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NextGen® Adaptive Content Engine Help Enterprise 8
On the Service Code Mapping system template, select a practice from the Filter by field. The service code mappings associated with the selected practice appear in the grid. Highlight a row in the grid. The selected data populates in the corresponding fields above the grid. Update the fields in the Map Service Code section with the appropriate values. Click Add. Note: An alert on the Service Code Mapping system template helps prevent duplicate entries of the Payer, Visit type, and Provider Level. A newly created service code mapping appears in the grid. To modify a grid entry, highlight the entry to populate the fields above with the data, make the changes and click Update. To delete committed data, highlight the grid row and click Remove button. Parent topic: Service Code MappingAdd a New Service Code Mapping Using a Default Mapping
NextGen® Adaptive Content Engine Help Enterprise 8
NextGen Adaptive Content Engine is packaged with a default data set that contains multiple service code mappings for the Behavioral Health specialty. You must load these mappings to a specific practice to make them available for use and before you can edit or copy them to another practice. Caution: Completing the following steps will override any data in the grid on the Service Code Mapping template for the selected practice. Open the Service Code Mapping system template. In the Copy set to default practice field, select the practice to load the default mappings. Click Copy. Click Yes to the confirmation message which states that the data for this practice will be overwritten by the default set data. The default data set populates in the grid. The default data set populates in the grid. Parent topic: Service Code MappingLoad the Default Data Set for Service Code Mappings
NextGen® Adaptive Content Engine Help Enterprise 8
On the Service Code Mapping system template, click the Practice field and select the desired Practice Name. The values you establish apply only to the selected practice. Click the Payer field and select the payer configured in NextGen File Maintenance. Enter the Visit type and Licensure. Note: The Licensure field is optional/informational. The Licensure list is configured in the Custom DBpicklist system template. For more information on how to configure Licensure, 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 and select a service to be mapped to the selected practice for billing. Note: The values in the Service Item Mstr picklist are configured in a Service Categories Master File called Behavioral Health. For more information about configuring Service Categories and Payers, go to NextGen Healthcare Success Community and download the latest version oCreate a New Service Code Mapping
NextGen® Adaptive Content Engine Help Enterprise 8
Determining the Correct Service Code Determining the Correct Service Code In run time, the stored procedure associated with the Service Code Mapping template runs when the Service performed by check box is selected in the Behavioral health billing section. The system performs one or more of the following actions based on the information documented in the encounter and the code's configuration on the Service Code Mapping system template: Populates the Service description and Service code fields Displays an alert if an E&M code or any additional code is required Launches the Bh Coding Select template if multiple codes are returned Sends start/stop times to the procedure module for codes configured as a time based Once the charges are submitted to the Superbill module, the service code information is sent to NextGen® Enterprise PM. NextGen Enterprise PM uses the submitted data to determine if the total of the duration times can be rolled up into a single line item charge. Templates with tDetermining the Correct Service Code
NextGen® Adaptive Content Engine Help Enterprise 8
The Service Code Mapping system template provides a custom solution where each Behavioral Health practice can map service codes to several parameters. Once these parameters are configured, a stored procedure is used in run time to assist the user in the process of determining the appropriate service code based on the information documented in the current encounter. The following parameters can be mapped to a service code: Practice Payer Visit type Licensure Provider Level Require E&M code Require additional code Time-based NextGen® Adaptive Content Engine is packaged with a default set of service code mappings. You can use these mappings or chose to create your own custom mappings for each practice. Determining the Correct Service Code Access the Service Code Mapping System Template Load the Default Data Set for Service Code Mappings Copy a Default Set from One Practice to Another Create a New Service Code Mapping Add a New Service Code Mapping Using a Default Mapping Parent topic: SerService Code Mapping
NextGen® Adaptive Content Engine Help Enterprise 8
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 Engineused 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. 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 NextGen Healthcare