Enter Additional Visit Codes

NextGen® Adaptive Content Engine Help Enterprise 8

Select SNOMED CT Codes for Quality Reporting

If you do not bill from NextGen® Enterprise EHR but need to meet the visit-code criteria for Clinical Quality Measures (CQMs), you can use a SNOMED® CT code instead of a CPT® code. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize template. On Evaluation and Management Coding, select the SNOMED Type (optional) link. The SNOMED Type template opens. Select a SNOMED® CT code. Select Save & Close. The NextGen® HQM application uses the selected code at the registry reporting time. Note: The code is not uploaded to the Procedures or Problems modules. For more information on configuring SNOMED® CT® Codes in the SNOMED Type template, go to NextGen Healthcare Success Community, and download the latest Custom DB Picklists System Template forNextGen®Adaptive Content Engine. 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

Select a Prolonged Time Code

You can select a prolonged time code to report time that surpasses the threshold for code 99205 or 99215 on the Finalize template. Before you begin You must calculate or manually select the visit code 99205 or 99215 in the Evaluation and Management Coding panel. You can report a time of more than 74 minutes for a new patient for code 99205, or more than 54 minutes for an established patient for code 99215. Open NextGen® Enterprise EHR. Open the Finalize template. On the Evaluation and Management Coding panel, select the first blank Visit code field. The Visit Code Service Category Name window opens. Select Prolonged, and select the code for the prolonged service time. The prolonged service time code appears in the Visit code field. 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

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

Submit No Charge Claims

Before you begin The No Charge Visit check box is configured by default. You must configure a no-charge code defined in the SIM library using the Manage Procedure Groups and Codes template. For more information, go to NextGen Healthcare Success Community, and download the latest Manage Procedure Groups and Codes Practice Template forNextGen®Adaptive Content Engine. Note: The No Charge Visit check box is available only when you configure a no-charge code with the No Charge Visit check box using the Manage Procedure Groups and Codes template. Open NextGen® Enterprise EHR. Select a patient record, and then open an encounter. Open the Intake template, and then select a specialty and visit type. Update the necessary medical and evaluation information in the Intake and SOAP templates. Open the Finalize template, and then add an assessment in the Today's Assessment panel. In the Medical Decision Making section of the Evaluation and Management Coding panel, select a complexity level. Select th

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

Enter the CPT Codes for Transition of Care Visits

Open NextGen® Enterprise EHR. Select a patient and open an encounter. On the Intake template, select an impacted Specialty (Family Practice/Internal Medicine, Obstetrics or Pediatrics), and select Visit Type as Transition into Care. Click the Finalize tab. The Finalize template opens. In the Evaluation and Management Coding panel, click the second Value Code field. A list of service categories opens. Evaluation and Management Coding Click Care Management. A list of visit codes and descriptions opens. Service Item Mstr Select the visit code that represents the complexity and timing of care. Click OK. Upon return to the Finalize template, the CPT code populates the second Visit Code field. Important: You must complete all the fields in the Transitioning Into Care or the Cm Care Transitions template before submitting the charges to the Superbill. If you do not, a message prompts you to enter the additional details. Click Submit Code. The charges are submitted to the Superbill. Parent topi

Enter Additional Visit Codes

Recommendations

Select SNOMED CT Codes for Quality Reporting

Select a Prolonged Time Code

Add Visit Code Modifiers

Submit No Charge Claims

Submit E&M Codes under 95 or 97 Coding Guidelines

Enter the CPT Codes for Transition of Care Visits

Select SNOMED CT Codes for Quality Reporting

Select a Prolonged Time Code

Add Visit Code Modifiers

Submit No Charge Claims

Submit E&M Codes under 95 or 97 Coding Guidelines

Enter the CPT Codes for Transition of Care Visits

Enter Additional Visit Codes