Set up Vaccine Administration SIM Billing Codes

NextGen® Enterprise EHR Help

Setting up Vaccine Billing Administration Codes

To select billing administration codes more easily, you can set up a picklist of vaccine administration SIM billing codes at the practice level in File Maintenance. You can also set up custom SIM codes you have configured, such as a no charge employee Flu vaccine. The Vaccine Administration SIM Billing Codes enable you to select the billing administration codes to display when you administer immunizations (on the Vaccine Details tab's Admin CPT4 code field). Set up Vaccine Administration SIM Billing Codes Parent topic: Setting up Immunizations Tasks to Streamline Vaccine Billing

NextGen® Enterprise EHR Help

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

If your practice administers immunizations for VFC-eligible patients, for billing purposes, you can set up custom VFC SIM codes for these patients. Using the Vaccine Billing option in File Maintenance, you can indicate that a VFC custom SIM code is a default billing code. The default indicates that an immunization is being administered for a VFC-eligible patient. When administering Immunizations using the Orders' Immunization function, the default VFC Vaccine Billing code automatically displays in the Vaccine Billing code field on the Create New/Update Immunizations Order for patient name window. After the immunization is Completed or Partially Administrated, the Vaccine Billing codes are then passed to NextGen® Enterprise PM for charge processing. Recommended Workflow for Configuring and Processing Custom VFC SIM Codes Mapping Unique SIM Codes and Selecting VFC SIM Code Defaults Parent topic: Setting up Immunizations Tasks to Streamline Vaccine Billing

NextGen® Enterprise EHR Help

Access Vaccine Billing While Administering Immunizations

When administering immunizations, you can access the Vaccine Billing option from the Create New/Update Immunizations Order <patient name> window. This enables you to: Map custom VFC SIM codes and other unique Immunization codes. Indicate which VFC SIM code is the VFC default. Note: Once the Immunizations administration is complete, the appropriate billing codes are then sent to NextGen® Enterprise PM for charge processing. Open Immunizations tab from the NextGen® Enterprise EHR Orders module and create a immunizations order. On the Select Vaccines tab, select a vaccine or vaccines. To access Vaccine Billing, from the Create New/Update Immunizations Order <patient name> window, select the button at the top right of the window. A list displays Vaccine Inventory and Vaccine Billing. Select Vaccine Billing. The Vaccine Billing List window opens. To map customized VFC SIM codes or non-VFC codes for billing purposes, select New from the Open Menu button. To update a CPT code, select a CPT co

NextGen® Enterprise EHR Help

Select Custom SIM Codes to Map

You can select custom (or alternate) SIM codes for mapping. In File Maintenance, select System > Vaccine Billing. The Vaccine Billing List window opens. Select the Open Menu button, and then select New. The Add Vaccine Billing Item window opens. Note: Only active CPT Codes display for the current practice. If you are mapping SIM Groups, select SIM Group Only and then select the Open Record button. The Vaccine SIM Code Search window opens. Note: If you are searching for a SIM Group, the SIM Groups dialog box displays. Search for a SIM code or SIM groups to map, if necessary. To select a SIM code or SIM Group to map, select the right arrow. The SIM Code moves to the Included section. Continue selecting SIM codes to map, if necessary, and then select OK. The selected SIM codes display in the Add Vaccine Billing Item window. To select the default VFC SIM code, highlight the appropriate code in the Linked Items section and select the VFC Default check box. For other custom SIM codes in the

NextGen® Enterprise EHR Help

Create SIM Codes for COVID-19 Vaccines

Each manufacturer’s vaccines are represented by individual unique CPT4® and administration codes. You can add the unique COVID-19 vaccine codes to the Service Item Library. Open File Maintenance. Under Libraries, select Service Items. The Service Items List window opens. To add codes to a library, select an existing library and select open menu , and then select Open. Note: You can create a Service Item (SIM) library for COVID-19 vaccines by selecting open menu and then selecting New. The Service Item Library Maintenance window opens. Add the vaccine CPT4 codes and administration codes to the SIM Library and select OK. Note: Each manufacturer’s vaccines are represented by individual unique CPT and administration codes. Parent topic: Recommended Setup and Testing Preparation

File Maintenance Help for NextGen® Enterprise 8

Vaccine Master Files

The Vaccine (Immunizations) Master Files are updated and maintained in File Maintenance. Master File Description Vaccine Admin Billing To select billing administration codes more easily, this master file enables you to set up a picklist of vaccine administration SIM billing codes at the practice level in File Maintenance. You can also set up custom SIM codes you have configured, such as a no charge employee Flu vaccine. The Vaccine Administration SIM Billing Codes enable you to select the billing administration codes to display when you administer immunizations (on the Vaccine Details tab's Admin CPT4 code field). Vaccine Billing If your practice administers immunizations for VFC-eligible patients, for billing purposes, you can set up custom VFC SIM codes for these patients. Using the Vaccine Billing option in File Maintenance, you can indicate that a VFC custom SIM code is a default billing code. The default indicates that an immunization is being administered for VFC-eligible patient

Set up Vaccine Administration SIM Billing Codes

Recommendations

Setting up Vaccine Billing Administration Codes

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

Access Vaccine Billing While Administering Immunizations

Select Custom SIM Codes to Map

Create SIM Codes for COVID-19 Vaccines

Vaccine Master Files

Setting up Vaccine Billing Administration Codes

Setting Up and Mapping Custom SIM Codes for Immunizations Billing

Access Vaccine Billing While Administering Immunizations

Select Custom SIM Codes to Map

Create SIM Codes for COVID-19 Vaccines

Vaccine Master Files