Generate an Anesthesia Concurrency Audit Report

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

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

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

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 or gr

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

System Administrator Help

Concurrency Audit Operation

Subgroup Used in Description Convert Partial Batch NextGen® Enterprise PM Enables users to allow green (passed) encounters from the Anesthesia Audit report to convert to billed when there are red (failed) encounters on the same report. Convert Passing Batch NextGen® Enterprise PM Enables users to convert anesthesia encounters from a status of in progress to unbilled to be released for billing. Manual Set Med Direction NextGen® Enterprise PM Enables users to over override the results of the Anesthesia Concurrency Audit report. When a user is in a group with this right set to Yes, the Anesthesia Service Information icon is enabled. When a user is in a group set to No this icon is dimmed and not available for use. Run Concurrency Audit NextGen® Enterprise PM Enables users to run the Concurrency Audit report, when a user is in a group with this right set to Yes. The Anesthesia Concurrency Audit icon is enabled on the Charge Entry window and a right-click option on the Encounter Lookup wind

Generate an Anesthesia Concurrency Audit Report

Recommendations

Concurrency Audit Process

Concurrency Audit Report Messages

Anesthesia Concurrency Audit Log Report

Generate an Anesthesia Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Concurrency Audit Operation

Generate an Anesthesia Concurrency Audit Report

Concurrency Audit Process

Concurrency Audit Report Messages

Anesthesia Concurrency Audit Log Report

Generate an Anesthesia Concurrency Audit Report

Anesthesia Concurrency Audit Log Report

Concurrency Audit Operation