Templates with the Behavioral Health Billing Section

NextGen® Adaptive Content Engine Help Enterprise 8

Behavioral Health Billing Section

The Behavioral health billing section enables a provider to document time-based charges in the NextGen® Enterprise application. Once configured, when the user selects the Service performed by check box in the Behavioral health billing section, a stored procedure fills the mapped Behavioral Health service in the Service code and Service description fields. Service codes are configured on the Service Code Mapping system template. Practices can review and copy the code mappings packaged in this release. The system template looks at elements such as payer, visit type, licensure of the provider and others to generate a short list of billing codes or a single code to be used. The advantage of having the billing section work in conjunction with the Service Code Mapping system template is that it negates the clinical user from having to go to the Finalize template to manually enter the service code. Refer to the Billing Configuration Options section of this guide for more information. Template

NextGen® Adaptive Content Engine Help Enterprise 8

Determining the Correct Service Code

Determining the Correct Service Code Determining the Correct Service Code In run time, the stored procedure associated with the Service Code Mapping template runs when the Service performed by check box is selected in the Behavioral health billing section. The system performs one or more of the following actions based on the information documented in the encounter and the code's configuration on the Service Code Mapping system template: Populates the Service description and Service code fields Displays an alert if an E&M code or any additional code is required Launches the Bh Coding Select template if multiple codes are returned Sends start/stop times to the procedure module for codes configured as a time based Once the charges are submitted to the Superbill module, the service code information is sent to NextGen® Enterprise PM. NextGen Enterprise PM uses the submitted data to determine if the total of the duration times can be rolled up into a single line item charge. Templates with t

NextGen® Adaptive Content Engine Help Enterprise 8

Billing in a Behavioral Health Encounter

The Behavioral Health template set includes two primary areas that enable a provider to submit services codes to the Superbill. The Behavioral health billing section, available on multiple templates. The Finalize template Once the charges are calculated and submitted to the Superbill, the NextGen® Enterprise PM receives the charges for the services with a Start and End Time, a CPT® or HCPCS service code, a diagnosis code, as well as the date of service and the name of the provider of service. NextGen® Enterprise PM requires all of this data to be able to evaluate whether the total of the duration times may be 'rolled up'. Users can to view the submitted items and make any necessary updates. Behavioral Health Billing Section Behavioral Health Billing on the Finalize Template Virtual Visit Billing The Virtual Visit Billing section is enabled only for virtual visits. Parent topic: Behavioral Health

NextGen® Adaptive Content Engine Help Enterprise 8

Optimize Usage of Behavioral Health Templates

There is some setup involved to optimize usage of the Behavioral Health templates. In the Behavioral Health Configuration Options chapter, you learn that some of the setup is required and other parts are optional. The three main components required to successfully bill a Behavioral Health encounter are: Service code mapping Provider-level set up in two master files in File Maintenance Service Categories master file configuration There are optional settings on the Practice Configuration template that are specific to the Assessment/Diagnosis and Signatures panels. Other configurations that are not required apply to the Home Page – Behavioral Health template. The practice can elect to open the home page by default for every new encounter and can also decide which links appear on the Medical Chart Summary panel. For more information on additional configuration options and basic user interface functionality, go to NextGen Healthcare Success Community, and download the latest Getting Started

NextGen® Adaptive Content Engine Help Enterprise 8

Finalize Behavioral Health Billing

To finalize billing, navigate to the Behavioral health billing section. For the End time field, do one of the following: Click the clock button to enter the current time. Click the field to type the time that marked the end of the exam. Note: The read-only Duration field fills after the entry of the End time. If appropriate, select the option for Service performed by. Note: A stored procedure that works with the Service Code Mapping system template calculates a service code based on selected practice, payer, visit type, licensure, and the time-based calculation. The stored procedure launches an alert if E&M coding or other additional coding is required. The system fills the fields with the name of the current user and fills the Service Description and Service Code fields if a mapped service code is found. To select a different service description/code or if no matching service code is found click the Service description field to select a code in the Service Item Mstr picklist. To addre

NextGen® Adaptive Content Engine Help Enterprise 8

BH - Individual Counsel/Psych Prog Note Template

The BH - Individual Counsel/Psych Prog Note template enables you to document individual counseling services and the client's progress or the lack thereof. Any risk assessment, goals, objectives, or assessment data that was entered previously on the Comprehensive Assessment template set populates in the panels found on the Progress Note tab. You can document new issues and make updates to the goals, objectives and interventions. Use the Behavioral health billing section to submit billable service codes to the Superbill. The Progress Note tab can be a stand-alone template or used in conjunction with the other tabs or links. Enter Program Name Record Individuals Present Update the Client's Current Assessment Record a Risk Assessment Record New Issues Enter Goals, Objectives and Interventions Addressed Today Document Plan and Additional Information Enter Assessment and Diagnosis Details Sign the Behavioral Health Document Complete Behavioral Health Billing Parent topic: Individual Visit Wo

Templates with the Behavioral Health Billing Section

Recommendations

Behavioral Health Billing Section

Determining the Correct Service Code

Billing in a Behavioral Health Encounter

Optimize Usage of Behavioral Health Templates

Finalize Behavioral Health Billing

BH - Individual Counsel/Psych Prog Note Template

Behavioral Health Billing Section

Determining the Correct Service Code

Billing in a Behavioral Health Encounter

Optimize Usage of Behavioral Health Templates

Finalize Behavioral Health Billing

BH - Individual Counsel/Psych Prog Note Template