Set Up Alternate Medicare Billing Q Codes in the NDC Library

NextGen® Enterprise EHR Help

Select the Default NDC Library

You can select a default NDC Library in the Libraries Practice Preference to enable the NDC feature for use in your practice. Access File Maintenance then in the System category, select Practices. On the Modify Practice Information window, double-click your practice. Select Preferences and select Libraries from the Practice Preferences list. From the NDC Library list, select the library to set as the default, and then select OK Parent topic: Setting up Immunizations Tasks to Streamline Vaccine Billing

NextGen® Enterprise EHR Help

NDC Fields

Column Description NDC Id Enter the unique 11-digit, 3-segment National Drug Code number. If the number you have is not 11 digits, you must enter the necessary preceding zeros. Note: The system automatically formats the number when the charge is passed to NextGen® Enterprise PM. CPT4 Enter the CPT4 code associated with the NDC. You can enter up to nine characters with two modifiers. Eff Date Enter the date the NDC becomes effective. Note: The system automatically formats the number when the charge is passed to NextGen® Enterprise PM. If you entered an incorrect date and you want to move the cursor to the front of the cell, select the cell, and then select F2. Exp Date Enter the date the NDC ends. Note: The system automatically formats the number when the charge is passed to NextGen® Enterprise PM. If you entered an incorrect date and you want to move the cursor to the front of the cell, select the cell, and then select F2. NDC Description Enter the drug name, vendor, and trade package

NextGen® Enterprise EHR Help

Alternate Medicare Billing Q Codes in the NDC Library

The NDC Library enables you to create an NDC drug product list to help you manage billing for the vaccines given to patients. If you are administering certain Flu Immunizations to Medicare patients, you can ensure that these Immunizations are billed by adding their alternate Medicare codes (Q codes) and corresponding information in the NDC Library. Set Up Alternate Medicare Billing Q Codes in the NDC Library NDC Fields Parent topic: Setting up Immunizations Tasks to Streamline Vaccine Billing

NextGen® Enterprise EHR Help

Immunizations Setup Best Practices for Billing VFC and Medicare Patients

If your practice does the following: Follow These Best Practices: Uses standard CPT4 codes only Has Medicare patients and bills Flu vaccines Set up altenate Medicare Billing Code (Q codes) in the NDC Library. Select your practice's NDC Library in File Maintenance > Practice > Preferences. Tip: The Q codes are added to your practice's Service Item Library (SIM) when the CPT codes are updated annually. Uses CPT4 codes and custom SIM codes (for example, no charge billing and VFC billing) Treats VFC-eligible patients and uses custom VFC SIM codes Has Medicare patients and bill Flu vaccines Set up a custom VFC SIM code for a specific CPT4 code in the Service Item Library. Define the VFC SIM code default in Vaccine Billing by mapping to the appropriate CPT4 Code. Note: To be able to set up the VFC code in Vaccine Billing, you must apply Hot Fix 51. Set up Medicare Billing Code (Q codes) in the NDC Library. Select your practice's NDC Library in File Maintenance > Practice > Preferences. Uses

NextGen® Enterprise EHR Help

Administer Immunizations with Alternate Medicare Q Codes

If your practice administers Immunizations with Alternate Medicare codes (Q codes) to Medicare patients, you must first set up these codes in the NDC Library before placing an Immunizations order. These codes display on the Create New/Update Immunizations Order patient name window (Vaccine Details tab) in the Billing Code field. You must select these codes to ensure more accurate billing for Flu immunizations in NextGen® Enterprise PM. After you select the vaccines on the Select Vaccines tab, select the Vaccine Details tab. The Create New/Update Immunizations Order for <patient name> window opens on the Vaccine Details tab. On the Vaccine Details tab, select the vaccine, and provide the Vaccine and Immunizations details. Select a Registry from the list, if necessary. Select the Lot Number from the list or enter it manually, if necessary. The vaccine data defaults from the Vaccine Inventory, including the NDC ID if it exists. Enter additional information for the selected Immunization or

NextGen® Enterprise EHR Help

Setting up Immunizations Tasks to Streamline Vaccine Billing

To streamline vaccine billing as you complete various Immunizations tasks, ensure that billing administrators and appropriate clinical staff set up your NDC ID codes and SIM codes appropriately. Set up and map Custom SIM Codes for Immunizations Billing Set up Vaccine Billing Administration codes. Before you set up the vaccine inventory, select your practice’s default NDC Library and set up the NDC Library. Note: This enables the system to display the NDC details in the NDC Lookup when you add or update the vaccine inventory; or when you administer Immunizations in the Immunizations module. For accurate billing of alternate Medicare billing codes of certain Flu vaccines, your billing administrators also need to set up the NDC ID codes in the NDC Library. If you administer VFC Immunizations to VFC-eligible patients in your practice, for VFC billing purposes, you can configure unique custom SIM codes for the VFC and non-VFC patients for each location. Setting Up and Mapping Custom SIM Cod

Set Up Alternate Medicare Billing Q Codes in the NDC Library

Recommendations

Select the Default NDC Library

NDC Fields

Alternate Medicare Billing Q Codes in the NDC Library

Immunizations Setup Best Practices for Billing VFC and Medicare Patients

Administer Immunizations with Alternate Medicare Q Codes

Setting up Immunizations Tasks to Streamline Vaccine Billing

Set Up Alternate Medicare Billing Q Codes in the NDC Library

Select the Default NDC Library

NDC Fields

Alternate Medicare Billing Q Codes in the NDC Library

Immunizations Setup Best Practices for Billing VFC and Medicare Patients

Administer Immunizations with Alternate Medicare Q Codes

Setting up Immunizations Tasks to Streamline Vaccine Billing