Encounter-Level Diagnosis Codes

Help Guide for NextGen® Enterprise PM 8

Encounter-Level Diagnosis Codes

Diagnosis codes are typically entered during charge posting. Charge-level diagnosis codes then display in the ICD-CM section on the General sub-tab on the Encounters tab in the Patient Chart. After charge posting, you can add additional encounter-level diagnosis codes, if needed. You can also add encounter-level diagnosis codes prior to charge posting, so they default to each charge during charge posting. Note: Diagnosis codes added to an appointment from the Ins/Diag tab in the Add/Modify Appointment window automatically default to the ICD-CM section on the General sub-tab in the Patient Chart > Encounters tab when the appointment is checked-in and the encounter is created. Add Encounter-Level Diagnosis Codes You can add diagnosis codes at an encounter-level for a patient. Select an Admitting Diagnosis for UB Claims You can use the admitting diagnosis as an institutional claim to indicate the patient's primary diagnosis at the time of inpatient admission. Enter Present on Admission In

Help Guide for NextGen® Enterprise PM 8

Enter Present on Admission Indicators for UB Claims

Present on Admission Indicators (POA) are used on institutional claims to designate whether a patient's diagnosis was present at the time of inpatient admission. The claim uses the indicators entered in the Present on Admission field on the Diagnosis Selection window for each code. The POA indicator follows the diagnosis code in the 2300 loop / HI01-9 segment on electronic 837I claims, and FL 67 on paper UB04 claims. Note: The Present on Admission field is available on the Diagnosis Selection window only if UB claims have been enabled for the practice by populating the Type of Facility and Bill Classification fields in Claims preferences under the Practice Preferences window. In addition, an Institutional Billing Library must be selected for the practice in Libraries preferences under the Practice Preferences window. Access the Patient Chart for the desired patient. Select the Encounters tab, and then the General sub-tab. In the Encounters list on the left, select the desired encounter

Help Guide for NextGen® Enterprise PM 8

Enter Present on Admission Indicators for UB Claims

Present on Admission Indicators (POA) are used on institutional claims to designate whether a patient's diagnosis was present at the time of inpatient admission. The claim uses the indicators entered in the Present on Admission field on the Diagnosis Selection window for each code. The POA indicator follows the diagnosis code in the 2300 loop / HI01-9 segment on electronic 837I claims, and FL 67 on paper UB04 claims. Note: The Present on Admission field is available on the Diagnosis Selection window only if UB claims have been enabled for the practice by populating the Type of Facility and Bill Classification fields in Claims preferences under the Practice Preferences window. In addition, an Institutional Billing Library must be selected for the practice in Libraries preferences under the Practice Preferences window. Access the Patient Chart for the desired patient. Select the Encounters tab, and then the General sub-tab. In the Encounters list on the left, select the desired encounter

Help Guide for NextGen® Enterprise PM 8

Add Encounter-Level Diagnosis Codes

Access the Patient Chart for the desired patient. Select the Encounters tab, and then the General sub-tab. In the Encounters list on the left, select the desired encounter. In the ICD-CM section on the right, select the Open Record button. The Diagnoses Selection window appears. Note: Existing encounter-level diagnosis codes are listed in the Selected ICD-CM Codes section on the right. Select one of the following buttons: Diagnostic to search for ICD-CM diagnostic codes. This button is selected by default. Procedural to search for ICD-PCS procedural codes. In the pane on the left, select one of the following column headings to select a search method: Code to search by diagnosis code. This column is selected by default. Description to search by diagnosis description. A flashlight icon displays in the selected column heading. In the ICD-CM Codes field, enter all or part of the desired code or description. Codes that match the entered search criteria are displayed. Note: Select the Search

Help Guide for NextGen® Enterprise PM 8

Add Diagnosis Codes for Encounters

Open NextGen® Enterprise PM. On the main toolbar, select Posting . The Batch Posting window opens. Double-click the batch header record. The Payment Entry window opens. In Enc/Clm#, enter the encounter number, and then select Enter. The account guarantor, patient, medical record number, and the billed account details appear in the Payment Entry window. Select Encounter Diagnosis . The Diagnosis Selection window opens. Select Search Method, and then select Code or Description. appears on the selected option. To search for a diagnosis, do one of the following: In ICD-CM Codes, enter the code number or a partial description. A list of matching diagnosis codes appear in Code and Description. To search for a phrase or number in the code value, select Search for keyphrase anywhere in the diagnosis and enter a number or partial description in ICD-CM Codes. A list of matching diagnosis codes appear in Code and Description. To add a diagnosis code to an encounter, select the code and select to

Help Guide for NextGen® Enterprise PM 8

View Diagnosis Mapping

When a diagnosis that was selected in Charge Entry multiplies into more than one code for a payer based on the alternate diagnosis mappings in the diagnosis code library, you can view the diagnosis code mapping on the General tab under Encounters in the patient chart. Open NextGen® Enterprise PM. On the main toolbar, select Chart or Chart Lookup.. The Patient Lookup window opens. In the Search Criteria section, enter the patient's information, and then select Find. Patient records that match the search criteria appears in the Matching Records section. Select the patient, and then select Open. The Patient Chart window opens. Select the Encounters tab. The encounters associated with the patient are displayed in the Encounters section. Select the encounter from the Encounters section. The details of the selected encounter appear. Select the COB Alt Diag under the Providers section. The associated codes and their descriptions appear are displayed under Code and Description. Select a COB Al

Encounter-Level Diagnosis Codes

Recommendations

Encounter-Level Diagnosis Codes

Enter Present on Admission Indicators for UB Claims

Enter Present on Admission Indicators for UB Claims

Add Encounter-Level Diagnosis Codes

Add Diagnosis Codes for Encounters

View Diagnosis Mapping

Encounter-Level Diagnosis Codes

Encounter-Level Diagnosis Codes

Enter Present on Admission Indicators for UB Claims

Enter Present on Admission Indicators for UB Claims

Add Encounter-Level Diagnosis Codes

Add Diagnosis Codes for Encounters

View Diagnosis Mapping