Attach Taxonomy Codes to DME Regional Carriers

File Maintenance Help for NextGen® Enterprise 8

Taxonomy Codes to Groups

You can attach taxonomy codes to groups in two ways: As the group default taxonomy code. At the location level, which overrides the group default taxonomy code. At the procedure (CPT4) level, which overrides the location level taxonomy code. This level enables you to attach different taxonomy codes based on specific CPT4 ranges. For example, you might need one taxonomy code for a range of procedures that are specific to a particular specialty. Attaching Taxonomy Codes to Groups Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise 8

Attaching Taxonomy Codes

You can attach taxonomy codes to: Providers as the provider default taxonomy code for the enterprise Providers at the practice level, which overrides the provider default taxonomy code Providers at the CPT4 level, which overrides the practice level taxonomy code Locations Groups as the group default taxonomy code Groups at the location level, which overrides the group default taxonomy code Groups at the CPT4 level, which overrides the group location level taxonomy code Payers at the practice/UB level, which overrides the group level taxonomy code Payers at the alternate payer level, which overrides the group level taxonomy code DME Regions at the CPT4 level Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise 8

Attach Taxonomy Codes to Providers

You can attach taxonomy codes to: providers as the provider default taxonomy code for the enterprise. providers at the practice level, which overrides the provider default taxonomy code. You can add taxonomy codes at this level by location on the payer rows, either default or specific. The most specific setting is always selected above the other settings. Note: If the provider has a different taxonomy code for different service locations and payers, then the taxonomy code must be attached for each service location and payer. To attach a default taxonomy code for the provider: From the Master Files list, select System or PM > Providers. Select the provider. Select the System tab. Select the taxonomy code from the Taxonomy Code field. Attach a Taxonomy Code for the Provider at the Practice Level Parent topic: Taxonomy Codes

File Maintenance Help for NextGen® Enterprise 8

Attaching Taxonomy Codes to Groups

From the Master Files list, select Practice > Groups. Select the group. If you want to select a default taxonomy code for the group, select a code from the Taxonomy Code field. A taxonomy code added to the default location with a specific payer row applies only for that payer across all locations. The code overrides the taxonomy code at the top of the group screen for that payer. If you want to select a taxonomy code for the group at the location level: Select a service location. Then double-click a payer name in the Payer column. And then select the code from the Taxonomy Code field. A taxonomy code added to the default payer row at a specific location applies for all payers at that location. The code can also be payer-specific at a specific location. The most specific setting is always selected above the other settings. If you want to set taxonomy codes for specific procedure ranges, select the CPT4 Group Information button. The CPT4 Group Information for [Group Name] window displays

File Maintenance Help for NextGen® Enterprise 8

Attach a Taxonomy Code for the Provider at the Practice Level

To attach a taxonomy code for the provider at the practice level: From the Master Files list, select System or PM > Providers. Select the provider. Select the Practice tab. Select the Rendering provider at this practice check box. Select a service location from the Service Location field, and then double-click on the applicable payer listed under Group Information. If you select the default location and a specific payer, then the code applies for this payer at all locations. If you select a specific location and the default payer, then the row applies for all payers at that location. If you select a specific location and specific payer, then the code applies only to this payer at this location. The Modify Provider Practice Payer window displays. Select the taxonomy code from the Taxonomy Code field. If you want to set taxonomy codes for specific procedure ranges, select the CPT4 Provider Nbrs button. The Valid Provider Numbers for [Payer Name] window displays. Select the Open Menu butt

File Maintenance Help for NextGen® Enterprise 8

Set Up CPT4 Codes at the Provider Master Level

To set up CPT4 codes at the provider master level: From the Master Files > System list, select Providers. Select the appropriate provider. Select the Practice tab. Select the drop-down arrow in the ServiceLocation field and select the location where the service is performed. A list of payers displays in the Group Information section. Under Group information, double-click the payer to which you want to add CPT4 codes. The Modify Provider Practice Payer window displays. Select the Open Record button next to the CPT4 Provider Nbrs field. The Valid Provider Numbers for [Payer Name] window displays. Select the Open Menu button and select New. Note: You can open and delete existing records. You can edit existing provider numbers, but you cannot edit the CPT4 code range. The Provider Number for CPT4 Range window displays. In the CPT4 field, enter the CPT4 code at the beginning of the range you want to set up. Use the to display the CPT4 Code Search window to search for a CPT4 code by code or

Attach Taxonomy Codes to DME Regional Carriers

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