The BH Billing Panel

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

Templates with the Behavioral Health Billing Section

The following templates utilize Service Code Mappings and contain the Behavioral health billing section: BH - Brief Assessment BH - Psychiatric Evaluation BH - Contact Note Template BH - Individual Counsel/Psych Prog Note BH – Group Therapy Progress Note BH - Nursing Note BH - Nursing Note Short BH - Crisis Treatment Plan BH - Screening/Admission Note For more information about the Service Code Mappings, go to NextGen Healthcare Success Community, and download the latest Service Code Mapping System Template forNextGen®Adaptive Content Engine. Parent topic: Behavioral Health Billing Section Parent topic: Determining the Correct Service Code

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

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

Finalize Behavioral Health Billing

The Start time and End time fields are available in the Behavioral health billing section and in the Program Name panel. The values documented in either place are immediately reflected in the same fields in the other section. To finalize billing, navigate to the Behavioral health billing section. For the End time field, do one of the following: Click the clock clock icon for start and end 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

NextGen® Adaptive Content Engine Help Enterprise 8

OB Billing

The OB Billing panel enables the OB provider to select the SIM codes they have entered in the OB Billing Service Category for prenatal and antepartum care to meet their specific payer requirements. Note: The OB Billing panel is available on the Finalize template only for the Obstetrics specialty. Access OB Billing Panel You can access the OB Billing panel from the Finalize template. Parent topic: Overview of Evaluation and Management Coding

The BH Billing Panel

Recommendations

Finalize Behavioral Health Billing

Templates with the Behavioral Health Billing Section

Behavioral Health Billing Section

Billing in a Behavioral Health Encounter

Finalize Behavioral Health Billing

OB Billing

Finalize Behavioral Health Billing

Templates with the Behavioral Health Billing Section

Behavioral Health Billing Section

Billing in a Behavioral Health Encounter

Finalize Behavioral Health Billing

OB Billing