Configure AUC Scores

You must configure settings in File Maintenance and on the Practice Configuration practice template to use the AUC score wizard.

1. Open File Maintenance.
2. To activate the AUC rules for the assigned payer, do the following.
   1. In the Master Files, click Payers.
      The Payers List window opens.
   2. Double click a payer from the list.
      The Modify Payer Information window for the payer opens.
   3. Click the Orders Module tab, and select the Enable payer for Appropriate Use Criteria rules for Advanced Radiology Imaging orders checkbox.
   4. Apply the AUC for all payers within the same financial class, if necessary.
   5. To automate the inclusion of modifier and G-code in the procedure billing, select the Include AUC /HCPCS code modifier automatically option.
3. Select a payer in the encounter level insurance for the current patient.
4. In the Order NextGen Test Compendium, do the following.
   1. Select the Apply Appropriate Use Criteria (AUC) Rules checkbox.
   2. Set up the order with a CPT® code.
5. In Practice Preferences, select Appropriate Use Criteria (AUC) Threshold.
   For more information on the File Maintenance setup for AUC, go to NextGen Healthcare Success Community, and download the Radiology Appropriate Use Criteria Workflow for the Orders Module for NextGen® Enterprise EHR.