Modify E&M Coding Criteria

NextGen® Adaptive Content Engine Help Enterprise 8

Modify Cardiology Visit Types

You can modify a Cardiology visit type using the Card Setup Visit Types template. Open NextGen® Enterprise EHR. Open the Card Setup Visit Types template. In the VISIT TYPE section, select the visit type. The details of the visit type appear in the fields, and the Update and Delete buttons appear. To modify the visit type, make the desired changes in the fields, and then click Update. To delete the visit type, click Delete. Parent topic: Configuring Cardiology Visit Types Related tasks Open Card Setup Visit Types Template

NextGen® Adaptive Content Engine Help Enterprise 8

Add Cardiology Visit Types

You can add a Cardiology visit type using the VISIT TYPE section on the Card Setup Visit Types template. Open NextGen® Enterprise EHR. Open the Card Setup Visit Types template. In the VISIT TYPE section, enter the name of the visit type and its abbreviation. In EM Requirement, select the number of criteria that needs to be met for Evaluation and Management (E&M) coding. To indicate an associated service location, select Hospital or Office. To indicate that a referral source is required, select Y or N. To indicate that the E&M coding criteria are defined as per the 2021 E&M coding guidelines, select Yes. Click Add. Parent topic: Configuring Cardiology Visit Types Related tasks Open System or Practice Template

NextGen® Adaptive Content Engine Help Enterprise 8

Open Card Setup Visit Types Template

You can access the Card Setup Visit Types template from the System \ Practice template. Open NextGen® Enterprise EHR. Open System \ Practice Template. On the Practice tab, select Card Setup Visit Types, and click OK. The Card Setup Visit Types template opens. Card Setup Visit Types Parent topic: Configuring Cardiology Visit Types

NextGen® Adaptive Content Engine Help Enterprise 8

Assign Evaluation and Management Coding Criteria

You can assign Evaluation and Management coding criteria to a cardiology visit type. The criteria for assigning the Evaluation and Management (EM) code to visit types, configured as per the 2021 E&M coding guidelines, are decision making and time range. As per 95 and 97 guidelines, the criteria for assigning the EM code to a visit type include level of history, level of exam, and decision making, or total visit time. Open NextGen® Enterprise EHR. In System \ Practice Template, open the Card Setup Visit Types template. The effective date configured in the Practice Configuration practice template appears in the 2021 Date field. Card Setup Visit Types In the EM CODING CRITERIA section, select the Visit Type. Select the level of history that indicates clinical problems or symptoms being addressed during the encounter. You can decide the level of history based on chief complaint, history of present illness, review of systems, past medical, family, and social history. In Level of Exam, selec

NextGen® Adaptive Content Engine Help Enterprise 8

Configuring Cardiology Visit Types

You can configure and update the visit types for the Cardiology specialty on the Card Setup Visit Types template. The configured visit types appear in the Visit Type list on the Home Page – Cardiology template. You can also assign and modify the Evaluation and Management coding criteria for each visit type in the EM CODING CRITERIA section. Open Card Setup Visit Types Template You can access the Card Setup Visit Types template from the System \ Practice template. Add Cardiology Visit Types You can add a Cardiology visit type using the VISIT TYPE section on the Card Setup Visit Types template. Modify Cardiology Visit Types You can modify a Cardiology visit type using the Card Setup Visit Types template. Assign Evaluation and Management Coding Criteria You can assign Evaluation and Management coding criteria to a cardiology visit type. Modify E&M Coding Criteria You can modify the evaluation and management coding criteria of a Cardiology visit type from the EM CODING CRITERIA section on

NextGen® Adaptive Content Engine Help Enterprise 8

Evaluation and Management Coding

You can use three types of guidelines to calculate the Evaluation and Management code for Cardiology. To submit a calculated or a selected Evaluation and Management (E&M) code on the Finalize - Cardiology template, you can use guidelines for 95, 97, or 2021 configured on the Practice Configuration template. The 95 and 97 Coding Guidelines calculate E&M codes based on one of the following. Previously documented history and physical exam details and the selected Medical Decision Making (MDM) level. Total visit time, if more than 50 percent of the time was spent counseling or coordinating care. The 2021 Coding Guidelines calculate E&M codes based on one of the following. The selected MDM level. Total time spent by medical professionals treating patients and documenting their care during the encounter, including the amount of face-to-face and other time they spend with patients. On the Practice Configuration template, if you select the 2021 Coding Guidelines, you must also select the 95 or

Modify E&M Coding Criteria

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Evaluation and Management Coding