Adding Procedures on Charge Submission of Orders

NextGen® Enterprise EHR Help

Add a Procedure to a Patient Chart

You can add a procedure to a patient chart from the Procedures module. You can also add procedure to a patient chart on charge submission of an order from the Orders module. The information entered in the Procedures module fields appears in the procedures list on the Procedures window. You can scroll across the procedure list area to view all the columns. The procedures you add also appear in the selected encounter for the patient and in the Superbill module. Open the Procedures module. Enter or select a procedure. To select the service date, do the following: Select the ellipsis button to display the calendar. Select a date. Select OK. Select Start/Stop Time. Note: When you select Start/Stop Time, the current time is selected by default. To change a time, you can select the hours, minutes, and AM/PM fields and then select the up or down arrow. To select Fee, do the following: Enter a fee or select the ellipsis button. In the Fee field, enter the fee or select a value from the list. Se

NextGen® Enterprise EHR Help

Components of the Superbill Module

The Superbill module enables you to enter information into the application easily. When you enter the procedures, modifiers, and problems in the specific modules of NextGen® Enterprise, system enters these to the Superbill module. Similarly, when you add the procedures, modifiers, and problems through the Superbill module, system automatically enters these into a patient's permanent medical record. Superbill The Superbill module consists of the following components: Payer. Enables you to assign services to a specific payer. Assigned Procedures. Displays a summary of the provided services. Available Procedures. Enables you to search and add procedures and modifiers. Available ICDs. Displays all established diagnoses, enables you to add new diagnoses, and displays both the ICD code and description of each problem. When you create charges for an order based on the charge submission defaults you configure for the respective performing entity in Practice Preferences of File Maintenance, sys

NextGen® Enterprise EHR Help

Set Up Charge Submission Defaults

For your practice to post charges for performing tests, you must define the charge for the tests using the SIM code or SIM group code for the test. You must also set up when to post the charges for tests from each type of performing entity that you use, including any in-house testing. You must set this value only if you want to post charges for tests that are ordered. If no value is specified, "No Billing" is assumed. CAUTION: If your practice places orders through template and manages charges from template, do not use the charge posting in the Orders module as it can result in duplicate charges. In File Maintenance, select System > Practices. From the Practices List, double select the required practice. The Modify Practice Information window opens. Select Preferences. The Practice Preferences window opens. From the Preference List on the left, select Orders Module. Select Lab/Rad. In the Charge Submission Defaults section, select Open Menu. The Add Charge Submission Default window ope

NextGen® Adaptive Content Engine Help Enterprise 8

Configure AUC Scores

Configure AUC Scores Configure AUC Scores You must configure settings in File Maintenance and on the Practice Configuration practice template to use the AUC score wizard. To successfully use the AUC score wizard, you must configure the following settings in File Maintenance. Open NextGen® Enterprise EHR. To activate the AUC rules for the assigned payer, in the File Maintenance, do the following. In the Master Files, click Payers. The Payers List window opens. Double click a payer from the list. The Modify Payer Information window for the payer opens. Click the Orders Module tab, and select the Enable payer for Appropriate Use Criteria rules for Advanced Radiology Imaging orders check box. Apply the AUC for all payers within the same financial class, if necessary. To automate the inclusion of modifier and G-code in the procedure billing, select the Include AUC /HCPCS code modifier automatically option. Select a payer in the encounter level insurance for the current patient. In the Order

NextGen® Enterprise EHR Help

Create a Radiology Order Workflow

This procedure provides an overview of the basic steps to create a radiology order. When you create an order, you must complete all required fields that have been set up as Mandatory Data Points in File Maintenance Practice Preferences. These required fields display in red text. If you do not fill in a required field, when you try to save your information, a message appears, prompting you to complete the field. For more information on setting up Mandatory Data Point fields in File Maintenance Practice Preferences, go to NextGen Healthcare Success Community, and download the latest Orders Module Setup Guide for NextGen® Enterprise EHR. Open the Orders module. Select the Orders Summary tab. On the Top toolbar, select New > Lab Order. If an encounter with today's date exists, the Create New Lab Order window opens. If an encounter with today's date does not exist, a message appears, prompting you to create an encounter or use a selected encounter. After you associate an encounter with the

NextGen® Enterprise EHR Help

Perform AUC Check

Before you begin Ensure that you have configured Appropriate Use Criteria (AUC) in File Maintenance. For more information on how to configure AUC, go to NextGen Healthcare Success Community and download the latest Radiology Appropriate Use Criteria Workflow for the Orders Module for NextGen® Enterprise EHR. Ensure that you have selected the insurance information for the patient in the All tab. Note: Computerized Physician Order Entry (CPOE) derives the insurance and diagnosis settings from the Preferences configuration in Practices in File Maintenance. For more information, go to NextGen Healthcare Success Community and download the latest File Maintenance Preferences Guide for NextGen® Enterprise. Ensure that you have completed the charge submission and payers information configurations in File Maintenance, which enables your practice to post charges for performing laboratory and diagnostic tests, and also to automatically include Healthcare Common Procedural Coding System (HCPCS) cod

Adding Procedures on Charge Submission of Orders

Recommendations

Add a Procedure to a Patient Chart

Components of the Superbill Module

Set Up Charge Submission Defaults

Configure AUC Scores

Create a Radiology Order Workflow

Perform AUC Check

Add a Procedure to a Patient Chart

Components of the Superbill Module

Set Up Charge Submission Defaults

Configure AUC Scores

Create a Radiology Order Workflow

Perform AUC Check