Calculate E&M Codes under 2021 Coding Guidelines

NextGen® Adaptive Content Engine Help Enterprise 8

Determining Medical Decision Making Levels

Medical Decision Making (MDM) suggests the complexity level of the patient's health, based on the data points documented in the encounter chart note of the patient. You can review the MDM level and change the automatically-filled MDM elements. The suggestion of an MDM level helps you save the time spent on MDM and bill a claim with the appropriate E&M level. Note: The Medical Decision - Making Elements panel is available only if E&M 2021 Coding Guidelines are effective. For more information on the 2021 Coding Guidelines, go to NextGen Healthcare Success Community, and download the latest E&M Coding User Guide forNextGen®Adaptive Content Engine. You can review the selected MDM elements in the Medical Decision - Making Elements panel on the Finalize template, and select additional MDM elements in the three MDM tables. The Medical Decision Making section in the Evaluation and Management Coding panel displays the MDM level based on the calculated levels in the Nature of Presenting Problem

NextGen® Adaptive Content Engine Help Enterprise 8

Submit E&M Codes under 2021 Coding Guidelines

You can submit a calculated or selected E&M code to the Superbill using 2021 Coding Guidelines. Before you begin The encounter must be on or after the effective start date of 2021 Coding Guidelines entered on the Practice Configuration template. The visit type must fall under the guidelines. For more information on 2021 Coding Guidelines, go to NextGen Healthcare Success Community, and download the latest E&M Coding User Guide forNextGen®Adaptive Content Engine. You must select an assessment in the Today’s Assessments panel to be able to submit an E&M code. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize template. On the Evaluation and Management Coding panel, to use a calculated E&M code, review and select the Medical Decision Making (MDM) level or enter the total time. The Medical Decision Making section displays the MDM level based on the calculated levels in the three tables in the Medical Decision - Making Elements panel. Evaluation and

NextGen® Adaptive Content Engine Help Enterprise 8

Calculate E&M Codes under the 95 or 97 Coding Guidelines

You can base the E&M code calculation on the selected Medical Decision Making (MDM) level, documented history, and physical exam elements, or on the total visit time if more than 50 percent of the time was spent counseling or coordinating care. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize template. On Evaluation and Management Coding, do one of the following: To calculate the E&M code based on the MDM Level, documented history, and physical exam elements, select the level of complexity associated with the encounter in the Medical Decision Making section. For guidance in determining the level of complexity involved in MDM, you can select the View MDM Guidelines link and the level of risk associated with the encounter, select the View Risk link and refer to the details. To calculate the code based on the total visit time, do the following: Select Counsel Details and enter counseling and educational details on the Counseling Details template.

NextGen® Adaptive Content Engine Help Enterprise 8

Submit E&M Codes under 95 or 97 Coding Guidelines

You can submit a calculated or selected E&M code to the Superbill under the 95 or 97 Coding Guidelines. Before you begin You must select an assessment in the Today’s Assessments panel to submit an E&M code. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize template. Expand the Evaluation and Management Coding panel. Evaluation and Management Coding To use a calculated E&M code, you can select the MDM level, or enter the total visit time. Enter any additional visit codes. To meet visit code criteria for Quality Reporting, select a SNOMED CT code. To override the calculated code, select an E&M code in the code options section at the bottom of the Evaluation and Management Coding panel. Note: The 99201 code cannot be selected as the code has expired on January 1, 2021. To generate a note, referral, lab order, requisition, or another document, select Generate Note and select an option. Select Submit Code. The code appears in the Submitted field. Th

NextGen® Adaptive Content Engine Help Enterprise 8

Calculate an E&M Code under 2021 Coding Guidelines on the FTS Finalize Template

You can base the Evaluation and Management (E&M) code calculation on the selected Medical Decision Making (MDM) level or on the total visit time. Open the FTS Finalize template and expand the Evaluation and Management Coding panel. In the Medical Decision Making section, do one of the following: Review prepopulated or manually select the level of complexity associated with the encounter. Enter the total visit time. To calculate the E&M code based on the MDM level, review prepopulated or select the level of complexity associated with the encounter in the Medical Decision Making section. The Medical Decision Making section shows the MDM level based on the calculated levels in the three tables in the Medical Decision - Making Elements panel. To change the MDM level, change the automatically-calculated MDM levels in the MDM tables, or by making corrections in the encounter chart note. For guidance on how to use the 2021 Coding guidelines based on MDM level and time, click the information i

NextGen Behavioral Health Suite Help 5.5

Submit E&M Codes per the 2021 Coding Guidelines

You can submit a calculated or selected Evaluation and Management (E&M) code to the Superbill using the 2021 Coding Guidelines. Before you begin The date of the encounter must be on or after the effective start date entered for the 2021 Coding Guidelines on the Practice Configuration template. The visit type must be one of the visit types impacted by the 2021 guidelines. For more information on the 2021 Coding Guidelines, go to NextGen Healthcare Success Community, and download the E&M Coding User Guide forNextGen®Adaptive Content Engine. Also, you must select an assessment in the Today’s Assessment panel to be able to submit an Evaluation and Management (E&M) code. For guidance on how to use the 2021 E&M Coding Guidelines based on Medical Decision Making (MDM) level and time, you can use the information Info Icon icon. For guidance on the level of complexity and risks involved in MDM, you can use the View MDM Guidelines link. From an encounter, select the Templates Template Icon icon.

Calculate E&M Codes under 2021 Coding Guidelines

Recommendations

Determining Medical Decision Making Levels

Submit E&M Codes under 2021 Coding Guidelines

Calculate E&M Codes under the 95 or 97 Coding Guidelines

Submit E&M Codes under 95 or 97 Coding Guidelines

Calculate an E&M Code under 2021 Coding Guidelines on the FTS Finalize Template

Submit E&M Codes per the 2021 Coding Guidelines

Determining Medical Decision Making Levels

Submit E&M Codes under 2021 Coding Guidelines

Calculate E&M Codes under the 95 or 97 Coding Guidelines

Submit E&M Codes under 95 or 97 Coding Guidelines

Calculate an E&M Code under 2021 Coding Guidelines on the FTS Finalize Template

Submit E&M Codes per the 2021 Coding Guidelines