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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

Enter Additional Visit Codes

You can enter two additional codes. The entered codes can be additional E&M codes, behavioral health codes, medicare preventive codes, or visit code service codes. Open NextGen® Enterprise EHR. For a patient record, open a new encounter. Open the Finalize template. In Evaluation and Management Coding, do the following: To enter a visit code service code, select the second or third Visit code field, and then select a code from the list. Note: You can update the items in the Visit Code Service Category list in File Maintenance under Service Categories. To enter an E&M, behavioral health, or medicare preventive code, select the corresponding links, and then select the code. Add Visit Code Modifiers You can add or replace visit code modifiers. 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. Select SNOMED CT Codes for Quality Reporting You can use SNOMED® CT codes for Quality Repo

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

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

NextGen® Adaptive Content Engine Help Enterprise 8

Overview of Evaluation and Management Coding

You can calculate and submit the E&M code. You can submit and calculate the Evaluation and Management (E&M) code from the Finalize template using the 95, 97, 2021 Guideline, or 2023 Coding Guidelines update based on the Practice Configuration template settings. The available E&M codes vary by specialty and visit type. If you do not want to charge a patient encounter, you can select the No Charge Visit check box in the Evaluation and Management Coding panel to submit a no-charge code. The No Charge Visit procedure group check box is configured by default. The No Charge Visit check box is enabled only if the no charge SIM code is configured to the No Charge Visit procedure group using the Manage Procedure Group 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. The 95 and 97 Coding Guidelines use the following E&M code calculation criteria: Hi

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

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Before you begin

Recommendations

Select SNOMED CT Codes for Quality Reporting

Enter Additional Visit Codes

Add Visit Code Modifiers

Enter the CPT Codes for Transition of Care Visits

Overview of Evaluation and Management Coding

Submit E&M Codes under 95 or 97 Coding Guidelines

Select SNOMED CT Codes for Quality Reporting

Enter Additional Visit Codes

Add Visit Code Modifiers

Enter the CPT Codes for Transition of Care Visits

Overview of Evaluation and Management Coding

Submit E&M Codes under 95 or 97 Coding Guidelines