PT

NextGen® Adaptive Content Engine Help Enterprise 8

Physical Therapy Configuration Options on Practice Configuration

The configuration in thePTsection applies to the Physical Therapy specialty. PT section In thePTsection, you can configure the following: If you select theDisable auto assignment of timed proc unitscheck box, the system does not automatically add the timed procedure units to theProcedurepanel on thePT Finalizetemplate. Procedure panel on the PT Finalize template If you select theEnable expected treatment time trackingcheck box and enter appropriate treatment time in the following fields, the system uploads the treatment time in thePT Finalizetemplate of the corresponding Visit Type: Physical therapy evaluation Physical therapy treatment Physical therapy discharge Physical therapy, re-evaluation PT section PT Finalize template If you select theEnable automatically applying KX modifiercheck box, the system displays the KX modifier alert after you clickVerify Codingon thePT Finalizetemplate. Note: In theProceduresmodule, you need to associate KX modifier to the procedure. If the KX modifi

NextGen® Adaptive Content Engine Help Enterprise 8

View Run-Time Result of Adding PT Modifier 59 Data Set Items

Before you view the result in the run-time template, ensure that the Enable automatically applying 59 modifier check box is selected in the PT section on the Practice Configuration template. In the run-time Intake template, select Specialty as Physical Therapy and Visit Type as Physical Therapy Treatment. Click the Finalize tab. In the Procedures panel, click one of the active text links. The respective template opens. Enter details to retrieve data for the primary service or procedure that is configured using the PT Modifier 59 data set and then click Save & Close. The service or procedure, CPT code, and the documented details are displayed in the first row. Repeat steps 3 and 4 to retrieve data for the secondary service or procedure that is configured using the PT Modifier 59 data set. The service or procedure, CPT code, and the documented details are displayed in the second row. Click Verify Coding. The 59 modifier is automatically added adjacent to the second CPT code. PT modifier

NextGen® Adaptive Content Engine Help Enterprise 8

Verify Coding and Submit to Superbill

After reviewing all information for the encounter, and updating where necessary, you can verify the code and submit to superbill. The Verify Code and Submit to Superbill buttons are found at the bottom right of the PT Finalize template. Treatment Time On the PT Finalize template, review the Treatment Time section. Total treatment time and timed units billed, compared to the expected treatment time and any time remaining can be reviewed in the Treatment Time section. Expected treatment times are optional and can be configured by the practice on the Practice Configuration practice template. Click Verify Coding to have the system verify the coding. If any coding issues are found, a message appears. If there are no issues with coding, the Submit to Superbill button appears. Treatment Time Click Submit to Superbill. An alert appears with a marked check box confirming that the charges were submitted. Parent topic: Finalize Template Related reference Physical Therapy Configuration Options on

NextGen® Adaptive Content Engine Help Enterprise 8

Procedures Panel

The Procedures panel on the PT Finalize template automatically displays treating procedures that were previously documented on the Treatment Panel of the Objective template as having been performed during the encounter. Treating procedures can be reviewed and updated. Options include: The ability to add up to three modifiers, the number of billing units, and the diagnosis code(s) associated with each of the treatment procedure(s) The ability to suppress billing for individual treatment procedure items Note: Billing units related to Medicare billing are automatically calculated based on the Medicare 8-minute rule when you select the Apply Medicare check box in the Payer panel. The Procedures panel displays the CPT code and total minutes spent performing the treatment. The time of like CPT codes is combined and appears as a single row with Total minutes for that CPT code. RVU and Units for each treatment are automatically calculated by the system. Procedures Complete Billing for Procedur

NextGen® Adaptive Content Engine Help Enterprise 8

Complete Billing for Procedure Items

In the Assessment panel on the PT Finalize template, select an assessment listed in the Encounter Diagnosis grid. To associate the diagnosis with a treatment, click the first available Dx code field in the row displaying the treatment. All Procedure rows displaying treatments that were performed automatically display the selected encounter diagnosis code under the Dx code field. This is done to eliminate the need to keep re-selecting the assessment and clicking in the Dx code field for the following treatment. Up to four diagnosis codes can be associated with a treatment procedure. If appropriate, click the treatment procedure’s first available Modifier field and select the modifier from the picklist. Up to three modifiers can be entered. To enter a modifier code that is not listed, select the top blank line and type the desired value. To suppress billing for a treatment procedure, select the corresponding Suppress billing check box. Click the links in the Procedures panel to document

NextGen® Adaptive Content Engine Help Enterprise 8

PT Modifier 59 Data Set

The PT Modifier 59 data set enables you to configure and store CPT code combinations for which 59 modifier must be attached while sending the information for billing. On the PT Finalize template, you can add several procedures for an encounter. Based on the billing rules, the 59 modifier is attached to include the charges associated with the secondary service or procedure that is provided along with the primary service or procedure. For the procedures, the 59 modifier is attached with the secondary procedure for a specific combination of CPT codes. If the functionality to automatically add the 59 modifier to the secondary procedure is enabled on the Practice Configuration template, then the PT Modifier 59 data set enables you to regulate the automatic addition of 59 modifiers to the secondary procedure. Add PT Modifier 59 Data Set Items Edit PT Modifier 59 Data Set Items Remove PT Modifier 59 Data Set Items Parent topic: List of Data Sets That Can be Configured

PT

Recommendations

Physical Therapy Configuration Options on Practice Configuration

View Run-Time Result of Adding PT Modifier 59 Data Set Items

Verify Coding and Submit to Superbill

Procedures Panel

Complete Billing for Procedure Items

PT Modifier 59 Data Set

Physical Therapy Configuration Options on Practice Configuration

View Run-Time Result of Adding PT Modifier 59 Data Set Items

Verify Coding and Submit to Superbill

Procedures Panel

Complete Billing for Procedure Items

PT Modifier 59 Data Set