice Configuration template enables you to configure settings and preferences for your practice. My Plan Template Set Configuration You can configure tabs on the My Plan template set based on your practice's requirements. System Configuration Alert Configuration Document Configuration Billing Configuration Tasking Manager Pre-Certification Configuration Picklist Manager Patient Safety Report Template Overview of the Patient Safety Report template. Musculo Foundation Configurations (INF) You can configure navigation bar settings, diagnosis groups, common assessment pages and links, and QuickPicks.

NextGen® Therapy Suite Help 30.3.13.0

Precert Grids

The Precert grids on the NTS Homepage template are view-only. They show any authorizations or yearly limits entered for the patient. All information in these grids is added from the NTS Pre-cert template. Refer to Pre-cert Template section for more information. Note: Authorizations do not pull automatically to the NTS Homepage and NTS Pre-cert templates if added to the patient in NextGen® Enterprise PM. Precert grids Precerts only appear in these grids if the encounter date falls within the effective date range for the authorizations entered. Precerts can be tracked by total Encounters/Visits (top grid) or by Units (bottom grid). If tracking by units, the units can be broken down by individual codes or a group of codes. The templates automatically begin deducting on each billable encounter from the total number of visits or units authorized. When the authorization/yearly limit reaches the threshold that is configured on the Precert Configuration system template an alert on the NTS Home

NextGen® Therapy Suite Help 30.3.13.0

Appointments Requiring Precerts

The Appointments Requiring Precerts grid displays patients that have upcoming appointments scheduled for payers that require a pre-cert. Payers can be configured to require a pre-cert in the Payers Defaults grid, on the Precert Config system template. Note: Only the payers that are configured in the Payer Defaults grid will have appointments that appear in the Appointments Requiring Precerts grid on the Pre-Cert Worklog. Appointments Requiring Precerts grid Patients remain listed in the Appointments Requiring Precerts grid until one of the following happens. A clinical encounter is created in NextGen® Enterprise EHR, attached to the case and documented on. The patient is checked in for an evaluation and the NTS Homepage or Single Visit template has been opened. This does not necessarily mean that a pre-cert was entered or documented. Opening a non-billable encounter and documenting anything from Homepage or Single Visit causes the patient’s name to move from the Appointments Requiring

Pre-Certification Configuration

Recommendations

Alert Configuration

System Configuration

Pre-cert Template

Configuring NextGen® Therapy Suite

Precert Grids

Appointments Requiring Precerts

Pre-Certification Configuration

Alert Configuration

System Configuration

Pre-cert Template

Configuring NextGen® Therapy Suite

Precert Grids

Appointments Requiring Precerts