Mutually Exclusive Edit Example

Help Guide for NextGen® Enterprise PM 8

Select Mutually Exclusive Edits in the Claim Edit Library

Check √ the appropriate CCI Mutually Exclusive edits as needed. You can set the CCI Mutually Exclusive edits with a Severity level based on business practices. Mutually Exclusive Edit Example Parent topic: CCI Edits

Help Guide for NextGen® Enterprise PM 8

Mutually Exclusive Edit Example

Skin preparation – Shave lesion (11301 – 11313) in conjunction with removal of skin tags (11200). The skin preparation would not be separately reported as the service is necessary to successfully accomplish the skin tag removal procedure. An encounter with CPT 11200 and 11305 codes will show on the Claim Production Status report with the following claim edit. Parent topic: Select Mutually Exclusive Edits in the Claim Edit Library

Help Guide for NextGen® Enterprise PM 8

Select Mutually Exclusive Edits in the Claim Edit Library

Check √ the appropriate CCI Mutually Exclusive edits as needed. You can set the CCI Mutually Exclusive edits with a Severity level based on business practices. Mutually Exclusive Edit Example Parent topic: CCI Edits

Help Guide for NextGen® Enterprise PM 8

Mutually Exclusive CCI Edits

Mutually Exclusive codes are those codes that cannot reasonably be done in the same session.CPT codes that are mutually exclusive of one another based either on the CPT definition or the medical impossibility/improbability that the procedures could be performed at the same session can be identified as code pairs. These codes are not necessarily linked to one another with one code narrative describing a more comprehensive procedure compared to the component code, but can be identified as code pairs that should not be reported together. Parent topic: CCI Edits

Help Guide for NextGen® Enterprise PM 8

Mutually Exclusive CCI Edits

Mutually Exclusive codes are those codes that cannot reasonably be done in the same session.CPT codes that are mutually exclusive of one another based either on the CPT definition or the medical impossibility/improbability that the procedures could be performed at the same session can be identified as code pairs. These codes are not necessarily linked to one another with one code narrative describing a more comprehensive procedure compared to the component code, but can be identified as code pairs that should not be reported together. Parent topic: CCI Edits

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Record Cancer Staging Details

Open the Histories - Dermatology template. In the Skin Cancer Log panel, in the Staging section, click Add.The Cancer Details template opens. In the Cancer Type section, do the following: Select the cancer type as Primary or Secondary. Do one of the following: To enter the details in all the fields, select Enable free text check box. To select the options from the respective picklist for each field, clear Enable free text. Select a diagnosis or click Add common assessment to select a diagnosis. Click Cancer Type / Site and select the cancer type from the Cancer Type Details template. Enter or select the Status and Behavior value from the picklist. Enter or select the Histology and Laterality value from the picklist. In the Cancer Staging section, do the following: If staging details are not available, select the appropriate option: Staging pending Insufficient data No staging system If the staging details are available, verify and update the date and time of cancer staging. Select the

Mutually Exclusive Edit Example

Recommendations

Select Mutually Exclusive Edits in the Claim Edit Library

Mutually Exclusive Edit Example

Select Mutually Exclusive Edits in the Claim Edit Library

Mutually Exclusive CCI Edits

Mutually Exclusive CCI Edits

Record Cancer Staging Details

Mutually Exclusive Edit Example

Select Mutually Exclusive Edits in the Claim Edit Library

Mutually Exclusive Edit Example

Select Mutually Exclusive Edits in the Claim Edit Library

Mutually Exclusive CCI Edits

Mutually Exclusive CCI Edits

Record Cancer Staging Details