Precertification/Authorization Panel

NextGen® Therapy Suite Help 30.3.13.0

Messages

Use the Messages panel to enter payer-specific messages regarding the authorization needs for the patient. Add a Message for a Payer Edit a Payer Message Parent topic: Pre-cert Template

NextGen® Therapy Suite Help 30.3.13.0

Insurance Information

The Insurance Information grid displays all payers attached to the case. Insurance Information grid Parent topic: Pre-cert Template

NextGen® Therapy Suite Help 30.3.13.0

Editing an Existing Authorization

Select the payer from the Insurance Information grid. Select the Authorization from the Precertification/Authorization. Select the Edit button. The authorization information is shown in the fields below the grid. Using the fields, edit any of the applicable information. Select Update. Parent topic: Precertification/Authorization Panel

NextGen® Therapy Suite Help 30.3.13.0

Enter a New Authorization by Visits

Select the payer from the Insurance Information grid. Select the Visits option below the Precertification/Authorization grid. Use the fields below the Precertification/Authorization grid to enter the authorization information: NBR, Authorization #, Effective Date, Expiration Date and Visits. Note: You can use the Get button to populate the fields with authorization information that has already been attached to the Insurance in the NextGen® Enterprise PM. Select Get and then select the appropriate authorization from the picklist to pull into the Pre-Cert template fields. You must assign the NBR manually. Entries for Pre-Cert Company, Expiration Date, and Associated Diagnosis are optional. The Associated Diagnosis grid only displays Dx codes after you have established the treating diagnosis. Select Add to save the authorization. The authorization appears in the Precertification/Authorization grid. Parent topic: Precertification/Authorization Panel

NextGen® Therapy Suite Help 30.3.13.0

Mark an Authorization as Done

Select the payer from the Insurance Information grid. Select the Authorization from the Precertification/Authorization. Select the Done button. Select the effective date when authorization was done, from the Calendar that opens. Calendar Parent topic: Precertification/Authorization Panel

NextGen® Therapy Suite Help 30.3.13.0

Re-certify an Existing Authorization

Select the payer from the Insurance Information grid. Select the Visits option below the Precertification/Authorization grid. Using the fields below the Precertification/Authorization grid, enter the authorization information that includes: NBR, Authorization #, Effective Date, Expiration Date, and # Visits. Note: If re-certifying an existing authorization for a payer, be sure to select the same NBR as the previous authorization. The Pre-Cert Company, Associated Diagnosis and Expiration Date fields are optional. The Associated Diagnosis grid only displays Dx codes after the therapist has established the treating diagnosis. Select the Add button to save the authorization. Parent topic: Precertification/Authorization Panel

Precertification/Authorization Panel

Recommendations

Messages

Insurance Information

Editing an Existing Authorization

Enter a New Authorization by Visits

Mark an Authorization as Done

Re-certify an Existing Authorization

Messages

Insurance Information

Editing an Existing Authorization

Enter a New Authorization by Visits

Mark an Authorization as Done

Re-certify an Existing Authorization