Charge Posting for Anesthesia Billing

Help Guide for NextGen® Enterprise PM 8

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM involves setup in the following areas in File Maintenance: Service Items library (see Service Items for Anesthesia Billing) Payers master file (see Payers for Anesthesia Billing Claim Modifiers library (see Claim Modifiers Library Submitter Profiles library (electronic claims) (see Submitter Profile Options for Anesthesia Billing) Claim Printing library (paper claims) (see Claim Printing Library Options for Anesthesia Billing) Anesthesia library (see Anesthesia Library) ASA Crosswalk library (see ASA Crosswalk Library) Locations master file (see Enable the ASA Crosswalk for Charge Posting) Practice Preferences (see Practice Preferences Options for Anesthesia Billing) User Preferences (see User Preferences for Anesthesia Concurrency Billing) Anesthesia Library ASA Crosswalk Library User Preferences for Anesthesia Concurrency Billing Parent topic: Anesthesia Concurrency Billing

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing for OB

This section reviews specific options that are available in the Anesthesia Library on the SIM Options tab that may be used with OB Billing. Examples of each option are also included. Note: For information on the complete set up of the Anesthesia Library, see Anesthesia Concurrency Billing chapter in this guide. OB Epidural Billing Parent topic: Anesthesia Concurrency Billing

Help Guide for NextGen® Enterprise PM 8

Enter Anesthesia Charges

To enter an anesthesia charge, do the following: Open NextGen® Enterprise PM. Select Charges. The Charge Posting window opens. Select the patient and the encounter. Select New. Select Surg Proc, and then enter the SIM code for the surgical billing. To enter anesthesia charges, select Anesthesia Library for the practice in Practice Preferences > Libraries, and clear Advanced Service Item Library Mode in Enterprise Preferences > Libraries and do the following: Enter the surgical procedure code in the Surg Proc field. Surg Proc description, Svc Item, Svc Item Description, CPT4, and Modifiers fields are automatically entered. Surg Proc is a required field. Select the service item for the encounter from the Svc Item list. It is a required field. Anesthesia codes mapped to the Surgical Procedure code are available for selection. Enter the Anesthesiologist or the directing MD who is engaged in the case in the MD Anesthesia field. Enter the time the anesthesia starts in the Start Time field. 1

Help Guide for NextGen® Enterprise PM 8

ASA Crosswalk Library

The ASA Crosswalk library enables you to create a table of cross-references between anesthesia CPT codes and surgical procedure CPT codes. When the crosswalk is activated for one or more locations within the practice, charges for those locations are entered on the Charge Posting window in NextGen® Enterprise PM using one of the following methods: An anesthesia code is entered in the Svc Item field, and then the corresponding surgery code is selected from the crosswalk in the Surg Proc field. A surgery code is entered in the Surg Proc field, and then the corresponding anesthesia code from the crosswalk automatically defaults into the Svc Item field. The ASA Crosswalk library can be created manually by entering individual anesthesia/surgery code combinations into the library. Or it can be created automatically by importing a file obtained from the American Society of Anesthesiologists (ASA) that includes all anesthesia/surgery code combinations. Whether using Basic Anesthesia Billing or

File Maintenance Help for NextGen® Enterprise 8

ASA Crosswalk Library

The ASA Crosswalk library enables you to create a table of cross-references between anesthesia CPT codes and surgical procedure CPT codes. When the crosswalk is activated for one or more locations within the practice, charges for those locations are entered on the Charge Posting window in NextGen® Enterprise PM using one of the following methods: An anesthesia code is entered in the Svc Item field, and then the corresponding surgery code is selected from the crosswalk in the Surg Proc field. A surgery code is entered in the Surg Proc field, and then the corresponding anesthesia code from the crosswalk automatically defaults into the Svc Item field. The ASA Crosswalk library can be created manually by entering individual anesthesia/surgery code combinations into the library. Or it can be created automatically by importing a file obtained from the American Society of Anesthesiologists (ASA) that includes all anesthesia/surgery code combinations. Whether using Basic Anesthesia Billing or

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM can be setup and used by practices that must meet specific requirements on professional claims for anesthesia services that occur at the same time, or concurrently. Concurrency billing is typically used when the practice submits 837P/1500 claims for numerous anesthesia procedures that are administered in a hospital surgery department setting by Anesthesiologists and medically directed Certified Registered Nurse Anesthetists (CRNA). An Anesthesiologist can personally administer anesthesia to a patient. They can also oversee the administration of anesthesia by Certified Registered Nurse Anesthetists (CRNA) and Anesthesiologist Assistants (AA). When an anesthesiologist oversees up to four concurrent cases, it is considered "medical direction". In NextGen® Enterprise PM, an Anesthesia Concurrency Audit process is run prior to billing and creating claims. The audit looks at encounters with charges that were rendered by anesthesia prov

Charge Posting for Anesthesia Billing

Recommendations

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing for OB

Enter Anesthesia Charges

ASA Crosswalk Library

ASA Crosswalk Library

Anesthesia Concurrency Billing

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing for OB

Enter Anesthesia Charges

ASA Crosswalk Library

ASA Crosswalk Library

Anesthesia Concurrency Billing