Certified Community Behavioral Health Clinics (CCBHC)

Help Guide for NextGen® Enterprise PM 8

Set Up CCBHC SIM Codes

To track charges in NextGen® Enterprise PM for Certified Community Behavioral Health Clinic (CCBHC) services, an option must be enabled in the Service Items library for each SIM code. Access File Maintenance. Select Libraries, and then Service Items. The Service Items List window opens. Double-click to open the desired library. The Service Item Library Maintenance window opens. In the Search field on the left, enter all or part of the CCBHC SIM code. From the list on the left, select the CCBHC code. In the Qualifying Encounter field on the General tab, select the CCBHC Qualifying Encounter check box. Note: The check box is available for selection only if the CCBHC Qualifying Encounter option is enabled in Practice Preferences > Encounters. To save changes and close the window, select OK. Parent topic: Certified Community Behavioral Health Clinics (CCBHC)

Help Guide for NextGen® Enterprise PM 8

Enable CCBHC Qualifying Encounters

To track encounters in NextGen® Enterprise PM that qualify for reporting under the Certified Community Behavioral Health Clinic (CCBHC) program, an option must be enabled in Practice Preferences. Access NextGen® Enterprise PM. From the Admin menu, select Preferences, and then Practice. The Practice Preferences window opens. From the Preference List on the left, select Encounters. Select the CCBHC Qualifying Encounter check box. To save changes and close the window, select OK. Parent topic: Certified Community Behavioral Health Clinics (CCBHC)

Help Guide for NextGen® Enterprise PM 8

Set Up CCBHC Locations

To identify a specific location in File Maintenance as a Certified Community Behavioral Health Clinic (CCBHC), an option must be enabled in the Locations master file. Access File Maintenance. Select System Master Files, then PM, and then Locations. The Locations List window opens. From the list, double-click to open the desired location. The Location Information window opens. Select the Defaults 2 tab. To indicate the location is a Certified Community Behavioral Health Clinic, select the CCBHC Location check box. Select OK. Parent topic: Certified Community Behavioral Health Clinics (CCBHC)

Help Guide for NextGen® Enterprise PM 8

Behavioral Health Billing Library

The Behavioral Health Billing library defines parameters for “variance” charges which can be calculated and added to encounters during the billing process for specific payers. The library also defines other claim and billing parameters that may be needed when billing Behavioral Health services to specific payers. A single library can be created and linked to the practice to be used for all payers. Or payer-specific libraries can be created and linked only to those payers. You can generate the Behavioral Health Billing report from the Behavioral Health Billing library , go to NextGen Healthcare Success Community and download the latest Reports User Guide for NextGen® Enterprise PM. Add or Modify a Behavioral Health Billing Library The Behavioral Health Billing library defines parameters for variance charges and other claim and billing parameters which can be calculated and added to encounters during the billing process for specific payers. Parent topic: Behavioral Health Billing

Help Guide for NextGen® Enterprise PM 8

Certified Community Behavioral Health Clinics (CCBHC)

Behavioral Health practices that participate in the federal Certified Community Behavioral Health Clinic (CCBHC) program may be required to track and report patient encounters when specific CCBHC services are rendered. There are nine types of CCBHC services that might be performed in either a clinic setting or a non-clinic setting, such as a home, prison, or an outreach program to homeless populations. To track CCBHC encounters and services in NextGen® Enterprise PM, the following setup must be completed in File Maintenance: Practice Preferences Service Items Library Locations Master File Enable CCBHC Qualifying Encounters Set Up CCBHC SIM Codes Set Up CCBHC Locations Tracking CCBHC Qualifying Encounters Reporting on CCBHC Qualifying Encounters Parent topic: Behavioral Health Billing

Help Guide for NextGen® Enterprise PM 8

Reporting on CCBHC Qualifying Encounters

Reports can be generated in NextGen® Enterprise PM to identify encounters with charges that qualify under the Certified Community Behavioral Health Clinic (CCBHC) program. Most financial reports, such as the Daily, Monthly, Accounts Receivable and Health Center reports, have a CCBHC Qual Enc column available. When the CCBHC Qual Enc column is included on a report, any encounter that has the CCBHC Qualify Encounter check box selected on the Encounter Specifics tab of the Encounter Maintenance window, displays Y (Yes) on the report. The CCBHC Qual Enc column can also be used with the Filter 2, Sorting and Totals report filter options. Parent topic: Certified Community Behavioral Health Clinics (CCBHC)

Certified Community Behavioral Health Clinics (CCBHC)

Recommendations

Set Up CCBHC SIM Codes

Enable CCBHC Qualifying Encounters

Set Up CCBHC Locations

Behavioral Health Billing Library

Certified Community Behavioral Health Clinics (CCBHC)

Reporting on CCBHC Qualifying Encounters

Certified Community Behavioral Health Clinics (CCBHC)

Set Up CCBHC SIM Codes

Enable CCBHC Qualifying Encounters

Set Up CCBHC Locations

Behavioral Health Billing Library

Certified Community Behavioral Health Clinics (CCBHC)

Reporting on CCBHC Qualifying Encounters