NextGen Knowledge Center

Add or Modify an Anesthesia Library

Adding and modifying the anesthesia library enables you to modify the codes, rules, templates, and configurations used in anesthesia billing, scheduling, and clinical workflows. The Anesthesia library enables you to define rules that apply to the payers, and self-pay. Each set of rules includes the following:
  • Medical Direction: These rules determine whether modifiers are added to charges based on the level of medical direction and whether charges will be split between Medical Directors and CRNAs.
  • Concurrency Rules: These rules define specific parameters, such as the maximum number of concurrent procedures allowed, whether a Medical Director can perform and direct at the same time, and split-charge percentages for Medical Directors and CRNAs.
  • Claim Options: These rules define specific claim parameters, such as whether or not surgical procedure codes are included on claims, and how claims break by rendering provider.
  • SIM Options: These rules define parameters for specific SIM codes, such as anesthesia units per unit or timespan, total time units minimum and maximum, total price minimum and maximum, and contractual adjustments.
  1. Open File Maintenance.
  2. Select Libraries, and then select Anesthesia.
    The Anesthesia Library List window opens.
  3. Do one of the following:

    • To create a new library, select open menu , and then select New.

    • To modify an existing library, select the library from the list, and then select open menu , and then select Open.
    The Anesthesia Library Maintenance window opens.
  4. In Anesthesia Library Name, and then enter a name for the library.
  5. In Provider Specialty Mapping, select the specialties for all Medical Directors, CRNAs, and Anesthesiologist Assistants in the practice.

    In NextGen® Enterprise PM, you can select the specialties for Medical Directors, CRNAs, and Anesthesiologist Assistants.

    • MD Anesthesia: Enables you to select an encounter-level Medical Director. You can access MD Anesthesia by selecting the Encounter Maintenance > General tab.
    • MD Anesth: Enables you to select a charge-level Medical Director. You can access MD Anesth by accessing the Charge Posting window.
    • Anesthesia Provider: Enables you to select one or more anesthesia providers for encounter lookup. You can access Anesthesia Provider by accessing the Encounter Lookup window.
  6. In Default Anesthesia Concurrency Audit Report, select a previously memorized version of the Anesthesia Concurrency Audit report.
  7. In Concurrency and Claim Rules, select rule sets for specific payers, other payers, and self-pay.
  8. Select OK.
Add or Modify an Anesthesia Library