Concurrency Audit Report Drill-Down

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

Print the Concurrency Audit Report

Select the Anesthesia Audit Print Options button on the report toolbar. The Anesthesia Audit Print Options window opens. In the Report Type section, do one of the following: Select the Memorized Audit Report button. In the drop-down field, select a previously memorized version of the report. Note: If this button is selected, the Header Options section is not available. Select the Gantt Chart Report button. In the drop-down field, select either Errors Only or All Encounters for the report. Note: If this button is selected, the Header Options section is available. In the Header Options section, do the following: In the Main Title field, enter a title to print in the header of the report. Select the check box for one or more of the following options to print in the header of the Gantt Chart Report: Practice Title, Report Type, Date/Time, Target Encounter Information. Note: Default settings for the Header Options can be defined in General User Preferences > Anes Print tab. To save changes

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

Help Guide for NextGen® Enterprise PM 8

Concurrency Audit Process

The Anesthesia Concurrency Audit process utilizes the Claim Modifiers library to add modifiers and units to anesthesia charges based on the primary payer. These changes are made to charges after running the Anesthesia Concurrency Audit process, if the encounter has a status of In Progress. When charges for a given date of service are complete you can run the Anesthesia Concurrency Audit report to identify overlaps and assign concurrency modifiers. This section includes the following information about the Anesthesia Concurrency Audit process. Security Access Rights for the Concurrency Audit Process (see Set Up Security Access Rights for the Concurrency Audit Process) Concurrency Audit Report (see Concurrency Audit Report) Generating the Concurrency Audit Report (see Generate an Anesthesia Concurrency Audit Report) Concurrency Audit Report Columns (see Anesthesia Concurrency Audit Report Columns) Concurrency Audit Report Messages (see Concurrency Audit Report Messages) Note: The Anesthes

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

File Maintenance Help for NextGen® Enterprise 8

Set Up Concurrency Rules for Anesthesia Billing

The Concurrency Rules tab on the Anesthesia Library Payer Maintenance window enables you to define parameters related to concurrency audit rules, charge split percentages, unit price, contractual adjustments, rounding method, and minutes per unit. For both split and non-split charges, the total charge amount is determined by multiplying the unit price by the total anesthesia units. Base Units + Time Units + Modifier Units = Total Anesthesia Units Total Anesthesia Units x Unit Price = Total Charge Amount For split charges the extended price is split across the two resulting charge lines based on the percentages entered in the Medical Director and CRNA fields. After the charges are split, units are only used for reporting purposes. Units are not split, but remain whole on each charge line, effectively doubling the units. Note: The total charge calculation is the same for split billing and non-split billing. On the Anesthesia Library Payer Maintenance window, select the Concurrency Rules

Concurrency Audit Report Drill-Down

Recommendations

Concurrency Audit Report

Print the Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Concurrency Audit Process

Generate an Anesthesia Concurrency Audit Report

Set Up Concurrency Rules for Anesthesia Billing

Concurrency Audit Report

Print the Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Concurrency Audit Process

Generate an Anesthesia Concurrency Audit Report

Set Up Concurrency Rules for Anesthesia Billing