Anesthesia Concurrency Billing for OB

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM can be setup and used by practices that must meet specific requirements on professional claims for anesthesia services that occur at the same time, or concurrently. Concurrency billing is typically used when the practice submits 837P/1500 claims for numerous anesthesia procedures that are administered in a hospital surgery department setting by Anesthesiologists and medically directed Certified Registered Nurse Anesthetists (CRNA). An Anesthesiologist can personally administer anesthesia to a patient. They can also oversee the administration of anesthesia by Certified Registered Nurse Anesthetists (CRNA) and Anesthesiologist Assistants (AA). When an anesthesiologist oversees up to four concurrent cases, it is considered "medical direction". In NextGen® Enterprise PM, an Anesthesia Concurrency Audit process is run prior to billing and creating claims. The audit looks at encounters with charges that were rendered by anesthesia prov

Help Guide for NextGen® Enterprise PM 8

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing in NextGen® Enterprise PM involves setup in the following areas in File Maintenance: Service Items library (see Service Items for Anesthesia Billing) Payers master file (see Payers for Anesthesia Billing Claim Modifiers library (see Claim Modifiers Library Submitter Profiles library (electronic claims) (see Submitter Profile Options for Anesthesia Billing) Claim Printing library (paper claims) (see Claim Printing Library Options for Anesthesia Billing) Anesthesia library (see Anesthesia Library) ASA Crosswalk library (see ASA Crosswalk Library) Locations master file (see ASA Crosswalk for Charge Posting) Practice Preferences (see Practice Preferences Options for Anesthesia Billing) User Preferences (see User Preferences for Anesthesia Concurrency Billing) Anesthesia Library The anesthesia library is used by practices that do anesthesia concurrency billing in NextGen® Enterprise PM. ASA Crosswalk Library User Preferences for Anesthesia Concurrency Billing

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing for OB

This section reviews specific options that are available in the Anesthesia Library on the SIM Options tab that may be used with OB Billing. Examples of each option are also included. Note: For information on the complete set up of the Anesthesia Library, see Anesthesia Concurrency Billing chapter in this guide. OB Epidural Billing Parent topic: Anesthesia Concurrency Billing

File Maintenance Help for NextGen® Enterprise

Anesthesia Library Reports

The following Anesthesia Library reports can be generated from File Maintenance. The Report columns display information related to specific areas of setup for each library. Anesthesia Library Listing: This report includes information defined in the top section of the Anesthesia Library Maintenance window. Anesthesia with Payer Detail: This report includes information defined on the Anesthesia Library Payer Maintenance window for the Medical Direction, Concurrency Rules, and Claim Options tabs. Anesthesia with SIM Options: This report includes information defined on the Anesthesia Library Payer Maintenance window for the SIM Options tab. Generate an Anesthesia Library Report Parent topic: File Maintenance Library Reports

File Maintenance Help for NextGen® Enterprise 8

Anesthesia Library Reports

The following Anesthesia Library reports can be generated from File Maintenance. The Report columns display information related to specific areas of setup for each library. Anesthesia Library Listing: This report includes information defined in the top section of the Anesthesia Library Maintenance window. Anesthesia with Payer Detail: This report includes information defined on the Anesthesia Library Payer Maintenance window for the Medical Direction, Concurrency Rules, and Claim Options tabs. Anesthesia with SIM Options: This report includes information defined on the Anesthesia Library Payer Maintenance window for the SIM Options tab. Generate an Anesthesia Library Report Parent topic: File Maintenance Library Reports

Help Guide for NextGen® Enterprise PM 8

Anesthesia Library Reports

The following Anesthesia Library reports can be generated from File Maintenance. The Report columns display information related to specific areas of setup for each library. Anesthesia Library Listing: This report includes information defined in the top section of the Anesthesia Library Maintenance window. Anesthesia with Payer Detail: This report includes information defined on the Anesthesia Library Payer Maintenance window for the Medical Direction, Concurrency Rules, and Claim Options tabs. Anesthesia with SIM Options: This report includes information defined on the Anesthesia Library Payer Maintenance window for the SIM Options tab. Generate an Anesthesia Library Report Parent topic: File Maintenance Library Reports

Anesthesia Concurrency Billing for OB

Recommendations

Anesthesia Concurrency Billing

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing for OB

Anesthesia Library Reports

Anesthesia Library Reports

Anesthesia Library Reports

Anesthesia Concurrency Billing for OB

Anesthesia Concurrency Billing

Setting Up Anesthesia Concurrency Billing

Anesthesia Concurrency Billing for OB

Anesthesia Library Reports

Anesthesia Library Reports

Anesthesia Library Reports