Virtual Visit Billing

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Reporting CPT® II Claims Based Measure on Finalize

You can activate the claims-based reporting on the Finalize template. Practices who use CPT II procedure codes for claims-based measure reporting can use the CPT II Claims Based Measure Reporting panel on the Finalize template to submit CPT II codes. To activate the CPT II Claims Based Measure Reporting panel, you must turn on the Assign diagnosis code to CPT II on Finalize option in the Practice Configuration template. When a patient encounter documentation is saved, and it meets the CPT II code criteria configured on the Coded Results Mapping template, the CPT II code is automatically sent to the Finalize template. You can view the CPT II codes that are assigned during the patient encounter in the CPT II Claims Based Measure Reporting panel. You can then submit the CPT II codes to the Superbill directly on the Finalize template. The information icon on the Today’s CPT II Codes grid provides instructions on how to use the Finalize template to assign diagnosis codes to the CPT II codes

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

The Finalize Template Workflow

You can do the following on the Finalize template: Submit and review the plan of care, based on your role, on the Provider Sign Off panel. Document Evaluation and Management (E&M) codes on the Evaluation and Management Coding panel. Calculate the patient's medical-decision-making level and submit the E&M codes to the Superbill module. Review the patient's history and physical examination details on the E&M Level panel and identify factors in the calculation of the E&M code under the 95 or 97 Coding Guidelines. For more information on E&M coding, go to NextGen Healthcare Success Community, and download the E&M Coding User Guide for NextGen® Adaptive Content Engine. Patient's General Information on Finalize You can view the general details related to finalizing the workflow of the patient in the General panel. Patient's Assessments on Finalize You can view, add, or edit patient assessments in the Today's Assessment panel. Evaluation and Management Level Summary You can view the summary o

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document Procedure Billing

On the Finalize template, go to the Dermatology Procedure Billing panel. Select Show Dermatology Charges only. If you select Show All Encounter Charges, any general procedures entered also appear in the grid. The dermatology procedure details are available in the grid. Double-click the dermatology procedure details in the grid.The Procedure Billing template opens. Update the information, if required. Click Save. To add another set of procedure billing details, click Clear For Add. When you have entered all the required procedure billing data, click Close.The data appears in the data grid in the Dermatology Procedure Billing panel. To verify the charges, click the Verify Charges button.The selected Charges verified check box appears. To prevent the charges for the encounter from billing, select the Surgery Hold check box. To process the charges, click Submit To Superbill. Note: The charges should be submitted to Superbill only after the patient encounter is completely documented to ensu

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Behavioral Health Billing on the Finalize Template

The Finalize template calculates the Evaluation and Management (E&M) code and submits the code to the NextGen® Enterprise PM application. The Evaluation and Management Coding panel on the Finalize template calculates the E&M code based on the elements documented or the amount of time documented when more than 50% of the visit is spent counseling and/or coordinating care. The system fills the Visit Code field with the suggested Current Procedural Terminology ( CPT® ) codes. You should review the suggested CPT® code prior to submitting the code for billing. When the practice selects the 97 Coding Guidelines option on the Practice Configuration practice template and the specialty is set to Behavioral Health, the system defaults to the 97 Single System Psychiatric exam guidelines for the following visit types: Family Consultation General Medical Exam Hospital Consult Medication Management without Psychotherapy Onsite Consult Psychotherapy - Individual with E&M Medication Management with Ps

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Add Visit Code Modifiers

You can add or replace visit code modifiers. After you have calculated or selected a visit code on the Finalize (BH) template, the NextGen® Adaptive Content Engine may add modifiers to the visit code based on coding rules. You can also manually add up to two modifiers for each visit code and edit the modifiers. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize (BH) template. Expand the Evaluation and Management Coding panel. To add a modifier to a visit code, select Modifier(s) under the corresponding visit code, and then select a code from the list. To replace the modifier of a visit code, select a modifier, and then select another modifier from the list. Parent topic: Overview of Evaluation and Management Coding Parent topic: Enter Additional Visit Codes Parent topic: Overview of the Finalize Template Workflow

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Cardiology Provider Workflow on the Finalize Template

The Finalize template allows you to document various patient findings. You can use the Finalize - Cardiology template to do the following. Document assessments, medical decision making, counseling details, and Evaluation and Management (EM or E&M) coding. Submit codes for billing. Open a patient support case, visit document, and referral thank-you letter. Evaluation and Management Coding You can use three types of guidelines to calculate the Evaluation and Management code for Cardiology. Generate Documents You can generate and print various patient documents such as patient support cases, visit documents, referral thank-you letters, and provider communications on the Finalize - Cardiology template. Review and Sign Off Care Plans The Provider Sign Off section enables you to send a request to the supervising physician for review and sign off to indicate that the plan of care provided to the patient is appropriate. Enter Counseling Details You can enter the counseling details for a patien

Virtual Visit Billing

Recommendations

Reporting CPT® II Claims Based Measure on Finalize

The Finalize Template Workflow

Document Procedure Billing

Behavioral Health Billing on the Finalize Template

Add Visit Code Modifiers

Cardiology Provider Workflow on the Finalize Template

Reporting CPT® II Claims Based Measure on Finalize

The Finalize Template Workflow

Document Procedure Billing

Behavioral Health Billing on the Finalize Template

Add Visit Code Modifiers

Cardiology Provider Workflow on the Finalize Template