Evaluation and Management Codes

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

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

Evaluation and Management Bullets and Field Mapping System Template

The E&M Bullets and Field Mapping system template enables you to create and manage Evaluation and Management (EM) codes within the NextGen® Adaptive Content Engine. Evaluation and Management Codes EM Coding Bullets EM Bullet ID - Field Mapping EM Field Maps Section EM Table List Parent topic: System and Practice Templates Related concepts Evaluation and Management Codes EM Coding Bullets EM Bullet ID - Field Mapping EM Field Maps Section Related reference EM Table List

NextGen® Adaptive Content Engine Help Enterprise 8

Access the E&M Bullets and Field Mapping System Template

From the File menu, select System \ Practice Template. The Select Template window appears. In the Show section, select All to see a list of system templates. To access the E&M Bullets and Field Mapping system template: Double-click E&M Bullets and Field Mapping. Select E&M Bullets and Field Mapping and then click OK. The E&M Bullets and Field Mapping template appears. Parent topic: Evaluation and Management Codes

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

NextGen® Adaptive Content Engine Help Enterprise 8

Evaluation and Management Coding

NextGen® Adaptive Content Engine uses Evaluation and Management (E&M) coding guidelines from the Centers for Medicare and Medicaid Services (CMS) for the documentation and billing of E&M services because these protocols are the most stringent. Evaluation and Management Coding Overview of E&M coding guidelines Physical Exam Calculation for 95 Coding Guidelines Methods of physical exam calculations for the 95 Coding Guidelines Physical Exam Calculation for 97 Guidelines Multi- and Single-system exam types under the 97 Coding Guidelines Components of E&M Coding Description of the components used in E&M coding for the selected guidelines Related concepts Evaluation and Management Coding Physical Exam Calculation for 95 Coding Guidelines Physical Exam Calculation for 97 Guidelines Related reference Components of E&M Coding

Evaluation and Management Codes

Recommendations

EM Bullet ID - Field Mapping

EM Coding Bullets

Evaluation and Management Bullets and Field Mapping System Template

Access the E&M Bullets and Field Mapping System Template

Physical Exam Elements for E&M Coding

Evaluation and Management Coding

EM Bullet ID - Field Mapping

EM Coding Bullets

Evaluation and Management Bullets and Field Mapping System Template

Access the E&M Bullets and Field Mapping System Template

Physical Exam Elements for E&M Coding

Evaluation and Management Coding