Virtual Visit Billing

NextGen® Adaptive Content Engine Help Enterprise 8

Patient's General Information on Finalize

You can view the general details related to finalizing the workflow of the patient in the General panel. In the General panel, you can do the following: View the patient type. If other encounters exist for the patient, the Established patient option is selected, and if no other encounters exist, then the New patient option is automatically selected. You can also change the selected patient type. The calculated E&M codes are based on the patient type. View the type of guidelines (1995, 1997, or 2021) selected for Evaluation and Management (E&M) coding. Access information on E&M guidelines for 1995 or 1997 from the Centers for Medicare and Medicaid Services (CMS) website, and for 2021 from the American Medical Association (AMA) website using the Web button. Select the physical exam type for multiple systems or a single system, if you enabled the 97 Coding Guidelines on the Practice Configuration template. In the General panel, if you select Single system, you need to select an exam type.

NextGen® Adaptive Content Engine Help Enterprise 8

Reporting CPT II Claims Based Measure on Finalize

You can activate the claims-based reporting on the Finalize template. Practices who use CPT II procedure codes for claims-based measure reporting can use the CPT II Claims Based Measure Reporting panel on the Finalize template to submit CPT II codes. To activate the CPT II Claims Based Measure Reporting panel, you must enable the Assign diagnosis code to CPT II on Finalize option in the Practice Configuration template. When a patient encounter documentation is saved, and it meets the CPT II code criteria configured on the Coded Results Mapping template, the CPT II code is automatically sent to the Finalize template. You can view the CPT II codes that are assigned during the patient encounter in the CPT II Claims Based Measure Reporting panel. You can then submit the CPT II codes to the Superbill directly on the Finalize template. The information icon above the Today’s CPT II Codes grid provides instructions on how to use the Finalize template to assign diagnosis codes to the CPT II cod

NextGen® Adaptive Content Engine Help Enterprise 8

Cardiology Provider Workflow on the Finalize Template

The Finalize template allows you to document various patient findings. You can use the Finalize - Cardiology template to do the following. Document assessments, medical decision making, counseling details, and Evaluation and Management (EM or E&M) coding. Submit codes for billing. Open a patient support case, visit document, and referral thank-you letter. Evaluation and Management Coding You can use three types of guidelines to calculate the Evaluation and Management code for Cardiology. Generate Documents You can generate and print various patient documents such as patient support cases, visit documents, referral thank-you letters, and provider communications on the Finalize - Cardiology template. Review and Sign Off Care Plans The Provider Sign Off section enables you to send a request to the supervising physician for review and sign off to indicate that the plan of care provided to the patient is appropriate. Enter Counseling Details You can enter the counseling details for a patien

NextGen® Adaptive Content Engine Help Enterprise 8

Finalize Template

The Finalize template allows the provider to calculate all of the elements that were documented in the Intake, Histories, and SOAP tabs, select the Evaluation and Management (E&M) code level for the visit, and submit the E&M coding to the Superbill module. Patient's General Information on Finalize You can view the general details related to finalizing the workflow of the patient in the General panel. Patient's Assessments on Finalize You can view, add, or edit patient assessments in the Today's Assessment panel. Provider Sign Off E and M Level Summary You can view the summary of a patient's history, exam levels, and coding points for the Evaluation and Management (E&M) code calculation under the 95 or 97 Coding Guidelines in the E&M Level Summary panel. History Details on Finalize You can view the coding points assigned to each element of the patient's history component under the 95 or 97 Coding Guidelines in the History Details panel. Evaluation and Management Guidelines on Finalize Y

NextGen® Adaptive Content Engine Help Enterprise 8

Submit Codes for Virtual Visit Billing

You can document the virtual visit details of a patient on the Virtual Visit Billing section, and submit the codes to Superbill for a virtual visit. Before you begin You must configure the virtual visit billing rules using the Virtual Visit Payer Configuration practice template. Configure the list of provider and patient locations using theVirtual Visit Locationcustom DB picklist. For more information on how to customize the DB picklist, go toNextGen Healthcare Success Community, and download the latestCustom DB Picklists System Template forNextGen®Adaptive Content Engine. Parent topic: Virtual Visit Billing Related concepts Configuring Virtual Visit Billing Rules Related tasks Document the Time Details for Virtual Visit Billing Manage Visit Codes for Virtual Visit Billing Manage Visit Code Modifiers for Virtual Visit Billing

NextGen® Adaptive Content Engine Help Enterprise 8

Manage Visit Code Modifiers for Virtual Visit Billing

You can add or edit the visit code modifiers for virtual visit billing. After you have selected a visit code in the Virtual Visit Billing panel of the Finalize template, modifier codes are added to the visit code based on the billing rules configured using Virtual Visit Payer Configuration. You can edit the modifier codes that appear and add modifier codes. You can use up to two modifier codes for each visit code. Open NextGen® Enterprise EHR. Open the Finalize template. Expand the Virtual Visit Billing panel. To add a modifier, select the blank modifier field below the visit code, select the modifier and then select OK. The selected modifier is added to the modifier field. To edit a modifier, select the modifier field below the visit code, select the modifier, and select OK. The previous modifier is replaced with the selected modifier. Parent topic: Virtual Visit Billing

Virtual Visit Billing

Recommendations

Patient's General Information on Finalize

Reporting CPT II Claims Based Measure on Finalize

Cardiology Provider Workflow on the Finalize Template

Finalize Template

Submit Codes for Virtual Visit Billing

Manage Visit Code Modifiers for Virtual Visit Billing

Virtual Visit Billing

Patient's General Information on Finalize

Reporting CPT II Claims Based Measure on Finalize

Cardiology Provider Workflow on the Finalize Template

Finalize Template

Submit Codes for Virtual Visit Billing

Manage Visit Code Modifiers for Virtual Visit Billing