EM Coding Bullets Data Grid

Field	Description
EM Type	The HPI, ROS, History, and Exam Types
EM System	The category or organ/body system categorization for the specified EM type
Description	The exact bullet description from the CMS Guidelines
EM Bullet ID	The unique bullet ID name given to the description

NextGen® Adaptive Content Engine Help Enterprise 8

Add New EM Coding Bullets

If the CMS Guidelines change or additional EM types are needed, NextGen Healthcare makes updates to the E&M Bullets and Field Mapping template in subsequent releases. If modifications or additions are to be made to the information found on this template, the following instructions describe how to make these changes. On the E&M Bullets and Field Mapping system template, access the EM CODING BULLETS section. To add a new EM coding bullet, do one of the following: In the Edit Fields grid, add a new row by manually entering the data or selecting the options from the drop-down arrows in the edit fields above the grid. Click the Add button. Note: The Add button is visible only when you add information in the fields. The new row appears in the data grid. Add a new row by editing a similar item already listed in the data grid and adding the edited information to the data grid: Select the applicable row in the grid. The Edit Fields found above the data grid populate with the corresponding data.

NextGen® Adaptive Content Engine Help Enterprise 8

Delete an EM Coding Bullet

CAUTION: You must use caution when deleting rows from the EM CODING BULLETS data grid. On the E&M Bullets and Field Mapping system template, access the EM CODING BULLETS section. In the Edit Fields grid, select the applicable row. The Edit Fields found above the data grid populates with the selected data. Click the Delete button. Note: The Delete button is visible only after a row has been selected from the data grid. The row no longer appears in the data grid. When you have completed the changes, click the Apply Changes button to activate the changes. Parent topic: EM Coding Bullets

NextGen® Adaptive Content Engine Help Enterprise 8

Update an EM Coding Bullet

On the E&M Bullets and Field Mapping system template, access the EM CODING BULLETS section. In the Edit Fields grid, select the applicable row. The Edit Fields found above the data grid populate with the selected data. After making the necessary changes to the fields above the data grid, click the Update button. Note: The Update button is visible only after a row has been selected from the data grid and new data entered. The selected row displays the new information in the data grid. When you have completed the changes, click the Apply Changes button to activate the changes. Parent topic: EM Coding Bullets

NextGen® Adaptive Content Engine Help Enterprise 8

EM Coding Bullets

The EM CODING BULLETS or Page 1 (Bullets) section is pre-loaded with all the Evaluation and Management (E & M) Guidelines for all HPI elements, ROS elements, Histories elements, and Exam types found in the NextGen® Adaptive Content Engine. The system assigns each element a bullet ID based on the Centers for Medicare and Medicaid Services (CMS) Guidelines. EM Coding Bullets Data Grid Add New EM Coding Bullets Update an EM Coding Bullet Delete an EM Coding Bullet Parent topic: Evaluation and Management Bullets and Field Mapping System Template

NextGen® Adaptive Content Engine Help Enterprise 8

EM Bullet ID - Field Mapping

The EM BULLET ID -FIELD MAPPING or Page 2 (Mapping) maps the EM Coding Bullet ID to a specific field on template. If any of the mapped fields are documented during an encounter, the EM Bullet ID is tallied with other bullets. A total tally of all documented bullets is shown on the EM History template. If new templates are added, or if existing templates are customized, and they contain HPI, or physical exam fields, the fields need to be mapped using Page 2 (Mapping) section of the E&M Bullets and Field Mapping template to be included in the EM calculation. For HPI’s, it is recommended that you use an existing HPI template as your starting point to minimize the need for EM mappings. For the history fields, it is recommended that you share the radio buttons and doc gen hidden fields from Master_IM onto your new template. By doing so, no additional mappings are needed. Mapping Data Grid Add a New Bullet ID - Field Mapping Remove a Bullet ID - Field Mapping Parent topic: Evaluation and Man

NextGen® Adaptive Content Engine Help Enterprise 8

Physical Exam Elements for E&M Coding

Under the 95 and 97 Coding Guidelines, each relevant exam field on the physical exam templates has been assigned an EM Bullet ID on the E&M Bullets and Field Mapping system template. This template stores all 95 and 97 E&M Coding Guidelines for Multi-and Single-system exams and their field mappings. A stored procedure and additional triggers on the Finalize template and on the Coding OPH template for NextGen® Adaptive Content Engine, 8.4.3 or earlier, total the field mappings for each system and calculate the suggested exam level component of E&M coding. For more information, go to NextGen Healthcare Success Community, and download the latest E&M Bullets and Field Mapping System Template for NextGen® Adaptive Content Engine. Show Single-system Physical Exam Field Mappings You can view Single-system physical exam field mappings on the E&M Bullets and Field Mapping system template for 97 Coding Guidelines. Parent topic: Components of E&M Coding

EM Coding Bullets Data Grid

Recommendations

Add New EM Coding Bullets

Delete an EM Coding Bullet

Update an EM Coding Bullet

EM Coding Bullets

EM Bullet ID - Field Mapping

Physical Exam Elements for E&M Coding

Add New EM Coding Bullets

Delete an EM Coding Bullet

Update an EM Coding Bullet

EM Coding Bullets

EM Bullet ID - Field Mapping

Physical Exam Elements for E&M Coding