OB Billing

NextGen® Adaptive Content Engine Help Enterprise 8

Obstetric Visit Types

The Obstetric (OB) visit types are very specific to the unique requirements for billing OB and prenatal visits. Use the OB Prenatal - Initial visit type to confirm and document the beginning of a pregnancy where the prenatal record has not been initiated. You can bill for the encounter using the standard E&M codes 99201–99215. Note: Effective January 1, 2021, code 99201 will be deactivated. Use the OB Prenatal visit type for encounters where you are using the prenatal record. The application tracks each encounter during the current pregnancy with the OB Prenatal visit type on a hidden field on the Home page. You can bill prenatal visits separately if a patient obtains a new insurance plan or changes providers, and/or other complications arise. The Finalize template adds the number of prenatal encounters that have been documented for the current pregnancy and calculates the appropriate prenatal E&M code. For the OB Prenatal and OB Postpartum visit types, you can select the Prenatal/Post

NextGen® Adaptive Content Engine Help Enterprise 8

Access OB Billing Panel

Select the Finalize tab. Select the OB Billing panel. Parent topic: OB Billing

NextGen® Adaptive Content Engine Help Enterprise 8

Orders Panel

The Orders panel enables you to view OB education items that were previously completed are listed as completed orders. The Immunizations link opens the Immunizations module. The Standing Orders link opens the Office Services template. Select Add to open the My Plan template. This also gives access to the A/P Details, Labs, Diagnostics, Referrals, Office Procedures, and Cosign Orders templates, if needed. Parent topic: Components of the Prenatal Detail - Obstetrics Template Parent topic: Overview of the Finalize Template Workflow

NextGen® Adaptive Content Engine Help Enterprise 8

The BH Billing Panel

The BH Billing panel on the Finalize template includes a grid that summarizes the submitted procedures. The grid is filtered on the current service date and can be sorted by the Service Code. Parent topic: Behavioral Health Billing on the Finalize Template

Help Guide for NextGen® Enterprise PM 8

Anesthesia Concurrency Billing for OB

This section reviews specific options that are available in the Anesthesia Library on the SIM Options tab that may be used with OB Billing. Examples of each option are also included. Note: For information on the complete set up of the Anesthesia Library, see Anesthesia Concurrency Billing chapter in this guide. OB Epidural Billing Parent topic: Anesthesia Concurrency Billing

NextGen® Adaptive Content Engine Help Enterprise 8

Finalize Template

The Finalize template allows the provider to calculate all of the elements that were documented in the Intake, Histories, and SOAP tabs, select the Evaluation and Management (E&M) code level for the visit, and submit the E&M coding to the Superbill module. Patient's General Information on Finalize You can view the general details related to finalizing the workflow of the patient in the General panel. Patient's Assessments on Finalize You can view, add, or edit patient assessments in the Today's Assessment panel. Provider Sign Off E and M Level Summary You can view the summary of a patient's history, exam levels, and coding points for the Evaluation and Management (E&M) code calculation under the 95 or 97 Coding Guidelines in the E&M Level Summary panel. History Details on Finalize You can view the coding points assigned to each element of the patient's history component under the 95 or 97 Coding Guidelines in the History Details panel. Evaluation and Management Guidelines on Finalize Y

OB Billing

Recommendations

Obstetric Visit Types

Access OB Billing Panel

Orders Panel

The BH Billing Panel

Anesthesia Concurrency Billing for OB

Finalize Template

Obstetric Visit Types

Access OB Billing Panel

Orders Panel

The BH Billing Panel

Anesthesia Concurrency Billing for OB

Finalize Template