Document Transitioning into Care from Any Specialty

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Calculate and Submit the CPT Codes for Transition of Care Visits

You can calculate and submit the CPT codes for the transition of care visits. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Select Specialty as Family Practice and Visit Type as Transition into Care. On the Intake template, select the Medications panel. Select the Medications Reconciled checkbox. Select the Finalize tab.The Finalize template opens. Evaluation and Management Coding panel on the Finalize template Under the Today's Assessment panel, add an assessment, if an assessment has not been added. Select the Evaluation and Management Coding panel.Notice that the Transition to Care Face to Face Visit checkbox is selected by default (even if it is not a face-to-face visit). This does not appear in any other place. In Medical Decision Making, select a complexity level. Select Calculate Code.The CPT code for the transitioning into care visit displays in the first Visit Code field. Select Submit Code.The charges have been submitted to the Superbill. Parent topic:

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enter the CPT Codes for Transition of Care Visits

Open NextGen® Enterprise EHR. Select a patient and open an encounter. On the Intake template, select an affected Specialty (Family Practice/Internal Medicine, Obstetrics or Pediatrics), and select Visit Type as Transition into Care. Select the Finalize tab.The Finalize template opens. In the Evaluation and Management Coding panel, select the second Value Code field.A list of service categories opens. Evaluation and Management Coding Select Care Management.A list of visit codes and descriptions opens. Select the visit code that represents the complexity and timing of care. Select OK.After returning to the Finalize template, the CPT code fills the second Visit Code field. Important: You must complete all the fields in the Transitioning Into Care or the Cm Care Transitions template before submitting the charges to the Superbill. If you do not, a message prompts you to enter the additional details. Select Submit Code.The charges are submitted to the Superbill. Parent topic: Transitioning i

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Transitioning into Care from the Care Management Specialty

You can document transitioning into care from the Care Management specialty. Open NextGen® Enterprise EHR. Select a patient and open an encounter. Open the Intake template. Select Specialty as Care Management and Visit Type as Care Management.The Cm Care Transitions template opens. Cm Care Transitions On the General panel, do one of the following: Select the Encounter Type field to open a list of transitional care encounter types and then select an encounter type from that list. Select the blue arrow to the right of the Encounter type field to open the interim history data list and then select a past encounter from the interim history data. Select the PCP field.If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. The field fills with the Primary Care Practitioner established in the patient's demographics. Select the Case Manager field and select a case manager from the list. Select the Historian field and then se

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Transitioning into Care Workflow

You can choose a workflow for documenting a transition of care management visit based on your starting point in the application. There are two workflows for documenting a transition of care management visit from which you can choose depending on your starting point in NextGen® Enterprise EHR. Transitioning into care from any of the affected specialties (Family Practice/Internal Medicine, Pediatrics, and Obstetrics). Transitioning into care from the Care Management specialty. Document Transitioning into Care from Any Specialty You can document transitioning into care from any specialty affected by transition into Care Management. Document Transitioning into Care from the Care Management Specialty You can document transitioning into care from the Care Management specialty. Calculate and Submit the CPT Codes for Transition of Care Visits You can calculate and submit the CPT codes for the transition of care visits. Enter the CPT Codes for Transition of Care Visits Parent topic: Transitioni

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document General Transition of Care Information for a Patient

Before you begin Ensure that you have selected the Specialty and Visit Type as Care Management. Open NextGen® Enterprise EHR. Select the Care Transitions tab.The Cm Care Transitions template opens. Cm Care Transitions Select the PCP field.The field populates with the Primary Care Practitioner established in the patient's demographics. If there is no PCP selected in the patient chart, the Modify Patient Information template opens, enabling you to select a PCP. Do one of the following: Select the Encounter Type field to launch a list of transitional care encounter types and then select an encounter type from that list. Select the blue arrow to the right of the Encounter type field to launch the interim history data list and then select a past encounter from the interim history data. Select the first Historian field and select the relationship of the historian to the patient from the resulting list. If needed, select the second Historian field and select the relationship of the second his

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Transitioning into Care Documentation

You can use the Transition Into Care visit type to document the medical and psychosocial problems that require moderate to high-complexity decision making related to different types of discharge. You can document the transition into care details on the Transitioning Into Care template along with other relevant details and verify if the appropriate CPT codes have been calculated and submitted to the Superbill. You can find the transitioning into care management services for the following specialties: Family Practice/Internal Medicine Pediatrics Obstetrics To bill for transitioning into care management, you can use one of the following two CPT codes: 99495 for transitional care management services with moderate medical decision complexity (face-to-face visit within 14 days of discharge). 99496 for transitional care management services with high medical decision complexity (face-to-face visit within 7 days of discharge). Note: The initial communication for a transitional care visit should

Document Transitioning into Care from Any Specialty

Recommendations

Calculate and Submit the CPT Codes for Transition of Care Visits

Enter the CPT Codes for Transition of Care Visits

Document Transitioning into Care from the Care Management Specialty

Transitioning into Care Workflow

Document General Transition of Care Information for a Patient

Transitioning into Care Documentation

Calculate and Submit the CPT Codes for Transition of Care Visits

Enter the CPT Codes for Transition of Care Visits

Document Transitioning into Care from the Care Management Specialty

Transitioning into Care Workflow

Document General Transition of Care Information for a Patient

Transitioning into Care Documentation