Viewing Registry-Based Measures

NextGen® Adaptive Content Engine Help Enterprise 8

Submitting Procedure Coded Measures

You can select and submit a procedure code to satisfy a claims-based measure. The Procedure Coded Measures panel on the Exceptions/Measures template displays a grid with configurable Quality measures (identified by QID) and HEDIS measures from the Provider CQM Maintenance template and Claims Based Reporting Setup panel. Measures that are excluded from claims-based reporting must be reported on the Exception/Measures template. You can submit exceptions for claims-based measures in the Procedure Coded Measures panel. The measures that display modifiers in the Modifier column are exceptions. Procedure Coded Measures Submit CPT II Procedure Codes and Measure Exceptions You can manually submit CPT II procedure codes and the measure exceptions in the Procedure Coded Measures panel on the Exceptions/Measures template. Submit Claims Based Correction Report You can generate the claims-based billing correction report to submit the new CPT II codes for manual billing. Parent topic: Viewing Except

NextGen® Adaptive Content Engine Help Enterprise 8

Viewing Exceptions and Measures

You can manage exceptions and view measure details on the Exceptions/Measures template. You can open the Exceptions/Measures template from the navigation bar or from the CPT II Claims Based Reporting panel on the Finalize template. You can view the following types of exceptions and measures on the Exception/Measures template: Registry-based measures Procedure coded measures Custom data mapping Exception/Measures For information on how to address specific measures, go to NextGen Healthcare Success Community, and download the latest guides for NextGen® HQM. Viewing Registry-Based Measures You can view the status and explanation of a selected registry-based measure on the top section of the Exceptions/Measures template. Submitting Procedure Coded Measures You can select and submit a procedure code to satisfy a claims-based measure. Reporting Through Custom Data Mapping You can use the Custom Data Mapping panel for reporting. When you update NextGen® Enterprise EHR, data recorded on the Cu

NextGen® Adaptive Content Engine Help Enterprise 8

Document Registry-Based Exceptions

You can document a registry based exception. Open NextGen® Enterprise EHR. To open the Exception/Measures template, do one of the following: In the navigation bar, select the Exceptions/Measures link. On the Finalize template in the CPT II Claims Based Measure Reporting panel, select the Exceptions/Measures link. Exceptions/Measures For Display, select one of the following: Provider Measures Exceptions (current template) Exceptions (all) Select a measure in the grid. The details of the selected measure appear in the Measure Details and Exception Management sections. If applicable, select the exception class for the measure. Note: If the measure exists in multiple exception class records, a window appears, where you can select the exception class. If Clinical Quality Measures (CQM) has single exception class, an exception class record is automatically selected. The details for exception class appear in the Exception Management section. In the Exception Management section, update any of

NextGen® Adaptive Content Engine Help Enterprise 8

Configure Measures for Claims-Based Reporting

On the Claims Based Reporting Setup panel, system administrators can add existing or newly-created measures to practices. On the Provider CQM Maintenance template, expand the Claims Based Reporting Setup panel. Claims Based Reporting Setup panel In the Practice(s) to View/Update section, do one of the following: To view or update measures for all practices, select the All option. To view or update measures for a practice, select the Selected option, and select a practice from the list. In the System field, do one of the following: To add an existing measure, select QID, click the Measure # field, and select a measure on the Dbp Provider Measure List window. Dbp Provider Measure List To add new claims-based measure, select Claims Based Measures. Select the Measure # field, and select <Add New> on the Dbp Provider Measure List window. You can type the measure number and measure description. Dbp Provider Measure List Note: For CPT II codes, select the Claims Based Measures system. Select

NextGen® Adaptive Content Engine Help Enterprise 8

Submit CPT II Procedure Codes and Measure Exceptions

You can manually submit CPT II procedure codes and the measure exceptions in the Procedure Coded Measures panel on the Exceptions/Measures template. To open the Exceptions/Measures template, do one of the following: From the navigation bar, select Exceptions/Measures. From the Finalize template, expand the CPT II Claims Based Reporting panel, and select the Exceptions/Measures link. Select the Exceptions/Measures link on templates. Expand the Procedure Coded Measures panel. Procedure Coded Measures Select a measure from the grid.The fields below the grid are filled accordingly and the I accept responsibility to provide supporting documentation check box is selected. Note: Measures that have modifiers indicate the measure is an exception. If you want to exclude a measure from claims-based reporting, select and submit the exception measure.You must assign providers to the measures on the Provider CQM Maintenance template for the measures to be displayed on the Exceptions/Measures templat

NextGen® Adaptive Content Engine Help Enterprise 8

Manually Submitting CPT II Codes for Claims-Based Reporting

You can configure codes and their descriptions for an encounter, and select the CPT II code for a patient for a specific encounter. To use the manual submission option, you must set up the codes and exclusion modifiers, and then assign the measure to the provider on the Provider CQM Maintenance template. Note: To exclude a measure from claims-based reporting, you must use the Exceptions/Measures template to report the exception. Additionally, you must configure the Claim Edit Library. When CPT II codes are configured, providers can select and submit the necessary codes using the Procedure Coded Measures panel on the Exceptions/Measures template. The defined quality measures for providers, patients, and encounters are displayed in the grid in the Procedure Coded Measures panel. Configuring Claim Edits for CPT II Claims-Based Reporting You must configure the claim edits from the Claims Edit Library for CPT II codes. Parent topic: Reporting CPT II Procedure Codes

Viewing Registry-Based Measures

Recommendations

Submitting Procedure Coded Measures

Viewing Exceptions and Measures

Document Registry-Based Exceptions

Configure Measures for Claims-Based Reporting

Submit CPT II Procedure Codes and Measure Exceptions

Manually Submitting CPT II Codes for Claims-Based Reporting

Submitting Procedure Coded Measures

Viewing Exceptions and Measures

Document Registry-Based Exceptions

Configure Measures for Claims-Based Reporting

Submit CPT II Procedure Codes and Measure Exceptions

Manually Submitting CPT II Codes for Claims-Based Reporting