Enable Automatic Submission of CPT® II Codes

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Submitting CPT® II Codes Automatically without Diagnosis

You can to configure additional options to automatically submit the CPT® II codes to Superbill. In addition to the CPT II configuration in the “Common Configuration for CPT II Claims Based Reporting” section, you also need to configure the following areas to automatically submit the CPT II codes without the diagnosis option: Claim Edit Library Practice Configuration When configured to automatically submit the CPT II codes, the codes are automatically assigned and submitted to Superbill for a patient documentation that meets the criteria mapped for a measure on the Coded Results Mapping template. The claim edits activated during the configuration select all claims without a diagnosis. The diagnosis can be added later in NextGen® Enterprise PM. You need to report measure exceptions on the Exceptions/Measures template for the CPT II code auto-submission functionality to work. Enable Automatic Submission of CPT II Codes You can automatically submit CPT® II codes to the Superbill and Proced

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enable Semi-Automatic Submission of CPT® II Codes

You can send the configured CPT II codes to CPT II Claims Based Measure Reporting on the Finalize template. You can enable the semi-automatic option to submit a configured CPT II code to the CPT II Claims Based Measure Reporting panel. Providers can review the code and assign a diagnosis code before submitting the code to the Superbill and Procedure modules. Open NextGen® Enterprise EHR. Open the Practice Configuration practice template. In the CPT II Code Auto-submission section, select the Assign diagnosis code to CPT II on Finalize option. CPT II Code Auto-submission section Select Save and Close. Reporting CPT II Claims Based Measure on Finalize You can activate the claims-based reporting on the Finalize template. Parent topic: Submitting CPT II Codes Semi-Automatically with Diagnosis

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

CPT II Code Auto-Submission

You can automatically submit CPT II codes. The CPT Code Auto-Submission setting on the Practice Configuration template applies to practices that use CPT II procedure codes for claims-based measure reporting. Reporting measures can be set up and mapped on the Coded Results Mapping template. When documentation in the patient encounter meets the specific criteria set up on the Coded Results Mapping template, the CPT II code is automatically assigned. CPT Code Auto-Submission section The CPT II code automatic submission functionality consists of two options: Submit CPT II code without diagnosis code automatically assigns and sends the CPT II code to the Superbill without assigning a diagnosis code. Assign diagnosis code to CPT II on Finalize activates the CPT II Claims Based Measure Reporting panel on the Finalize template. This setting automatically assigns and sends the CPT II code to the Finalize template for provider to assign a diagnosis code before submitting to the Superbill. For mo

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Assign Diagnosis to CPT® II Codes on Finalize

You can submit the CPT II codes to Superbill from the Finalize template. Open NextGen® Enterprise EHR. Open the Finalize template. In the CPT II Claims Based Measure Reporting panel, select a CPT II code in the Today’s CPT II Codes grid.The CPT II Description field is filled with the selected code. To add a diagnosis to the Today's Assessment grid, do the following: Select the Add Common Assessment link. Select a diagnosis. Select Save & Close. In the Today's Assessment grid, select a diagnosis code to assign to the CPT II code.You can select up to four diagnosis codes per CPT II code. If you try to add more than four codes, an alert appears indicating that only four codes can be associated with a CPT code. Note: To clear the diagnosis entered in error, select Clear. Select Submit to Superbill. The CPT II code is displayed in the Today's Submitted Charges grid. Note: If you select Submit to Superbill without assigning a diagnosis code, an alert appears stating that a diagnosis code is

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Submitting CPT® II Codes Automatically

You can select the automating submission method after completing the configuration steps. The CPT® II code automatic submission functionality facilitates claim-based quality measure reporting by automatically assigning and submitting CPT® II codes. Selected HEDIS measures are mapped to the CPT® II code system on the Coded Results Mapping template. Practices can configure additional measures. When the CPT® II code automation functionality is enabled, documentation that meets the criteria setup on the Coded Results Mapping template automatically assigns a CPT® II code when the template that contains the configured field is saved. You can either send the CPT® II code directly to the Superbill without assigning a diagnosis, or you can send it to the Finalize template where a provider assigns the diagnosis before submitting to the Superbill. Note: You must report any measure excluded from claims-based reporting on the Exception/Measures template. The auto-submission methods are: Automatic:

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Submitting CPT® II Codes Semi-Automatically with Diagnosis

You can to configure additional options to semi-automatically submit the CPT II codes to Superbill. In addition to the configuration in the “Common Configuration for CPT II Claims Based Reporting” section, you must enable the automatic functionality in the Practice Configuration template. When configured for semi-automatic submission of CPT II codes and patient documentation meets the criteria that is mapped for a measure on the Coded Results Mapping template, the CPT II code is automatically assigned and submitted to the CPT Claims Based Measure Reporting panel on the Finalize template. A provider assigns a diagnosis code to the CPT II code on the Finalize template. You need to report measure exceptions on the Exceptions/Measures template for the CPT II code semi-automatic submission functionality to work. Enable Semi-Automatic Submission of CPT II Codes You can send the configured CPT II codes to CPT II Claims Based Measure Reporting on the Finalize template. Parent topic: Submitting

Enable Automatic Submission of CPT® II Codes

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