Provider Level Field on Service Code Mapping

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Service Code Mapping

The Service Code Mapping system template is used in conjunction with a stored procedure to calculate a service code based on practice, payer, visit type, licensure, and whether the charge is time-based. An alert is prompted if an E&M code or an additional code is required based on the code configuration completed on the Service Code Mapping template. The system template includes default code mapping and the ability to copy the default code mapping packaged with the latest version of NextGen® Adaptive Content Engine used at the practice. The template also enables users to copy configurations from one practice to another. You can create a client-specific default that can be used as a starting point for other practices without modifying the default data packaged with NextGen® Adaptive Content Engine. Figure 1. . Service Code Mapping For more information on how to load the default set of mappings that are included in the NextGen® Adaptive Content Engine and the system template, go to NextG

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Practice-Specific Values in the Provider Level Picklist

Log on to File Maintenance. Under Master Files, System, click EHR. Under EHR Master Files - System, click Practices. The Practices List window opens. Double-click the practice in the list to be modified. Click the Preferences button at the bottom of the Modify Practice Information window. The Practice Preferences window appears. In the Preference List, click Provider. Create the necessary User Defined Patient Providers. Click OK, OK, and Close to return to the EHR Master Files - System view. Parent topic: Provider Level Field on Service Code Mapping

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Enter Practice-Specific Types for the Provider List

Under EHR Master Files - System, click Providers to open the Providers List window. Double-click the provider name from the list that is being updated. On the Modify Provider Information window, select the Provider Types tab. Click in the second column under Practice Level Provider Types to place a green check mark next to the required types. Modify Provider Information Click OK to finish the Provider Level field updates. Parent topic: Provider Level Field on Service Code Mapping

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Billing Configuration for Behavioral Health

The billing configurations for service codes are accomplished on the Service Code Mapping system template and in File Maintenance: Service code mapping on the system template Provider level configuration in the practice preferences Service Code Mapping Provider Level Field on Service Code Mapping Disclosing Substance Use Disorder in Documents and Reports You can include the disclosure for Substance Abuse and Mental Health Services Administration (SAMHSA) 42 CFR Part 2 provisions in documents and reports that you generate. Parent topic: Practice Configuration Options for Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Map Behavioral Health Service Codes

On the Service Code Mapping system template, click the Practice field and select the desired practice name. Note: The values you establish here apply only to the selected practice. In the Payer field, select the payer configured in File Maintenance. In the Visit type field, click to select a value. Select a value from the optional Licensure field. Note: The Licensure list is configured on the Custom DB Picklist system template. For more information on how to modify the custom lists on this template, go to NextGen Healthcare Success Community, and download the Custom DB Picklists System Template for NextGen® Adaptive Content Engine. Click the Service code or Service description field to select a service to be mapped with the selected practice for Behavioral Health billing.The values in the Service Item Mstr picklist are configured in a Service Categories master file called Behavioral Health. You can modify the list values in File Maintenance. Once configured, selecting the Service Perfo

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Service Code Mapping System Template

The Service Code Mapping system template provides a custom solution where each Behavioral Health practice can map service codes to several parameters. Service Code Mapping Parent topic: System and Practice Templates

Provider Level Field on Service Code Mapping

Recommendations

Service Code Mapping

Add Practice-Specific Values in the Provider Level Picklist

Enter Practice-Specific Types for the Provider List

Billing Configuration for Behavioral Health

Map Behavioral Health Service Codes

Service Code Mapping System Template

Provider Level Field on Service Code Mapping

Service Code Mapping

Add Practice-Specific Values in the Provider Level Picklist

Enter Practice-Specific Types for the Provider List

Billing Configuration for Behavioral Health

Map Behavioral Health Service Codes

Service Code Mapping System Template