Concurrency Audit Process

Help Guide for NextGen® Enterprise PM 8

Generate an Anesthesia Concurrency Audit Report

Access NextGen® Enterprise PM. Select the Encounter button on the main toolbar. The Encounter Lookup window opens. In the Bill Status field, select In Progress. In the Anesthesia Provider field, do one of the following: To run the report for all providers, leave the field blank. To run the report for specific providers, select check box for the desired providers. In the Date of Service From and To fields, enter the desired service date range for the audit report. Select Find. The Encounter List section of the window lists all encounters matching the search criteria entered. In the Encounter List section, select the encounters to include in the audit report. Right-click and select Anesthesia Concurrency Audit. The following prompt displays: Confirm concurrency audit report processing for the n selected encounter(s)? To continue, Select OK. The Anesthesia Concurrency Audit report displays. The best practice is to commit the report after all failed encounters are corrected and only blue o

Help Guide for NextGen® Enterprise PM 8

Concurrency Audit Report

The purpose of the Anesthesia Concurrency Audit report is to display anesthesia charges, associated modifiers and dollar values for both the Rendering and MDA providers. You can verify information before committing the encounters to an unbilled status. If an encounter does not meet the criteria for an encounter to pass the audit, an error message displays on the report. This topic includes information about the Anesthesia Concurrency Audit process, displaying a Gantt chart and manually voiding encounters. Gantt Chart You can display a Gantt chart to provide a graphical representation of concurrent anesthesia charges. The Gantt chart displays the concurrency number and patient name. The chart is from the MDA’s perspective showing all cases happening at the same time as the case one selected on the Anesthesia Concurrency Audit. The case that you are reviewing displays as the first line of the report. The CRNA's name displays in the chart on the line for each case. The concurrency number

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Audit Report Columns

The following columns are available on the Anesthesia Concurrency Audit report and the Anesthesia Concurrency Audit log. Column Name Description Data Populates From Charge MDA Charge MDA Charge Posting Encounter Nbr Encounter Number Encounter Maintenance Rendering Rendering Provider Charge Posting Patient Patient Name Patient Information SIM Service Item Charge Posting Payer Payer Name Encounter Insurance Selection Begin Date Begin Date Charge Posting End Date End Date Charge Posting Start Time Start Time Charge Posting Stop Time Stop Time Charge Posting Chg Status Charge Status Charge Posting Audit Pass Audit Pass Indicator Concurrency Audit Displays Y or N - All charges must be Y for the encounter to pass the audit. Audit Status Message Audit Status Message Concurrency Audit Unit Price Default Unit Price Service Items Library Prev Unit Price Previous Unit Price Charge Posting (prior to audit) Amt Amount Concurrency Audit Prev Amt Previous Amount Charge Posting (prior to audit) Units

Help Guide for NextGen® Enterprise PM 8

Concurrency Audit Report Messages

Each charge line may have one or more messages on the report. The color coding identifies the status of the encounter after the Anesthesia Concurrency Audit process is run. The encounter statuses are: Green: Indicates the encounter passed the audit. Blue: Indicates a warning message and the encounter should be reviewed. Red: Indicates the encounter failed the audit. The following table lists the error messages, the status of the encounter, and the reason the Anesthesia Concurrency Audit process generated the message. Message Status Occurs when... Encounter successfully passed audit Pass (Green) There are no errors based on the Anesthesia Library rules. Encounter manually exempt from concurrency Warning (Blue) The Exempt from Concurrency check box was selected on the Charge Posting > Anesthesia Services Information window. May occur with an error message with a status of red. This indicates the encounter has concurrency errors, but it passed due to a manual exemption. Medical Direction

Help Guide for NextGen® Enterprise PM 8

Tasking from Anesthesia Reports

Work log Tasks can be manually created and assigned to users in batch mode from the Anesthesia Concurrency Audit report and the Anesthesia Contractual Analysis report. A task is created for each encounter listed on the report that does not already have an existing open task. Note: Tasks created from anesthesia reports must be set up in the Tasks Types master file with Source Type = Encounter. Create Tasks from the Anesthesia Concurrency Audit Report Create Tasks from the Anesthesia Contractual Analysis Report Parent topic: Anesthesia Concurrency Billing

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Audit Log Report

The Anesthesia Concurrency Audit Log report displays the anesthesia charges with associated modifiers and dollar values that populate the claims for both Rendering and MDA providers. It determines and displays the concurrency values and provides a record for use in billing audits. You can use this report to identify encounters that are medically directed and personally performed. It details the encounters that have passed or failed the Anesthesia Concurrency Audit process. If one charge line on the encounter fails, the entire encounter fails the audit. The report compares all encounters that are run through the audit to all other concurrent encounters regardless of the encounter status. It runs on any encounter that has at least one anesthesia charge. To access the report in NextGen® Enterprise PM, Select the Reports menu and select General and then select Anesthesia Concurrency Audit Log. Note: You can only memorize one report for each practice. About Committing the Report The best pr

Concurrency Audit Process

Recommendations

Generate an Anesthesia Concurrency Audit Report

Concurrency Audit Report

Anesthesia Concurrency Audit Report Columns

Concurrency Audit Report Messages

Tasking from Anesthesia Reports

Anesthesia Concurrency Audit Log Report

Generate an Anesthesia Concurrency Audit Report

Concurrency Audit Report

Anesthesia Concurrency Audit Report Columns

Concurrency Audit Report Messages

Tasking from Anesthesia Reports

Anesthesia Concurrency Audit Log Report